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Patient Condition for Transfer

Stabilization of the patient before transfer should include adequate evalua­tion and initiation of treatment to ensure the transfer will not, within rea­sonable medical probability, result in death or loss or serious impairment of bodily functions, parts, or organs.

It is recognized that there are times when complete stabilization is not possible because the referring facility does not have the personnel or equipment needed. In such cases, the patient should be stabilized to the best of the ability of the referring physician, staff, and facility and then promptly transferred by the most expert and available per­sonnel. No transfer should be made without the consent of the patient and/ or family and receiving physician and confirmation that there is a bed avail­able and a named receiving physician at the receiving hospital's respective unit. Transfers from patient care areas of an acute care hospital require that the patient (when applicable) and the family be informed of the reasons for transfer and the destination proposed by the transferring facility. The fam­ily's (and patient's, when applicable) written consent for the transfer should be obtained, if possible. For patients who are wards of the state or cared for in areas where their guardian is not immediately accessible, anticipation of and potential for transfer and care in a local facility, as well as prospec­tive transfer to a specialty facility, should be anticipated, authorized, and documented before a need arises. All patient records and copies of pertinent patient information, including diagnostic imaging and laboratory values, should be transferred with the patient. If not available at the time of transfer, test results may be faxed or telephoned as soon as possible to the receiving institution.

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Source: AAP. Guidelines for Air and Ground Transport of Neonatal and Pediatric Patients. 4th edition. — American Academy of Pediatrics,2015. — 488 p.. 2015
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