FRCA Curriculum – Transfer

Competence Source Curriculum Description
TF_BK_01 Basic Explains the importance of ensuring the patient’s clinical condition is optimised and stable prior to transfer
TF_BK_02 Basic Explains the risks/benefits of intra-hospital transfer
TF_BK_03 Basic Recalls/describes the minimal monitoring requirements for transfer
TF_BK_04 Basic Lists the equipment [and back up equipment] that is required for intra-hospital transfer
TF_BK_05 Basic Outlines the physical hazards associated with intra-hospital transfer
TF_BK_06 Basic Explains the problems caused by complications arising during transfer and the measures necessary to minimise and pre-empt difficulties
TF_BK_07 Basic Outlines the basic principles of how the ventilators used for transfer function
TF_BK_08 Basic Indicates the lines of responsibility that should be followed during transfer
TF_BK_09 Basic Outlines the consent requirements and the need to brief patients in transfer situations
TF_BK_10 Basic Outline the issues surrounding the carrying/recording of controlled drugs during transfer
TF_BK_11 Basic Describes the importance of keeping records during transfer
TF_BK_12 Basic Outlines the problem of infection and contamination risks when moving an infected patient
TF_BK_13 Basic Explains how to assess and manage an uncooperative and aggressive patient during transfer
TF_BK_14 Basic Understands hospital protocols governing transfer of patients between departments
TF_BK_15 Basic Outlines the importance of maintaining communication, when appropriate with the patient and members of the transfer team.
TF_IK_01 Intermediate Explains the risks/benefits of Interhospital patient transfer
TF_IK_03 Intermediate Outlines the hazards associated with Interhospital transfer, including but not limited to physical, psychological and organisational
TF_IK_04 Intermediate Describes the increased risks to critically ill patients of transfer and the reasons for these risks
TF_IK_05 Intermediate Outlines strategies tminimise risk during Interhospital transfer, including but not limited to:

Stabilisation

Pre-emptive intervention

Sedation

Monitoring

Packaging

Choice of mode of transfer
TF_IK_06 Intermediate Explains how critical illness affects the risk of transfer
TF_IK_07 Intermediate Explains how time-critical elements may influence risks tthe patient and transfer personnel and how these should be managed to reduce them
TF_IK_08 Intermediate Understands the increased risk of interventions during Interhospital transfer
TF_IK_09 Intermediate Outlines the specific considerations for transfer of patients with specific clinical conditions, including but not limited to:

head, spinal, thoracic and pelvic injuries

critically ill medical patients

burns

children

pregnant women
TF_IK_10 Intermediate Lists and explains the critical care equipment used during transfer including but not exclusively:

Ventilators

Infusion pumps

Monitoring
TF_IK_11 Intermediate Lists the different modes of ventilation and explains the selection of appropriate parameters in e.g. Asthma/COPD and ARDS
TF_IK_12 Intermediate Outlines the different modes of transport available for inter-hospital transfer, including risks/benefits
TF_IK_13 Intermediate Understand the safety implications of electrical and hydraulic equipment that may be used during patient transfer
TF_IK_14 Intermediate Recalls/describes the physiological effects of transport including the effects of acceleration and deceleration, including Newton’s laws of motion
TF_IK_15 Intermediate Understands the effects of high ambient noise on patients and alarm status
TF_IK_16 Intermediate Recalls/discusses the reasons for patients becoming unstable during transfer and strategies for management
TF_IK_17 Intermediate Recalls/describes how to manage patients who develop sudden airway difficulties whilst in transit [both in the intubated and un-intubated patient]
TF_IK_18 Intermediate Outlines the ethical issues related tpatient transfer, including the need tbrief patients and their relatives
TF_IK_19 Intermediate Awareness of the laws relating tdeaths in transit
TF_IK_20 Intermediate Outlines how to find and use the national register of critical care beds
TF_IK_21 Intermediate Outlines the regional protocols for organising transfers between units
TF_IK_22 Intermediate Outlines the importance of maintaining communications between the transfer team and the base/receiving units
TF_IK_23 Intermediate Outlines the roles and responsibilities of all staff accompanying the patient during transfer including the ambulance technicians and paramedics
TF_IK_24 Intermediate Describes the personal equipment needed when leading a transfer, especially when a prolonged journey is anticipated
TF_IK_25 Intermediate Discusses the importance of auditing practice and reporting critical incidents that arise during Interhospital transfer and the need for appropriate research