Location of Change Expected Impact Outcome Rationale for Outcome Purpose of Change Operational Change Educational Financial Brown Consider changing No MDPB felt that this was already last line sentence to say clear “OLMC under cannot legally refuse Hospital these patients unless Clarity Educational destination they are on diversion choice” secondary to a hostage situation or serious transmittable infection.” Brown 2 OLMC or Advanced Yes Many actions occur simultaneously. There may be instances where the Providers may request AEMT/paramedic directs an EMT to treatments/medications Clarity Educational perform a task that may be out of out of sequence for order from their protocol. Medic medical reasons. skills are sometimes prioritized. Brown 4 Change: Yes Grammar No, this We have VAD protocol which is 1.”Many patients will should be inclusive and we should remove have,” to patients “Many removed from the brown section; we will may have…” Clarity Educational from the also be doing a white paper on 2. Is a surgically “(LVAD): brown home medical devices implanted pump “used” section all to assist…….” together Under the Special Brown 5 Yes I noted in review of the template that the following need to sign: Circumstances Protocol: Regional Medical Director Change to Clarity Educational “…..and PCP/Attending ratified by the MDPB and Service Chief (local) signed by the local EMS
Location of Change Change Purpose of Change Expected Impact Operational Educational Financial Outcome Rationale for Outcome Brown line under Hospital destination choice” Consider changing last sentence to say “OLMC cannot legally refuse these patients unless they are on diversion secondary to a hostage situation or serious transmittable infection.” Clarity Educational No MDPB felt that this was already clear Brown 2 OLMC or Advanced Providers may request treatments/medications out of sequence for medical reasons. Clarity Educational Yes Many actions occur simultaneously. There may be instances where the AEMT/paramedic directs an EMT to perform a task that may be out of order from their protocol. Medic skills are sometimes prioritized. Brown 4 Change: 1.”Many patients will have,” to “Many patients may have…” 2. “(LVAD): Is a surgically implanted pump “used” to assist…….” Clarity Educational Yes No, this should be removed from the brown section all together Grammar We have VAD protocol which is inclusive and we should remove from the brown section; we will also be doing a white paper on home medical devices Brown 5 Under the Special Circumstances Protocol: Change to “…..and ratified by the MDPB and signed by the local EMS Clarity Educational Yes I noted in review of the template that the following need to sign: Regional Medical Director PCP/Attending Service Chief (local)