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Community Paramedicine

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*Providers or nurses call: 1-800-TO-SINAI option 2 or 646-605-5962

Community Paramedicine provides in-home urgent evaluation, treatment, and stabilization for patients who have acute symptoms. The goal is to reduce unnecessary ED visits and hospitalizations.

After the service is called, a paramedic will arrive at the patient’s home in 30-60 minutes and provide a thorough history, exam, and EKG if needed. There will be a video telehealth conference call with the paramedic and an ED physician. The ED physician will direct the care. The referring provider does not need to be involved but can join the call if desired. The paramedics can administer medications for heart failure, asthma, COPD, allergic reactions, and diabetic emergencies, and can assist the patient with taking their own medications. See formulary below. They do not carry antibiotics and cannot change Foley catheters. Currently, they cannot do point of care testing.

The ED physician can e-prescribe medications for your patient. Our physician will document the encounter in EPIC. If the patient remains at home, the paramedic will call IMA prior to leaving the patient’s home to arrange for follow up care.

Inclusion / Exclusion Criteria:

Community Paramedicine - inclusion & exclusion criteria

Formulary:

Community Paramedicine - formulary