Critical Care Medicine — Core of Discipline

C10 Managing the transport of patients who are critically ill

Key Features:
- This EPA focuses on managing the transport of critically ill patients within the hospital as well as between healthcare centres, by ground or by air.
- It may include being physically present during transfer or providing advice to the transferring centre and transport team.
- This EPA does not include managing discharge nor facilitating the transfer of patients to a chronic care facility.
- This EPA may be observed in a simulated activity.

Assessment Plan:
Direct observation or case review by supervisor
Use Form 1. Form collects information on:
- Transport context: in-hospital; interhospital
Collect 2 observations of achievement
- At least 1 in-hospital transport
- At least 1 interhospital transport (may be simulation or call line)

Form

F1: Observation

Milestones

• ME 2.2. Interpret clinical information gathered by another health professional, along with the results of investigations, for the purposes of diagnosis and management

• ME 2.4. Determine the setting of care appropriate for the patient’s health needs

• ME 2.4. Plan the logistics of transfer including stabilization and procedures prior to transfer, equipment and personnel requirements, methods of monitoring and assessment during transport

• COM 3.2. Demonstrate safe handover of care, using both verbal and written communication, during a patient transition to a different health care professional, setting, or stage of care

• COM 5.1. Document telephone advice provided, and the care provided during transport

Context Variables

• Transport context (single-choice)
  • in-hospital
  • interhospital

Requirements

• Collect 2 observations of achievement (minimum 2)
• At least 1 in-hospital transport (minimum 1)
  • Only counts when Transport context is in-hospital
• At least 1 interhospital transport (may be simulation or call line) (minimum 1)
  • Only counts when Transport context is interhospital