SaHF DMBC Volume 1 Edition 1.1.pdf - Shaping a healthier future

Process map 3: UCC to ED transfer protocol (non co-located
UCC)
Process map 3: UCC to ED transfer protocol (non co-located)
• 4 hour target applies from time of
UCC registration to completion of
treatment in ED
LAS responsible for
deciding destination
Dial 999 and
request
ambulance
Provide
holding
treatment as
indicated
Hand patient
over to LAS
and brief crew
LAS transfer
to ED
Patient in care of
ED (end)
Map 1
Patient identified for
ED transfer
Clinical
assessment of
urgency (LAS
matrix)
Yes
Requires
LAS
transfer
• Max. 8 minute response time in
most cases
No
• Patient discharged from UCC – 4
hour target does not apply. Local
UCC commissioners to agree
target transfer times with providers
Discussion
with patient
regarding
mode of
transfer to ED
See Please 7.15.4 see the for
following slide for
eligibility criteria
eligibility criteria
‘Safe
transport’
Select
appropriate
transfer mode
Arrange
transport as
per local
protocol
Alert ED of
incoming
transfer
Wait with
patient if
clinically
appropriate
Transport to
ED
Patient in care of
ED (end)
Self
transfer
Patient provided with
appropriate advice
and information
regarding where to
access follow-on ED
care
Patient
advised to
attend ED and
provided with
guidance
Discharge
from UCC
Patient discharged
(end)
7b. Work of the Emergency and Urgent Care CIG 175