Pediatric Hospital

Destination Guidelines

 

Greenville Memorial

 

  • All Trauma Alert Levels
  • Violent psychiatric patients
  • Cardiac Arrest or Imminent Arrest
  • Post cardiac arrest patients
  • Sexual assault patients without significant physical trauma
  • Sexual assault patients with significant physical trauma
  • Patient requiring a specialist "Ologist", with a related complaint
  • Severly ill, but not in immediate danger to arrest
  • Not severly ill, and not meeting other specific patinet types above

 

Any Prisma, St. Francis, or Pelham Medical

 

  • Cardiac Arrest or Imminent Arrest
  • Not severly ill, and not meeting other specific patinet types above

 

Any Prisma Facility

 

  • Cardiac Arrest or Imminent Arrest
  • Sexual assault patients with significant physical trauma
  • Not severly ill, and not meeting other specific patinet types above

 

PEARLS:

 

  • Once the destination hospital has been determined, the EMS crew must call the receiving facility via a recorded line as soon as possible. The report should include Age, Sex, Chief complaint, & Vital signs.
  • A more complete report should be given for higher acuity patients.
  • Any deviation of this Hospital Destination Guideline should be made by the diverting physician on a recorded line.
  • The patient's caregiver retains the right to refuse a diversion.  In these cases notify the receiving hospital that the diversion was refused by caregiver, and have th caregiver sign a refusal declining the recommendation to divert to a more appropriate facility.
  • Any ED can receive a pediatric patient that is in cardiac arrest or imminent arrest
  • Any ED can receive a pediatric patient that is not severely ill and does not meet a specific patient type listed above.