Over the years, Allina Health EMS paramedics reported hearing nursing home staff express hesitation and uncertainty about specifically requesting routine response from dispatchers, even in circumstances for which it was clinically appropriate and more desirable. There was clearly an opportunity to provide nurses and dispatchers with more formalized guidance and education regarding when and how that could be done safely. To systematically address unnecessary lights-and-siren response to these facilities, a process improvement initiative called the Skilled Facility Ambulance Response Program (SFARP) was launched by Allina Health in 2007.
SFARP focuses on increasing awareness among nursing home staff about the risks associated with lights-and-siren response and provides them with a standardized protocol that promotes the most appropriate use of ambulance services. Through the program, nursing home caregivers revisit clinical assessment skills and are introduced to a brief flow chart algorithm that assists them in determining and requesting the type of ambulance response that is most appropriate—emergent, routine or scheduled response.
Filed under: Uncategorized