Quote from craigrn4er
My question is did the EMS not see the ST elevation on their monitor and tell the charge or MD?
Since the EMS crew in this instance was county-based, it might have been ALS or a BLS crew, not MICU. Very common in my rural area; paramedics are in short supply. Only Paramedics (at least in Texas) may use a cardiac monitor. EMT and EMT-Intermediates can use an appropriate cardiac "device" for defibrillation only, per scope of practice (typically).
I know... too many designations in EMS, lol!
We are clearly obligated to transfer the patient/give report to a higher level of care in ER settings... RN, MD, etc. I do give report to physicians often, but they are also standing in the same room with the patient or meeting me at the stretcher. Personally, I would not give report without having the recipient (RN, MD, etc.) in the same room with the patient (or just outside the door for certain psych patients). Just helps assure me that patient care was transferred completely, and I usually also document that the RN or MD was present in the patient's room while verbal report was given. Good ol' CYA, if you know what I mean.