Читать книгу Emergency Medical Services - Группа авторов - Страница 340

Just as the transition of care from the dispatcher to the paramedic occurs, there is also a transition of care between the EMS clinician and the hospital ED. It is tremendously important that this hand‐off process maintains and facilitates the continuity of patient care and does not jeopardize patient safety. EDs commonly experience the difficult situation of overcrowding and resultant long turnaround intervals for EMS staff. When EMS personnel arrive with a patient with no priority symptoms and no identifiable chief complaint, this may lead to confrontation between the charge nurse or physician and the EMS personnel. Moreover, this may lead to the receiving ED triaging the patient to the waiting room or to a lower priority than is appropriate. If the patient’s condition is truly deemed undifferentiated, then the EMS clinician must clearly state this to the receiving ED and must elaborate on what has been done to optimize the history and physical exam, and provide insight and recommendations for next steps.