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SENDING RECEIVING BOTH CORE PETS ACUTE INTERACTIVITY NEONATAL TRANSPORT FORM 2019 PLEASE PRINT CLEARLY PATIENT DIAGNOSIS Special Situations: c None c Delivery Attendance c Transport by Sending Facility

How to fill out ets acute inter-facility- neonatal

How to fill out ets acute inter-facility- neonatal

1. Step 1: Start by collecting all the necessary information and documents required to fill out the ETS Acute Inter-facility- Neonatal form.
2. Step 2: Fill out the patient's personal details such as name, date of birth, address, and contact information in the designated fields.
3. Step 3: Specify the reason for the transfer of the neonatal patient and provide any relevant medical history or diagnosis.
4. Step 4: Include details about the current medical condition of the patient, including vital signs, medications, and any ongoing treatment.
5. Step 5: Provide information about the receiving facility, including name, address, and contact information.
6. Step 6: Indicate any special requirements, preferences, or considerations for the transfer, such as the need for specialized equipment or medical personnel.
7. Step 7: Review the completed form thoroughly, ensuring all information is accurate and complete.
8. Step 8: Sign and date the form to confirm its authenticity.
9. Step 9: Submit the filled-out ETS Acute Inter-facility- Neonatal form to the appropriate authority or healthcare provider as instructed.

Who needs ets acute inter-facility- neonatal?

1. The ETS Acute Inter-facility- Neonatal form is needed by healthcare professionals, medical staff, or authorized personnel involved in the transfer of neonatal patients between healthcare facilities.
2. This form is specifically designed for neonatal inter-facility transfers to ensure efficient communication and coordination of care.

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What is ets acute inter-facility- neonatal?

ETS acute inter-facility-neonatal refers to the Emergency Transport System (ETS) protocol used for the transfer of neonatal patients between healthcare facilities, ensuring appropriate care during transport.

Who is required to file ets acute inter-facility- neonatal?

Healthcare providers involved in the transportation of neonates between facilities are required to file the ETS acute inter-facility-neonatal.

How to fill out ets acute inter-facility- neonatal?

To fill out the ETS acute inter-facility-neonatal, one must complete the designated form including patient information, transport details, and medical history as required by the governing health authority.

What is the purpose of ets acute inter-facility- neonatal?

The purpose of ETS acute inter-facility-neonatal is to ensure safe and efficient transport of critically ill neonates to appropriate medical facilities for advanced care.

What information must be reported on ets acute inter-facility- neonatal?

The information that must be reported includes patient demographics, clinical condition, reason for transport, the facility of origin and destination, and the transport team's details.