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<div class=3DSection1>

<p class=3DMsoNormal><st1:place w:st=3D"on"><st1:PlaceName w:st=3D"on"><b
  style=3D'mso-bidi-font-weight:normal'><span style=3D'font-size:18.0pt;fon=
t-family:
  Arial;mso-no-proof:yes'>Poison</span></b></st1:PlaceName><b style=3D'mso-=
bidi-font-weight:
 normal'><span style=3D'font-size:18.0pt;font-family:Arial;mso-no-proof:yes=
'> <st1:PlaceName
 w:st=3D"on">Control</st1:PlaceName> <st1:PlaceType w:st=3D"on">Center</st1=
:PlaceType></span></b></st1:place><b
style=3D'mso-bidi-font-weight:normal'><span style=3D'font-size:18.0pt;font-=
family:
Arial;mso-no-proof:yes'><o:p></o:p></span></b></p>

<p class=3DMsoNormal align=3Dcenter style=3D'text-align:center'><span
style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial;mso-n=
o-proof:
yes'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.25in;text-indent:-.25in'><b><span
style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'>Poli=
cy:<o:p></o:p></span></b></p>

<p class=3DMsoNormal style=3D'margin-left:.25in;text-indent:-.25in'><span
style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><o:p=
>&nbsp;</o:p></span></p>

<p class=3DMsoNormal><span style=3D'font-size:10.0pt;mso-bidi-font-size:12.=
0pt;
font-family:Arial'>The state poison center should be utilized by the 911 ce=
nter
and responding <st1:place w:st=3D"on">EMS</st1:place> services to obtain
assistance with the prehospital triage and treatment of patients who have a
potential or actual poisoning.<o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.25in;text-indent:-.25in'><span
style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><o:p=
>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.25in;text-indent:-.25in'><b><span
style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'>Purp=
ose:<o:p></o:p></span></b></p>

<p class=3DMsoNormal style=3D'margin-left:.25in;text-indent:-.25in'><span
style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><o:p=
>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.25in;text-indent:-.25in'><span
style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'>The
purpose of this policy is to:<o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.25in;text-indent:-.25in'><span
style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><o:p=
>&nbsp;</o:p></span></p>

<ul style=3D'margin-top:0in' type=3Ddisc>
 <li class=3DMsoNormal style=3D'mso-list:l0 level1 lfo1;tab-stops:list .5in=
'><span
     style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'=
>Improve
     the care of patients with poisonings, envenomations, and environmental=
 /
     biochemical terrorism exposures in the prehospital setting.<o:p></o:p>=
</span></li>
 <li class=3DMsoNormal style=3D'mso-list:l0 level1 lfo1;tab-stops:list .5in=
'><span
     style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'=
>Provide
     the <span class=3DGramE>most timely</span> and appropriate level of ca=
re to
     the patient, including the decision to transport or treat on the scene=
.<o:p></o:p></span></li>
 <li class=3DMsoNormal style=3D'mso-list:l0 level1 lfo1;tab-stops:list .5in=
'><span
     style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'=
>Integrate
     the <st1:place w:st=3D"on"><st1:PlaceType w:st=3D"on">State</st1:Place=
Type> <st1:PlaceName
      w:st=3D"on">Poison</st1:PlaceName> <st1:PlaceType w:st=3D"on">Center<=
/st1:PlaceType></st1:place>
     into prehospital response for hazardous materials and biochemical
     terrorism responses.<o:p></o:p></span></li>
</ul>

<p class=3DMsoNormal style=3D'margin-left:.25in;text-indent:-.25in'><span
style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><o:p=
>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.25in;text-indent:-.25in'><b><span
style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'>Proc=
edure:<o:p></o:p></span></b></p>

<p class=3DMsoNormal style=3D'margin-left:.25in;text-indent:-.25in'><span
style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><o:p=
>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.25in;text-indent:-.25in'><span
style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'>1.<s=
pan
style=3D'mso-tab-count:1'>&nbsp;&nbsp; </span>The 911 call center will iden=
tify
and complete key questions for the Overdose / Poisoning, Animal Bites /
Attacks, or Carbon Monoxide / Inhalation / HazMat emergency medical dispatch
complaints and dispatch appropriate EMS services and / or directly contact =
the <st1:place
w:st=3D"on"><st1:PlaceType w:st=3D"on">State</st1:PlaceType> <st1:PlaceName=
 w:st=3D"on">Poison</st1:PlaceName>
 <st1:PlaceType w:st=3D"on">Center</st1:PlaceType></st1:place> for consulta=
tion.<o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.25in;text-indent:-.25in'><span
style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><o:p=
>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.25in;text-indent:-.25in'><span
style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'>2.<s=
pan
style=3D'mso-tab-count:1'>&nbsp;&nbsp; </span>If no immediate life threat o=
r need
for transport is identified, EMS personnel may connect the <span class=3DGr=
amE>patient<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/</span> caller with the Poison Co=
ntrol
Specialist at the <st1:place w:st=3D"on"><st1:PlaceName w:st=3D"on">Poison<=
/st1:PlaceName>
 <st1:PlaceName w:st=3D"on">Control</st1:PlaceName> <st1:PlaceType w:st=3D"=
on">Center</st1:PlaceType></st1:place>.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>If possible, dispatch personnel sh=
ould
remain on line during the conference evaluation.<o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.25in;text-indent:-.25in'><span
style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><o:p=
>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.25in;text-indent:-.25in'><span
style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'>3.<s=
pan
style=3D'mso-tab-count:1'>&nbsp;&nbsp; </span>The Poison Control Specialist=
 at
the <st1:place w:st=3D"on"><st1:PlaceName w:st=3D"on">Poison</st1:PlaceName=
> <st1:PlaceName
 w:st=3D"on">Control</st1:PlaceName> <st1:PlaceType w:st=3D"on">Center</st1=
:PlaceType></st1:place>
will evaluate the exposure and make recommendations regarding the need for
on-scene treatment and / or hospital transport in a timely manner.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>If dispatch personnel are not on-l=
ine,
the Specialist will recontact the 911 center and communicate these
recommendations.<o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.25in;text-indent:-.25in'><span
style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><o:p=
>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.25in;text-indent:-.25in'><span
style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'>4.<s=
pan
style=3D'mso-tab-count:1'>&nbsp;&nbsp; </span>If the patient is determined =
to
need <st1:place w:st=3D"on">EMS</st1:place> transport, the Poison Control
Specialist will contact the receiving hospital and provide information
regarding the poisoning, including treatment recommendations.<span
style=3D'mso-spacerun:yes'>&nbsp; </span><st1:place w:st=3D"on">EMS</st1:pl=
ace> may
contact medical control for further instructions or to discuss transport
options.<o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.25in;text-indent:-.25in'><span
style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><o:p=
>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.25in;text-indent:-.25in'><span
style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'>5.<s=
pan
style=3D'mso-tab-count:1'>&nbsp;&nbsp; </span>If the patient is determined =
not to
require EMS transport, <st1:place w:st=3D"on">EMS</st1:place> personnel wil=
l give
the phone number of the patient / caller to the Poison Control Specialist.<=
span
style=3D'mso-spacerun:yes'>&nbsp; </span>The Poison Control Specialist will
initiate a minimum of one follow-up call to determine the status of the
patient.<o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.25in;text-indent:-.25in'><span
style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><o:p=
>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.25in;text-indent:-.25in'><span
style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'>6.<s=
pan
style=3D'mso-tab-count:1'>&nbsp;&nbsp; </span>Minimal information that shou=
ld be
obtained from the patient for the state poison center includes:<o:p></o:p><=
/span></p>

<ul style=3D'margin-top:0in' type=3Ddisc>
 <li class=3DMsoNormal style=3D'mso-list:l1 level1 lfo2;tab-stops:list .5in=
'><span
     style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'=
>Name
     and age of the patient<span style=3D'mso-tab-count:5'>&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp; </span><o:p></o:p></span></li>
 <li class=3DMsoNormal style=3D'mso-list:l1 level1 lfo2;tab-stops:list .5in=
'><span
     style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'=
>Substance
     involved<o:p></o:p></span></li>
 <li class=3DMsoNormal style=3D'mso-list:l1 level1 lfo2;tab-stops:list .5in=
'><span
     style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'=
>Signs
     and Symptoms<o:p></o:p></span></li>
 <li class=3DMsoNormal style=3D'mso-list:l1 level1 lfo2;tab-stops:list .5in=
'><span
     style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'=
>Time
     of exposure<span style=3D'mso-tab-count:5'>&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp; </span><o:p></o:p></span></li>
 <li class=3DMsoNormal style=3D'mso-list:l1 level1 lfo2;tab-stops:list .5in=
'><span
     style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'=
>Any
     treatment given<o:p></o:p></span></li>
</ul>

<p class=3DMsoNormal><o:p>&nbsp;</o:p></p>

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