MEDCOM bTransferb Forms Adult amp Pedi 2015 Oct 13pdf - STRAC Preview on Page 1

MEDCOM bTransferb Forms Adult amp Pedi 2015 Oct 13pdf - STRAC-2026

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  1. Click ‘Get Form’ to open the MEDCOM bTransfer Forms Adult & Pedi in our editor.
  2. Begin by entering the date and patient name at the top of the form. This information is crucial for tracking and documentation.
  3. Indicate the time of injury and time of ED admit. These timestamps help in assessing the urgency of care required.
  4. Circle all applicable Red/Blue Criteria based on the patient's condition. Ensure you review each criterion carefully to provide accurate information.
  5. If applicable, check the box indicating that the patient does not meet Red/Blue Criteria. This step is essential for proper categorization.
  6. Fill in any additional details required for Physician to Physician report, including age, mechanism of injury, vital signs, and treatment provided.
  7. Finally, fax the completed form along with the face sheet to the designated numbers provided at the bottom of the document.

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