About Us       Contact Us       Search       Employment       Volunteers       HOME
Altoona Regional Logo
Medical Services Physicians Health Library Healthy Living Club News Gift Giving Classes and Events Gift Shop
-->


Emergency Referrals
CHECKLIST FOR EMERGENCY MEDICINE TRANSFER

If you need to arrange for the transfer of a patient, please call 1-866-258-2473. This number is answered 24 hours a day, seven days a week, and staff can facilitate the transfer and acceptance processes.

WHEN YOU CALL THE FOLLOWING QUESTIONS MAY BE ASKED.
  • Referring Physician
  • Receiving Department
  • Patient name, age and sex
  • Mode of transport
  • Be prepared to give a brief patient report
  • TO PREPARE THE PATIENT FOR EMERGENT TRANSPORT
  • Advise patient/family of need for transfer.
  • Ground or air ambulance notification
  • Appropriate airway management
  • Appropriate Intravenous access
  • Appropriate medication and or infusions
  • Transfer forms/Consents
  • HAVE CHARTS, X-RAYS, CT FILMS / READINGS (if available) AND ALL OTHER PERTINENT RECORDS READY FOR TRANSFER

    NOTES:
    ____________________________________________________
    ____________________________________________________
    ____________________________________________________
    ____________________________________________________


    CHECKLIST FOR TRAUMA TRANSFER

    If you need to arrange for the transfer of a patient, please call 1-866-258-2473. This number is answered 24 hours a day, seven days a week, and staff can facilitate the transfer and acceptance processes.

    WHEN YOU CALL THE FOLLOWING QUESTIONS MAY BE ASKED.
  • Referring Physician
  • Receiving Department
  • Patient Name, Age and Sex
  • Mode of Transport
  • Be prepared to give brief patient report
  • TO PREPARE THE PATIENT FOR EMERGENT TRANSPORT
  • High flow oxygen, Appropriate airway management
  • IV access x 2, large bore if available
  • Fully immobilize all trauma patients with rigid cervical collar, long backboard and head immobilization device
  • If possible give patient belonging to a family member
  • HAVE CHARTS, X-RAYS, CT FILMS / READINGS (if available) AND ALL OTHER PERTINENT RECORDS READY FOR TRANSFER

    NOTES:
    ____________________________________________________
    ____________________________________________________
    ____________________________________________________
    ____________________________________________________

    Printable version of this page:
  • CHECKLIST FOR EMERGENCY MEDICINE TRANSFER (Word Document).
  • CHECKLIST FOR EMERGENCY MEDICINE TRANSFER (PDF).
  • CHECKLIST FOR TRAUMA TRANSFER (Word Document).
  • CHECKLIST FOR TRAUMA TRANSFER (PDF).


  • © Altoona Regional. All Rights Reserved.   620 Howard Avenue, Altoona, PA 16601-4899   PH: 814-889-2011
    info@altoonaregional.org  |  Disclaimer  |  Contact Us  |  HOME