CHECKLIST FOR INTRA- HOSPITAL TRANSPORT OF PATIENT

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Criteria
Position the patient
Check the files of patient
Check the peripheral line is patent and
secure
Check Peripheral Line, date & Time and
labeled
Check I.V Tubings are secured
Check I.V Tubings Date & Time and
labelled
Checking the wound drain secured.
Checking the wound drain for date & time.
Naso-gastric tube is in position and secure
Urinary catheter is secured and urine bag
placed below the patient not over the
patient
Urinary Catheter Date & Time labeled
Check if the syringes placed near the bed
side for use is labeled properly
Check Oxygen Cylinder & Flow meter
function and empty cylinders are filled
before transport.
Check mobile Suction apparatus is
functioning
Checking documentation for the sick patient
And any new orders to be implemented
Checking the back of the sick patient for
any bedsore and document
Checking the medicine label and drops of
the infusions going on
Ensure Nominal Register is documented if
patient transferred out of unit.
Ensure that the patients are receiving the
diets at the right time after ward shifting
Check if all Medications are administered
and documented
Check if any abnormal ABGs are informed
to physician and corrected.
Ensure that the patients on naso-gastric
tube feedings receive the feeds at the

Yes

No

Remarks

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correct time.
Ensure that for Discharge patients
discharge advice is written in the nurses
Chart.
Ensure that ID band is there for all Patients.