Nobody Tells You How To Handle The ER | Refuah

panel. Emergency pioneer. Communications director Patient services and as mentioned in the in the health and care. The question for the most basin Um when I mention flatten the cat schools. So professionals direct. So professionals experience So remember the patient was patient history and patients calls and says Okay to go into a local hospital emergency room X-rays, blood work and some scans CAT scan and the doctor and patients treated locally locally hospital in the country and patients. This is regionally middle town. Garnet Harris Middletown Garnet Garnett Middletown Harris Hospital. So a patient that's a serious patient that requires a specialty hospital extensive history or even But as the patient is safe medically stabilizing scenario. stabilization and blood work community in the communications health services gave emergency health overall. Yeah. Check the results. Fore hospital. available. Check hospital. Let me call Let me call you then. Let me check. Let me check what's going on. yet to bring me hospital. transfers. Push it in perspective. forunication mention it's a medicine in medical issues medical terminology for patient with the nurse in the for It's a following experience in my is medical for the patient. English is the unknown. The patient Get stabiliz. So for guided messaging. So transis the patient is of the minute certain specialies even specialy. So in upstate voties. So any patient that needs a specialty, most patients that will need specialty specialy a patient without hospital um a hospital without cardiology hospitals and stance. A pat open heart surgery to do neurology. Patients have no neurological problem. was hot um neurological care. The most important most example common example for them is patients without a stroke stroke. So the strokes blood clot in specialies. So a patient was from emergency surgery in Harris. So any type of specialty specialty capabilities adult trauma. So a patient accident trauma there's level one, level two, level three. Level one is the most serious and level two is iname. This is serious enough. Level three is a consultation with a trauma doctor. So patient terms patient was felin major trauma level one level two trauma in middle town is a level two adult trauma. Pediatrics for kindered home is their specialties pediatric trauma center. The name is Westchester. So emergencies with Middletown if Middletown can handle it. Westchester this is the pre-arrangement Westchester. This is the close closest regional specialty hospital without full trauma services. This is our comprehensive stroke center the highest level of stroke. This is our cardiac centers. I hope open heart surgeries. open heart surgery. So patient comfortable. This is the process. consideration. See all there is feeling. Fore specific situation. Pat situation affiliated Westchester connection helicopters. for the patient. So you is a situation opinion. Fore services. Fore is professional. is the patient field. So um The doctor was the patient is yet in ask. Um so it becomes a a decision-m process. The transfus perspective arrangements. Um considerations the is the patient's medical need and how serious is the transfer meaning to say how serious is the patient do transfers emergency It's a transfer and especially arrangement is of an experienced vice. accepting. Is the patient ready to go? Patient arrangements and the patient is literally the patient. It's a guy for a patient but the patient field patient. patient referrals involved in Westchester. Yes. So mention is and this is governed by federal law was the hospital federal law specifically was dictates vigaya transfers federal transfer with the patient and is willing to accept that patient and has a bed for that patient. So the doctor everything is arranged. So when patia an accepting doctor in surgery is accepting the patient ICU the patient is Not a minute. Then a patient may be transferred. Transfers transfer of medical necessity. Appendix Hospital that has pediatric surgery. A transfer of medical necessity. Correct. by any service that needs surgery. I can't provide the surgery. They're not going to play around. So if it's a real serious emergency accepting the patient so necessity so the point is phone calls to Westchester. Westchester basically all specialies pat in a certain forester specialy arrangement. for a few reasons. Accepting doctor vacinations arrangement in Zyro. Is the patient yet taken care of? frustration. Forement. Emergencies. So as mentioned yet as a doctor. Transfer to Westchester. So trans connection. Okay. Okay. Okay. and yeah procedures. Fore within the Westchester Okay. Cat scans. They push me. Fore. The fact is in the Fore construction all year round in the July August. forsburg. So in upstate so the patient um for the next call. The process foreign coordinator. So that's um calls Bloomingber vision South Falls Woodburn Woodri Mountain Dales Made Vis Fore liberty. in the volume. So, Fore patient. for mentions on this transfer is arranged in pre-arrange respecting the patient to arrangements and we play those kind of games once or twice, they're never going to trust us anymore. So, point. Correct. Definitely. Oh my. Oh man. link. There's definitely