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Transfer of Patient in Healthcare

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5 Questions

What is the primary purpose of transferring a patient to another department or hospital?

To obtain necessary diagnosis tests and procedures, to provide treatment and nursing care, to provide specialized care, and to match intensity of nursing care based on patient's level of needs and problems.

What is the difference between internal and external transfer of a patient?

Internal transfer refers to the transfer of a patient within a unit or department within the same hospital, whereas external transfer refers to the transfer of a patient from one hospital to another hospital.

What are the essential steps to be taken during the preliminary assessment of a patient prior to transfer?

The essential steps include informing the sister in charge of the new ward, checking the patient's belongings, assessing the method of transport, maintaining patient's physical wellbeing, providing verbal report to receiving nurse, and ensuring all documentation is complete.

What should be done to ensure the patient's safe transfer from one hospital to another?

The patient and relatives should be informed about the transfer, and the procedure of transfer should be the same as that of discharge.

What is the role of the sister in charge during the transfer of a patient?

The sister in charge should inform the sister in charge of the new ward, hand over the patient's belongings, and provide verbal report to the receiving nurse.

Study Notes

Transfer of Patient

  • Transfer of a patient may be between departments of the same hospital or between hospitals.
  • The purpose of transfer is to:
    • Obtain necessary diagnosis tests and procedures
    • Provide treatment and nursing care
    • Provide specialized care
    • Utilize available personnel and services
    • Match the intensity of nursing care based on the patient's level of needs and problems

Types of Transfer

  • Internal transfer: transferring a patient within a unit that provides special care or care suited to their needs (e.g., from general wards to ICU)
  • External transfer: transferring a patient from one hospital to another hospital for special care (e.g., from general hospital to specialized hospital cancer center)

Preliminary Assessment

  • Inform the sister in charge of the new ward
  • Check and hand over the patient's belongings to the new sister
  • Assess the method for transport and inform the receiving nurse
  • Maintain the patient's physical wellbeing during transport to the new nursing unit
  • Provide verbal report about the patient's condition to the receiving unit nurse
  • Ensure all documentation, including care plan, is complete
  • Assist the patient's arrival to the new unit
  • Transport the patient to a new room and assist in transfer to bed
  • Hand over to the receiving nurse

Transfer of Patient from One Hospital to Another

  • Inform the patient and relatives about the transfer
  • Procedure of transfer is the same as that of discharge
  • Complete information about the patient should be written down and handed over to the physician
  • If the patient is in a risk condition, the nurse should accompany them

Vital Sign Measurements

  • Temperature measurement:
    • Factors influencing temperature: age, hydration, and environmental factors
    • Equipment used: thermometer
    • Rationale for using different routes: oral, axillary, and rectal
  • Pulse measurement:
    • Factors influencing pulse: age, physical activity, and emotional state
    • Equipment used: pulse oximeter
  • Respiration measurement:
    • Factors influencing respiration: age, physical activity, and respiratory conditions
    • Equipment used: stethoscope
  • Blood pressure measurement:
    • Factors influencing blood pressure: age, physical activity, and cardiovascular conditions
    • Equipment used: sphygmomanometer
  • Interpretation and documentation of vital signs are essential

Learn about the purpose and types of patient transfer, including internal and external transfers, in a healthcare setting. Understand the reasons and importance of transfer for patient care.

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