2. Triage
Triage is important for:
• Primary assessment & stabilization
• Prioritising
– Deciding who needs immediate care, who can wait?
– Deciding what needs to be done first?
– Deciding who needs to act?
– Deciding where the action should be done?
4. Referral Process: ACCEPT
A Assess the situation
C Control
C Communication
E Evaluation
P Preparation and packaging.
T Transport. Safe mode, monitoring must
continue.
5. Communication
• How
– Face-face
– Phone
– Written-recording/documentation e.g referral notes
• With who
– Patients
– Relatives
– Staff
– Referral unit
• Why
– Pass relevant information
6. Recap: Key considerations during
Referral-1
• WHEN (at what point) will you make the decision
that referral is necessary?
• WHAT are the clinical reasons for referral?
• WHERE will you refer the patient?
• HOW will you communicate to the decision maker in
the home on the need for referral?
• HOW will you NEGOTIATE with decision maker in the
home for permission to refer the women?
7. Recap: Key considerations during
Referral-2
• WHEN should you move the woman to the referral
hospital- Timeliness
• HOW will you refer the woman? How will you
arrange transport? Who needs to escort her?
• HOW will you communicate with the referral
hospital?
• WHAT equipment or skills will the person who
escorts the woman need?
A
Assess the situation. Who will accompany patient, current condition etc
C
Control. Take control, identify what needs to be done, by who. Essential emergency drugs/supplies for transfer, referral note
C
Communication. Information to the woman and family. Referral details: who you are, patient details, the problem, what has been done, what is required.
E
Evaluation. Risk of transfer sh’d be balance against risk of staying. Degree of urgency, severity of condition will help decide mode of transport and accompanying staff cadre
P
Preparation and packaging. Women sh’d be stable enough to transport safely, and appropriate level of care sh’d be maintained during transport. (Adequate resusc equip, IV lines and fluids secured, written documentation etc
T
Transport. Safe mode, monitoring must continue.
