nursing icu patients

1. TRANSFER OF CRITICALLY
ILL PATIENT
NANDEESHA S.L

2. • Risk Assessment / Stratification prior to transfer
• Equipment
• Transfer decisions and ethics
• Selection of transport mode
• Accompanying personnel and risk assessment
• Preparation for transport
• Monitoring during transport
• Safety during transport
• Documentation and handover

3. PATIENT
• Stable on transport trolley
• Appropriately monitored
• All infusions running and lines adequately secured and
labelled
• Adequately sedated and paralysed
• Adequately secured to trolley

4. STAFF
• Transfer risk assessment completed
• Staff adequately trained and experienced
• Received appropriate handover
• Accompany the patient while transferrin g

5. EQUIPMENT
• Appropriate equipment and drugs
• Pre-drawn up medication syringes appropriately labelled and
capped
• Sufficient oxygen supplies
• Trolley and other equipments
• Ventilator transferred
• All equipment safely mounted

6. Transport documentation
• The following information should be recorded on transport
documentation.
• Transfer details
• Patient’s name, address, IP No. ID band, diagnosis
• Next of kin, what information they have been given and by
whom
• Ward / unit
• All reports

7. Nursing summary
ISBAR

8. • Patient status during transfer
• Vital signs including ECG, blood pressure, SaO2, EtCO2,
temperature, respiratory rate, peak inspiratory pressure, PEEP
• Drugs on flow during transfer including infusions
• Fluid son flow during transfer
• Summary of patient’s condition during transfer
• Reason for the transfer
• Whether the transfer was within or outside the local network
• Prioritisation level for the transfer
• Time taken for transfer