Guidelines for training, experience and competencies in patient transfer
| Institution | Grade and specialty | Training and experience | Required competencies | |||
|---|---|---|---|---|---|---|
| CCST, Certificate of Completion of Specialist Training; ICM, intensive care medicine; IPPV, intermittent positive pressure ventilation. | ||||||
| The Intensive Care Society3 | A medical practitioner with appropriate training in intensive care medicine, anaesthetics or other acute specialty | Previous experience of transfer in a supernumerary capacity | Resuscitation | |||
| Airway care | ||||||
| Ventilation | ||||||
| Other organ support | ||||||
| Transport medicine | ||||||
| Familiar with equipment | ||||||
| Intercollegiate Board for Training in ICM; general 6-month training in ICM18 | Transfer and transport of critically ill patients requiring at least IPPV and invasive monitoring should be observed | None stated. | ||||
| Familiarity with: | ||||||
| physiological consequences of movement; | ||||||
| environmental problems on the patient and equipment; | ||||||
| minimal monitoring; | ||||||
| pre-transfer assessment and resuscitation; | ||||||
| routine intransfer care; | ||||||
| choice and problems of equipment; | ||||||
| intransfer emergency care | ||||||
| Intercollegiate Board for Training in ICM. The CCST in ICM19 | Interhospital transfers of patients on ventilation with or without support of other organ systems | Principles of safe transfer | ||||
| Understanding portable monitoring systems | ||||||
| Interhospital transfer of patients with single or multiple organ failure | ||||||
| Insistence on stabilisation before transfer | ||||||
| Pretransfer checks | ||||||
| Planning for and prevention of problems | ||||||
| Communication | ||||||
| Insistence on adequate support from senior colleagues | ||||||
| Joint faculty of ICM Australia4 | None stated | Instruction in | None stated | |||
| local retrieval systems; | ||||||
| organisational matters; | ||||||
| transport vehicle matters; | ||||||
| team role and function; | ||||||
| retrieval team personnel; | ||||||
| health and safety; | ||||||
| audit; | ||||||
| quality improvement; | ||||||
| infection control; | ||||||
| equipment; | ||||||
| ventilation; | ||||||
| monitoring | ||||||
| effects of altitude | ||||||
| American College of Critical Care Medicine6 | Doctor or nurse with additional training in transport medicine | “…additional training in transport medicine.” | None stated | |||