MIH EMS Update

Greetings,

This information is intended for EMS agency use to maintain communications about changes at our facilities.  As we all continue to respond to the COVID-19 pandemic, here is information that will help EMS when transporting at Mary Immaculate Hospital.

EMS is directed to follow your agencies policies and the CDC/VDH recommendations for pre-screening, triage, and treatment of suspected patients that meet the CDC criteria. 

We encourage all EMS agencies to educate EMS providers on CDC and VDH recommendations for COVID-19 infection control, provider safety, treatment, transportation, and decontamination procedures.  These items are important to limit exposure to the virus and protect patients, staff, visitors, and our first responders.

EMS Pre-Alert – Please “pre-alert” for any suspected COVID-19 case.  EMS crews that encounter a patient with a positive screening during the 911 questioning and/or during an EMS assessment should generate a pre-alert call to our EMS phone line stating that you have a “Patient with positive screening for Coronavirus and the crew is wearing full PPE.”    

Please place a surgical mask on the patient as soon as possible.  This pre-alert enables our staff time to implement procedures, identify the treatment area, and be ready to receive these patients.  We request that EMS follow any instructions or changes to normal procedures based on the patients acuity prior on arrival. 

As you are aware, many hospitals across Virginia have deployed medical tents in the last 48 hours to meet and comply with patient surge plans at their facilities.  MIH is working to maintain our proactive stance throughout this time of concern and the Base X tent is deployed and ready to place it into service to meet the needs of our facility in screening high risk patients or addressing our surge plans for our facility.   

VISITOR MESSAGING:  Our message to visitors or accompanying family members/friends is that we are restricting access across the entire Bon Secours Mercy Health System.  I attached the current policy for MIH to this email.  The visitor or accompanying family members of patients that arrive by EMS are being limited at our facilities.  Please be flexible and understand the policies at Bon Secours Mercy Health facilities are changing daily to maintain a high level of readiness and concern for the safety of our patients, visitors, and staff.

EMS Helpful Hints

1.     All hospital systems are requesting that the EMS PPCRs include the answers to the EMS pre-screening questions for the patient.

2.     EMS crews should confirm all personnel on the call who were in contact with the patient are listed on the PPCR.  If the patient is positive this will help our hospital make the proper notifications to the agencies designated infection control officer. 

3.     Many hospitals are experiencing higher than normal requests by EMS crews for follow-up on patients.  Please direct all requests from your agencies through your primary point of contact to our emergency department to alleviate missing a request and to maintain a coordinated effort throughout this time of concern.

4.     If crews transport a suspected patient please decontaminate EMS equipment outside the emergency department near your ambulance.  This will prevent cross contamination within our hospital. Please do not access linen carts, supplies, or other items when wearing gloves as this practice will contaminate our supply of items available to restock your units.

5.     We would like to remind crews to decontaminate laptops, equipment, and drug boxes before entering EMS rooms.  These areas are considered a safe place for EMS to complete reports, have a snack, or drink. 

We appreciate your dedication to providing high quality care to the community.  We will communicate any changes to this plan as it evolves.

Thank you,

Your Bon Secours EMS Team

Gary W. Samuels MHR, NRP

EMS Outreach Coordinator

Bon Secours Health Systems

Rappahannock General and Mary Immaculate Hospitals

101 Harris Road Kilmarnock, Virginia 22482

Office – (804) 435-8333  Cell – (804) 572-5664

Gary_Samuels@bshsi.org

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