Get the free Thames Valley Neonatal Transport Service Referral form for ... - networks nhs

Thames Valley Neonatal Transport Service Referral form for urgent transfers identity Date: Time of referral: Referred by: Referring hospital / ward Receiving hospital / ward: Current location of patient

How to fill out thames valley neonatal transport

How to fill out Thames Valley Neonatal Transport:

1. Start by accessing the Thames Valley Neonatal Transport form. This form is typically available on the official website of Thames Valley Neonatal Transport or can be obtained from healthcare providers.
2. Begin by entering the necessary personal information of the neonate, such as their full name, date of birth, and gender. Make sure to double-check the accuracy of this information before proceeding.
3. Provide the contact details of the individual completing the form, including their full name, phone number, email address, and relationship to the neonate.
4. Specify the reason for the neonate's transport by selecting the appropriate option from the available choices. These reasons may include medical conditions, specialist consultation, or transfer to a different healthcare facility for necessary treatment.
5. If applicable, indicate the preferred receiving hospital or healthcare facility for the neonate's transport. This could be a specific hospital or a requested location based on medical expertise or family preferences.
6. Provide a brief summary of the neonate's medical history, including any existing medical conditions, ongoing treatments, or recent surgeries. Include relevant details that may assist healthcare providers during the transport process.
7. Indicate the transportation requirements for the neonate by selecting the appropriate options. This may include specifying if additional medical equipment, such as a ventilator or incubator, is required during transport.
8. Lastly, review the filled-out form to ensure all the information is accurate and complete. Carefully check for any errors or missing details that may affect the transport process.

Who needs Thames Valley Neonatal Transport:

1. Premature infants born before the 37th week of pregnancy, requiring specialized care and transportation to a neonatal intensive care unit (NICU).
2. Newborns with severe medical conditions or birth defects that require immediate medical attention and intervention from specialized healthcare providers.
3. Infants requiring transfer to a different healthcare facility with advanced medical capabilities or specialized services not available at their current location.
4. Cases where consultation with neonatal specialists or pediatric subspecialists is necessary, requiring transport to a hospital or facility with the required expertise.
5. Neonates with critical illnesses or conditions that require continuous medical monitoring and treatment during transportation.
6. Families who request or prefer transportation of their newborn to a specific hospital or healthcare facility for the neonate's medical needs or personal reasons.

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