(&% Ambulance Service excellence in care C ^ l of New South wales

Control Division Operational Alert CONTROL CENTRE All

ISSUE NUMBER CD 2015-03

ISSUE Response Grid and Determinant allocation changes

BACKGROUND

The Executive has approved a Response Grid Quality Advisory Committee proposal to rationalise the number of current response priorities and in addition reallocate a range of determinants.

• Determinants with re-allocated Response Priorities A range of determinants with a 10 priority have been reviewed and relocated to a 2 Immediate. The types of Incidents include assaults, headaches, heat or cold exposure and lacerations, where the patient has been confirmed as alert. These changes are to ensure that patients receive an appropriate response to their reported condition; with a life threatening situation allocated a lights and sirens response. Additionally to improve paramedic and community safety by reducing the number of "lights and sirens" responses.

• 20 priorities: The 20 range of response priorities will be retired with all determinants re-allocated to the equivalent 2B priority. This will reduce the number of alternative timeframes within the Response Grid and strengthen the patient's safety given the previous 90 minute timeframe potential.

BACKGROUND

2C becomes a 2B 2CH becomes a 2BH

BACKGROUND

2CE becomes a 2BE 2CHE becomes a 2BHE

BACKGROUND

• Secondary Triage: The 2AH and 2AHE priorities will also be retired with those determinants re-allocated to the 2B equivalents. This consolidates all secondary triage determinants in the Response Grid to 2 priorities:

BACKGROUND

2AH becomes a 2BH 2AHE becomes a 2BHE REFERENCE SOP 2013-014 Dispatch - Emergency Response Standards

AIM To advise all Control Centre staff of alterations to the Response Grid and allocation of MPDS determinants.

Call Taking Requirements

Note the above information The changes in ProQA will occur automatically. A listing of the changes is attached.

Dispatching Requirements Note the information provided above.

Supervising Requirements Note the information provided above.

Senior Supervisor

Requirements

Note the information provided above.

ISSUE DATE 30 March 2015

ISSUE PERIOD Ongoing

Approved By Director, Control Division Jamie Vernon

Dotermrnant Determinant Descriptor Suffix Current Priority New Priority 14D01 Unconscious or Arrest I B 1A 31D01 Unconscious - AGONAL / INEFFECTIVE BREATHING I B 1A 01C03 Fainting or near fainting =>50 1C 21 01C04 Females with fainting or near fainting 12-50 1C 21 02B01 Unknown status / Other codes not applicable 1C 21 02B01I Unknown status / Other codes not applicable Injection administered or advised 1C 21 02801M Unknown status / Other codes not applicable Medication administered or advised 1C 21 C4B02A SERIOUS haemorrhage Assault 1C 21 04B02S SERIOUS haemorrhage Sexual Assault 1C 2 1 04D04A Multiple victims Assault 1C 21 04D04S Multiple victims Sexual Assault 1C 21 07A01E Burns <18% body area Explosion 1C 21 07A01F Burns <18% body area Fire present 1C 21 07A02E Fire alarm (unknown situation) Explosion 1C 21 07B01 Blast Injuries (without priority symptoms) 1C 21 07B01E Blast injuries (without priority symptoms) Explosion 1C 21 07B01F Blast injuries (without priority symptoms) Fire present 1C 21 07B02 Unknown status / Other codes not applicable 1C 2 1 07B02E Unknown status / Other codes not applicable Explosion 1C 21 07B02F Unknown status / Other codes not applicable Fire present 1C 2 1 08C01 Alert with difficulty breathing 1C 21 08C01G Alert with difficulty breathing Smell of gas / fumes 1C 2 1 08C01M Alert with difficulty breathing Carbon monoxide 1C 2 1 08C01S Alert with difficulty breathing Suicide attempt (cartron monoxide) 1C 21 08C01U Alert with difficulty breathing Unknown 1C 21 08D04 Multiple victims 1C 21 08D04B Multiple victims Biological 1C 21 08D04C Multiple victims Chemical 1C 21 08D04G Multiple victims Smell of gas / fumes 1C 2 1 08D04M Multiple victims Carbon monoxide 1C 21 08D04N Multiple victims Nuclear 1C 21 08D04R Multiple victims Radiological 1C 21 08D04S Multiple victims Suicide attempt (carbon monoxide) 1C 21 08D04U Multiple victims Unknown 1C 21 08D05 Unknown status / Other codes not applicable 1C 21 08D05G Unknown status / Other codes not applicable Smell of gas / fumes 1C 2 1 08D05M Unknown status / Other codes not applicable Carbon monoxide 1C 21 08D05S Unknown status / Other codes not applicable Suicide attempt (carbon monoxide) 1C 21 08D0SU Unknown status (Other codes not applicable Unknown 1C 21 09B01a OBVIOUS DEATH unquestionable (a through i) Cold and stiff In a warm environment 1C 21 09B01b OBVIOUS DEATH unquestionable (a through i) Decapitation 1C 21 09B01C OBVIOUS DEATH unquestionable (a through i) Decomposition 1C 21 09B01d OBVIOUS DEATH unquestionable (a through i) Incineration 1C 2 1 09B01e OBVIOUS DEATH unquestionable (a through i) NON-RECENT death 1C 2 1 09B01f OBVIOUS DEATH unquestionable (a through 1) Severe Injuries obv' incomp' with life 1C 21 OSBOIg OBVIOUS DEATH unquestionable (a through 1) Submersion (>6hrs) 1C 21 14B02 Unknown status / Other codes not applicable 1C 21 15D08E Unknown status / Other codes not applicable Electrocution 1C 21

