SAFE TRANSFER.pptxxxxxxxxxxxxxxxxxxxxxxxx

Safe transfer of patient

1. Safe transporation of patients

2. Transfers of patients within the hospital premises for different reasons, as deemed necessary for treatment of the sick and also the transfer of the patient outside the hospital facility post discharge or post referral to another facility fall in this category.

3. TYPES OF TRANSFER INTRAHOSPITAL- Within the same facility INTERHOSPITAL- Within two different facilities. FROM HOSPITAL TO HOME- Post discharge/ After referral to other type of health care delivery setups

4. INTRAHOSPITAL TRANSFER From emergency to wards From emergency to OT/ ICUs From wards to OT/ICUs From wards to Radiology for imaging From wards to wards From one ICU to other ICU

5. INTERHOSPITAL TRANSFER From hospital to home, post-discharge From one facility to other in same city From one facility to other in different city From hospital to other healthcare delivery centre, Government care, End of life care facilities, Nursing homes etc

6. INTRAHOSPITAL TRANSFER FOR CRITICALLY ILL PATIENTS FOR NON-CRITICALLY PATIENTS

7. FOR CRITICALLY ILL PATIENTS Protecting critically ill patients from harm by constant monitoring and prompt intervention is a primary responsibility of hospital. This concept goes back to the period of Florence Nightingale, credited as the first to use an ICU by placing the sickest patients nearest to the nursing station for closer monitoring. Today, the ICU is considered the safest place with the highest level of monitoring for critically ill patients.

8. But what about when the patient leaves the ICU for diagnostic or therapeutic procedures? The transport of critically ill patients always involves some degree of risk to the patient and sometime to the accompanying personnel. It is stressfull . Therefore, the decision to transport must be based on an assessment of the potential benefits of transport weighed against the potential risk.

9. MISHAPS DURING TRANSFER Mishaps during transport are categorised as system based or patient based. System based mishaps may be further subdivided into 2 groups, equipment based and human based, both often resulting from poor preplanning. Examples of equipment based mishaps include battery failure of portable equipment, monitor malfunction, and depletion of portable oxygen supplies.

10. Patient based mishaps Refer to physiological deteoriation related to critical illness The sicker the patient, the greater the chance of problems during transport. Sicker patients require more frequent transport for diagnostic procedures especially during the first 24 hours after admission to the ICU.

11. ADVERSE EVENTS DURING TRANSFER Extubation death Sustained arrythmia Hypoxia Hypotension exceeding 20 % of baseline systolic or diastolic blood pressure and requiring intervention Acute change in mental status

12. INTERFACILTY TRANSFER