Get Uwnqc Maternal Transfer Form - Health Utah

Filling out the UWNQC Maternal Transfer Form is an essential step in ensuring safe and effective communication during patient transfers. This guide will provide step-by-step instructions on how to complete the form online, making the process clear and user-friendly for all.

Follow the steps to complete the UWNQC Maternal Transfer Form effectively.

1. Click ‘Get Form’ button to obtain the UWNQC Maternal Transfer Form and open it for editing.
2. Begin by entering the date and time of the transfer at the top of the form. This information is crucial for accurate record-keeping.
3. Fill in the transfer details, including 'Transfer from' source, which will usually be the Birthing Center or Home Birth. Ensure the provider's name is clearly stated.
4. Provide patient details including last name, first name, date of birth, and contact number. Accurate personal information is vital for patient identification.
5. Specify the facility the patient is being transferred to by entering the facility name and the contact details of the person to receive the transfer.
6. In the 'Situation' section, provide pertinent history regarding the current pregnancy and any medical or surgical history that is relevant.
7. Document medications, supplements, and allergies in the corresponding fields to ensure comprehensive care for the patient.
8. Record 'Current Status' including membrane status, fetal status, labor status, and maternal vital signs. This information is essential for the receiving facility.
9. In 'Labs and Medications,' note any lab results and medications administered. This section provides critical information to inform ongoing care.
10. Provide an assessment and any recommendations regarding the patient's transfer, ensuring that the receiving team is well informed.
11. Indicate the method of transport and the estimated time of arrival at the receiving facility.
12. Finally, indicate the maternal desires and any individuals accompanying the patient during the transfer.
13. Once the form is completed, you can save your changes, download, print, or share the completed document as needed.

Complete your UWNQC Maternal Transfer Form online today to ensure smooth and efficient communication during patient transfers.