Scope & authority

This is continuation/monitoring authority during an authorized IFT, not routine 9-1-1 heparin administration.
Bleeding and falling BP require action under the procedure.

Adult / adolescent

PR-220 addresses a pre-existing heparin infusion. Obtain the prescribed rate, bleeding history, and relevant transfer records from the sending RN/physician.
Use a working infusion pump at the sending facility’s prescribed rate. The procedure does not provide an independent field loading dose or titration schedule.

The source supplies no distinct pediatric dosing regimen. A pediatric transfer needs the sending team’s explicit order and appropriate transport authorization; do not weight-scale an adult heparin infusion from this page.

Use the sending team’s patient-specific transport order and authorized scope. The cited transport procedure supplies no independent pediatric initiation regimen.

Weight	OCEMS pediatric dose
Any weight	No general pediatric dose under the cited source; follow the applicable order / medical direction.

Secure the vascular access and verify the pump. Continuously observe vital signs, rhythm, and bleeding.
Stop the infusion and transport to the nearest appropriate ERC for bleeding, systolic BP below 90, or a systolic decrease greater than 20 mmHg from the initial measurement, as directed by PR-220.
Document the ordered rate, monitoring, any stop time/reason, and the patient’s condition at transfer of care.