Obstetrical Patient Transport Decision

Section 1 - ADMINISTRATIVE POLICIES

1.13 OBSTETRICAL PATIENT TRANSPORT DESTINATION

Patient known to be < 20 weeks gestation:

• Last menstrual period, < 20 weeks or verifiable ultrasound proven dates or other proof of < 20 weeks gestation.
• Transport to the closest Emergency department (not closest obstetric facility).

Patient known gestation or possible gestation > 20 weeks:

• If imminent delivery or medically unstable mother, transport to the closest ED, (not closest obstetric facility).
• If patient with non traumatic abdominal, pelvic or back complaints, (including bleeding or vaginal fluid leak).
  • Transport to the closest appropriate obstetric facility with a NICU (Winnie Palmer or Advent Health Orlando).
  • Contact appropriate obstetric facility ED for radio report and any additional direction/assistance.
  • May transport to the patient’s requested obstetric receiving facility, (i.e. high risk pregnancy with pre-selected obstetrical destination); if patient is not having imminent delivery.

If patient is a TRAUMA ALERT

• Transport to Orlando Regional Medical Center or Central Florida Regional (as per protocol)
• Non Trauma Alert patients are to be transported to the ED of the closest OB receiving facility.

Appropriate Obstetric Receiving Facilities:

Florida Hospital Altamonte (Seminole)

Oviedo Medical Center (Seminole)

Winnie Palmer Hospital (Orange)

Florida Hospital Orlando (Orange)

Winter Park Memorial (Orange)