Patient Patient TransferringTransferringwithin and between healthcare within and between healthcare

settingsetting

objectiveobjective

By the end of this lecture you will be By the end of this lecture you will be able to :able to :

Explain the ideal process of patient Explain the ideal process of patient transferring .transferring .

When you transfer a patient to another unit or to another facility, you are responsible for carrying out certain procedures will make the transition smooth and nonstressful as possible for the patient and receiving staff. this include :

1 -obtaining the order for transfer2 -notifying appropriate persons

3 -interacting with the patient, including reinforcing any health teaching.

44 - -caring for the patient's caring for the patient's personal propertypersonal property..

55 - -completing and duplicating completing and duplicating records ,assessment data, and records ,assessment data, and care plancare plan

66 - -arranging transportationarranging transportation. .

77 - -giving reportgiving report. .

obtaining the order for transfer

Physician usually writes the order Physician usually writes the order transferring a patient within the transferring a patient within the hospital or to another facility . If hospital or to another facility . If there is some nursing reason for there is some nursing reason for transfer , the transfer is made transfer , the transfer is made and the physician writes the and the physician writes the order laterorder later . .

notifying appropriate persons

YouYou are responsible to notify all are responsible to notify all persons involved of the transfer . persons involved of the transfer . These include the nursing supervisor, These include the nursing supervisor, other hospital departments ( eg, other hospital departments ( eg, diatory , pharmacy or physical diatory , pharmacy or physical therapy ) , the patient family, and the therapy ) , the patient family, and the unit or facility that is receiving the unit or facility that is receiving the

patientpatient . .

interacting with the patient

Any patient has the right to know Any patient has the right to know of the transfer plansof the transfer plans . .

You can clarify the transfer and You can clarify the transfer and answer any question the answer any question the patient or family may have patient or family may have regarding the new environmentregarding the new environment. .

caring for the patient's caring for the patient's personal propertypersonal property..

Make sure that all personal Make sure that all personal property is checked and property is checked and accompanies the patient being accompanies the patient being transferred when appropriatetransferred when appropriate. .

completing and duplicating completing and duplicating records ,assessment data, and records ,assessment data, and

care plancare planIf the patient is being transferred If the patient is being transferred within the facility, gather all within the facility, gather all assessment forms and care assessment forms and care plans, bedside equipment, and plans, bedside equipment, and

plastic identification cardplastic identification card. .

arranging transportationarranging transportation

When critical care needed, the nurse When critical care needed, the nurse may make arrangements, particularly may make arrangements, particularly when the patient needs special when the patient needs special equipment , such as a oxygen or equipment , such as a oxygen or maintenance of intravenous a therapy, maintenance of intravenous a therapy, or specialized personal, such as a or specialized personal, such as a respiratory therapist or critical care respiratory therapist or critical care nurse .if pt is going to another unit , nurse .if pt is going to another unit , you may decide whether the pt can be you may decide whether the pt can be

transferred by wheelchair or stretchertransferred by wheelchair or stretcher. .

giving reportgiving report

The nurse in original area gives a The nurse in original area gives a verbal report to the nurse in the verbal report to the nurse in the new area .new area .

Transfer to a long –term Transfer to a long –term care facilitycare facility

When the pt is being transferred When the pt is being transferred to another hospital or to another to another hospital or to another facility (long –term care facility facility (long –term care facility e,g retirement center , e,g retirement center , residential institution , nursing residential institution , nursing

home …)home …) , ,

General considerationGeneral consideration

- The original chart , remains at The original chart , remains at the hospital .the hospital .

- All of patient's belonging are All of patient's belonging are carefully packed and sent to the carefully packed and sent to the facility with patient . facility with patient .

ConCon....

- Prescription and appointment Prescription and appointment cards for return visits to the cards for return visits to the physician is sent to the facility . .physician is sent to the facility . .

- Detailed assessment and care Detailed assessment and care plan is sent to the facility . plan is sent to the facility .

- The nurse at hospital often The nurse at hospital often provides a verbal report to the provides a verbal report to the nurse at long – term facility .nurse at long – term facility .