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EMS Palliative and End of Life Care Assess, Treat and Refer Program

PEOLC

What is the program?

The EMS PEOLC ATR program is designed to support people and their families who have chosen to remain at home for palliative and end of life care. For a general overview of the program, see our service listing.

How do clinicians access the program?

Clinicians should access the program when they require EMS assistance during a palliative emergency (such as increased pain, shortness of breath, delirium, nausea or vomiting) and when the clinician is available to coordinate any follow up care that is required.

The program may be accessed for any palliative or end of life care patient in the community who is 18 years or older.

When should clinicians access the program?

Clinicians should access the program when they require EMS assistance during a palliative emergency (such as increased pain, shortness of breath, delirium, nausea or vomiting) and when the clinician is available to coordinate any follow up care that is required.

The program may be accessed for any palliative or end of life care patient in the community who is 18 years or older.

What will happen when EMS arrives?

EMS will work collaboratively with the clinician (in the home or over the phone) to determine a potential course of treatment for the patient. EMS online medical consultation physicians and/or the patient’s family/palliative physician (if available) will also be consulted by phone regarding the patient’s treatment. EMS will help administer emergency medications, oxygen, and other supports as required.

If the patient is able to be managed in the community setting, EMS and the clinician will work together to support the patient’s Goals of Care and wishes. However, if transfer to an acute care setting is wanted or required, EMS will facilitate appropriate transport in consultation with the patient’s care team. The clinician will coordinate any follow-up care (e.g., prescription updates, arranging for medical supplies such as oxygen, and advising the patient’s responsible physician of the event).

If the clinician is not available, EMS will make every attempt to connect with the patient’s most responsible health care provider and/or make arrangements to follow-up with the clinician after providing appropriate treatment.

Will this service cost patients anything?

Ambulance response and transport is covered for patients on Alberta Blue Cross Palliative Coverage.

Patients are encouraged to apply for this coverage as soon as possible so assess, treat and refer response services will be covered.

Supplies

To order brochures to distribute to patients and families and clinician lanyard reference cards for staff, please see the following: