Part Two

- Transfer, referral and discharge policy

Policy name

Patient transfer, referral and discharge policy

Issue date and number

Section

All hospital departments

Policy numberReview Datenumber of pages

Policy: the hospital is committed to maintaining the patient's safety and security and identifying those responsible during the process of transfer, referral or discharge from the hospital .

Purpose: definition of the intended and cases in which the patient is transferred / transferred / discharged .

Laying the foundations that ensure the preservation of the patient's security and safety and identifying those responsible for the transfer, referral and discharge of the patient inside and outside the hospital.

Definition :

Patient transfer is the formal transfer of patient care responsibility from:

* One care unit to another.

* Medical service to another .

· Another specialist doctor .

* One institution to another .

Patient diversion is sending a person from:

* A doctor for another or a specialist .

* A department or service to another or various resources either for consultation or care that is not provided by the transferor or because it is not qualified to provide this service.

Discharge of the patient to the House

Working procedures:

First: planning for the transfer or transfer of the patient and discharge when developing a treatment and care plan for the patient

* The therapist will draw up the patient's medical care plan upon admission to the hospital, complete the medical examination, the required tests, diagnose the condition, and provide first aid to the patient .

* The patient's need for transfer or referral is determined when drawing up the patient's medical care plan according to his condition and to ensure the continuation and continuity of medical care .

· The patient's medical care plan must include the planned date of the patient's discharge .

Second: discussing the reason for referral / transfer / discharge of the patient with the patient and his relatives

* The attending physician explains the reasons for making the decision of transfer / referral / discharge to the patient and his relatives .

* This is done when the decision is made, at the beginning of the development of a treatment plan, or when clinical and diagnostic results appear that are not available in the hospital .

* The doctor records the reason for the transfer or transfer of the patient inside or outside the hospital with the medical file .

Third: following the correct and safe methods when transferring or referring the patient

* The doctor records the required procedure inside the patient's medical file and makes sure that all the file data is completed, stating the reason for the referral / transfer / or the patient's condition at discharge .

· In case of referral, the referral form is completed, indicating the patient's condition / reason for referral / required procedure .

· In case of consultation, the consultation form is completed according to the basis of the medical consultation .

* The method of transfer / referral of the patient is determined according to his health condition .

When transporting / transferring a patient using a wheelchair or bed, the following actions should be taken: :

* Inspect the bed / chair and make sure its integrity .

* Ensure the presence of bed sides .

* The department supervisor contacts the referral / transfer place to make sure that the required service is available to the patient and the hour and result of the call are documented in the nursing status book, in the case of internal referral / transfer

* The responsible nurse notifies the admission office and hospital accounts to take the necessary measures for the transfer/ transfer /discharge process .

* The nurse reviews the patient's complete data and makes sure that the recorded data is correct.

Fourth: transfer of a patient to another facility, cases of referral of the patient to another facility :

· In case of unavailability of the service in the hospital .

* The patient's request for transfer to another facility.

* The specialist doctor will provide first aid to stabilize the patient's condition if necessary .

· The specialist doctor determines the patient's condition .

* The competent doctor notifies the patient or his companions of the unavailability of the necessary service for the patient in the hospital .

* The attending physician makes sure that the appropriate place exists for the patient's condition before transferring him by contacting the receiving place of the patient and clarifying the patient's condition .

* The Attending Physician notifies an ambulance to transport the patient accompanied by the ambulance doctor and nursing ambulance or transport the patient as desired after writing a statement from him or his relatives .

* The therapist fulfills the patient's conversion model

* The nurse and the assistant services worker transport the patient in a safe manner as mentioned earlier .

* The nurse makes sure to send a copy of the patient's examination, the procedures performed / and the results of research, diagnostics and treatment ...With him to the place transferred to him .

Fifth: patient discharge :

* When the patient's condition improves and stabilizes, the consultant/ specialist will determine the patient's discharge date, the treatment plan at home, the type of nutrition and the follow-up appointment at the outpatient clinic.

* The doctor completes the exit form for the patient and fills in all the data in a clear line and the patient is given the origin of the exit form while keeping a photo in the file .

* The specialist doctor explains the instructions that will be implemented during the recovery period for the patient and his family, including the method of taking medications, the way to deal with the pathological condition, ways to obtain qualified services, methods of proper therapeutic nutrition and outpatient follow-up appointments.

* The nurse hands the patient his discharge form .

* The supervisor of the department makes sure that the financial settlement is completed.

* The nurse will lift the cannulas from the patient's hand, if any, before leaving the Department.

* The nurse reviews the patient's exit plan to determine the method of his exit .

* The assistant services worker will transport the patient from the department in a wheelchair or by trolley according to the patient's need until the patient is discharged.

Responsible for implementation:

* Doctor-nursing staff-service worker .

Models:

* Exit form-transfer form .

References :

* Approved Egyptian accreditation standards .

* Regulations and laws governing.

Preparation	Review	The trust