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Provincial Neonatal Retro transfer Record PATIENT LABEL FAMILY INFORMATION INITIAL: Date of Birth: / / Time: hours Patient name: M Date of transfer: / / Time: hours Singleton, Twin, other: Mother:
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How to fill out provincial neonatal retro-transfer record

How to fill out provincial neonatal retro-transfer record:
01
Obtain the necessary form from the relevant provincial health authority or agency. This form is typically available online or can be requested through a healthcare professional.
02
Start by filling in the patient's information, including their name, date of birth, and unique identifier (such as a health card number).
03
Indicate the facility where the patient was initially admitted and cared for, including the name, address, and contact information of the facility.
04
Provide details about the transfer, including the date and time of the transfer, the reason for the transfer, and any notes or comments relevant to the transfer process.
05
If applicable, identify the healthcare practitioner responsible for initiating the transfer and their contact information.
06
Complete the portion related to the receiving facility, including the name, address, and contact information of the facility where the patient is being transferred to.
07
Indicate the name and contact information of the healthcare practitioner responsible for accepting the transfer at the receiving facility.
08
Fill out any additional sections or fields that may be required by the provincial health authority or agency. These might include details about medical equipment or medications being transferred with the patient, special instructions or considerations, or any other relevant information.
09
Review the completed record for accuracy and completeness before submitting it to the appropriate authority.
Who needs provincial neonatal retro-transfer record?
01
Healthcare professionals involved in the transfer of neonatal patients between healthcare facilities.
02
Provincial health authorities or agencies responsible for tracking and monitoring the movement of neonatal patients.
03
Researchers or statisticians analyzing neonatal healthcare data for public health purposes.
04
Policy makers or administrators involved in the planning and management of neonatal healthcare services.
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What is provincial neonatal retro-transfer record?
Provincial neonatal retro-transfer record is a document that records the transfer of a newborn baby from one hospital to another for further care or treatment.
Who is required to file provincial neonatal retro-transfer record?
The healthcare provider or hospital staff involved in the transfer of the newborn baby is required to file the provincial neonatal retro-transfer record.
How to fill out provincial neonatal retro-transfer record?
The provincial neonatal retro-transfer record must be filled out with the necessary information such as the newborn's details, reason for transfer, medical condition, and details of the sending and receiving hospitals.
What is the purpose of provincial neonatal retro-transfer record?
The purpose of provincial neonatal retro-transfer record is to ensure proper documentation of the transfer of newborn babies for continuity of care and treatment.
What information must be reported on provincial neonatal retro-transfer record?
The provincial neonatal retro-transfer record must include details such as newborn's name, date of birth, medical history, reason for transfer, sending and receiving hospital details, and signatures of the healthcare providers involved.
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