Hospital bypass VS diversion

[Chicago2210]

Good evening,
What is the main difference between a hospital going on bypass VS going on diversion? Also how would the CFD fire alarm office know when a ER is on bypass or diversion as I here this announced on EMS main/engelwood very often?

 

[FFPM571]

Its per IDPH rules that if a hospital goes on bypass that they have to notify the local dispatch agencies.

 

[ecps92]

Most State OEMS [Office of Emergency Medical Services] and/or DPH [Dept of Public Health] have implemented secure on-line web sites, where the Hospitals keep the Ambulance Services updated as to their bed capacity and ER Status.

Good evening,
What is the main difference between a hospital going on bypass VS going on diversion? Also how would the CFD fire alarm office know when a ER is on bypass or diversion as I here this announced on EMS main/engelwood very often?

 

[werinshades]

"Bypass" was the old terminology.."Diversion" is the new and improved terminology. "Trauma Bypass", means we're passing up other hospitals because we have a patient who meets Trauma criteria to be transported to a Trauma Center. The Hospitals have an internal procedure for notification, one of which is to the OEMC.

 

[oemctx4]

I think Christ Hospital goes on diversion daily. It's nutty busy there but still I love the place!

 

[Chicago2210]

How come after the Fire alarm office makes the announcement that a hospital is on bypass/diversion a EMS field officer acknowledges the message. Is that just CFD procedure?

 

[FFPM571]

How come after the Fire alarm office makes the announcement that a hospital is on bypass/diversion a EMS field officer acknowledges the message. Is that just CFD procedure?

Yes so he can notify Ambulance companies that may or may not be aware.

 

[Chicago2210]

And how would he notify them, MDC, Radio?

 

[werinshades]

And how would he notify them, MDC, Radio?

Hospital Diversions are announced per CFD protocol and as said, Field Chiefs acknowledge in the event an ambulance doesn't see it on the MDC. When the run comes up on the MDC, the hospital diversions are on the bottom of the run. Per Region XI protocol, if a hospital you're diverting to is more than 5 minutes away than the hospital you're diverting from, you can override the bypass and still transport to the hospital on Diversion. You might hear it referred to as "T + 5 rule".

Now to get more complicated..CFD diverts to Stemi Centers, Stroke Centers, Level 2 and Level 3 Obstetrical Hospitals too.

 

[Chicago2210]

Hospital Diversions are announced per CFD protocol and as said, Field Chiefs acknowledge in the event an ambulance doesn't see it on the MDC. When the run comes up on the MDC, the hospital diversions are on the bottom of the run. Per Region XI protocol, if a hospital you're diverting to is more than 5 minutes away than the hospital you're diverting from, you can override the bypass and still transport to the hospital on Diversion. You might hear it referred to as "T + 5 rule".

Now to get more complicated..CFD diverts to Stemi Centers, Stroke Centers, Level 2 and Level 3 Obstetrical Hospitals too.

Interesting, I have never heard of the T+5 rule but it makes sense, do they actuality say that on the radio?

 

[werinshades]

Interesting, I have never heard of the T+5 rule but it makes sense, do they actuality say that on the radio?

Yes...normally the ambulance officer while in contact with the telemetry hospital will say something along the lines of "T + 5". Or you might hear them reiterate ETA's between hospitals, and it's part of the Region XI's Policy and Procedures so the answering ECRN or MD should catch on. Sometimes it's a "subtle" reminder, other times it's said. You might hear this "discussion" when the receiving hospital is the hospital on diversion, and the family is very insistent on being transported to their facility, the receiving hospital might also be the telemetry hospital, and it's very busy and they can't take any more patients. Alot of variables involved. We have Stemi Centers, Stroke Centers, Level 2 and Level 3 Obstetrical facilities to take into consideration.