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<div class=3DSection1>

<p class=3DMsoNormal><span style=3D'font-size:18.0pt;mso-bidi-font-size:12.=
0pt;
font-family:Arial'>Children with Special Healthcare Needs<o:p></o:p></span>=
</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'><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'>Medical technology, changes in the healthcare industry, =
and
increased home health capabilities have created a special population of
patients that interface with the <st1:place w:st=3D"on">EMS</st1:place>
system.<span style=3D'mso-spacerun:yes'>&nbsp; </span>It is important for <=
st1:place
w:st=3D"on">EMS</st1:place> to understand and provide quality care to child=
ren
with special health care needs.<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><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><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'=
>Provide
     quality patient care and <st1:place w:st=3D"on">EMS</st1:place> servic=
es to
     children with special health care needs.<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'=
>Understand
     the need to communicate with the parents and caregivers regarding
     healthcare needs and devices that <st1:place w:st=3D"on">EMS</st1:plac=
e> may
     not have experience with.<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'=
>Promote,
     request, and use the &#8220;Kidbase&#8221; form, which catalogs the he=
alth
     care problems, needs, and issues of each child with a special healthca=
re
     need.<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>Caregivers who call 911 to re=
port
an emergency involving a child with special health care needs may report th=
at
the emergency involves a &#8220;Kidbase child&#8221; or may state that the
situation involves a special needs child.<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>Responding EMS personnel shou=
ld ask
the caregiver of a special needs child for a copy of the &#8220;Kidbase
form&#8221;, which is the <st1:State w:st=3D"on"><st1:place w:st=3D"on">Nor=
th
  Carolina</st1:place></st1:State> terminology for the Emergency Information
Form (EIF).<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>EMS Personnel may choose to c=
ontact
the child&#8217;s primary care physician for assistance with specific condi=
tions
or devices or for advice regarding appropriate treatment and / or
transportation of the child in the specific condition.<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>Transportation of the child, =
if
necessary, will be made to the hospital appropriate for the specific condit=
ion
of the child.<span style=3D'mso-spacerun:yes'>&nbsp; </span>In some cases t=
his
may involve bypassing the closest facility for a more distant yet more
medically appropriate destination.</span><b><span style=3D'font-size:20.0pt;
mso-bidi-font-size:12.0pt'><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'><o:p=
>&nbsp;</o:p></span></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'><o:p=
>&nbsp;</o:p></span></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'><o:p=
>&nbsp;</o:p></span></p>

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style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><o:p=
>&nbsp;</o:p></span></p>

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style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><o:p=
>&nbsp;</o:p></span></p>

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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><o:p>&nbsp;</o:p></p>

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