Determinant Determinant Descriptor Suffix Current Priority New Priority 15D08L Unknown status / Other codes not applicable Lightning 1C 21 17B01J POSSIBLY DANGEROUS body area Jumper (suicide attempt) 1C 21 17B02J SERIOUS haemorrhage Jumper (suicide attempt) 1C 21 17B03J Unknown status / Other codes not applicable Jumper (suicide attempt) 1C 21 18C02 Abnormal breathing 1C 21 18C03 Speech problems 1C 21 18C04 Sudden onset or severe pain 1C 2 i 18C05 Numbness 1C 2 i 18C06 Paralysis 1C 2 i 18C07 Change in behaviour (<=3 hrs) 1C 21 20B01C Change in skin colour Cold exposure 1C 21 20B01H Change in skin colour Heat exposure 1C 21 20C01C Heart attack or angina history Cold exposure 1C 21 20C01H Heart attack or angina history Heat exposure 1C 2 i 20D02C Multiple victims (with priority symptoms) Cold exposure 1C 2 i 20O02H Multiple victims (with priority symptoms) Heat exposure 1C 2 i 21B04 Blood thinners 1C 2 i 22801 No longer trapped (unknown Injuries) 1C 21 22B01A No longer trapped (unknown Injuries) Above ground (=>6ft / 2m) 1C 2 i 22B01B No longer trapped (unknown Injuries) Below ground (=>6ft / 2m) 1C 21 22B01M No longer trapped (unknown Injuries) Multiple victims 1C 21 22B01X No longer trapped (unknown Injuries) Both Above ground & Multiple victims 1C 2 i 22B01Y No longer trapped (unknown injuries) Both Below ground & multiple victims 1C 21 22B02 PERIPHERAL ENTRAPMENT only 1C 21 22B02A PERIPHERAL ENTRAPMENT only Above ground (=>6fl / 2m) 1C 21 22B02B PERIPHERAL ENTRAPMENT only Below ground (=>6fl / 2m) 1C 21 22B02M PERIPHERAL ENTRAPMENT only Multiple victims 1C 21 22B02X PERIPHERAL ENTRAPMENT only Both Above ground & Multiple victims 1C 21 22B02Y PERIPHERAL ENTRAPMENT only Both Below ground & multiple victims 1C 2 i 22B03 Unknown status / Other codes not applicable 1C 21 22B03A Unknown status / Other codes not applicable Above ground (=>6ft / 2m) 1C 21 22B03B Unknown status / Other codes not applicable Below ground (=>6ft / 2m) 1C 21 22B03M Unknown status / Other codes not applicable Multiple victims 1C 21 22B03X Unknown status / Other codes not applicable Both Above ground & Multiple victims 1C 21 22B03Y Unknown status / Other codes not applicable Both Below ground & multiple victims 1C 21 23C07 Unknown status / Other codes not applicable 1C 21 23C07A Unknown status / Other codes not applicable Accidental 1C 21 23C07I Unknown status / Other codes not applicable Intentional 1C 21 24A01 1st TRIMESTER haemorrhage or MISCARRIAGE without 1st party verification 1C 2 1 24B01 Labour (delivery not imminent, =>5 months / 20 weeks) 1C 2 1 24B02 Unknown status / Other codes not applicable 1C 21 24C01 2nd TRIMESTER haemorrhage or MISCARRIAGE 1C 21 24C02 1st TRIMESTER SERIOUS haemorrhage 1C 21 24C03 Baby bom (no complications) 1C 21 24(X)2 1st TRIMESTER haemorrhage or MISCARRIAGE with 1st party verification 1C 21 25B01 SERIOUS haemorrhage 1C 21 25B01B SERIOUS haemorrhage Both Violent and Weapons 1C 21 25601V SERIOUS haemorrhage Violent 1C 21

