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This document outlines the protocols for requesting ambulance diversion and managing emergency department capacity during patient surges, including guidelines for communication and reporting.
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How to fill out emergency medical services diversion

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How to fill out Emergency Medical Services Diversion Protocol

01
Gather all necessary patient information including medical history, allergies, and current medications.
02
Determine the patient's current condition and assess the need for emergency services.
03
Consult with hospital protocols regarding diversion criteria and available resources.
04
Document the reasons for potential diversion, including current capacity and staffing levels at local hospitals.
05
Notify the emergency medical services (EMS) team of the decision to divert and provide them with relevant information.
06
Ensure that all documentation is completed accurately and submitted for review.

Who needs Emergency Medical Services Diversion Protocol?

01
Emergency medical service providers who assess and transport patients in critical situations.
02
Hospitals facing capacity issues and unable to accept additional patients.
03
Healthcare administrators managing resource allocation in emergency situations.
04
Policy makers involved in emergency medical services planning and protocols.
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Physicians — including on-call physicians — who violate EMTALA may be subject to a civil penalty of $129,233. Hospitals that violate EMTALA are subject to civil penalties of $64,618 to $129,2332 per violation, lawsuits for damages, and/or exclusion from Medicare. (42 U.S.C. § 1395dd(d); 42 C.F.R.
EMS diversion occurs when emergency departments (EDs) temporarily close to incoming ambulance traffic.[1] When an ED assumes a diversion status, EMS must bypass that hospital and proceed to the closest facility with availability.
Emergency Medicine EMTALA Violations Failure to screen for EMC. Failure to stabilize a patient with EMC. Hospital failed to accept transfer of a patient with EMC. Inappropriate transfer of a patient with EMC. Failure to provide medical screening exam and stabilize an obstetric patient in active labor.
Emergency Room (ER) Diversion happens when a hospital and its emergency room are overloaded to the point that they can no longer safely accommodate another patient.
EMS diversion occurs when emergency departments (EDs) temporarily close to incoming ambulance traffic.[1] When an ED assumes a diversion status, EMS must bypass that hospital and proceed to the closest facility with availability.
However, improper diversions may violate the Emergency Medical Treatment and Active Labor Act ("EMTALA"), 42 USC § 1395dd. EMTALA violations may result in penalties of $53,484 to $106,965, depending on the number of beds at the hospital. (42 CFR § 1003.510 and 45 CFR § 102).
When a hospital is on diversion status, incoming patients are sent to a different hospital. Diversion status is a situation that arises when a hospital's emergency department (ED) is overwhelmed with patients, often due to high volumes, staffing shortages, or a lack of available beds.

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The Emergency Medical Services Diversion Protocol is a system used to manage the diversion of ambulances from one medical facility to another due to overcrowding or resource limitations at the receiving facility.
Typically, the medical director of the EMS system, hospital emergency department directors, or designated EMS personnel are required to file the Emergency Medical Services Diversion Protocol.
To fill out the Emergency Medical Services Diversion Protocol, one must provide specific information about the current status of the emergency department, including patient capacity, wait times, and the reason for diversion, along with necessary administrative details.
The purpose of the Emergency Medical Services Diversion Protocol is to ensure that patients are directed to facilities that can adequately manage their medical needs, thereby optimizing resource allocation and improving patient outcomes.
Information that must be reported includes the name of the facility, the reason for diversion, the current patient load, estimated wait times, and any other pertinent details relevant to the diversion decision.
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