TF_IK_01

Explains the risks/benefits of Interhospital patient transfer

C,E

1,2,3,4

TF_IK_02

Explains the concept of primary/secondary/tertiary transfer

C

TF_IK_03

Outlines the hazards associated with Interhospital transfer, including but not limited to physical, psychological and organisational

C,E

1,2,3,4

TF_IK_04

Describes the increased risks to critically ill patients of transfer and the reasons for these risks

C,E

1,2

TF_IK_05

Outlines strategies to minimise risk during Interhospital transfer, including but not limited to:

• Stabilisation
• Pre-emptive intervention
• Sedation o Monitoring
• Packaging
• Choice of mode of transfer

C,E

1,2,3,4

TF_IK_06

Explains how critical illness affects the risk of transfer

C,E

1

TF_IK_07

Explains how time-critical elements may influence risks to the patient and transfer personnel and how these should be managed to reduce them 

C,E

1,2,3

TF_IK_08

Understands the increased risk of interventions during Interhospital transfer

C,E

1,2,3

TF_IK_09

Outlines the specific considerations for transfer of patients with specific clinical conditions, including but not limited to:

o head, spinal, thoracic and pelvic injuries o critically ill medical patients  o burns o children o pregnant women

C,E

1,2

TF_IK_10

Lists and explains the critical care equipment used during transfer including but not exclusively:

• Ventilators
• Infusion pumps
• Monitoring

C,E

1,2

TF_IK_11

Lists the different modes of ventilation and explains the selection of appropriate parameters in e.g. Asthma/COPD and ARDS

C,E

1

TF_IK_12

Outlines the different modes of transport available for inter-hospital transfer, including risks/benefits

C,E

1,2

TF_IK_13

Understand the safety implications of electrical and hydraulic equipment that may be used during patient transfer

C,E

1,2

TF_IK_14

Recalls/describes the physiological effects of transport including the effects of acceleration and deceleration, including

Newton’s laws of motion

C,E

1

TF_IK_15

Understands the effects of high ambient noise on patients and alarm status

C,E

1,2

TF_IK_16

Recalls/discusses the reasons for patients becoming unstable during transfer and strategies for management

C,E

1

TF_IK_17

Recalls/describes how to manage patients who develop sudden airway difficulties whilst in transit [both in the intubated and un-intubated patient]

C,E

1,2

TF_IK_18

Outlines the ethical issues related to patient transfer, including the need to brief patients and their relatives

C,E

3,4

TF_IK_19

Awareness of the laws relating to deaths in transit

C,E

1

TF_IK_20

Outlines how to find and use the national register of critical care beds

C,E

1

TF_IK_21

Outlines the regional protocols for organising transfers between units

C,E

1

TF_IK_22

Outlines the importance of maintaining communications between the transfer team and the base/receiving units

C,E

1,2,3

TF_IK_23

Outlines the roles and responsibilities of all staff accompanying the patient during transfer including the ambulance technicians and paramedics

C,E

1,2

TF_IK_24

Describes the personal equipment needed when leading a transfer, especially when a prolonged journey is anticipated

C,E

1,2

TF_IK_25

Discusses the importance of auditing practice and reporting critical incidents that arise during Interhospital transfer and the need for appropriate research

C,E

1,2,3,4

TF_IS_01

Demonstrates ability to determine when patients are in their optimum clinical condition for transfer

A,D

1,2,3,4

TF_IS_02

Demonstrates the ability to optimally package a patient for Interhospital transfer to minimise risks

A,D

1,2,3,4

TF_IS_03

Demonstrates the ability to establish appropriate ventilation and monitoring required of a critically ill patient for interhospital transfer 

A,D

1,2,3

TF_IS_04

Demonstrates the ability to safely sedate a patient for interhospital transfer

A,D

1,2

TF_IS_05

Demonstrates ability to know when the patient’s needs exceed the local resources available/that specific expertise is required

A,C

1,2,3,4

TF_IS_06

Demonstrates the need to integrate patient diagnosis with the physiological effects of transport 

A,C,S

1,2

TF_IS_07

Demonstrates the ability to manage sudden loss of airway control, vascular access and monitoring in patients during transfer [S]

D,S

1

TF_IS_08

Demonstrates the necessary organisational and communication skills in managing inter-hospital transfers safely and effectively, recognising the importance of maintaining contact with base/receiving units if necessary whilst on transfer

D,M

3,4

TF_IS_09

Demonstrates appropriate situational awareness 

D,A,S

2,3