Determinant Determinant Descriptor Suffix Current Priority New Priority 25B01W SERIOUS haamorrliaqe Weapons 1C 21 25B04W Jumper (Threatening) Weapons 1C 21 26B05 Near hanging, strangulation, or suffocation (alert) 1C 21 25B05B Near hanging, strangulation, or suffocation (alert) Both Violent and Weapons 1C 21 25B05V Near hanging, strangulation, or suffocation (alert) Violent 1C 21 25B05W Near hanging, strangulation, or suffocation (alert) Weapons 1C 21 25B06W Unknown status / Other codes not applicable Weapons 1C 21 26C01 ALTERED LEVEL OF CONSCIOUSNESS 1C 21 26C02 Abnormal breathing 1C 21 26C03 Sickle cell crisi / Thalassaemia 1C 2 1 27B04G Unknown stauts / Other codes not applicable Gunshot 1C 21 27B04P Unknown stauts / Other codes not applicable Penetrating Trauma 1C 21 27B04S Unknown stauts / Other codes not applicable Stab 1C 21 27B04X Unknown stauts / Other codes not applicable Self-inflicted G S W 1C 21 27B04Y Unknown stauts / Other codes not applicable Self-inflicted stab 1C 2 1 27B05G OBVIOUS DEATH (explosive G S W to head) Gunshot 1C 21 27B05P OBVIOUS DEATH (explosive G S W to head) Penetrating Trauma 1C 2 1 27B05S OBVIOUS DEATH (explosive GSW to head) Stab 1C 21 27B05X OBVIOUS DEATH (explosive GSW to head) Self-inflicted GSW 1C 2 1 27B05Y OBVIOUS DEATH (explosive G S W to head) Self-lnfllcted stab 1C 2 1 29A01U 1st party caller with Injury to NOT DANGEROUS PROXIMAL body area Unknown number of patients 1C 21 29A01V 1st party caller with Injury to NOT DANGEROUS PROXIMAL body area Multiple pabents 1C 21 29A01X 1st party caller with injury to NOT DANGEROUS PROXIMAL body area Unknown patients & Additional response 1C 21 29A01Y 1st party caller with injury to NOT DANGEROUS PROXIMAL body area Multiple pabents & Additional response 1C 21 2gB04U Unknown status / Other codes not applicable Unknown number of patients 1C 21 29B04V Unknown status / Other codes not applicable Multiple pabents 1C 21 29B04X Unknown status / Other codes not applicable Unknown patients & Additional response 1C 2 1 29B04Y Unknown status / Other codes not applicable Multiple pabents & Additional response 1C 21 30B02 SERIOUS haemorrhage 1C 2 1 31C01 Alert with abnormal breathing 1C 2 1 32B04 Caller's language not understood (no Interpreter In centre) 1C 21 02A01 No dIff breathing/swallowing; symp' present for < 1 hr (rash, hives, Sching may be present) I C E 2 IE 02A01I No dIff breathing/swallowing; symp' present for < 1 hr (rash, hives, itching may be present) Injection administered or advised I C E 2 IE 02A01M No dIff breathing/swallowing; symp' present for < 1 hr (rash, hives, Itching may be present) Medication administered or advised I C E 2 IE 02A02 Spider bite (previous reaction history) I C E 2 IE 02AO2i Spider bite (previous reaction history) Injection administered or advised I C E 2 IE 02A02M Spider bite (previous reaction history) Medication administered or advised I C E 2 IE 02C03 Minor jellyfish sting I C E 2 IE 02C03I Minor jellyfish stinq Injection administered or advised I C E 2 IE 02C03M Minor jellyfish stlnq Medication administered or advised I C E 2 IE 03B01 POSSIBLY DANGEROUS body area 1CE 2 IE 03B02 SERIOUS haemorrhage 1CE 2 IE 03B03 Unknown status / Other codes not applicable 1CE 2 IE 07A01 Burns <18% body area 1CE 2 IE 12A01 Not fitting now and breathing effectively (verified) 1CE 2 IE 12A01E Not fitting now and breathing effectively (verified) Epileptic or Previous history of seizures I C E 2 IE 17B02 SERIOUS haemorrhage I C E 2 IE 17B02G SERIOUS haemorrhage On the ground or floor I C E 2 IE

