Description

Problems may arise when a critically ill patient is transferred within a hospital for diagnostic testing, therapy or unit change. Beckmann et al identified factors which can help prevent these problems and which can serve as the basis for a transfer checklist. The authors are from John Hunter Hospital in Newcastle, New South Wales, Australia, and Johns Hopkins Hospital in Baltimore.


 

Parameters:

(1) equipment

(2) expendable supplies

(3) patient care

(4) physical plant (infrastructure) related

(5) communications related

(6) organization related

(7) personnel related

 

Equipment suitable, available and in repair:

(1) monitors

(2) bed

(3) pumps

(4) ventilator

(5) emergency resuscitation equipment

 

Expendable supplies suitable, available and adequate:

(1) batteries for equipment

(2) oxygen and other gas supplies

(3) emergency drugs and supplies

 

Patient care:

(1) preservation of vascular lines

(2) airway maintenance

(3) proper positioning

(4) continued infusion of necessary medications and fluids

(5) prepared for transfer

 

Physical plant:

(1) hallways adequate for transfer

(2) elevators with sufficient space

(3) uncomplicated route

 

Communications:

(1) destination aware of transfer and ready to receive

(2) team members aware of transfer plan

(3) available to the team during transfer, either with mobile communications or phones along route

 

Organization:

(1) develop guidelines and protocols for transfer

(2) establish responsibility for transfer activities

(3) reduce unnecessary transfers by providing resources to intensive care units

(4) continuous quality monitoring of transfers

(5) provide adequate staffing to intensive care units

 

Personnel:

(1) sufficient number

(2) properly trained in patient transfer techniques

(3) properly trained in equipment used for transfer

(4) follow protocols

(5) adequate supervision

 


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