Rural Emergency Medicine Podcast Episode 5: Transport Review
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Dec 1, 2017 Tadd Ferguson, a physician at a tertiary care center, shares invaluable insights on patient transfers from smaller hospitals. He stresses the need for clear communication and thorough documentation to ensure better patient outcomes. Tadd discusses the importance of concise medical records and the challenges faced in electronic documentation. He also highlights the benefits of having a checklist during transfers, aiming to enhance care coordination. With real-life experiences, he navigates the complexities and liability concerns tied to patient transfers.
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Include Clear Medical Notes
- Include a detailed medical decision-making note with HPI when transferring patients.
- Send relevant labs and imaging early, ideally electronically, to facilitate better care at receiving facilities.
Make Clear Concise Transfer Calls
- Be clear and brief in transfer calls, stating if it is a question or a transfer request.
- Communicate patient's condition, reason for transfer, and your hospital's resource limitations.
Ensure Proper Patient Stabilization
- Stabilize patients as much as possible before transport, considering difficulty of care en route.
- Use low threshold for airway management and interventions to maintain stability during transfer.