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Transport to Outside Facility Pediatric

Procedure for Pediatric Transport to another facility
  1. Obtain demographic data, the child's specific location, and an assessment of the child from the referring      facility's staff.
  2. Ascertain whether a parent or legal guardian is present.
  3. Select an appropriate transport vehicle.
  4. Contact the accepting physician and review the child's status and mode of transport.
  5. Evaluate oxygen and medical air levels in the transport vehicle's tanks.
  6. Obtain directions to the referring facility if ground transport is being used and check for the availability of maps covering the area.
  7. Pack special equipment or medications that may be required based on triage and report.
  8. Notify the supervisor or dispatch center of the team's departure and supply the names of all personnel on board.
  9. Plug in any necessary equipment and turn on the inverter.
  10. Notify the referring facility of the team's departure time and estimated time of arrival (ETA); ask whether the  parents are still available.
  11. Turn off the inverter once the transport vehicle's engine has been turned off and unload the necessary          equipment to take into the child's room/unit.
  12. Call the receiving facility to notify the staff of the team's arrival at the child's bedside. Ask to speak with the  MCP if the child's assessment differs from the triaged assessment to obtain orders that do not fall under the transport protocol ordered for the child.
  13. Obtain consent for transport and admission from the parent or legal guardian.
  14. Verify that the referring facility has completed EMTALA transport consent with the child's legal guardian.
  15. Offer the family directions to and telephone numbers for the receiving facility.
  16. On arrival at the referring hospital, complete a primary survey by assessing airway, breathing, and circulation  (ABC).
  17. Complete a secondary survey (head to toe) and perform any necessary interventions for stabilization.
  18. Review chest x-ray (CXR) and recent laboratory work, if applicable, to determine the effectiveness of ventilation and endotracheal tube placement.
  19. Assess the sufficiency and patency of venous and arterial access.
  20. Secure all lines and tubes.
  21. Secure the child and necessary equipment to the isolette or stretcher and transport the child and equipment to the vehicle.
  22. Contact the receiving facility to alert staff there of the team's departure; communicate with the physician or  accepting the child, depending on institution-specific protocol.
  23. Plug in any necessary equipment and turn on the inverter. Check the equipment to determine whether the    charge indicator light is on.
  24. Continue to assess the child frequently throughout transport.
  25. Perform any necessary treatments the child may need to ensure continued stabilization during the transport process.
  26. On arrival at the receiving facility, deliver the child to the bed/nursing unit with all necessary equipment to manage ABC and maintain the level of care.
  27. Provide the receiving team with a report, including updates and changes in the child's status.
  28. Document the procedure in the child's record.