This program has been developed to support patients and their families who have chosen to receive palliative and end-of-life care at home.
This service is for both adults and pediatrics, the only difference between the 2 is peds has a Specialized Treatment Protocol (SPT) that can be accessed by the front line paramedics in the home as well a dispatch Location Of Interest (LOI) form. This service links primary and palliative care resources in the community to collaboratively manage patients in a symptom crisis.
The program may be initiated by paramedics, who arrive in the home after a 911 call from the patient or family, or by a clinician, who has assessed the patient (in the home or over the phone) and determines additional support is needed on an urgent basis.
Over 50% of patients having a crisis related to their life limiting illness are recognized through routine 911 call and front line paramedics assess the patient to be appropriate for the program and will attempt to make contact with the patient's home/palliative care team. If these teams are unavailable the paramedic will contact the 24/7 on call palliative physician through RAAPID. If all of the above teams are not available the paramedics can call On-line Medical Consultation (OLMC), a 24/7 ED physician available to all front line paramedics.
The program brings an interdisciplinary team directly to the patient. The frontline paramedic crew and the clinician work together, with the patient and the patient’s family, to provide care that aligns with the patient's wishes and Goals of Care Designation (GCD). They also have access to an on-call physician to determine the best treatment.
If possible, and at the patient’s wishes they will be supported to remain in their home. However, paramedics will provide transport to the emergency department, if desired or required.
For further information see our website.