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  • Ertransferofcareform

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    api-282204691
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    An emergency department transfer of care form was completed to transfer a patient from one provider to another. The form included sections to document the transferring and accepting providers, date and time of transfer, procedures performed, patient history, consultations, physical exam/vitals, progress, labs, imaging, disposition details and signatures.

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    ertransferofcareform

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    An emergency department transfer of care form was completed to transfer a patient from one provider to another. The form included sections to document the transferring and accepting providers, date and time of transfer, procedures performed, patient history, consultations, physical exam/vitals, progress, labs, imaging, disposition details and signatures.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    45 views2 pages

    Ertransferofcareform

    Uploaded by

    api-282204691
    An emergency department transfer of care form was completed to transfer a patient from one provider to another. The form included sections to document the transferring and accepting providers, date and time of transfer, procedures performed, patient history, consultations, physical exam/vitals, progress, labs, imaging, disposition details and signatures.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    Emergency Department

    In-Unit Transfer of Care Form


    Transferring
    Provider:__________________
    Accepting
    Provider:_____________________
    Date/Time:_____________________
    __________

    Procedures:
    Time:

    Time:

    Brief History:

    Consults:
    Time:

    Time:

    Physical Exam/Vitals:

    Progress:

    Laboratory:

    Clinical Impression(s):

    Radiology:

    Disposition
    Time/Date:_________________
    Admit____Transfer____Discharge_
    _______
    Stable____Fair_____Critical_____

    Provider
    signature______________________
    RTI#____________________________
    __________

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