№ files_lp_3_process_7_037008
The document outlines administrative requirements for the transfer of patient care between Advanced Life Support (ALS) and Basic Life Support (BLS) personnel, focusing on assessment, treatment, and documentation protocols.
Effective: July 11, 2005
Authorization: LG
Page: 1 of 1
Supersedes: April 16, 2003 Advisory, “Transferring Down a Call from ALS to BLS”
Purpose: The purpose of this Administrative Requirement (AR) is to emphasize that the basic duties of all EMTs, pursuant to 105 CMR 170.355, are to assess and treat patients in accordance with the Statewide Treatment Protocols, to transport patients to appropriate health care facilities, and to document the assessment and care they provided.
Requirements: Advanced Life Support (ALS) personnel who have established direct patient contact must complete an appropriate assessment in accordance with the standards of their certification and training. Based on the findings of that assessment, ALS personnel then have a duty to provide appropriate treatment in accordance with the Statewide Treatment Protocols. If an ALS intervention is initiated, or could be anticipated, for the patient, ALS personnel are required to attend the patient throughout transport, under 105 CMR 170.305(E)(3). If ALS personnel determine that an ALS intervention is not needed or anticipated, and Basic Life Support (BLS) personnel are in accord with transfer of the patient to their care for transport, the patient may be transferred to BLS for transport to an appropriate health care facility. ALS ambulance services and their medical directors must provide their ALS personnel policy guidance and instruction for performing appropriate patient assessments and for documenting the results of such assessments for all patients.
Other Policies and ARs: See Protocol 7.7 of the Statewide Treatment Protocols, Withholding and Cessation of Resuscitation; AR 5-615, Cancellation of ALS, and Protocol 7.5 of the Statewide Treatment Protocols, Refusal of Medical Care and Transportation.
Year: 2005
Region / City: United States
Topic: Emergency Medical Services
Document Type: Administrative Requirement
Issuing Body: Office of Emergency Medical Services
Author: Unknown
Target Audience: ALS and BLS Personnel, EMTs, Medical Directors
Effective Period: From July 11, 2005
Approval Date: July 11, 2005
Amendment Date: None
Price: 8 / 10 USD
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