Component Task: Transfer-Out (Trans-Out)

This is when a patient is moved out from one unit of admission within the same hospital for update treatment. It is done at the discretion of the medical team or at the request of the patient. A good knowledge of patients/clients condition is very important.

Aims

·         Mostly for specialty treatment

·         Investigations e.g. C.T. scan, MRI etc.

·         On patient’s request

Types

·         Unit to unit

·         Unit to a center

·         Unit to department

·         The reverse of (2) and (3) above

Requirements

·         Patient’s medical records (Manual or electronic)

·         Referral notes (Manual or electronic)

Steps

1.        Confirm patients trans-out order with medical team

2.      Assess patients/clients condition

3.      Inform the receiving unit or facility about the intended transfer and the state of patient

4.      Explain reason for the trans out to patient and relatives

5.      Arrange for accompanying nurse and appropriate means of transportation

6.      Collect all necessary data

7.       Pack patient’s personal belongings

8.      Collect patient’s medication, laboratory results and transfer

9.      Ensure patient settle bills where applicable

10.    Assist patient onto stretcher, wheel chair or ambulance where applicable

11.      Hand over patient’s notes and belongings to the accompanying nurse

12.    Ensure linen are removed

13.    Decontaminate beds and its accessories

14.    Make new bed for next patient