Background
For transfer from CUH ED to Mater Private Cork (MPC).
General transfer criteria
- Low to moderate acuity patients with suspected acute medical or surgical presentations, likely to require admission, should be considered for transfer to MPC
- The decision to transfer to MPC may be made by following CUH ED registration, in consultation with a CUH EM Consultant, broadly in keeping with the following undifferentiated complaints
Surgical
- Abdominal pain ?Appendicitis ?Gallstones ?Diverticulitis
Medical
- Resp: PE, Community Acquired Pneumonia, Premorbid conditions requiring medical optimisation (Asthma, COPD, Fibrosis)
- GIT: PUD, stable upper GiB, stable lower GiB , IBD, Non-specific D&V; Refractory Nausea & Vomiting
- ID: Cellulitis [where CDU bed not available]. [Breast Cellulitis excluded]
- Endocrine: Diabetics requiring medical optimisation
- Syncope: Collapse? Cause, Undifferentiated Syncope (exclusion: possible Cardiogenic Syncope)
- GUT: Complicated UTI
MPC does not accept Paediatrics, Psychiatry, Acute Neurology, Poisoning, Obstetrics/Gynae.
Transfer process
- Contact the MPC ED (021 601 3216) or call the EM Physician on call to agree transfer
- CNM ED transferring hospital to CNM MPH call (021 6013216/ 021 6013312) to provide nursing handover pre-transfer using the ISBAR tool
- Nursing care needs, fall risk, social issues etc to be discussed
- Email patient details as per Transfer Form with copies of relevant results and investigations to mpced@materprivate.ie
- Cannula may be left in situ if clinically suitable (please ensure details on the transfer form regarding the cannula are completed)
- Place patient details (sticker) in MPC transfer book with suspected diagnosis and date (MPC book is located in RASTA)
- Please ensure contact details (name and telephone number) of referring department/ward are completed on the transfer document
Exclusion criteria
- Chronic illness requiring more than 72hrs treatment (excluding IV antibiotics)
- A patient experiencing an acute episode of mental illness
- IV fluids and blood transfusions
- Under the influence of illicit drugs or alcohol
- Under 16 years of age
- Residents outside the catchment area and unable to travel to treatment centre
Links
- Mater Private Cork ED Nursing documentation sheet
- Mater Private Cork transfer policy
- Referral case load examples