Patient Transfer and Escort Policy v2 Policy No: OP84 Version: 2.0 Name of Policy: Internal Patient Transfer and Escort Policy Effective From: 07/09/2015 Date Ratified 12/08/2015 Ratified SafeCare Council Review Date 01/08/2017 Sponsor Director of Nursing, Midwifery and Quality Expiry Date 11/08/2018 Withdrawn Date Unless this copy has been taken directly from the Trust intranet site (Pandora) there is no assurance that this is the most up to date version This policy supersedes all previous issues
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Patient Transfer and Escort Policy v2
Policy No: OP84
Version: 2.0
Name of Policy: Internal Patient Transfer and Escort Policy
Effective From: 07/09/2015
Date Ratified 12/08/2015
Ratified SafeCare Council
Review Date 01/08/2017
Sponsor Director of Nursing, Midwifery and Quality
Expiry Date 11/08/2018
Withdrawn Date
Unless this copy has been taken directly from the Trust intranet site (Pandora) there is no assurance that
3. Aim of policy ................................................................................................................................. 4
4 Duties (roles and responsibilities) ................................................................................................ 4
5 Definitions of terms ...................................................................................................................... 5
6 Process for transfer ...................................................................................................................... 6
7 Providing an escort for transfer ................................................................................................... 7
8. Training ......................................................................................................................................... 8
9. Equality and diversity ................................................................................................................... 8
10. Monitoring compliance with the policy ....................................................................................... 8
11. Consultation and review .............................................................................................................. 9
12 Implementation of policy ............................................................................................................. 9
Antenatal Handover of Patient Care (SBAR) To be completed for all transfers between AN and LW
(Except planned low risk IOL & early labour admissi ons)
Please tick appropriate boxes (√) or circle correct answer
SBAR report Antenatal Handover Situation Reason for transfer:
Current antenatal issues (summary):
Background Gravida: Para: Gestation : weeks Midwifery led Consultant led Significant medical history: Yes No please state: Significant Obstetric history: Yes No please state: Obstetric Risk Assessment: High Low Thromboembolism: High Low
Assessment BP: Pulse: bpm Temp: °C Resps: rpm Previous MEOWS trigger: Yes No Abdomen: Foetal heart: bpm CTG interpretation: Urinalysis : Uterine Activity: Vaginal Loss: discharge / amniotic fluid Colour: Bloods: taken and / or results:
Recommendations Antenatal care plan: including observations and foetal monitoring Further tests / treatments required: Identified indications for medical review:
Signature of person transferring patient: Signature of person receiving patient: Date and time of transfer:
Appendix 3a
Patient Transfer and Escort Policy v2 14
Delivery Suite to Postnatal Handover of Baby’s Care (SBAR) - Only to be completed if baby is transferred immed iately to SCBU
Please tick appropriate boxes (√) or circle correct answer
SBAR Report Postnatal Handover Situation Date of Delivery: Time of delivery:
Background Gestation: weeks Mother’s blood group: Antibodies: Baby’s blood group: Antibodies: Family issues identified: Yes � No � AN2: Yes � No �
Assessment Bloods taken / results: Swabs taken / results: Initial Assessment: Colour: Skin: Eyes: Mouth: Cord: Passed meconium? Yes � No � Passed urine? Yes � No � Skin to skin � Breast fed � Length of feed: mins Artificially fed � mls ID bracelet x 2 present and correct? Yes � No � Temperature on transfer: ˚C Birth weight: _______kg
Recommendations Routine postnatal care? Yes � No � Further tests / treatments required: Identified indications for medical review: Is there an Individual Management Plan in place? Pl ease document plan on page 4. If baby requires regular observations (Meconium, GBS) ensure that observation chart is up to date PRIOR to transfer to PN ward.
Signature of person transferring baby: Signature of person receiving baby: Date and time of transfer:
Appendix 3b
Patient Transfer and Escort Policy v2 15
Delivery Suite to Postnatal Handover of Mother’s Ca re (SBAR) To be signed by both the transferring midwife and t he receiving midwife
Please tick appropriate boxes (√) or circle correct answer SBAR report Postnatal Handover Situation Date of delivery: Time of d elivery :
Delivery: Normal Ventouse Forceps Elective CS reason: Emergency CS reason: Spontaneous Induced Analgesia if appropriate: Perineum: intact 1st 2nd 3rd 4th Episiotomy Sutured Yes No Drains: Yes No IVT type and rate: Estimated blood loss: mls
Background Gravida: Para: Gestation : weeks Risk assessment prior to labour: High Low If high, please state reason: Blood group: Antibodies: Rubella Immune Yes No Personal Issues identified: Yes No AN2 Yes No
Assessment BP / Pulse bpm Temp °C Resps bpm Previous MEOWS trigger Abdomen: Passed Urine: Yes No If no please record time of last void: (SRC insitu) (document time and volume of 1 st void in “P/N care” section on p.8) Lochia: Heavy / normal / light Bloods: taken and / or results:
Recommendations Risk assessment following delivery: High Low If high, please state reason: If high risk postnatally please document individual ised management plan on page 6-7 Further tests / treatments required: Identified indications for medical review:
Signature of person transferring patient: Signature of person receiving patient: Date & Time of transfer :
This aims to guide staff with appropriate escort requirements and does not replace the clinical judgement and ultimate decision of the Registered Nurse
Assessment of Patient
Risk Minimum
Escort requirement Mode of transfer
Minimum
Skills required
• Maintaining own airway
• No Oxygen support required during transit
• Stable observations no NEWS triggers in last 4 hours
• No medical devices in progress during transfer
• Alert and orientated
Low
• Adults - Porter
• Children - HCA or Pre-
registered student Nurse
• Walk
• Wheelchair
• Bed/Cot
• Trolley
• Familiar with trust transfer policy
• Understands Transfer process.
• Clinical staff BLS/PLS
• Maintaining own airway
• Stable on Continuous Oxygen less than 4L/Min
• Stable observations no NEWS triggers in last 4 hours
• No medical devices that may require intervention during
transfer.
• Confused /disorientated
• High risk of falls / likely to wander
Med
• Adults - HCA, Pre-registered
student Nurse or Therapist &
Porter
• Children - Registered Paediatric
Nurse
• Wheelchair
• Bed/Cot
• Trolley
• Awareness of patient’s current clinical
condition and needs.
• Familiar with trust transfer policy
• Understands Transfer process.
• BLS / PLS
• Requires continuous cardiac monitoring
• Risk to airway (e.g. post op / post procedure / post sedation /