Guest guest Posted December 6, 2007 Report Share Posted December 6, 2007 Question 1: If you field terminate and the patient is already in the back of your ambulance. What do you do with the patient. Question 2: If you meet a volunteer BLS and they are doing CPR and you determine that CPR should be stopped by the BLS crew, should you start CPR anyway because they have started or do you field terminate the patient. Refer to question 1. Question 3: Is there an issue with taking a body to the local funeral home of the families choice provided the JP and local law enforcement are OK with it. This is the body that you have field terminated after it is in your unit. My issue is this: Field termination in the patients home, no problem. We inform the patients family about JP and Law Enforcement process and return to service. Field termination on the side of the road or a place of business, the patient is in our unit. I feel uncomfortable about having a unit out of service sitting on the side of the road with the body inside. At that point any law or JP functions could be performed at the local funeral home in a controled respectful environment. Taking the patient to the hospital to me is not the correct option for many reasons. Henry Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 6, 2007 Report Share Posted December 6, 2007 If the JP agrees, it's fine to take them to the funeral home. I suggest you work this out with the JPs ahead of time, then there should be no problem. However, they should not be removed from a crime scene, et cetera. Gene G. > > Question 1: If you field terminate and the patient is already in the back of > your ambulance. What do you do with the patient. > > Question 2: If you meet a volunteer BLS and they are doing CPR and you > determine that CPR should be stopped by the BLS crew, should you start CPR anyway > because they have started or do you field terminate the patient. Refer to > question 1. > > Question 3: Is there an issue with taking a body to the local funeral home > of the families choice provided the JP and local law enforcement are OK with > it. This is the body that you have field terminated after it is in your unit. > > My issue is this: > > Field termination in the patients home, no problem. We inform the patients > family about JP and Law Enforcement process and return to service. > > Field termination on the side of the road or a place of business, the > patient is in our unit. I feel uncomfortable about having a unit out of service > sitting on the side of the road with the body inside. At that point any law or > JP functions could be performed at the local funeral home in a controled > respectful environment. > > Taking the patient to the hospital to me is not the correct option for many > reasons. > > Henry > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 6, 2007 Report Share Posted December 6, 2007 Henry, We do the following: 1.? We usually either transfer them to the ME or Funeral Home vehicle if we can.? We have (at the family's request) taken the patient back in the house on 2 occasions (both DNR that expired unexpectedly).? 2.? We usually wait for the funeral home or ME to arrive on scene...but we have, on occasion, transported to these locations if busy or had an extensive delay.? My hometown transports to the local funeral home...they even have a door opener to be able to make their deposit before funeral home personnel arrive if they need to. (another call comes in, etc)? I would suggest a meeting with the JP and let them advise what they desire.? There are things they may have/want to come to the scene for...but let them design it and then you can operate in that to be as efficient and reduce delay as much as possible. Dudley field Termination Question 1: If you field terminate and the patient is already in the back of your ambulance. What do you do with the patient. Question 2: If you meet a volunteer BLS and they are doing CPR and you determine that CPR should be stopped by the BLS crew, should you start CPR anyway because they have started or do you field terminate the patient. Refer to question 1. Question 3: Is there an issue with taking a body to the local funeral home of the families choice provided the JP and local law enforcement are OK with it. This is the body that you have field terminated after it is in your unit. My issue is this: Field termination in the patients home, no problem. We inform the patients family about JP and Law Enforcement process and return to service. Field termination on the side of the road or a place of business, the patient is in our unit. I feel uncomfortable about having a unit out of service sitting on the side of the road with the body inside. At that point any law or JP functions could be performed at the local funeral home in a controled respectful environment. Taking the patient to the hospital to me is not the correct option for many reasons. Henry Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 6, 2007 Report Share Posted December 6, 2007 That's how we were thinking about doing it. I have scheduled a meeting with the J.P's. We have an excellent working relationship with them and law enforcement. I am interested in see how others address this. Henry field Termination Question 1: If you field terminate and the patient is already in the back of your ambulance. What do you do with the