Revisions in the Transportation Assistance Levels (TALs)

Lisa Volk in Clinical & Quality

The NYSDOH sent the information below regarding revisions in the Transportation Assistance Levels (TALs).

The New York State Department of Health (NYSDOH), Office of Health Emergency Preparedness (OHEP) continues to promote emergency preparedness for healthcare facilities.

In collaboration with preparedness partners, OHEP has revised the Transportation Assistance Levels (TALs) classification system to further streamline and coordinate evacuations statewide. The TALs classifications are used by healthcare professionals to assess the type of transportation resources needed by each patient/resident at a facility during a planned evacuation. TALs are not intended for use during an emergent situation such as a fire.

Non-ambulatory [TAL1] has been sub-categorized to include types of ambulance transport resources. The gurney icon is used for all three.

Non-ambulatory-Stretcher. Clinically unable to be moved in a seated position, and may require equipment including but not limited to oxygen, cardiac monitors, or other biomedical devices to accompany them during movement.

Non-ambulatory-Vent. Clinically unable to be moved in a seated position, and require equipment including but not limited to mechanical ventilators, oxygen, cardiac monitors, or other biomedical devices to accompany them during movement.

Non-ambulatory-Bariatric. Clinically unable to be moved in a seated position, and may require equipment including but not limited to oxygen, mechanical ventilators, cardiac monitors, or other biomedical devices to accompany them during movement. These patients/residents require transportation using a wider stretcher.

Wheelchair [TAL2] has been revised to reflect the Bureau of Emergency Medical Services (BEMS) policy regarding transport of individuals with intravenous infusion lines. 

  • Intravenous infusion lines should be converted to saline locks or discontinued for transport. These patients/residents may be escorted by a non-clinical staff member.
  • Patients/residents with a continued IV infusion must be escorted by a nurse or paramedic during transport.

Ambulatory [TAL3]. There have been no changes for this Transportation Assistance Level.

Please contact Katharine Logan, Office of Health Emergency Preparedness with questions or concerns regarding these revisions. katharine.logan@health.ny.gov


NYSHFA CONTACT:

Lisa Volk, RN, B.P.S., LNHA
Director, Clinical & Quality Services
518-462-4800 x15