Patient Transfer Report Form

Introduction

Here is the detailed guide for filling out the Patient Transfer Report form for every transport job at Prometheus Safe & Secure.

Job Reference and Details

Ensure to include the job reference provided in your WhatsApp group at the top of each sheet.

Collection and Destination Details

Fill in collection and destination details as communicated in your WhatsApp group.

Staff Information

Include everybody's name, role, and payroll number to ensure accurate payment processing.

Start Time and Mileage

Record the Start Time when all team members are at the vehicle, not the job start time in your message, as this may vary. Capture the Start Mileage and vehicle registration (Reg).

Completion of Job

Record Finished Mileage and Finish Time; crucial for Trust payments and your own records.

Patient Details and Assessments

• Patient Information: RMN or team leader must contact CLM for patient details including name, date of birth, and section status.
• Risk Assessment: Complete a risk assessment upon arrival at destination with the nurse or at the destination itself.
• Body Map: Ensure completion with signatures from handover nurse at collection and destination nurse when dropping off the patient.

Property and Documentation

Document the number of property bags checked and ensure Section papers are obtained and signed by the collection address personnel.

Completion by RMN or Team Leader

Final page includes documenting incidents, traffic delays, and patient behaviour. Attach instrument report and handcuff form, and place in the job box at the Birmingham office.