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Acute Stroke Transfer Han doff Communication Form Date Time : Referring Facility: Referring Physician: Patient Name: Date of Birth / / Name of Person Witnessing Event: Witnessing Persons Phone #:
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How to fill out acute stroke transfer hand-off

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How to fill out acute stroke transfer hand-off?

01
Begin by gathering all pertinent information about the patient, including their medical history, current medications, and any relevant test results.
02
Clearly document the reason for transfer, such as the need for specialized stroke care or intervention.
03
Include the patient's vital signs, neurological exam findings, and any abnormalities observed during the initial assessment.
04
Provide a detailed timeline of events, including the time of symptom onset, when the patient was last known to be well, and any delays in seeking medical attention.
05
Document all relevant treatments administered, such as thrombolytic therapy or other interventions, along with the time they were given.
06
Include a summary of the patient's response to treatment and any changes in their condition during the acute phase.
07
Ensure that all necessary contact information for the receiving facility is accurately recorded, including the name and contact details of the accepting physician or stroke team.
08
Make note of any specific instructions or preferences from the referring physician or family members regarding the transfer process.
09
Provide a thorough hand-off report, including the patient's current status, treatment plan, and anticipated needs upon arrival at the receiving facility.
10
Review the complete hand-off documentation for accuracy and clarity before transferring the patient.

Who needs acute stroke transfer hand-off?

01
Emergency medical services (EMS) personnel who are transporting the patient to the receiving facility.
02
The referring physician or healthcare team who are transferring the patient for specialized stroke care.
03
The receiving stroke team or healthcare professionals who will be responsible for continuing the patient's care and treatment at the receiving facility.
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Acute stroke transfer hand-off is a process of transferring a patient with acute stroke from one healthcare facility to another, while ensuring a smooth transition of care.
Healthcare professionals involved in the transfer of a patient with acute stroke are required to file the acute stroke transfer hand-off.
The acute stroke transfer hand-off form should be filled out with detailed information about the patient's condition, treatment received, and any specific instructions for the receiving facility.
The purpose of acute stroke transfer hand-off is to ensure the continuity of care for the patient with acute stroke and provide necessary information to the receiving facility.
Information such as patient demographics, medical history, current medications, vital signs, neurological status, and treatment provided should be reported on the acute stroke transfer hand-off.
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