Follow the steps to effectively complete the HICS 260 form

1. Click the 'Get Form' button to obtain the form and open it in your online editor.
2. Begin by entering the date in the designated field at the top of the form.
3. Specify the unit from which the patient is being evacuated. In this instance, select 'NICU' as the relevant unit.
4. Input the attending physician’s name in the corresponding field.
5. Fill in the patient's name to ensure accurate identification.
6. Enter the medical record number (MR#) to facilitate tracking.
7. Record the patient’s birth date to verify identity and age.
8. Document the diagnosis by placing the patient label or barcode in the specified area.
9. Indicate the type of respiratory support the patient requires by checking the appropriate options and filling in the necessary details.
10. Mark whether the family has been notified and include their contact information.
11. Check all accompanying equipment, tubes, or lines that apply to ensure thorough documentation.
12. Note the departing location and the arriving location, including room numbers and times of departure.
13. Confirm if the ID band was verified and check the boxes regarding medications and valuables.
14. Complete details about transferring for another facility, including time to the staging area and mode of transportation.
15. Once all fields are filled out, review the information for accuracy before saving or downloading the completed form.

Complete your HICS 260 form online now to ensure effective patient evacuation tracking.