The patient is being transferred from the Emergency Department to ...

[joe]

The patient is being transferred from the Emergency Department to another institution for treatment. Which of the following cannot be delegated to nursing assistive personnel (NAP)?
 
  a. Helping the patient get dressed
  b. Gathering IV equipment to go with the patient
  c. Escorting the patient to the transport area
  d. Assessing the patient's respiratory status before transport

Question 2

The patient is in the Emergency Department of a small community hospital complaining of severe chest discomfort.
 
  The patient needs to have emergency cardiac catheterization with possible angioplasty, but to receive the procedure, he will have to be transferred to a larger hospital about 10 miles away. To transport this patient, the nurse will need to: a. Call for basic ambulance service
  b. Obtain the patient's consent
  c. Make copies of the Emergency Department record
  d. Keep the patient calm by not telling him only the benefits of the transfer

[janeli]

Answer to Question 1

D
The assessment and decision making conducted during transfers cannot be delegated to nursing assistive personnel. The NAP can assist the patient with dressing, gather and secure the patient's personal belongings and any necessary equipment, and escort the patient to the nursing unit or transport area.

Answer to Question 2

A
An appropriate transfer includes transporting the patient using qualified personnel and transportation equipment (i.e., ambulance with advanced cardiac life support ACLS versus basic life support BLS).
An appropriate transfer includes obtaining the patient's written consent for transfer.
An appropriate transfer includes making copies of all relevant medical records, including a transfer form sent by the transferring institution to the receiving facility.
An appropriate transfer includes informing the patient of the risks and benefits of the transfer.

[joe]

TY

[janeli]

You're welcome