Montgomery County Fire & Rescue MAIS Form

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HOSPITALS

Consulting: If this call requires consultation with a hospital, darken the consulting hospital’s code number in the Consulting section.

Transferring: If this call is an inter-hospital transfer, darken the transferring hospital’s code in the Transferring section.

Receiving: Mark the receiving hospital’s code in the Receiving section.

Prov. Exp

Provider Exposure to a potentially infectious agent
NS - Needle Stick
B = Exposure to blood or body fluid not related to a needle stick
A = Airborne for potential exposure to airborne pathogens
O = Other potential exposure to body fluids other than blood (urine, vomitus, stool, CSF, etc.)

HOSPITAL CODES commonly used in Montgomery County
355	Bethesda Naval	264	Montgomery General Hospital
219	Carroll County General	632	Prince Georges Trauma Center
818	Children's Neonatal	232	Prince Georges Hospital Center
718	Children's Burn Center	634	Shock Tauma - Baltimore
717	Children's Trauma Center	734	Shock Trauma - Hyperbaric
317	Children's Hospital	735	Shock Trauma - Neurotrauma
335	George Washington University Hosp	265	Shady Grove Adventist Hosp.
337	Georgetown University Hospital	249	Suburban Hospital
244	Holy Cross Hospital	649	Suburban Hospital Trauma Ctr.
223	Howard County General	714	Curtis Hand Center - Union Mem
701	Johns Hopkins Bayview Burn Ctr.	250	Walter Reed Army Medical Ctr.
705	Johns Hopkins Eye Trauma	328	Washington Adventist Hospital
352	Laurel Regional Hospital

Last edited: 2/17/2005