Q & A Time!!

 

Hello everyone and welcome to the first installment of “Q & A Time”!

 

I am often times e-mailed or called with very good questions and have decided to share these with everyone.  If I have learned nothing else in all of the years in EMS it is that if 1 person has a question, you can bet more folks have the same question!

 

So here goes……

“Q”

This morning a (call taker) took a call from an individual reporting that his son had passed away during the night. The caller offered to the (call taker) that he had first called the mortuary, and they told him to call us. He then told the (call taker) that his son suffered from several different medical issues. Given this information, the (call taker) asked if the death was expected. Is it appropriate to ask this question given the circumstances, or would this be an inappropriate deviation from the protocol?

“A”

This can be tough.  The way in which the protocol is designed however, allows for a smooth transition from interrogation right into instructions.  Once the (call taker) starts down the DLS pathway for PAI’s, a caller can/will interject that they are not going to do this for a variety of reasons.  The only time we do not start down the instructions pathway is when the circumstances fit our “obvious death” policy.  We can not verify a “do not resuscitate” order, hospice patient situation or anything else.  The problem could be a homicide, suicide, auto erotic asphyxiation or any thing else the caller may be trying to be less than honest about.  It is standard practice, unless it is obvious death, to go through with instructions until you get a refusal.  Once the caller refuses, encourage once, (i.e., “come on, we can do this together”) once they refuse again, simply tell them that you respect there decision and help is on the way.  I hope this explains your question.  If not, or if you would like further clarification, do not hesitate to call me.  785-1971 (office) or 205-6438 (cell)  Thanks for the opportunity to clarify a common and uncomfortable type of call.

 

Jeff Craig

El Paso Teller County E-911

QA Analyst~Trainer