The document outlines the policies and procedures for patient transfers at Pune Adventist Hospital, detailing intrahospital and interhospital transport methods. Key considerations include effective communication, qualified personnel, appropriate equipment, and ongoing monitoring to ensure patient safety. It emphasizes the roles of nurses in facilitating transfers, maintaining patient information, and ensuring continuity of care.

1. Pune Adventist Hospital
Safe transfer of patients

2. Types of transport
• Intrahospital – transport of a patient from one
location to another within the hospital
• Interhospital – transport of a patient between
hospitals
• Scene run – transport of a patient from a non
medical site to the nearest available medical
facility

3. Intrahospital transfers
• From ER to wards
• From ER to OT/ ICU
• From ward to OT/ICU
• From ward to radiology
• From ward to ward
• From one ICU to the other

4. Interhospital transfers
• From hospital to home, post discharge
• From once facility to another in the same city
• From one facility to another in a different city

5. • Critically ill patients are at an increased risk of
mortality and morbidity during transport
• Risk can be minimized and outcomes
improved with
a) Careful planning
b) Qualified personnel
c) Selection of appropriate equipment

6. Transfer policy and procedure
• At least 4 concerns need to be addressed
through written policies and procedures
a) Communication
b) Personnel
c) Equipment
d) Monitoring

7. Pre – transport communication
• When an alternate team at a receiving
location will assume responsibility of the
patient, continuity of patient care will be
ensured by physician – to – physician and
nurse – to – nurse communication to review
patient condition and the treatment plan

8. • Before transport, the receiving location
confirms that it is ready to receive the patient
• The responsible physician is made aware of
the transport

9. • Documentation in the medical record includes
the indications for transport and patient
status throughout the time away from the unit
of origin

10. Accompanying personnel
• It is strongly recommended that a minimum of two
people accompany a patient
• Additional personnel may include a registered nurse,
critical care technician as needed
• Recommended that a physician with ACLS training
accompany unstable patients

11. Accompanying equipment
• BP monitor, pulse oximeter, defibrillator.
• Equipment for airway management with
oxygen source
• Basic resuscitation drugs
• Supplemental medications such as sedatives
and narcotic analgesics

12. Accompanying equipment
In mechanically ventilated patients,
endotracheal tube position is noted and secured
before transport and the adequacy of
oxygenation and ventilation is confirmed

13. Accompanying equipment
• All battery – operated equipment is fully
charged and capable of functioning for the
duration of the transport

14. Monitoring during transport
• All patients receive the same level of basic
physiological monitoring as they had in their
ward/ ICU
• At a minimum, continuous vital signs and
pulse oximetry monitoring

15. Nurses role in transfer of a patient
Action Rationale
Make sure that the patient
and family are informed of
the need to transfer
Communication promotes
cooperation

16. Role of nurses
Action Rationale
Communicate with the
department where the
patient will be
transferred
Gives them time to
prepare for the
patient’s arrival

17. Role of nurses
Action Rationale
If being transferred to
another facility,
handover all of
patient’s belongings
Carelessness could
lead to loss and
inconvenience

18. Role of nurses
Action Rationale
Help in transportation
of the patient
Assistance reduces
demand on the patient

19. Role of nurses
Action Rationale
Documentation All records to be kept
for future reference