Base contact required
Base Contact Required in all of the following situations:
1. Specialty Receiving:
-
SNRC
-
PTRC
-
CVRC
-
Burn
-
Vascular (AAA)
-
Replant Center patients
2. Inter-Facility Transports (IFTs)
3. Full Arrest:
-
ROSC
-
requesting pronouncement
-
family questioning DNR/POLST
4. MCI
5. Snake Envenomations
6. PEDS Drowning
7. Severe Hyperthermia
8. End of Life Situations
9. Field Delivery / OB Hypertension
10. AICD firing twice or more times in less than 15 min
11. Triage Decisions
12. AMA Issues:
-
Patients for whom a 12-lead was performed and then requests to sign out AMA.
-
ALTE / BRUE patients.
-
ALS refusal with question of capacity.
-
Complicated AMA’s - refusal to go to specialty, complicated DNR, etc…
-
Patient signing AMA that meets Base Hospital Contact criteria.
-
Patients signing AMA with abnormal vital signs (see Unstable Vitals above).
13. Transport Issues:
-
Any transport or destination issues.
14. Diversion:
-
No pt. may be transported to a Hospital on Diversion without a BHO.
-
After contact has been made to 3 Hospitals on Diversion, make Base Hospital Contact for destination.
-
Base Hospital has final decision on destination of all patients.
15. Procedures:
-
Needle Thor - For patients with pulses (SO in MCI, remote rescue, tactically unstable scene)
-
Pacing - Contact the Base for possible transport to CVRC
-
PEDS - SVT treatment
-
PEDS V-Tach with pulses
-
PEDS cardioversion
16. Medications requiring Base Hospital Order:
-
Adenosine (Peds)
-
Push Dose Epi (Adult/Peds)
-
Amiodarone (Peds)
-
Nitroglycerin (Peds)
-
ASA (Peds)
-
Versed for pre-cardioversion sedation (Adult/Peds)
-
Epinephrine for Asthma (Adult)
Special Circumstances:
-
Victims of sexual assault should be transported to the nearest PRC or PTRC.
-
OC Paramedics are NOT allowed to “Medically Clear” a patient.
-
Base Hospital Contact shall be made for complicated calls
**Complete 330.15 tab on the ePCR when BHC required and not completed**