patient. Question 2: If you meet a volunteer BLS and they are doing CPR and you determine that CPR should be stopped by the BLS crew, should you start CPR anyway because they have started or do you field terminate the patient. Refer to question 1. Question 3: Is there an issue with taking a body to the local funeral home of the families choice provided the JP and local law enforcement are OK with it. This is the body that you have field terminated after it is in your unit. My issue is this: Field termination in the patients home, no problem. We inform the patients family about JP and Law Enforcement process and return to service. Field termination on the side of the road or a place of business, the patient is in our unit. I feel uncomfortable about having a unit out of service sitting on the side of the road with the body inside. At that point any law or JP functions could be performed at the local funeral home in a controled respectful environment. Taking the patient to the hospital to me is not the correct option for many reasons. Henry Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 6, 2007 Report Share Posted December 6, 2007 I actually have a funny story relating to this topic. I was EMS Director and I was driving back into our service area one day when I heard our unit get dispatched for an injured person. I heard them call out on scene, then call for a helicopter and agree to meet them at the clinic, which was attached to our EMS station. When I arrived about 30 minutes later, I saw the unit still sitting in front of the clinic and the helo lifting off. As I approached the crew, I asked, " How did everything go? " They said, " Oh, it went great. Dr. _________ came out to help and the flight crew helped a lot, but we have one question. What do we do with the body?? " I really thought they were joking so I laughed and walked around to the side of the unit and opened the door and sure enough, there was still a very large and very dead man on the EMS stretcher. As it turns out, he had coded after asking for helo transport so everyone just worked the guy right there and the doc finally called it and here we were. Law enforcement and the JP had been called. A deputy had arrived but, as is common in small counties, who KNEW when the JP was going to get there???? Also, the local funeral home had been called but they had to come in from home, get their stuff together and get there too..... No time frames and here I was with my only 911 unit OUT OF SERVICE WITH A DEAD BODY IN IT!!!!! The JP showed up first after I rattled some cages. But still no one to take possesion of the corpse. The JP's solution, " Why don't you just leave him on the stretcher and shove him in there until the funeral home has time to get here? " She then pointed AT THE LIVING ROOM OF MY EMS CREW QUARTERS!!!!!!!!! I rattled some more cages and finally the funeral home showed up about 30 minutes later. Thank God we didn't have another 911 call in the meantime. LOLOL Jane Hill To: texasems-l@...: hbarber@...: Thu, 6 Dec 2007 14:20:53 -0600Subject: Re: field Termination That's how we were thinking about doing it. I have scheduled a meeting with the J.P's. We have an excellent working relationship with them and law enforcement. I am interested in see how others address this.Henry field TerminationQuestion 1: If you field terminate and the patient is already in the back of your ambulance. What do you do with the patient.Question 2: If you meet a volunteer BLS and they are doing CPR and you determine that CPR should be stopped by the BLS crew, should you start CPR anyway because they have started or do you field terminate the patient. Refer to question 1.Question 3: Is there an issue with taking a body to the local funeral home of the families choice provided the JP and local law enforcement are OK with it. This is the body that you have field terminated after it is in your unit.My issue is this:Field termination in the patients home, no problem. We inform the patients family about JP and Law Enforcement process and return to service.Field termination on the side of the road or a place of business, the patient is in our unit. I feel uncomfortable about having a unit out of service sitting on the side of the road with the body inside. At that point any law or JP functions could be performed at the local funeral home in a controled respectful environment.Taking the patient to the hospital to me is not the correct option for many reasons.Henry[Non-text portions of this message have been removed]__________________________________________________________More new features than ever. Check out the new AOL Mail ! - http://o.aolcdn.com/cdn.webmail.aol.com/mailtour/aol/en-us/text.htm?ncid=aolcmp0\ 0050000000003[Non-text portions of this message have been removed]----------------------------------------------------------No virus found in this incoming message.Checked by AVG Free Edition. Version: 7.5.503 / Virus Database: 269.16.15/1173 - Release Date: 12/5/2007 9:29 PM[Non-text portions of this message have been removed] _________________________________________________________________ Your smile counts. The more smiles you share, the more we donate. Join in. www.windowslive.com/smile?ocid=TXT_TAGLM_Wave2_oprsmilewlhmtagline Quote Link to comment Share on other sites More sharing options...
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