• TRANSPORT

    HFD TRANSPORT - IN CHARGE:

    Select this disposition when you are the unit responsible for patient care during transport. Some examples:

    • A BLS Unit transporting a patient by themselves
    • A Medic Unit transporting a patient by themselves
    • A Medic Unit Crew riding in the back of a BLS Unit during transport
    • A Squad Crew riding in the back of a BLS Unit during transport
    • A Paramedic from an apparatus [Engine/Ladder] riding in the back of a BLS Unit during transport

     

    HFD TRANSPORT - ASSIST:

    Select this disposition when you are accompanying a patient during transport to the hospital, but you are not in charge of patient care. This includes driving a BLS Unit, ALS Unit or Squad, you do not have to be in the back of the unit providing patient care. Some examples:

    • A BLS Unit transporting a patient with a Squad or Medic Unit in charge of patient during transport
    • A member from an apparatus [Engine/Ladder] riding in the back of a BLS or ALS Unit during transport
    • A Medic Unit transporting a patient with a Squad Crew in the back providing patient care
    • A member from any apparatus assisting by driving a transport unit or other unit, so other crews may provide patient care during transport
  • NON TRANSPORT

    ASSUMED PATIENT CARE, TURNED OVER TO AN HFD UNIT:

    Select this disposition when the patient is in your care, and then transferred to another HFD provider for transport. Some examples:

    • Your apparatus [Engine/Ladder] is dispatched alone to an all hazard response.  After arriving on scene, you request a BLS Unit.  The BLS unit arrives on scene and your apparatus returns to service, leaving the patient in care of the BLS Unit
    • Your apparatus [Squad/Medic] is dispatched along with a BLS unit to an incident.  After arriving on scene and performing an assessment, the patient is cleared for transport by BLS
    • Your apparatus [Squad/MS Unit] is dispatched along with a Medic Unit to an incident.  Your apparatus arrived on scene first and gives patient care.  After the Medic Unit arrives on scene, the patient is left in their care

     

    REFUSAL:

    Select this disposition when your apparatus is in charge of patient care, and the Patient or Guardian is refusing transport against medical advice.

     

    ASSISTED ON SCENE:

    Select this disposition when your apparatus is not the first arriving unit, but you are on scene of an incident, assisting other HFD crews with patient care. *ALS cannot use this disposition with BLS Units. Some examples:

    • Your apparatus [BLS Unit] arrives on scene to find a patient in care of a Medic Unit.  Your crew helps with obtaining vital signs and assisting patient on to stretcher.  The patient is left in care of the Medic Unit.
    • Your apparatus [Engine/Ladder] arrives on scene of an MVA along with a BLS Unit.  Your crew helps with obtaining vital signs and securing the patient to a backboard.  The patient is left in care of the BLS Unit.

    ETHAN:

    Select this disposition when you have an ETHAN patient that is not transported by HFD.

     

    LAW ENFORCEMENT TRANSPORT:

    Select this disposition when a patient is cleared to go with law enforcement to jail, the sobering center, or a psychiatric facility.

     

    OTHER EMS AGENCY/AIR AMBULANCE:

    Select this disposition when a patient is transported by another EMS provider or helicopter. Some examples:

    • Patient is transported by Mobile Stroke Unit
    • Patient is transported by Life Flight

    DOA RESUSCITATION WITHHELD:

    Select this disposition when a patient is pronounced DOA consistent with protocols, and no resuscitation is attempted.

     

    FIELD TERMINATION:

    Select this disposition when a resuscitation is attempted, and with online medical control, efforts are discontinued. Patient is pronounced in the field, and not transported to the ER.

  • NO PATIENT

    DISREGARDED PRIOR TO ARRIVAL:

    Select this disposition when your unit is disregarded while responding en route to a call

     

    DISREGARDED ON SCENE:

    Select this disposition when your unit is disregarded on location, but prior to making patient contact. Some examples:

    • Your apparatus arrives on location of an apartment complex.  While driving around looking for the correct apartment, your unit is disregarded
    • Your apparatus arrives on location of an office building.  While being escorted by security and stepping off the elevator, your unit is disregarded

    [In both instances, you have hit "On Location" on your MDT, but have not made patient contact. This is not an appropriate option to select if you make patient contact]

     

    GOA/NO INDIVIDUAL FOUND:

    Select this disposition when your unit arrives at the dispatched location, and you are unable to find individuals for whom the 911 call was placed. Some examples:

    • Your apparatus arrives on scene at a restaurant for a laceration.  When your crew walks in, a bystander states that someone cut themselves with a broken glass and their friend helped them to the car and they drove off prior to your arrival
    • Your apparatus arrives on scene at an intersection for a report of a cardiac arrest.  You get out and examine the area, and can not find any individuals.  You drive around the block and can not locate anyone.  You ask OEC to try the call back number, and they advise that the caller is longer on location.

    STANDBY - NO PATIENT CONTACT:

    Select this disposition when you are dispatched to standby at an event, and there are no patients. Some examples:

    • Your unit is dispatched to a fire and there are no patients
    • Your unit is dispatched to a SWAT event, and there are no patients
    • Your unit is on standby at the training academy for a fire event, and there are no patients
    • Your apparatus is the second blocking apparatus on a MVA on the freeway.  You do not get out or assist with patient care, but are further away on the freeway to assist with blocking
  • DECLINES EMS

    INDIVIDUAL DECLINES EMS EVALUATION

    Select this disposition when your apparatus arrives on scene, to find an individual with no medical complaints, that does not have an apparent illness or injury, that does not want to be assessed or have their vitals checked. Some examples:

    • Your apparatus arrives on scene of a minor motor vehicle accident on the side of the road.  The call was made by a third party caller.  Occupants from both vehicles are surprised to see you, as neither called 911, and they state they do not want an ambulance
    • Your apparatus arrives on scene to find a security guard standing next to a person laying on the sidewalk.  The security guard states they called 911 because they could not wake the individual up.  When your crew approaches the individual, the individual wakes up, and stands up.  The individual states that nothing is wrong, he was just taking a nap.  The individual is acting appropriately and answering questions appropriately.  The individual denies having any complaints, and plans to walk to another location to rest