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Transport - guidelines for referring hospital preparation

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Initial referral to P.I.C.U consultant

Details required

  • Patient name
  • D.O.B
  • Hospital number
  • Patient diagnosis and history of presenting complaint
  • Patient weight
  • Present condition and current management
  • Investigations
  • Allergies, Immunisation status, Infectious contact / Isolation required
  • Referring Consultant name and contact number
  • Referring Hospital name and Department

Patient preparation

  • Patient notes copied
  • X-rays / scans
  • Recent blood results including glucose
  • Patient Vital signs + core temp
  • Preferably at least two patent IVs
  • Nasogastric tube on free drainage. (All infants with moderate to severe respiratory distress should have a gastric tube inserted)
  • Nil by Mouth
    • IV Fluids with glucose
  • Maternal blood for neonates
  • Intubated and ventilated
    • Ventilator settings
    • Arterial Blood gas result, (if available)
    • CXR - Check ETT position
    • ETT size and position at lip / nares
  • Pneumothoraces will require a chest drain prior to transport
  • Blood products available especially patients with sepsis, DIC, trauma
  • Inotropes drawn up if needed, preferably as per PICU infusion protocols
  • Arterial line, if able
  • Central venous access, if able
  • Consider IO if unable to obtain adequate access
  • Nebuliser and Adrenaline 1:1000 drawn up for patients with stridor
  • Parents travelling
    • Medically cleared to fly
    • Accommodation organised
    • Ready to depart with PICU team

You can access a printable pdf checklist of this guideline here

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Document Control

  • Date last published: 15 August 2011
  • Document type: Other
  • Services responsible: Paediatric Intensive Care Unit
  • Owner: Brent McSharry
  • Editor: John Beca
  • Review frequency: 2 years