Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 12 - Bureau of Emergency Medical Services › Subpart 32 - Trauma System › Chapter 7 - Burn Centers › Appendix 15-12-32-7-6 - TRANSFERS: INTERHOSPITAL 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 non-physician 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.