ࡱ> &(!"#$% (bjbj 7xx &&ii\q7%7'7'7'7'7'7'7L:<'78T^88'7ii?<74448il%748%7440,Q2P,K#VH-17R707A1x=Hx=(Q2x=Q2n4l`'7'778888x=& /: Patient Transfer Form LakeWood Health Center Baudette, MN 56623 Core Elements Last name: _____________________ First name:__________________ DOB:__________ Age:_____ Sex: M / F Date of transfer:____________Transferring facility: Receiving facility: Contact Name: Contact Name: Phone Number: Phone Number: Fax Number: Fax Number: Nurse giving Report: Responsible provider 1st 24 hrs after transfer: Time report called: Report given to (name): Pt emergency contact name/relationship: Pt emergency contact number: Reason for transfer/continued care: Primary Diagnosis:_____________________________________________________________________________________________ Secondary Diagnoses:___________________________________________________________________________________________ _____________________________________________________________________________________________________________ Problem list:__________________________________________________________________________________________________ _____________________________________________________________________________________________________________ Overall Goal for Patient/Prognosis:_______________________________________________________________________________ Allergies:___________________________________________________________ ( No Known Allergies (NKA) Code Status: ( Full Code ( DNR ( DNI Health Care Directive: No ( Yes ( (attach if Yes) High Risk for Falls ( No ( Yes Morse Fall Scale score:_____________ ( Tab alarm ( Floor alarm ( Bed alarm ( Sensor alarm ( Lap belt ( Motion detector Other safety devices:___________________________________________________________________________________________ Infection: ( No ( Yes, describe __________________________________________________________________________________ Multi-drug resistance organism (MRSA, VRE, C-diff, etc.): ( No ( Yes Type/Site:______________________________________ Isolation: ( No ( Yes ( Contact precautions ( Droplet precautions ( Airborne precautions Other infection control:_________________________________________________________________________________________ Pain Assessment: ( None ( Acute ( Chronic ( Intermittent ( Sharp ( Dull ( Other: ____________________________________ Location: _____________ Intensity (1-10):________ Time of last pain assessment:___________ Time of last pain med:_________ Pain medication administered/dose/route: _______________________________________________ Mental Status: ( Alert ( Oriented ( Non-Verbal ( Unresponsive ( Confused ( Other: ____________________________________ Behavioral Status: ( Combative ( Requires redirection ( Requires verbal cues ( Withdrawn ( Disruptive behavior, describe ____________________________( Other: ________________________________________________ Communication needs/sensory deficits: ( Blind ( Glasses ( Visual field cut ( Deaf ( HOH ( Aphasia (describe)______________ ( Interpreter Language _________________________ Devices used: ___________________________ Skin and Body Assessment: ( Skin Intact ( At risk ( Skin Not Intact Braden Scale score:_____________ Site: _______________________________________Discovery Date____________ Site: _______________________________________Discovery Date____________ Interventions/Wound Care:______________________________________________ See attached: ( Physician orders ( Wound flow sheet ( Nurses notes PLACE PATIENT LABEL HERE OR COMPLETE Patient Name _________________________________________ Date of Birth _________________________________________ Medical Record or SS # _________________________________ Special Diet: ( No ( Yes (describe)_________________________________________ Dentures: ( None ( Upper ( Lower ( Partial Tube Feedings: Rate/Frequency: ______________________________________________ Formula: ____________________________ Discharge Medications (Dose/Frequency/Route): ( See Med Reconciliation Form ( See Discharge Medication List ( N/A Recent Medications Received and Date/Time Last Administered: Please attach copy of current MAR Recent Labs: Please attach copy of current labs Pending lab/radiology results (results not back yet): _________________________________________________________________ Attach providers discharge orders ( Not available Attach most recent History and Physical ( Not available Additional ElementsAdditional safety concerns: ( Aspiration ( Seizures ( Wander/Elopement ( Other: ______________________________________ Current Patient Status Key family information/support system:_____________________________________________________________________________ Suspected vulnerable adult: ( No ( Yes, contact supervisor or Licensed Social Worker Chemical Dependency history: ( No ( Yes, describe_________________________________________________________________ Financial needs:_______________________________________________________________________________________________ Impairments/ Disabilities: ( No ( Yes, describe:____________________________________________________________________ Activities of Daily Living Ambulating: ( Independent ( Supervision ( Limited Assistance ( Extensive Assistance ( Non-Ambulatory Assist of #_____ ( Cane ( Wheelchair ( Walker ( Other ________________________________________________________________________ Transferring: ( Independent ( Supervision ( Limited Assistance ( Extensive Assistance ( Total Dependence Assist of #_____ Toileting: ( Independent ( Supervision ( Limited Assistance ( Extensive Assistance ( Total Dependence Assist of #_____ Bathing: ( Independent ( Supervision ( Limited Assistance ( Extensive Assistance ( Total Dependence Dressing: ( Independent ( Supervision ( Limited Assistance ( Extensive Assistance ( Total Dependence Eating: ( Independent ( Supervision ( Limited Assistance ( Extensive Assistance ( Total Dependence Bed mobility: ( Independent ( Supervision ( Limited Assistance ( Extensive Assistance ( Total Dependence Assist of #_____ Assistive Devices ( Reacher/Grabber ( Shoe Horn ( Sock Aid ( Leg lifter ( Other_______________________________________ Attach Physical Therapy/Occupational Therapy/Speech Therapy notes ( Not available Bowel/Bladder: ( Continent ( Incontinent ( Ostomy ( Briefs/pads worn Foley catheter ( No ( Yes Insert Date:_____________ Removal Date:____________ Date of last BM______________ Respiratory Care: Oxygen: ( No ( Yes, LPM:___________ ( CPAP Other: _____________________________________________ Packing/ Drains: Yes/No Type:________________________________________________________________________________________________________ Central Line: ( No ( Yes, If Yes, Type/Location:__________________________________________ Insert date:________________ Rehab Potential: Good Fair Poor Expected LOS: ________________________________ Immunization status Influenza: Date ____/____/____ Pneumococcal: Date ____/____/____ Tetanus/Diphtheria (Td): Date____/____/____ or Tetanus, Diphtheria, & Acellular Pertussis(TDAP): Date____/___/____ TB skin test: Date: ____/____/____ Result:__________ Two step TB skin test: 2nd Date: ____/____/____ Result: __________  Valuables sent with patient: _____________________________________________________________________________________ Vital signs at time of transfer: BP:______ HR: ______ T:______ RR:______ O2 sat:______ Height: ______ Weight: ______ FORM COMPLETED BY: Name ____________________________________________ Date _____/_____/_____ Time___________ Time Patient Transferred:________________ PLACE PATIENT LABEL HERE OR COMPLETE Patient Name _________________________________________ Date of Birth __________________________________________ Medical Record or SS # _________________________________ Copyright (c) 2011 Minnesota Hospital Association. 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