Download Full Text (976 KB)
Between 2021 and 2022, two non-critical adult patients returning from the imaging department after an invasive procedure developed increased oxygen needs, which ended in death for on patient and a transfer to critical care for the other.
No formal guidelines exist for the intra-hospital transport by unlicensed personnel may be absent. An intra-hospital transport checklist was developed for non-critical care patients leaving the unit for procedures in the imaging department.
- A "RN Pre-Invasive Procedure Transport Safety Checklist" was created by a telemetry RN (MSN student, Greta Titus) and CNS, Teresa Jahn
- The checklist was designed to answer questions to determine a patient's hemodynamic and respiratory stability prior to transport by an unlicensed person
- The checklist is to be completed prior to transport on all patients leaving the unit for a procedure in the imaging department (i.e. paracentesis, thoracentesis, biopsy, etc.)
- If one of the questions answered is "yes", the next step is to prompt a huddle with Resource RN or Charge RN to identify f a patient is safe for transport without a RN.
- The "why" for the change was presented by Greta Titus during the November 2022 CentraCare Heart and Vascular Center Clinical (CCHVC) Practice meeting
- Staff were also notified of this change during Telemetry daily huddles and weekly updates
- The trial started on Telemetry beginning 11/1/2022
- Follow up on the progress of the practice change was presented by CCHVC CNS during Telemetry Education Days in January-February 2023
St. Cloud, MN
Intra-hospital transport, Patient monitoring, Physiological monitoring, Invasive procedures, Patient handoffs
Critical Care Nursing | Other Nursing
Jahn, Teresa; Maciej, Janelle; and Titus, Greta, "Safe Intra-Hospital Transport of Adult Patients on Non-Critical care Units" (2023). Nursing Posters. 165.