Fit2Sit Phase 1 was launched on December 31, 2021 to assist with the offloading of patients to the waiting room following the triage process, and improve hospital offload times.

Toronto Paramedic Services will soon launch Phase 2 of the Fit2Sit Program. In Phase 2, Paramedics will no longer have to remain with Fit2Sit patients to complete a full triage report. Paramedics will use Fit2Sit guidelines to identify patients that are able to self-triage.

The Fit2Sit Phase 2 Joint Guidelines have been released to Operations and hospital staff so that all parties can familiarize themselves with the program. The “GO LIVE” date of Fit2Sit Phase 2 and the list of participating hospitals will be communicated in the near future.

There will be no significant change to the destination process with the launch of Fit2Sit Phase 2.

• Paramedics will contact the HDC and:
  • State that they have a Fit2Sit patient
  • Provide patient CTAS level, and
  • Provide any specialty service required.
• The HDC will enter the information into PDS and select Fit2Sit (previously the ambulatory symbol).
• The HDC will follow their current process of assigning the crew to the first choice hospital with the lowest Time to Next Patient (TNP). As with other calls, the HDC may assign the crew to a requested hospital if it also appears as an option (i.e., TNP is within 20 min of the hospital with the lowest TNP time).

If a Paramedic crew requests transport to a hospital that does not appear as a Fit2Sit option in PDS, they must obtain permission for an override from the Deputy Commander unless it is a repatriation request.

Thank you for your ongoing dedication and teamwork as we continue to do everything we can to protect our communities. Additional information will be communicated in the near future.

Sincerely,
(Original signed by)
Mike Wionzek