Table 1.
Priorities | Concerns | |
---|---|---|
Anaesthesia | Communication of patient information | Time/delay getting patient into the OR if NICU team not ready for transfer |
Surgery |
Full team present for huddles Teamwork |
Previous ‘silo’ handover model |
Neonatology | NICU team to continue to provide transport | Responsibility for other potentially sick babies in the NICU if waiting in OR holding to do preoperative huddle |
OR RN |
Communication Teamwork |
Time/delay in patient transfer |
NICU RN | Remain part of patient transfer team | Time provided to prepare patient for transfer |
NICU RT | Remain part of patient transfer team | Equipment/technology issues, especially with HFO/HFJV |
TM | Blood product distribution | Transfer of blood products between units |
Transfer Process |
Patient/family confidentiality/privacy Anxiety for other families in holding |
Hypothermia risk Equipment/Technology issues |
OR- operating room; NICU- neonatal intensive care unit; RN- registered nurse; RT- respiratory therapist; HFO- high frequency oscillator; HFJV- high frequency jet ventilation; TM- transfusion medicine