Neonatal Transport Minimum Dataset



BAPM & NTG NEONATAL TRANSFER DATASET 2016

Purpose of BAPM & NTG dataset

• Standardise transport service data collection to be congruent with current national neonatal service requirements

• Improve service quality and responsiveness of the UK Neonatal Transfer Teams

• Standardise Data for benchmarking between Transfer services

• Define group of Time Critical Transfers for standardised reporting

• Define Standards for Transfer Team Despatch

• Standardise terminology for whole transfer process

Notes

a. All airborne transfers are excluded

b. This classification system doesn’t preclude transfer services from classifying their own transfers in any way necessary for local data reporting.

Section 1. Classification of Transfers[1]

Each transfer will be classified by using the grids below according to the BAPM category of care, the clinical reason for transfer, the operational reason for transfer and the urgency for transfer. Classification based on intention at time of team departure. Choose one category from each of sections 1.1, 1.2, 1.3 and 1.4

1.1 BAPM Category of Care[2]

|Intensive Care |High Dependency Care |Special Care |

Scope: All transfers.

Notes: Transitional care / normal care not included as basic monitoring used for all babies in transfer

1.2 Primary Clinical reason for transfer

|Medical |Surgical |Cardiac |Neurological |

| |Any surgical speciality other than |Known or suspected cardiac |HIE |

| |cardiac or neurological. |abnormality |Therapeutic hypothermia |

| |Include transfers for surgical | |Seizures |

| |review, even if surgery is not |Rhythm disorder |Neuromuscular |

| |scheduled. | |Intra-Cranial Haemorrhage |

| | |PDA | |

Scope: All transfers.

Notes:

Categorise on the intended treatment the infant will receive on completion of transfer eg if an infant went to a cardiac surgical centre, received a procedure and is transferred back to the NICU 2 days later, the infant is a cardiac transfer on the outward leg and a medical transfer on the return leg. Infant going to surgical centre for review of abdominal distension but improves without surgery is a surgical transfer.

1.3 Primary Operational Reason for Transfer

|Uplift |Resources / Capacity |Repatriation |Out patients |

|Transfer for care that the |Capacity (cot spaces) |Transfer to a centre closer to |Includes: |

|referring centre does not | |home |Cardiac ECHO |

|normally offer |Staffing | |EEG |

| | |‘Step down’ care |MRI |

|Day care surgery | | | |

Scope: All transfers.

Notes:

a. “Resources / Capacity” should be applied to situations where the primary reason for the transfer is that the referring unit are unable to keep to infant for care, which they would normally be able to offer, because they are short of space, staff or other resources.

b. “Repatriation” is return to a unit closer to home.

c. Where the referring centre wants repatriation to home unit expedited for capacity reasons the transfer should these be classified as Resources / Capacity

d. Elective transfers for surgery or other reason should be separately identifiable within the uplift category, so they can be included or excluded in data comparison exercises (e.g. transfer for PDA ligation).

1.4 Timescale transfer required

|Within 1 hour |Within 24 hours |>24 hours |

Scope: All transfers.

Notes:

a. Use intention to treat throughout. Within what timescale did you set-out to arrange this transfer? i.e. NOT the timescale in which it actually happened. If a “within 1 hour” response was deemed necessary and attempted, but the despatch took longer for any reason, it should still be classified as “within 1 hour”.

b. IMPORTANT: note that the “within 1 hour” category here is for service and NTG use. See Section 1.5 for guidance regarding recording and reporting against the “time-critical” 60 minute despatch time standard.

Examples:

• Ventilated 27/40 born in LNU transferred to NICU = ‘Intensive care / medical / uplift / 24hrs

• Referral of baby from LNU to NICU for insertion of broviac = HDU / surgical / uplift / ................
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