Case Number 4692
Request Date 28/03/2016
Completion Date 05/04/2016 

 

Details of the Request

  1. Does your hospital internally use 'ward-to-ward' and/or 'emergency / critical departments-to-ward' transfer ready-made forms? If so please send me a blank copy of the ready-made form or quote the data on the ready-made forms.
  2. Does your hospital externally use 'ward/emergency / critical departments-to-other Trusts/nursing home/residential home' transfer ready-made forms? If so please send me a blank copy of the ready-made form or quote the data on the ready-made forms.
  3. Please tell me who completes, authorises and signs the empty fields on the ready-made forms in questions 1. and 2. above?
  4. If hospital consultant authorises but does not have to sign the ready-made forms in questions 1. and 2. above, where is their authorisation record kept?
  5. What happens if there is no hospital consultant there in ward/departments to sign the ready-made forms in questions 1. and 2. above?
  6. What about 'ward/department-to-isolated room' in the ward/department transfers - is there a ready-made form form? If so please send me a blank copy of the ready-made form or quote the data on the ready-made forms. Please tell me who completes, authorises and signs the empty fields on this ready-made form? If hospital consultant authorises but does not have to sign the ready-made form, where is their authorisation record kept? What happens if there is no hospital consultant there to sign the ready-made form?

 

Details of the Response

1. Does your hospital internally use 'ward-to-ward' and/or 'emergency / critical departments-to- ward' transfer ready-made forms? If so please send me a blank copy of the ready-made form or quote the data on the ready-made forms.

The Day Surgery Unit uses the Ashford Transfer template (sent to requester) for patients transferred internally and externally.

St Peter’s Hospital ward to ward / unit to department patient transfers are completed using existing documents, notes and Integrated Care Pathways.

 

2. Does your hospital externally use 'ward/emergency / critical departments-to-other Trusts/nursing home/residential home' transfer ready-made forms? If so please send me a blank copy of the ready-made form or quote the data on the ready-made forms.

Theatres use the Critical Care transfer template (sent to requester).

Discharge use the electronically generated discharge summary which contains:

demographic details; reason for admission; tests undergone; results; medication; follow-up plan. In addition, nursing documentation contains: demographic details; reason for admission; assessment of activities of living, along with current needs.

 

3. Please tell me who completes, authorises and signs the empty fields on the ready-made forms in questions 1. and 2. above?

For Theatres, the Anaesthetist and accompanying Operating Department Practitioner (ODP) complete this document prior to and during transfer.

Discharge summaries are completed and signed by the doctor and pharmacist. Nursing documentation is completed and signed by the Registered Nurse.

 

4. If hospital consultant authorises but does not have to sign the ready-made forms in questions 1. and 2. above, where is their authorisation record kept?

For Theatres, the Consultant to Consultant letter of transfer is completed in recovery prior to transfer which is then filed in the patient’s notes.

At Discharge the doctor / registered practitioner signs the form whilst the care is overseen by a Consultant. The authorisation is assumed as the Consultant directs the management of the patient.

 

5. What happens if there is no hospital consultant there in ward/departments to sign the ready-made forms in questions 1. and 2.above?

For Theatres, the Consultant is always available as it is they who have performed the operation.

At Discharge, there is always a Consultant available, however, as stated above they are not required to sign the transfer forms.

 

6. What about 'ward/department-to-isolated room' in the ward/department transfers - is there a ready-made form? If so please send me a blank copy of the ready-made form or quote the data on the ready-made forms. Please tell me who completes, authorises and signs the empty fields on this ready-made form? If hospital consultant authorises but does not have to sign the ready-made form, where is their authorisation record kept? What happens if there is no hospital consultant there to sign the ready-made form?

Within the theatre setting, no isolation forms are prepared and/or completed. This would be discussed within the team.

For ward/department-to-isolation-room transfers, the decision is with the supervision of the nursing staff, Site Managers and Infection Control team. This move is in conjunction with the Doctor or Consultant leading the patients care.