Ground or Air Transport

Procedure:

  1. Identify an indication for transport.
  2. The physician or advanced practice nurse will contact a physician at the receiving facility to accept the patient.
  3. Contact the receiving facility, and ensure that the receiving facility has agreed to accept the patient.
  4. The physician or advanced practice nurse will obtain consent from the patient or family as required by institutional or local protocols.
  5. Perform any critical interventions that the patient may require before transport (e.g., airway management, immobilization of the cervical spine, initiation of vasoactive drug administration).
  6. Prepare copies of all current medical records, radiology studies, and laboratory test results for transfer with the patient.
  7. Remove all valuables from the patient, and give to family members, when possible.
  8. Allow the patient to see his or her family and significant others.
  9. Check to see whether a family member may accompany the patient and, if allowed, prepare the family member for transport. If a family member may not accompany the patient, provide written directions to the receiving facility.
  10. Empty all containers before transport (e.g., urinary drainage bags, gastric contents, chest drainage units), and document output.
  11. Provide sedation, analgesia, or antiemetics, as indicated.
  12. Contact the receiving nursing staff, and provide pertinent patient information.
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