Critical Care Transfers
It is vital that critically ill or injured patients are treated rapidly in an acute hospital in order to stabilise them or limit their injuries. However, there are several instances when such management may be followed by further (secondary) transfer to another acute hospital:
- Clinical transfer– when the facilities needed for definitive treatment are not available at the initial hospital.
- Capacity transfer– when the initial hospital has inadequate equipment, bed capacity, staffing or monitoring to provide the necessary care.
- Repatriation–highly specialised hospitals may need to transfer patients to ensure they can treat the next patient who needs their specialist facilities. Patients may also be moved back to hospitals nearer to their home and family. In these cases, patients will have had their specialist treatment, are almost always stable and the transfer may involve a step-down in the level of their care.
Critical Care Safe Transfer Training
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Intensive Care Society Guidelines - Guidelines for the transport of the critically ill adult (3rd Edition 2011)