2. Purpose:
To ensure the transport of a newborn is conducted
in a safe, organized manner.
Policy:
Only a physician can order a transfer.
Infant's attending physician contacts receiving
physician and gives report.
3. Procedure:
1. Attending physician must contact the receiving physician with verbal
acceptance of care, and complete the Physician Assessment and Certification
form (see Appendix A).
2. Obtain a physician's order to transfer patient.
3. Communication between NLC and receiving hospital is performed and
documented.
4. Physician will speak with the parents of the infant regarding the transfer and
consent to transfer sheet is signed by the parents (see Appendix A).
5. Copy charts - DO NOT SEND ORIGINALS. Notify Radiology that copies of X-
rays are needed to be sent with the transferring infant/transfer team.
6. Complete birth certificate.
4. 7. All appropriate treatments and a current set of vital signs are performed
and documented before transport.
8. Closing nurse's notes are to include: time of transport team's arrival, any
procedure done by the transport team prior to discharge, condition of
infant on discharge, time of discharge, name of nurse giving report.
9. When transport team arrives, transferring nurse gives report to the
receiving nurse.
10. If transporting by air, approximately 5 minutes before the team’s expected
arrival notify the house supervisor of impending air arrival.
5. 11. If infant is transferring to Arkansas Children’s Hospital, a clot tube of
the mother’s blood should be sent with the infant.
12. If possible allow parents to visit briefly to bond with infant, and a
photo is to be taken and given to parents if at all possible.
13. If the Hepatitis B, Hearing Screen, and PKU were not performed, make
a note in CPSI.
14. Discharge out of computer.
