Policy 3 — Destination Decisions

What must a paramedic do if a patient or family requests transport to a facility not listed or not recommended in the primary destination chart?

Seek approval from Medical Control

What overarching principle should guide paramedics in destination decisions?

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

For which categories is Baylor All Saints an appropriate transport destination?

OB Emergencies, Minor Trauma, Minor Burns, Adult Medical, STEMI, Primary Stroke, and LVAD

For which categories is Baylor Burleson an appropriate transport destination?

Minor Trauma and Adult Medical only

For which categories is Baylor Medical Dallas an appropriate transport destination, and what special note applies?

Major Trauma (not first choice), Minor Trauma (not first choice), Amputations, Major Burns, Adult Medical, and LVAD — consider air medical if transport is required to this facility

For which categories is Cook Children's an appropriate transport destination?

Pediatric Medical, Pediatric Trauma, and Pediatric Burns only

For which categories is Huguley an appropriate transport destination?

OB Emergencies, Minor Trauma, Minor Burns, Adult Medical, STEMI, and Primary Stroke

For which categories is John Peter Smith an appropriate transport destination?

OB Emergencies, Major Trauma, Minor Burns, Adult Medical, STEMI, and Comprehensive Stroke as first choice; Minor Trauma, Amputations, and Primary Stroke as not-first-choice

For which categories is Mansfield Methodist an appropriate transport destination?

Pediatric Burns, Minor Trauma, Adult Medical, and STEMI

For which categories is Medical City Fort Worth an appropriate transport destination?

Adult Medical, STEMI, and Primary Stroke as first choice; Minor Trauma as not-first-choice

For which categories is Parkland an appropriate transport destination, and what special note applies?

Pediatric Burns, Major Burns, and Amputations as first choice; Major Trauma and Minor Trauma as not-first-choice — consider air medical if transport is required to this facility

For which categories is THR Cleburne Walls an appropriate transport destination?

Minor Trauma, Adult Medical, and STEMI

For which categories is THR Fort Worth Harris an appropriate transport destination?

OB Emergencies, Major Trauma, Minor Burns, Adult Medical, STEMI, and Comprehensive Stroke as first choice; Minor Trauma, Amputations, and Primary Stroke as not-first-choice

For which categories is THR Southwest an appropriate transport destination?

OB Emergencies, Minor Trauma, Adult Medical, and Primary Stroke

Which hospital(s) are appropriate destinations for Pediatric Medical patients?

Cook Children's only

Which hospital(s) are appropriate destinations for Pediatric Trauma patients?

Cook Children's only

Which hospitals are appropriate destinations for Pediatric Burns?

Cook Children's, Mansfield Methodist, and Parkland (consider air medical)

Which hospitals are appropriate destinations for OB Emergencies?

Baylor All Saints, Huguley, John Peter Smith, THR Fort Worth Harris, and THR Southwest

Which hospitals are appropriate destinations for Major Trauma?

John Peter Smith and THR Fort Worth Harris as first choice; Baylor Medical Dallas and Parkland (both consider air medical) as not-first-choice

Which hospitals are appropriate destinations for Minor Trauma?

Baylor All Saints, Baylor Burleson, Huguley, Mansfield Methodist, THR Cleburne Walls, and THR Southwest as first choice; Baylor Medical Dallas, John Peter Smith, Medical City FW, Parkland, and THR Fort Worth Harris as not-first-choice

Which hospitals are appropriate destinations for Amputations?

Baylor Medical Dallas and Parkland (both consider air medical) as first choice; John Peter Smith and THR Fort Worth Harris as not-first-choice

Which hospitals are appropriate destinations for Major Burns?

Baylor Medical Dallas and Parkland, both with a consider-air-medical note

Which hospitals are appropriate destinations for Minor Burns?

Baylor All Saints, Huguley, John Peter Smith, and THR Fort Worth Harris

Which hospitals are appropriate destinations for Adult Medical patients?

Baylor All Saints, Baylor Burleson, Baylor Medical Dallas, Huguley, John Peter Smith, Mansfield Methodist, Medical City FW, THR Cleburne Walls, THR Fort Worth Harris, and THR Southwest

Which hospitals are appropriate destinations for STEMI?

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

Which hospitals are appropriate destinations for Comprehensive Stroke?

John Peter Smith and THR Fort Worth Harris

Which hospitals are appropriate destinations for Primary Stroke?

Baylor All Saints, Huguley, Medical City FW, and THR Southwest as first choice; John Peter Smith and THR Fort Worth Harris as not-first-choice

Which hospitals are appropriate destinations for LVAD patients?

Baylor All Saints and Baylor Medical Dallas