Policy 3–Destination Decisions

What is Policy 3, and what does it contain?

Transportation Guidelines: Destination Decisions — it contains the Crowley Fire Department's Approved Hospital Transportation List, a table of hospitals and which conditions each is approved to receive.

What does a checkmark (√) mean on the hospital transportation list?

Appropriate transport destination.

What does √2 mean on the hospital transportation list?

Appropriate transport destination, but not the first choice.

What does an X mean on the hospital transportation list?

Not an appropriate transport destination.

What does √ (CAM) mean on the hospital transportation list?

Appropriate transport destination, but consider air medical if transport is required to this facility.

What should a paramedic do if a patient/family requests a facility that is NOT LISTED or NOT RECOMMENDED?

Seek approval from Medical Control before transporting there.

What is the guiding principle for paramedics using this destination chart?

Paramedics should use clinical judgement and do what is in the best interest of the patient.

Which hospital(s) are approved for Pediatric Medical and Pediatric Trauma?

Cook Children's (Ft. Worth) only.

Which hospitals are approved for Pediatric Burns?

Cook Children's, Parkland, and THR Fort Worth Harris.

Which hospitals are approved as first-choice for Obstetrical Emergencies?

Baylor All Saints, Huguley, John Peter Smith, and Mansfield Methodist.

Which hospitals are first-choice destinations for Major Trauma?

John Peter Smith, THR Cleburne Walls, THR Fort Worth Harris, and THR Southwest.

Which hospitals are approved for Major Trauma but only as a second choice (and require considering air medical)?

Baylor Medical Dallas and Parkland.

Which hospitals are first-choice destinations for Minor Trauma?

Baylor All Saints, Baylor Burleson, Huguley, Mansfield Methodist, and THR Cleburne Walls.

Which hospitals are approved for Amputations as a first choice?

Baylor Medical Dallas and Parkland.

Which hospitals are approved for Amputations only as a second choice?

John Peter Smith and THR Fort Worth Harris.

Which hospitals are approved for Major Burns?

Baylor Medical Dallas and Parkland.

Which hospitals are approved for Minor Burns?

Cook Children's, Huguley, John Peter Smith, THR Cleburne Walls, THR Fort Worth Harris, and THR Southwest.

Which hospitals are NOT approved for Adult Medical patients?

Cook Children's and Parkland (all other listed hospitals are approved).

Which hospitals are approved for STEMI?

Baylor All Saints, Huguley, John Peter Smith, Mansfield Methodist, Medical City FW, THR Fort Worth Harris, and THR Southwest.

Which hospitals are approved for Comprehensive Stroke?

Huguley, John Peter Smith, Medical City FW, and THR Fort Worth Harris.

Which hospitals are first-choice for Primary Stroke?

Baylor All Saints, Medical City FW, and THR Southwest.

Which hospitals are approved for Primary Stroke only as a second choice?

John Peter Smith and THR Fort Worth Harris.

Which hospitals are approved for LVAD patients?

Baylor All Saints and Baylor Medical Dallas.

Which two hospitals are flagged with "consider air medical" on the destination chart?

Baylor Medical Dallas and Parkland.