Non-emergency Line answer phrase…
Ambulance, what is the purpose if your call?
Protocol 45
Specialized Unscheduled Up-care transfer
all transfers for higher level of care not deemed life or limb
What determines the acuity level of a Protocol 45 call?
Medications and equipment
escorts needed for all medication deemed ALS
Protocol 46
Scheduled Interfacility Transfer
Protocol 46 - how does the scheduled appt time need to be handled?
Entered into ProQA and the SCT
Protocol 46 - how is readiness time blocked?
Immediate = under 30 min
Scheduled = before midnight and 30+min
Pre-Scheduled = after midnight
Protocol 47
Mental Health Transfer
Under what circumstances can a call be shunted
to Protocol 45 from Protocol 47?
- Inter hospital transfer
- Medical condition is more significant than the mental
What gets updated for return transfer in the SCT?
Problem Type: Transfer Return
Which protocol are used for Ministry Created Transfers?
Life or Limb, Team Transfers (all), Organ, Obstetric
CAD Protocol
MTPS Transfers us ProQA
Process to access the CAD Transfer Protocols
- F10 to open SCT
- Problem/Nature: Transfer-Gateway
- Priority X
- Choose the blue question icon as per usual
if the type of ministry transfer is clearly communicated - set problem/n
Which calls qualify for the Problem/Nature Transfer - Life or Limb
- CritiCall has declared Life or Limb
- Stemi
- Code Stroke
- Obstetrics with Fetal Distress or Severe Hemorrhage
Launch all Team Transfers with which Problem/Nature
Transfer - Team Emergency
This will access the SOP
True or False: Team Transfer - Emergency problem/nature is used for all transfers with Ornge or other teams whether they have a pt or not
True
How do you access the SOP for the MTPS transfers?
Caduceus to use ProQA
Protocols 45, 46, and 47
Steps to send Specialized Unscheduled Transfer for Up-care to queue in ProQA
Stat transfers
- Verify and accept the send point in ProQA
- Close ProQA
- Save the SCT
- Re-Open ProQA and complete the protocol as required
Caduceus opens ProQA // Save at the bottom of the SCT
Where in the MTPS Protocol 45 override handled?
If overriding, switch protocol to 45-D-00 and document the authorizing persons name, badge and time of authorization
Protocol for a card 45 override
45-D-00
Inter-facility definition has been extended to include:
- Hospitals
- Nursing Homes
- Homes for the Aged
- Approved homes for Special Care
- Managed in-home programs for the terminally ill
- Outpost Nursing Stations
- Phsycians Offices
- Community Health Centres
Mostly where a dr is often available or on scene
Describe the difference between IMMEDIATE, SCHEDULED, and PRESCHEDULED in the ProQA MTPS
- IMMEDIATE - 30 min or less
- SCHEDULED - requested time is before midnight today
- PRESCHEDULED - after midnight tonight
Return Transfers will have which problem/nature and priority?
Transfer-Return
Green
as always, ensure the time is set to 23:23 on the day of the return
Updates to pt condition, equipment, or medications are handled differently for MOH and MTPS Transfers - explain
- MTPS updates require the launch of ProQA and re-completion of MTPS protocol
- MOH transfer updates are documented in the SCT comments (including the callers name and phone number
Pro tip - always confirm the pt name, health card number - confirm call!
If hospital wants ACP support…
Hospital will be referred to ORNGE
Black out hours for low acuity transfers
0000hrs to 0800 hrs
on duty Fleet Supervisor permission required
