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Service Delivery Statement

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Service Delivery Statement SERVICE DELIVERY STATEMENT Approval Date: August 30, 2017 1 Contents 1.0 Purpose/Preface ......................................................................................... 4 2.0 Definitions ................................................................................................... 4 3.0 Staffing ........................................................................................................ 6 3.1 Minimum Staffing ..................................................................................... 6 3.1.1 The Commander responsibility: ......................................................... 6 3.1.2 Paramedics responsibility: ................................................................. 7 3.2 Booking Crews Off-duty ........................................................................... 7 3.3 Crew Up-staffing ...................................................................................... 7 3.4 Scheduled Paramedic Service Resources ............................................... 8 4.0 Non-emergency Calls .................................................................................. 8 4.1 Administration Calls ................................................................................. 8 4.2 Incurring Overtime ................................................................................... 8 4.3 Bariatric response .................................................................................... 8 4.3.1 Crew requirements for response to a bariatric call ............................ 8 4.4 Non-Emergency Call Assignment ............................................................ 9 4.5 Transfers outside the Province/Country ................................................. 10 4.6 Return Transfers .................................................................................... 10 4.7 Relays .................................................................................................... 11 5.0 Emergency Calls ....................................................................................... 11 5.1 Airport/Helipad Calls .............................................................................. 12 5.2 ERV Deployment ................................................................................... 12 5.2.1 Community Paramedic Response Unit (CPRU) .............................. 12 5.3 First Response ....................................................................................... 13 5.4 Lift Assist Requests ............................................................................... 14 5.5 Patient Care Relief ................................................................................. 14 5.6 Radio Protocol ....................................................................................... 15 5.7 Out-of-Province Response ..................................................................... 15 5.8 Vehicle ETAs ......................................................................................... 16 5.9 Vehicle Readiness at Hospitals ............................................................. 16 5.10 Emergency Inter-Facility Transfers .......................................................... 16 5.11 Multiple Paramedic Response ................................................................. 17 5.12 Inter-municipal Paramedic Response ...................................................... 19 6.0 Maintaining Emergency Coverage ............................................................ 19 2 6.1 Incident Standbys .................................................................................. 19 6.2 Minimum Emergency Zone Coverage (MEZC) ...................................... 20 6.3 Special Event Standbys ......................................................................... 20 6.4 Standby Deployment ............................................................................. 20 6.5 Standby for another Land Service Operator .......................................... 24 7.0 Notification Requirements ......................................................................... 24 7.1 Duty Officer/Supervisor Notification Criteria ........................................... 24 8.0 Monitoring ................................................................................................. 26 8.1 Meal Breaks ........................................................................................... 26 8.2 Off-Load Delays ..................................................................................... 26 8.3 Inclement Weather ................................................................................. 27 8.4 Coverage Areas ..................................................................................... 27 9.0 Appendix A - Tiered Response Agreement ............................................... 28 10.0 Appendix B - Commander Contact Info ................................................. 29 11.0 Appendix C - Vehicle Listings ................................................................ 30 12.0 Appendix D – STEMI / PCI PROTOCOL ............................................... 31 13.0 Appendix E - Stroke Protocol ................................................................. 32 14.0 Appendix F - Patient Priority System (PPS) Bypass Agreements .......... 33 15.0 Appendix G - Patient Distribution Detail ................................................. 35 15.1 Table: Essential Medical Service Patient Distribution ........................ 36 16.0 Appendix H - Ebola Virus Disease Procedures ...................................... 38 17.0 Appendix I - Paramedic Service Profile ................................................. 40 18.0 Appendix J - Minimum Staffing .............................................................. 41 19.0 Appendix K - Priority Codes ................................................................... 42 20.0 Appendix L - Deployment....................................................................... 43 21.0 Appendix M - Pembroke Regional Hospital Scheduled Transfers ......... 48 22.0 Appendix “N” Specialty response team (SIERRA) ................................. 49 23.0 Appendix P – Bypass map reference ..................................................... 53 3 1.0 Purpose/Preface The goal of this document is to create an efficient and effective paramedic response that is capable of predicting and responding to the evolving emergency service needs of the community. Each emergency response vehicle (ERV) responding to a request for service will be staffed with at least one person qualified as a Primary Care Paramedic (PCP); each Paramedic crew responding to a request for service will be staffed with at least one PCP; each ambulance designated by the County of Renfrew Paramedic Service as an Advanced Care Paramedic (ACP) ambulance will be staffed with at least one ACP and one PCP when responding to a request for service or while transporting a patient. Each Community Paramedic Response Unit (CPRU) responding to a request for service will be staffed with one ACP. This service delivery statement outlines the intended actions of the Paramedic Service and the Ministry of Health and Long-Term Care, Central Ambulance Communications Centre to maximize the effectiveness and efficiency of resource utilization within the Paramedic Service while relying upon neighbouring municipalities for assistance as required. The County of Renfrew paramedics will ensure our service commitment to patient care quality. 2.0 Definitions Emergency Coverage: Paramedic deployment such that Paramedics are available to provide emergency response within the County. Emergency Coverage Statement: Describes the strategies for the deployment of Paramedics within the County. This will also identify the minimum number of ambulances and Emergency Response Vehicles (ERV) the dispatcher will attempt to keep available for emergency response. Ambulance: means a conveyance used or intended to be used for the transportation of people who, (a) have suffered a trauma or an acute onset of illness either of which could endanger their life, limb or function, or (b) have been judged by a physician or a healthcare provider designated by a physician to be in an unstable medical condition and to require, while being transported, the care of a physician, nurse, other healthcare providers or paramedics and the use of a stretcher; (“ambulance”) Additional Resource: An approved vehicle used or intended to be used to provide first or tiered response. Vehicle Availability: An ambulance or emergency response vehicle available for 4 assignment to a request for service. In the case of a Paramedic Service vehicle, the unit is considered available once transfer of care has occurred and no delays have been identified by the paramedic crew. Vehicle Committed: An ambulance or emergency response vehicle is committed to an assignment once it has been time-stamped as arrived at the scene by the CACC. Emergency Response: A Paramedic response to a patient, which has been assigned a Code 3 or 4 priority. Emergency Response Vehicle (ERV): Means a vehicle within the meaning of the Highway Traffic Act operated by a Paramedic Service, other than an ambulance, that is used to provide emergency response services as defined by General Regulation 257/00. Response Codes: The Response Code System is an administrative tool, which does not necessarily correlate to the seriousness of a patient’s condition. Minimum Emergency Zone Coverage (MEZC) Minimum emergency zone coverage (MEZC) of seven (7) units
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