In Fresno, California area, current situation is that we are "trialing" a
no diversion except for when a hospital ED has to close for a major event
(power failure, major water flood in ED--patient intentionally broke a pipe
in the bathroom) and case by case for items like CT down and patient is a
head injury. So far all the local hospitals except one are
tolerating/accepting the no diversion trial. But the trial is continuing
because only one hospital wants it changed back to diversion allowed.
But, even when we did have diversion, if a patient insisted on going to a
specific institution, the patient would be transported there. But the
medics had the patient sign an AMA form to let the patient know that it was
not considered a wise decision to go there.
PWong ED CNS
UMC ED
Fresno, California
pwong@communitymedical.org
"George" <gvandenburg@earthlink.net>@mailman.listserve.com on 04/29/2003
09:45:41 PM
Please respond to traumanurses@mailman.listserve.com
Sent by: traumanurses-bounce@mailman.listserve.com
To: <traumanurses@mailman.listserve.com>
cc:
Subject: [traumanurses] Re: diversion policy
Mike:
We have had the same type of stance in Riverside County California. It
has never been in print that this was in fact "the policy." The first time
patient request and diversion were listed in the same policy was in an
update put out this week which actually addressed a separate issue. It was
brought in as a one liner near the bottom of the policy than essentially
patient request was to be honored regardless of diversion status, it really
caught my eye. We have always honored the patient request, however, it
appears to now have more policy based credence.
George VanDenburg RN, BSN, PHN
Trauma Resuscitation Coordinator
Desert Regional Medical Center
Palm Springs, CA.
----- Original Message -----
From: "mike" <mmackinnon@qwest.net>
To: <traumanurses@mailman.listserve.com>
Sent: Tuesday, April 29, 2003 2:28 PM
Subject: [traumanurses] diversion policy
> question. Has ANYONE ever heard a law/rule that patients can request to
goto
> ANY facility they choose EVEN if that facility is on diversion. Here in
> Arizona (specifically phoenix/ the valley) Paramedics as well as BLS rigs
> often bring in patients to our facility when we are on diversion due to
> 'patient request' and i am told there is nothing we can do about it. I
have
> read all of the AZ AEMS guidelines and there isnt anything in there that
> states that a patient can request a facility on diversion. any
> ideas/responses?
>
>
>
> Mike MacKinnon
>
>
> To Digest or put your listserve on "vacation hold" refer to listserve
page
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