Get A&e Referral Form For Tia - Imperial.nhs.uk

Filling out the A&E Referral Form For TIA is an essential step in managing a potential transient ischemic attack. This guide provides clear, step-by-step instructions to assist users in completing the form accurately and efficiently online.

Follow the steps to fill out the form correctly online.

1. Press the ‘Get Form’ button to access the A&E Referral Form For TIA and open it in your online editor.
2. Begin by entering the patient details. Include fields for name, date of birth, address, telephone number, email, and NHS number, either typing them in or using a sticky label.
3. Complete the GP details section with the GP's name and practice, ensuring that all information is accurate.
4. Fill in the carer details if applicable, including their name and telephone numbers.
5. Record the date of A&E assessment and the date(s) when the event(s) occurred, including the specific time and duration of symptoms.
6. Conduct the FAST test by marking 'Yes' or 'No' for the clinical features observed at the time of TIA, such as facial weakness, arm weakness, and speech disturbance.
7. Complete the ABCD2 test, scoring points based on age, blood pressure, clinical features, duration of symptoms, and known diabetes.
8. Provide a brief description of the event(s), including relevant clinical information not covered in other sections.
9. Fill in the risk factors section, indicating any ischaemic risks and whether an interpreter is needed.
10. Review the checklist to confirm instructions given to the patient regarding driving, medication, and any necessary follow-up actions.
11. Finalize the form by checking all entries for accuracy. You can then save the changes, download, print, or share the form as needed.

Complete your A&E Referral Form For TIA online today to ensure timely care.