You may encounter additional challenges in your palliative care practice based on the work environment and practice setting. Expectations to have short scene times, assumptions that all patients will be transported to hospital, and high call volumes with limited time to decompress between calls all make the paramedic work environment unique when compared to other practice settings where palliative care may be delivered. If you're a paramedic working in a rural setting, you may also have to contend with longer travel times to reach patients, as well as pre-existing relationships with them and their families. 

Refer to your community guidelines, which will outline policies and procedures for contacting other health care providers (for consultation).