Booking: Patient Transport - Part 1

Facility making booking:

Billing Information:




Booking: Patient Transport - Part 2

Transport Information:

 Yes      No

From:

Destination:




Booking: Patient Transport - Part 3

Patient details:

 ECG Monitor
 Drip in Situ
 Infusion Pump

Patient category: *

  Category 1
  • Patient requiring active monitoring of vitals (ECG, BP, Pulse etc.)
  • Observation and monitoring of an IV line
  • Active management of patient treatment and therapies enroute
  • Patient NOT assessed by medical team
  • Physician authorised transport and not requiring or likely to require a lights and siren response

CAN BE MANAGED BY ONE EMT (CERT IV) AND PARAMEDIC, INTENSIVE CARE PARAMEDIC OR REGISTERED NURSE
  Category 2
Patient requiring active monitoring of vitals.
Observation and monitoring of an IV line where the fluid being infused is not vasoactive.
Psychiatric patients who require inter-hospital transfer where:
  • Patient requiring active monitoring of vitals (ECG, BP, Pulse etc.)
  • Observation and monitoring of an IV line where the fluid being infused is not vasoactive
  • Mental health patients who require inter-hospital transfer where:
    • no restraint is envisaged
    • no sedation is administered
    • may require active monitoring of vital signs
    • considered behaviourally and mentally stable

CAN BE MANAGED BY A DRIVER AND ONE ATTENDANT MINIMUM EMT (CERT IV)
  Category 3
  • Patient requiring active monitoring of vitals (ECG, BP, Pulse etc.)
  • Mental health patients who require inter-hospital transfer where:
    • no restraint is envisaged
    • no sedation is administered
    • may require active monitoring of vital signs
    • considered behaviourally and mentally stable

CAN BE MANAGED BY A DRIVER AND ONE ATTENDANT MINIMUM PTO (CERT III)
  Category 4
  • Can walk with or without assistance
  • Chronic diagnosed shortness of breath
  • Unable to travel in a normal seated position
  • Unable to walk more than a few steps unaided
  • Mental health patients who require inter-hospital transfer who are:
    • considered behaviourally and mentally stable
    • no active monitoring required

CAN BE MANAGED BY ONE ATTENDANT MINIMUM PTO (CERT III)

Escort details: