Category:Medevacs and Transport - Revision history

LiamG: /* Complete a Patient Transport Form (PTO) */

2024-06-17T16:54:54Z

Complete a Patient Transport Form (PTO)

← Older revision		Revision as of 16:54, 17 June 2024
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	* Let the accepting physician know you are calling to transfer the patient to their facility (You are not calling to ask for advice on managing them in Bethel).		* Let the accepting physician know you are calling to transfer the patient to their facility (You are not calling to ask for advice on managing them in Bethel).

	NOTE: If you think the patient needs to be transferred to a higher level of care, the on call specialist should not refuse the transfer. If there is any issue with obtaining an accepting physician, page the Clinical Director (CD) on call for assistance.		NOTE: If you think the patient needs to be transferred to a higher level of care, the on-call specialist should not refuse the transfer. If there is any issue with obtaining an accepting physician, page the Clinical Director (CD) on call for assistance.

	===Complete a [[Media:Ptos.pdf\|Patient Transport Form (PTO)]]===		===Complete a [[Media:Ptos.pdf\|Patient Transport Form (PTO)]]===

LiamG: /* Emergency Military Transport */

2024-02-21T18:54:32Z

Emergency Military Transport

LiamG: /* Emergency Military Transport */

2024-02-21T18:48:52Z

Emergency Military Transport

← Older revision		Revision as of 18:48, 21 February 2024
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	If LifeMed is unable to complete a medevac, the '''Rescue Coordination Center''' (RCC) can help find a military medevac aircraft. If the Bethel Based Army National Guard is available, the Bethel Lifemed Med Crew may fly with them on their aircraft to complete the medevac. If the Bethel Guard Helicopter is not available, RCC will dispatch an aircraft from somewhere else in the state, usually from the 210 or 211 Rescue Squadron based in Anchorage. LifeMed Dispatch will take care of all of those transportation arrangements for you.		If LifeMed is unable to complete a medevac, the '''Rescue Coordination Center''' (RCC) can help find a military medevac aircraft. If the Bethel Based Army National Guard is available, the Bethel Lifemed Med Crew may fly with them on their aircraft to complete the medevac. If the Bethel Guard Helicopter is not available, RCC will dispatch an aircraft from somewhere else in the state, usually from the 210 or 211 Rescue Squadron based in Anchorage. LifeMed Dispatch will take care of all of those transportation arrangements for you.

			[[media:RCCMedicalNecessity.pdf\|Alask Rescue Coordination Center Medical Necessity Transport Form]]

	'''''NOTE:'''''		'''''NOTE:'''''

JenniferH: /* Complete a Patient Transport Form (PTO) */

2022-07-04T21:05:52Z

Complete a Patient Transport Form (PTO)

← Older revision		Revision as of 21:05, 4 July 2022
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	===Complete a [[media:ptos.pdf\|Patient Transport Form (PTO)]]===		===Complete a [[media:ptos.pdf\|Patient Transport Form (PTO)]]===
	*Once you have an accepting provider / facility, complete a ~~[https://intranet.ykhc.org/mdocs-posts/patient-transport-order-memorandum-of-transfer/~~ PTO] and ~~[https://intranet.ykhc.org/mdocs-posts/consent-to-transfer-transfer-recommended/~~ consent the patient for travel~~]. Both of these forms are available on the intranet document library~~.		*Once you have an accepting provider / facility, complete a PTO and consent the patient for travel.
	*Send a copy of the completed PTO to the ER (this can be done by walking it over, sending it through the tube system, or scan emailing it to the charge nurse) with pertinent patient information		*Send a copy of the completed PTO to the ER (this can be done by walking it over, sending it through the tube system, or scan emailing it to the charge nurse) with pertinent patient information
	*'''''It is important to notify the Emergency Department Physician (E1/E2) about ALL medevacs (Village to Bethel and Bethel to Anchorage) as they help to coordinate all medevac flights.'''''		*'''''It is important to notify the Emergency Department Physician (E1/E2) about ALL medevacs (Village to Bethel and Bethel to Anchorage) as they help to coordinate all medevac flights.'''''

JenniferH: /* Medevac Ride Along/Observers */

2021-09-29T22:49:31Z

Medevac Ride Along/Observers

← Older revision		Revision as of 22:49, 29 September 2021
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	==Medevac Ride Along/Observers==		==Medevac Ride Along/Observers==
	Ride-a-longs are scheduled on a first-come first-serve basis. A [[media:Medevac_Ride_Along_Form.pdf\|Medevac Ride Along Form]] ([https://www.lifemedalaska.com/copy-of-ride-along-program ~~Electronic~~ Medevac Ride-along ~~Release Form~~]) must be filled out prior to a medevac.		Ride-a-longs are scheduled on a first-come first-serve basis. A [[media:Medevac_Ride_Along_Form.pdf\|Medevac Ride Along Form]] ([https://www.lifemedalaska.com/copy-of-ride-along-program Online Medevac Ride-along Participant Application]) must be filled out prior to a medevac.

	Fill out the form online and someone from Lifemed will contact you within 2 weeks.		Fill out the form online and someone from Lifemed will contact you within 2 weeks.

JenniferH: /* Medevac Ride Along/Observers */

2021-09-29T22:44:25Z

Medevac Ride Along/Observers

← Older revision		Revision as of 22:44, 29 September 2021
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	==Medevac Ride Along/Observers==		==Medevac Ride Along/Observers==
	Ride-a-longs are scheduled on a first-come first-serve basis. A [https://www.lifemedalaska.com/copy-of-ride-along-program Medevac Ride-along Release Form] must be filled out prior to a medevac.		Ride-a-longs are scheduled on a first-come first-serve basis. A [[media:Medevac_Ride_Along_Form.pdf\|Medevac Ride Along Form]] ([https://www.lifemedalaska.com/copy-of-ride-along-program Electronic Medevac Ride-along Release Form]) must be filled out prior to a medevac.

	Fill out the form online and someone from Lifemed will contact you within 2 weeks.		Fill out the form online and someone from Lifemed will contact you within 2 weeks.

JenniferH: /* Village to Bethel Medevacs */

2020-12-31T10:05:21Z

Village to Bethel Medevacs

← Older revision		Revision as of 10:05, 31 December 2020
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	*3 copies of patient demographic information		*3 copies of patient demographic information
	This packet is given to Lifemed on arrival to YKHC.		This packet is given to Lifemed on arrival to YKHC.

			==[[media:Lifemed_Medication_Box.pdf\|LifeMed Formulary]]==
			A list of medications available in the LifeMed medication box.

	==Village to Bethel Medevacs==		==Village to Bethel Medevacs==

JenniferH: /* Urgent Charters */

2020-11-22T10:51:25Z

Urgent Charters

← Older revision		Revision as of 10:51, 22 November 2020
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	Urgent charters can only be arranged on weekdays and weekends, but not holidays or after hours. Usually they are arranged from village to Bethel or SRC, but occasionally they can be arranged from Bethel or SRC to Anchorage.		Urgent charters can only be arranged on weekdays and weekends, but not holidays or after hours. Usually they are arranged from village to Bethel or SRC, but occasionally they can be arranged from Bethel or SRC to Anchorage.

			===Creative Alternative Transports===
			When weather is down or there are no flights available, a stable patient might come in to Bethel or an SRC by boat, snow machine, snowmobile, river cab or private vehicle on the ice highway.

			In extreme situations, a CHA may accompany a very sick patient to another close-by village for more help/supplies/medevac access OR bring them to Bethel if able. Having a CHA leave the village to accompany a patient requires approval of the Community Health Aide Administrator on call (a CHA must not leave the village without appropriate health aide coverage)

	==Medevac Ride Along/Observers==		==Medevac Ride Along/Observers==

JenniferH: /* Creative Alternative Transports */

2020-11-22T10:51:03Z

Creative Alternative Transports

← Older revision		Revision as of 10:51, 22 November 2020
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	BH inpatients that require psychiatric hospitalization will be transferred with a BH escort via a commercial flight to Alaska Psychiatric Institute (API) after they are medically cleared.		BH inpatients that require psychiatric hospitalization will be transferred with a BH escort via a commercial flight to Alaska Psychiatric Institute (API) after they are medically cleared.

	~~===Creative Alternative Transports===~~
	~~When weather is down or there are no flights available, a stable patient might come in to Bethel or an SRC by boat, snow machine, snowmobile, river cab or private vehicle on the ice highway.~~

	In extreme situations, a CHA may accompany a very sick patient to another close-by village for more help/supplies/medevac access OR bring them to Bethel if able. Having a CHA leave the village to accompany a patient requires approval of the Community Health Aide Administrator on call (a CHA must not leave the village without appropriate health aide coverage)

	===Urgent Charters===		===Urgent Charters===

JenniferH: /* Commercial Flights From ER/Inpatient/Outpatient to Anchorage */

2020-11-22T10:50:31Z

Commercial Flights From ER/Inpatient/Outpatient to Anchorage

← Older revision		Revision as of 10:50, 22 November 2020
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	*The patient may be going to a specialist f/u appointment the next day, to ANMC ER for re-admission or for further evaluation or the patient might be a direct admission to the pediatric unit, etc.		*The patient may be going to a specialist f/u appointment the next day, to ANMC ER for re-admission or for further evaluation or the patient might be a direct admission to the pediatric unit, etc.
	*These patients have been discharged from our facility, but YKHC has assisted in the patient’s travel and there is an accepting physician at the next facility expecting the patient with an agreed upon plan of care.		*These patients have been discharged from our facility, but YKHC has assisted in the patient’s travel and there is an accepting physician at the next facility expecting the patient with an agreed upon plan of care.
	*'''''Complete a [[media:ptos.pdf\|Patient Transport Form (PTO)]] for all urgent commercial travel from Bethel to Anchorage'''''		*'''''Complete a [[media:ptos.pdf\|Patient Transport Form (PTO)]] for all urgent (within 24 hours) commercial travel from Bethel to Anchorage'''''
	*For patients traveling commercially to Anchorage without Medical Insurance, the travel payment and authorization protocol is the same as it is for the village patients. YKHC travel makes the travel arrangements. Patients will still need funds for cabs plus food and lodging if they are not admitted. Sometimes ANMC can assist the patient with housing on campus once they arrive.		*For patients traveling commercially to Anchorage without Medical Insurance, the travel payment and authorization protocol is the same as it is for the village patients. YKHC travel makes the travel arrangements. Patients will still need funds for cabs plus food and lodging if they are not admitted. Sometimes ANMC can assist the patient with housing on campus once they arrive.

← Older revision		Revision as of 18:54, 21 February 2024
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	==Medevac Activation Process==		==Medevac Activation Process==
	* [[~~media~~:~~Medevac_Bethel_to_Anchorage~~.pdf\|Medevac Activation Bethel to Anchorage YKHC Clinical Guideline]]		* [[Media:Medevac Bethel to Anchorage.pdf\|Medevac Activation Bethel to Anchorage YKHC Clinical Guideline]]
	* [[Media:~~Medevac_village_to_Bethel~~.pdf\|Medevac Activation Village to Bethel YKHC Clinical Guideline]]		* [[Media:Medevac village to Bethel.pdf\|Medevac Activation Village to Bethel YKHC Clinical Guideline]]

	Activate Medevacs as soon as possible to avoid delays in patient’s getting to the higher level of care they need. If you are too busy to activate…get someone else to help you.		Activate Medevacs as soon as possible to avoid delays in patient’s getting to the higher level of care they need. If you are too busy to activate…get someone else to help you.
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	NOTE: If you think the patient needs to be transferred to a higher level of care, the on call specialist should not refuse the transfer. If there is any issue with obtaining an accepting physician, page the Clinical Director (CD) on call for assistance.		NOTE: If you think the patient needs to be transferred to a higher level of care, the on call specialist should not refuse the transfer. If there is any issue with obtaining an accepting physician, page the Clinical Director (CD) on call for assistance.

	===Complete a [[~~media~~:~~ptos~~.pdf\|Patient Transport Form (PTO)]]===		===Complete a [[Media:Ptos.pdf\|Patient Transport Form (PTO)]]===
	*Once you have an accepting provider / facility, complete a PTO and consent the patient for travel.		*Once you have an accepting provider / facility, complete a PTO and consent the patient for travel.
	*Send a copy of the completed PTO to the ER (this can be done by walking it over, sending it through the tube system, or scan emailing it to the charge nurse) with pertinent patient information		*Send a copy of the completed PTO to the ER (this can be done by walking it over, sending it through the tube system, or scan emailing it to the charge nurse) with pertinent patient information
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	This packet is given to Lifemed on arrival to YKHC.		This packet is given to Lifemed on arrival to YKHC.

	==[[~~media~~:~~Lifemed_Medication_Box~~.pdf\|LifeMed Formulary]]==		==[[Media:Lifemed Medication Box.pdf\|LifeMed Formulary]]==
	A list of medications available in the LifeMed medication box.		A list of medications available in the LifeMed medication box.

	==Village to Bethel Medevacs==		==Village to Bethel Medevacs==
	see [[Media:~~Medevac_village_to_Bethel~~.pdf\|Medevac Activation Village to Bethel YKHC Guideline]]		see [[Media:Medevac village to Bethel.pdf\|Medevac Activation Village to Bethel YKHC Guideline]]

	===Labor in the Village===		===Labor in the Village===
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	==Bethel to Anchorage Medevacs==		==Bethel to Anchorage Medevacs==
	see [[~~media~~:~~Medevac_Bethel_to_Anchorage~~.pdf\|Medevac Activation Bethel to Anchorage Guideline]]		see [[Media:Medevac Bethel to Anchorage.pdf\|Medevac Activation Bethel to Anchorage Guideline]]
	===Overview===		===Overview===
	Anchorage and Fairbanks Medevac teams are comprised of two paramedics on a Lear jet. This might be a paramedic and a nurse pair. It takes 1.5 to 3 hours (or longer due to weather or resource availability) to get a plane to Bethel, so activate as soon as you know you need to medevac a patient.		Anchorage and Fairbanks Medevac teams are comprised of two paramedics on a Lear jet. This might be a paramedic and a nurse pair. It takes 1.5 to 3 hours (or longer due to weather or resource availability) to get a plane to Bethel, so activate as soon as you know you need to medevac a patient.
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	===Emergency Military Transport===		===Emergency Military Transport===
	See [[~~media~~:~~Activating_emergency_military_transport~~.pdf\|Activating Emergency Military Transport YKHC Guideline]]		See [[Media:Activating emergency military transport.pdf\|Activating Emergency Military Transport YKHC Guideline]]

	If LifeMed is unable to complete a medevac, the '''Rescue Coordination Center''' (RCC) can help find a military medevac aircraft. If the Bethel Based Army National Guard is available, the Bethel Lifemed Med Crew may fly with them on their aircraft to complete the medevac. If the Bethel Guard Helicopter is not available, RCC will dispatch an aircraft from somewhere else in the state, usually from the 210 or 211 Rescue Squadron based in Anchorage. LifeMed Dispatch will take care of all of those transportation arrangements for you.		If LifeMed is unable to complete a medevac, the '''Rescue Coordination Center''' (RCC) can help find a military medevac aircraft. If the Bethel Based Army National Guard is available, the Bethel Lifemed Med Crew may fly with them on their aircraft to complete the medevac. If the Bethel Guard Helicopter is not available, RCC will dispatch an aircraft from somewhere else in the state, usually from the 210 or 211 Rescue Squadron based in Anchorage. LifeMed Dispatch will take care of all of those transportation arrangements for you.

	[[~~media~~:RCCMedicalNecessity.pdf\|~~Alask~~ Rescue Coordination Center Medical Necessity Transport Form]]		You will need to submit a completed [[Media:RCCMedicalNecessity.pdf\|Alaska Rescue Coordination Center Medical Necessity Transport Form]] to the listed email.

	'''''NOTE:'''''		'''''NOTE:'''''
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	*The patient may be going to a specialist f/u appointment the next day, to ANMC ER for re-admission or for further evaluation or the patient might be a direct admission to the pediatric unit, etc.		*The patient may be going to a specialist f/u appointment the next day, to ANMC ER for re-admission or for further evaluation or the patient might be a direct admission to the pediatric unit, etc.
	*These patients have been discharged from our facility, but YKHC has assisted in the patient’s travel and there is an accepting physician at the next facility expecting the patient with an agreed upon plan of care.		*These patients have been discharged from our facility, but YKHC has assisted in the patient’s travel and there is an accepting physician at the next facility expecting the patient with an agreed upon plan of care.
	*'''''Complete a [[~~media~~:~~ptos~~.pdf\|Patient Transport Form (PTO)]] for all urgent (within 24 hours) commercial travel from Bethel to Anchorage'''''		*'''''Complete a [[Media:Ptos.pdf\|Patient Transport Form (PTO)]] for all urgent (within 24 hours) commercial travel from Bethel to Anchorage'''''
	*For patients traveling commercially to Anchorage without Medical Insurance, the travel payment and authorization protocol is the same as it is for the village patients. YKHC travel makes the travel arrangements. Patients will still need funds for cabs plus food and lodging if they are not admitted. Sometimes ANMC can assist the patient with housing on campus once they arrive.		*For patients traveling commercially to Anchorage without Medical Insurance, the travel payment and authorization protocol is the same as it is for the village patients. YKHC travel makes the travel arrangements. Patients will still need funds for cabs plus food and lodging if they are not admitted. Sometimes ANMC can assist the patient with housing on campus once they arrive.

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	==Medevac Ride Along/Observers==		==Medevac Ride Along/Observers==
	Ride-a-longs are scheduled on a first-come first-serve basis. A [[~~media~~:~~Medevac_Ride_Along_Form~~.pdf\|Medevac Ride Along Form]] ([https://www.lifemedalaska.com/copy-of-ride-along-program Online Medevac Ride-along Participant Application]) must be filled out prior to a medevac.		Ride-a-longs are scheduled on a first-come first-serve basis. A [[Media:Medevac Ride Along Form.pdf\|Medevac Ride Along Form]] ([https://www.lifemedalaska.com/copy-of-ride-along-program Online Medevac Ride-along Participant Application]) must be filled out prior to a medevac.

	Fill out the form online and someone from Lifemed will contact you within 2 weeks.		Fill out the form online and someone from Lifemed will contact you within 2 weeks.