Form preview

Get the free Emergency Medical Services Diversion Protocol - mssm

Get Form
This document outlines the policies and procedures for requesting Emergency Medical Services (EMS) diversion in case of overcrowding in the emergency department, detailing the conditions under which
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign emergency medical services diversion

Edit
Edit your emergency medical services diversion form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your emergency medical services diversion form via URL. You can also download, print, or export forms to your preferred cloud storage service.

How to edit emergency medical services diversion online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
To use the professional PDF editor, follow these steps:
1
Log in to account. Click on Start Free Trial and sign up a profile if you don't have one.
2
Upload a document. Select Add New on your Dashboard and transfer a file into the system in one of the following ways: by uploading it from your device or importing from the cloud, web, or internal mail. Then, click Start editing.
3
Edit emergency medical services diversion. Add and change text, add new objects, move pages, add watermarks and page numbers, and more. Then click Done when you're done editing and go to the Documents tab to merge or split the file. If you want to lock or unlock the file, click the lock or unlock button.
4
Get your file. When you find your file in the docs list, click on its name and choose how you want to save it. To get the PDF, you can save it, send an email with it, or move it to the cloud.
pdfFiller makes working with documents easier than you could ever imagine. Register for an account and see for yourself!

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out emergency medical services diversion

Illustration

How to fill out Emergency Medical Services Diversion Protocol

01
Gather necessary information about the situation, including the patient's condition and location.
02
Familiarize yourself with the local Emergency Medical Services Diversion Protocol guidelines.
03
Assess the current capacity of medical facilities in your area.
04
Determine whether the patient requires immediate medical attention and if the facility can accommodate them.
05
Contact the receiving facility to inform them of the incoming patient and their condition.
06
Complete the required documentation or form associated with the diversion protocol.
07
Communicate the decision to the patient and/or their family, explaining the reason for diversion if necessary.
08
Follow up to ensure proper documentation is completed and submitted according to local protocols.

Who needs Emergency Medical Services Diversion Protocol?

01
Emergency medical personnel, including EMTs and paramedics, who need to make informed decisions about patient transport.
02
Patients requiring urgent medical care who may need to be diverted to a more equipped facility.
03
Healthcare administrators tasked with managing hospital capacity and emergency response.
04
Local authorities or emergency management teams who need to enforce health protocols.
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.0
Satisfied
58 Votes

People Also Ask about

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.
Diversion: Hospital Diversion is a request by a hospital or an EMS provider agency to have ALS/BLS patients bypass a facility for a limited period of time and should be requested only when necessary.
Emergency Department Diversion: A hospital status that reroutes incoming ambulances to other hospitals due to emergency department saturation and/or a lack of medical capability (i.e., lack of CT capability, lack of ED physician).
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).
diversion noun (LEGAL SYSTEM) Pretrial diversion is a program for certain first-time offenders to give them a chance to avoid being marked by a felony conviction for the rest of their lives.
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.

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

The Emergency Medical Services Diversion Protocol is a standardized procedure that allows hospitals to temporarily divert incoming emergency medical services (EMS) units away from their facility due to capacity issues or other operational challenges.
Typically, the hospital's administration or designated personnel, such as the emergency department manager or on-call physician, is required to file the Emergency Medical Services Diversion Protocol.
To fill out the Emergency Medical Services Diversion Protocol, the responsible personnel must complete a form that includes details such as the reason for diversion, the date and time, and any relevant hospital capacity information.
The purpose of the Emergency Medical Services Diversion Protocol is to ensure patient safety by managing hospital resources effectively during peak times or emergencies and to inform EMS providers of the availability of emergency services.
The information that must be reported includes the hospital name, the reason for diversion, time of the diversion, estimated duration, and any additional notes relevant to the EMS units.
Fill out your emergency medical services diversion online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.