Get Core Cpets Acute Interfacility Neonatal Transport Form 2016 Educational Tool Highlights Indicate

This guide provides essential information for accurately completing the CORE CPETS Acute Interfacility Neonatal Transport Form. Understanding how to properly fill out this form is vital for ensuring safe and efficient neonatal transport between facilities.

Follow the steps to effectively complete the form online.

1. Press the ‘Get Form’ button to access the CORE CPETS Acute Interfacility Neonatal Transport Form and open it in your preferred document editor.
2. Begin by filling out the referral section, indicating any special situations that apply, such as delivery attendance or transport type. Select the appropriate transport type from the options provided and include the maternal date of birth.
3. In the patient identification/history section, enter the infant's birth weight, gestational age, and sex. If there are any prenatal diagnoses, mark the corresponding box and provide a description if applicable.
4. Complete the maternal information, such as the number of pregnancies and whether steroids or magnesium sulfate were administered antenatally.
5. Record the infant's vital signs and any interventions performed, including surfactant administration, along with the timestamps for key events like maternal admission and infant birth.
6. Document the infant's condition upon arrival at the sending hospital, including scores related to responsiveness, heart rate, respiratory status, and oxygen saturation.
7. Indicate the transport details, including team leader and mode of transport. Record the name and contact information for the sending hospital's nursing staff.
8. Review all entries to ensure accuracy, then save any changes made to the form. You may also choose to download, print, or share the completed form as needed.

Begin completing the CORE CPETS Acute Interfacility Neonatal Transport Form online today.