South Carolina Code of Regulations
Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL
Subchapter 61-118 - South Carolina Stroke Care System
Sec2 61-118.400 - STATEWIDE SYSTEM OF STROKE CARE
Universal Citation: SC Code Regs 61-118.400
Current through Register Vol. 48, No. 9, September 27, 2024
A. Licensed EMS providers shall establish a stroke assessment and triage system that incorporates the South Carolina Stroke Assessment and Triage tool identified by the Department and located in the SC EMS Protocol "Suspected Stroke."
B. After July 1, 2019, licensed EMS providers shall utilize SC EMS Protocol "Adult Stroke Patient Destination Determination by Stroke Center Capability" for transport of acute Stroke Patients to the closest Stroke Center within a specified timeframe of onset of symptoms unless one (1) or more of the following exceptions apply:
1. It is medically necessary to transport the
patient to another hospital;
2. It
is unsafe or medically inappropriate to transport the patient directly to a
Stroke Center due to adverse weather or ground conditions;
3. Transporting the patient to a Stroke
Center would cause a shortage of local EMS resources (defined as no resources
available for longer than thirty (30) minutes in a reasonable response area)
and air transport is unavailable;
4. No appropriate Stroke Center is able to
receive and provide stroke care to the Stroke Patient without undue delay;
or
5. Before transport of a patient
begins, the patient requests to be taken to a particular hospital that is not a
Stroke Center or, if the patient is less than eighteen (18) years of age or is
not able to communicate, such request is made by an adult member of the
patient's family or a legal representative of the patient.
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