Determinant Descriptor Suffix Current Priority New Priority 21B01 POSSIBLY DANGEROUS 1CE 2 IE 21B02 SERIOUS haemorrhage I C E 2 IE 31C02 Fainting episode(s) and alert =>35 (with cardiac history) I C E 2 IE 31A02 Fainting episode(s) and alert <35 (with cardiac history) 2 IE 2AE 25A01B Non-sulcidal without 1st party verification (alert and awake) Both Violent and Weapons 2A 2B 25A01V Non-suicidal without 1st party verification (alert and awake) Violent 2A 2B 25A01W Non-sulcldal without 1st party verification (alert and awake) Weapons 2A 2B 04A02S NON-REGENT (=>6 hrs) Injuries except DISTAL body area (without priority symptoms) Sexual Assault 2AH 2BH 04A02A NON-RECENT (=>6 hrs) Injuries except DISTAL body area (without priority symptoms) Assault 2AHE 2BHE 18A01 breathing normally without 1st party verification (without priority symptoms) 2AHE 2BHE 20A01C Alert without 1st party verification (without priority symptoms) Cold exposure 2AHE 2BHE 20A01H Alert without let party verification (without priority symptoms) Heat exposure 2AHE 2BHE 23O01A POISONING (without priority symptoms) Acddentat 2AHE 2BHE 25A01 Non-sulcldal without 1st party verification (alert and awake) 2AHE 2BHE 26A07 New onset of immobility 2AHE 2BHE 26A10 Unwell / ill 2AHE 2BHE 26A11 Vomiting 2AHE 2BHE 30A02 NON-RECENT (=>6 hrs) Injuries except DISTAL body area (without priority symptoms) 2AHE 2BHE 17A03 PUBLIC ASSISTANCE (no Injuries and no priority symptoms) 2C 2B 17A03G PUBLIC ASSISTANCE (no injuries and no priority symptoms) On the ground or floor 2C 2B 17A03J PUBLIC ASSISTANCE (no injuries and no priority symptoms) Jumper (suicide attempt) 2C 2B 02O02 Spider bite (no previous reaction history) 2CE 2BE 02O02I Spider bite (no previous reaction history) Injection administered or advised 2 C E 2BE 02O02M Spider bite (no previous reaction history) Medication administered or advised 2CE 2BE 21A02 Nosebleed (=>35 or <35 with serious haemorrhage) 2 C E 2BE 26A09 Transportation only 2CE 2BE 26O09 Cut-off ring request 2 C E 2BE 01O01 Males <15 2CH 2BH 01O02 Females <12 2CH 2BH 04O02S NON-RECENT (=>6 hrs) Injuries to DISTAL body area (without priority symptoms) Sexual Assault 2CH 2BH 03O01 NOT DANGEROUS DISTAL body area 2CHE 2BHE 03O02 NON-RECENT (=>6 hrs) Injuries (without priority symptoms) 2CHE 2BHE 03O03 SUPERFICIAL bites 2CHE 2BHE 04O02A I40N-RECENT (=>6 hrs) Injuries to DISTAL body area (without priority symptoms) Assault 2CHE 2BHE 05A02 NON-RECENT (=>6 hrs) traumatic back pain (without priority symptoms) 2CHE 2BHE 13A01 Alert and behaving normally without 1st party verification 2CHE 2BHE 13A01C Alert and behaving normally without 1 st party verification Combative or Aggressive 2CHE 2BHE 13O01 Alert and behaving normally with 1st party verification 2CHE 2BHE 13O01C Alert and behaving normally with 1st party verification Combative or Aggressive 2CHE 2BHE 16O01 MINOR eye injuries 2CHE 2BHE 16O02 MEDICAL eye Injuries 2CHE 2BHE 21O01 MINOR hameorrhage 2CHE 2BHE 21002 Nosebleed (<35) 2CHE 2BHE 21O03 Non-bleeding laceration (situation) 2CHE 2BHE 26002 Bolls 2CHE 2BHE 26O03 Bumps (non-traumatic) 2CHE 2BHE 26O04 Can't sleep 2CHE 2BHE 26O07 Constipation 2CHE 2BHE

Determinant Descriptor Suffix Current Priority New Priority 26O08 Cramps / spasms / joint pain (In extremeties and non-traumatic) 2CHE 2BHE 26010 Deafness 2CHE 2BHE 26011 Defaecation / diarrhoea 2CHE 2BHE 26012 Earache 2CHE 2BHE 26013 Enema 2CHE 2BHE 26014 Gout 2CHE 2BHE 26015 Haemorrhoids / piles 2CHE 2BHE 26016 Hepatitis 2CHE 2BHE 26017 Hiccups 2CHE 2BHE 26018 Itching 2CHE 2BHE 26019 Nervous 2CHE 2BHE 26O20 Object stuck (nose, ear, vagina, rectum, penis) 2CHE 2BHE 26021 Object swallowed (without choking or dificulty breathing, can talk) 2CHE 2BHE 26024 Rash / skin disorder (without difficulty breathing or swallowing) 2CHE 2BHE 26026 Sexually transmitted disease (STD) 2CHE 2BHE 26026 Sore throat (without difficulty breathing or swallowing) 2CHE 2BHE 26027 Toothache (without jaw pain) 2CHE 2BHE 26028 Wound Infection (focal or surface) 2CHE 2BHE 30O02 NON-RECENT (=>6 hrs) Injuries to DISTAL body area (without priority symptoms) 2CHE 2BHE 30O03 Splinters (<=2.5cm / lln) 2CHE 2BHE