Policy for the Discharge and transfer of children and young people ...
Policy for the Discharge and transfer of children and young people ...
Policy for the Discharge and transfer of children and young people ...
Create successful ePaper yourself
Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.
NURSING REFERRAL FORM - TRANSFER OF PATIENTSHomeTo:FromWardWard Tel. No.HospitalHosp. No:Surname:Age:Religion:Forenames:D.O.B.Home Address:<strong>Discharge</strong> Address:Tel. No:Consultant:Social Worker:General Practitioner:Address:Health Visitor (HV):HV In<strong>for</strong>med <strong>of</strong> Transfer: Yes / NoO<strong>the</strong>r:Next <strong>of</strong> Kin:Address:Relationship:Tel. No:Date <strong>of</strong> Admission:Relatives notified <strong>of</strong> Transfer: Yes / NoDate <strong>of</strong> Transfer:Diagnosis <strong>and</strong> Brief Summary <strong>of</strong> Patient's conditionO<strong>the</strong>r Comments (e.g. Allergies, Special Disabilities, Pre-existent Conditions, to include infectious status etc.)<strong>Policy</strong> <strong>for</strong> <strong>the</strong> <strong>Discharge</strong> <strong>and</strong> Transfer <strong>of</strong> Children <strong>and</strong> Young People from Child HealthPage 33 <strong>of</strong> 38
Change language