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Intrahospital Critical Care Transfer Record 1. Who? Affix Patient Label 4. Observations 2. When? Record Time 3. Why? DATE Decision Contact Recipient Emergency Urgent.
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How to fill out intrahospital critical care transfer

How to fill out intrahospital critical care transfer:
01
Begin by gathering all necessary patient information, including their full name, date of birth, medical record number, and the reason for the transfer.
02
Fill out the referring facility's information, such as the hospital name, contact person, phone number, and fax number.
03
Provide the receiving facility's information, including their name, contact person, phone number, and fax number.
04
Include the referring and receiving facility addresses for accurate documentation.
05
Specify the mode of transport for the transfer, such as ground ambulance, air ambulance, or other means.
06
State the date and time of the transfer request.
07
Enter the patient's current condition, including vital signs, diagnosis, and any ongoing treatments or interventions.
08
Include a summary of the patient's medical history, allergies, and medications.
09
Provide details of the current medical intervention being performed, such as mechanical ventilation, continuous infusions, or other critical care measures.
10
Document any special equipment or resources needed during the transfer, such as a ventilator, cardiac monitors, or specialized medications.
11
Indicate whether the transferring facility will accompany the patient during the transfer or if they require assistance from the receiving facility's staff.
12
Include any additional comments or instructions regarding the transfer process or the patient's condition.
Who needs intrahospital critical care transfer:
01
Patients requiring a higher level of care than what is available at the referring facility may need intrahospital critical care transfer.
02
Individuals with conditions that require specialized equipment or resources that are only accessible at another facility may require intrahospital critical care transfer.
03
Patients who have experienced a sudden deterioration in their medical condition and require urgent intervention or monitoring may need intrahospital critical care transfer.
04
Individuals with complex medical needs or multiple comorbidities that necessitate the expertise of a specialized critical care team may be candidates for intrahospital critical care transfer.
05
Some patients may require intrahospital critical care transfer to access a specific treatment or procedure that is unavailable at the referring facility.
06
Patients who are in unstable conditions, such as those with severe trauma, acute respiratory distress syndrome (ARDS), or cardiac arrest, may require immediate intrahospital critical care transfer.
In summary, filling out an intrahospital critical care transfer involves compiling patient information, documenting medical details, specifying the transfer logistics, and providing additional instructions. This transfer may be needed for patients requiring a higher level of care, specialized equipment or resources, urgent intervention, a specialized critical care team, access to specific treatments, or those in unstable conditions.
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What is intrahospital critical care transfer?
Intrahospital critical care transfer is the process of moving a critically ill patient from one department or unit within a hospital to another, typically for specialized care or treatment.
Who is required to file intrahospital critical care transfer?
Any healthcare provider or facility staff involved in the transfer process is responsible for filing the intrahospital critical care transfer report.
How to fill out intrahospital critical care transfer?
The intrahospital critical care transfer form must be completed with detailed information about the patient, reason for transfer, medical history, current condition, and receiving unit's contact information.
What is the purpose of intrahospital critical care transfer?
The purpose of intrahospital critical care transfer is to ensure seamless coordination and communication between healthcare providers during the transfer of critically ill patients within a hospital.
What information must be reported on intrahospital critical care transfer?
Information such as patient's name, medical record number, reason for transfer, vital signs, medications, and any relevant medical history must be included in the intrahospital critical care transfer report.
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