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.