The GAEMS.NET Hospital Resource website is a tool which can be utilized to improve patient flow congestion related to Diversion and Bed Status issues. Hospital Diversion information is posted to this website by the participating hospitals as to their individual diversion / bed status and the accuracy of this information is the responsibility of the participating hospital or service.
These categories and general descriptions are guidelines and not Policy. EMS personnel should always consult with Medical Control to assure appropriate destination and patient care.

Diversion Category Descriptions & Definitions

  Normal:
     The selection of Normal will remove the diversion
     from the status board. This is used as a manual
     removal if the diversion status ends prior to the
     posted expiration time.

  ER Saturation:
     This category is used when a Hospital Emergency Room's
       resources have been overwhelmed
    
    
  Med/Surg Saturation:
       This category is used when there are no available
       medical / surgical beds
 

  ICU/CCU Saturation:
     This category is used when a Hospital's ICU/CCU
     resources have been overwhelmed and are no longer
     available. These resources may include but not limited to
     beds, equipment, and staffing.


  Neuro Surgery:
     This category should only be used by facilities that normally
     provide Neuro Services. This means that Neuro Surgery
     coverage is not available or the Neuro Surgery resources
     are committed with other patients and not available.
    

  Trauma Saturation:
     This category is used when a Hospital's Trauma resources
     have been overwhelmed and are no longer available for
     significant trauma management.

  CT Services:
       This category identifies that the CT equipment is not
       available.

  Psychiatric Saturation:
       This category is used when a facilities psychiatric
       resources are completely committed or not available.

  NO AVAILABLE BEDS:
       This category is used when there are no available beds in
       a facility for admission.
 
  TOTAL DIVERSION
     This category means that all resources have been
       overwhelmed and the facility is currently unable to accept
       new patients.

 
  * On Flight:
     The helicopter is committed on another flight and is not
     available to respond.


  * Maintenance:
     The helicopter is not available due to scheduled
     maintenance.


  * Weather:
     The helicopter cannot lift-off due to inclimate weather at the
     helicopter location.

 

BED STATUS

The Bed Status section allows facilities to post their available bed resources online. This will be of great importance in times of Emergency / Disaster. The Bed Status information should not be used to indicate Hospital Diversion situations. The Diversion section will continue to serve that function.

Hospitals are listed by Health Districts / Regions ( 1-10 ). This list includes each hospital that is currently in the system. These hospital have the ability to post Diversions, Bed Status, and soon; broadcast with the Alert System.

Hospitals post their Bed Status from their Administration section which is the same location where their Diversions are are posted.

There are 4 general categories for Beds. These are:

   Medical    Surgical    Critical Care     Monitored

When the Bed Status record is posted, the date, and time when the update occurred is listed in the “Last Update” column and that record will be listed as OK under the Status column for 24 hours. If the record is not updated after 24 hours, it will then display “Update Required” in the Status column. 

Facility Bed Status is a dynamic process and is ever changing. It would be impossible for a busy facility to maintain up to the minute bed status information. The bed status numbers are a reflection of available beds at the time the record was posted.

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