How can transfers increase risk?
Moving any patient away from the safe area of the ward could pose a potential risk.
Environment
Risk of lift malfunction, getting trapped.
Unfamiliar, remote locations, that you may not be familiar with
Risk of getting lost
2. Patient
Physical movement of the patient could cause lines, drains and attachments to become dislodged or inadvertently pulled out.
The patient will likely have to change position (lie flat) for the procedure/ investigation which they may not tolerate. Patients should be assessed for this on the ward prior to leaving to ensure they are able to do this in a safe way.
3. Equipment
There is a risk of equipment failure in a remote location. Equipment needs to be fully charged with a battery supply.
Portable oxygen can run out or malfunction. Ensure you have enough to account for delays and increasing oxygen demands.
You may be in a remote area without easy access to emergency equipment such wall suction and resuscitation trolleys.
Planning for Transfer: Maintaining Safety
Patients who have deteriorated or are at risk of deterioration should be accompanied by a registered nurse, and may require additional support from the medical team or Critical Care Outreach Team.
Patients with low conscious levels or with an airway risk may need to be accompanied by an airway trained doctor.
Remember that depending on the reason for transfer, you may need to stay with your patient whilst they are away from the ward.
Consider infection control measures and PPE.