Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 31 - Emergency Medical Services › Chapter 10 - Critical Care Paramedic › Appendix 15-12-31-10-6 - TRANSFERS: IN TERHOSPITAL AND OTHER MEDICAL FACILITIES

Current through June 25, 2024
Definitions - Inter-Hospital And Other Medical Facilities
					 Appropriate Transfer - An appropriate transfer to a medical facility is a
					 transfer in which the receiving facility:
a) has available space and qualified personnel for the
					 treatment of the patient, and
b) has agreed to accept transfer of the patient and to
					 provide appropriate medical treatment;
in which the transferring hospital provides the receiving
					 facility with appropriate medical records of the examination and treatment
					 effected at the transferring hospital;
In which the transfer is affected through qualified
					 personnel and transportation equipment, as required including the use of
					 necessary and medically appropriate life support measures during the
					 transfer.
Medical Control During Interhospital Transfers
Once an emergency patient arrives for initial evaluation at
					 a medical facility the patient becomes the responsibility of that facility, and
					 its medical staff. This responsibility continues until the patient is
					 appropriately discharged, or until the patient is transferred and the
					 responsibility is assumed by personnel and a facility of equal or greater
					 capability for the patient's existing condition.
Routine Interhospital Transfers
If a transfer is being made for the convenience of the
					 patient or patient's physicians, and the patient is not receiving treatment,
					 and is expecting to remain stable during transport, the transfer may be
					 conducted by and appropriately trained medical provider (EMT-Basic or
					 higher).
Emergency Interhospital Transfers
Conducted by the Transferring Facility If the patient is
					 being transferred to another facility for other convenience, is receiving
					 treatment, is medically unstable, or is potentially unstable, it is the
					 responsibility of the transferring physician and hospital to provide medical
					 records and assure that appropriately qualified personnel and transportation
					 equipment are utilized. The transferring personnel will act as the agents of
					 the transferring hospital and the physician approving the transfer, regardless
					 of any other employer/employee relationship. The transferring physician must
					 provide written orders to non-physician personnel for use during the
					 interhospital transfer. If the patient experiences complications beyond
					 situations addressed in these written orders, the provider should, if
					 possible.
Contact the transferring hospital or the receiving facility
					 for additional orders or, if necessary, contact a recognized communications
					 resource for medical direction.
Emergency Interhospital Transfers Conducted by Receiving
					 Facility (Transferring personnel are agents of the receiving hospital)
If the transferring personnel include a physician, the
					 patient becomes the responsibility of the receiving facility as soon as the
					 patient leaves the transferring facility. If the transferring team does not
					 include a physician, the responsibility for the patient's well being may be
					 shared between the receiving and transferring facility. The transferring
					 facility retains the responsibility to assure that the transport agency has
					 qualified personnel and transportation equipment.
Critical Care Transfers
If the patient is receiving treatment beyond the scope of
					 practice of available transferring nonphysician providers or if the patient's
					 needs or reasonably perceived needs cannot be managed within the scope of
					 practice of non-physician personnel, the transfer shall be managed by an
					 appropriately trained physician.
Miss. Code
					 Ann.§
											41-59-5