Simon's original request was that the group should
give the benefit of its experience and knowledge to
define criteria of fitness for transfer. For some
reason he called this a 'tool'(snigger, snigger). In
fact the word implies a device to assist in making
decisions. I have the impression that one is evolving
and that none already exists. Am I right?
good wishes,
Alan
--- Martyn Hodson <[log in to unmask]>
wrote:
> > -----Original Message-----
> > From: Accident and Emergency Academic List
> > [mailto:[log in to unmask]] On Behalf Of
> Helen Deborah Vecht
> > Sent: 06 June 2005 16:09
> > To: [log in to unmask]
> > Subject: Drips and transfers, was Re: Assessment
> tool for
> > transfer of medical patients
> >
> >
> > "Dunn Matthew Dr. (RJC) A & E - SwarkHosp-TR"
>
> > <[log in to unmask]>typed
> >
> >
> > > > I have had experience of technicians stating
> they were
> > not supposed
> > > > to manage patients with intravenous infusions,
> when transferring
> > > > patients from a MIU to A&E.
> > > >
> > > > Clearly, there will be patients who are
> suitable for a satellite
> > > > hospital, who have IVIs in progress.
> > > >
> > > > Will they need paramedics?
> > > > Is my experience out of date?
> > > > What is the current practice?
> >
> > > Unfortunately for the original poster, this
> thread (as
> > often happens)
> > > seems to have taken on a life of its own without
> answering the
> > > original question. As a general point: this is
> discussing transfers
> > > within the same city. I don't know about times
> in Bristol,
> > but if two
> > > departments are more than 30 minutes apart, then
> I would
> > worry about
> > > reducing one of them to the status of minor
> injuries unit.
> > In deciding
> > > which patients to transfer, inability to
> tolerate 30 minutes off a
> > > drip is something I would generally consider a
> relative
> > > contraindication to transfer until more stable.
> >
> > Even if the transfer time is only a few minutes, I
> suspect
> > that the actual time off a drip would be measured
> in hours
> > for routine transfers, if infusions needed to be
> stopped for
> > transfer. This is probably not critical, but
> represents
> > rather mediocre care, hence my concern.
>
> Care to enlighten us on this - especially if both
> ends of the journey
> are in the same trust ( and using and accepting the
> validity of the
> same infusion charts and drug charts)
>
> Surely it's disconnect when the crew come to
> collect and establish a
> further infusion ( assuming it's prescribed ) as
> parto f the intial set
> of interventions on arrival
>
> --
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> Date: 01/06/2005
>
>
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