A patient is being transferred from the emergency department to another hospital
The nurse would expect which conditions to be documented before this transfer occurs? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. The current facility does not have the capacity to provide the needed care.
2. The medical benefits of the transfer outweigh the risks of transfer.
3. A medical screening exam has been conducted.
4. No physician with admitting privileges at the current hospital will assume the care of the patient.
5. The appropriate level of care must be provided during the transfer.
1,2,3,5
Rationale 1: Transfers from the ED require documentation that the current facility cannot provide the care needed.
Rationale 2: There must be documentation that the risks of transfer are not as great as the expected benefits.
Rationale 3: The current hospital must verify that a medical screening exam has been done.
Rationale 4: There is no need to document that no physician at the current hospital will assume the patient's care. If the patient needs care and transfer is not indicated, a physician must be assigned to the patient's care.
Rationale 5: The patient must have care during the transfer that is assessed to be adequate and appropriate.
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