Inter-facility Patient Transfer Form - cdph ca 2025

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The main aim in all such transfers is maintaining the continuity of medical care. As the transfer of sick patient may induce various physiological alterations which may adversely affect the prognosis of the patient, it should be initiated systematically and ing to the evidence-based guidelines.
The term transfer means the movement (including the discharge) of an individual outside a hospitals facilities at the direction of any person employed by (or affiliated or associated, directly or indirectly, with) the hospital, but does not include such a movement of an individual who (A) has been declared dead, or
Transfers can be vertical (i.e. from a seated-to-seated position (wheelchair to toilet) or supine-to-seated position (bed to wheelchair)) and horizontal or lateral (i.e. from one flat surface to another (bed to stretcher)).
The patient may need more specialized acute care than the hospital can render, or the patient may need the special skills of a chronic care facility. The administrator must be able to persuade the attending physician that the transfer is necessary to avoid injuring the patient.
The purpose of this form is to insure continuity of care in transfer from hospital to extended care facility or extended care facility to hospital.
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Patient care transfer is moving a patient from one flat surface to another. The most common patient transfers are from a bed to a stretcher and from a bed to a wheelchair.

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