Victorian Consolidated Regulations

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NON-EMERGENCY PATIENT TRANSPORT REGULATIONS 2016 - REG 38

Patient care records

    (1)     A patient care record in relation to a low acuity patient must include the following information—

        (a)     the patient's name;

        (b)     the patient's address;

        (c)     the patient's date of birth;

        (d)     the patient's gender;

        (e)     the time and date of the patient's transport and, in the case of aeromedical services, the flight time;

        (f)     the reason for the patient's transport;

        (g)     the patient's pick up location and final destination;

Reg. 38(1)(ga) inserted by S.R. No. 148/2021 reg. 23(1).

        (ga)     details of any monitoring or treatment provided to the patient during transportation;

        (h)     the names and titles of the crew members undertaking the patient's transport.

    (2)     If a low acuity patient's destination is a medical service or aged care service, the provider must ensure that the information contained in the patient care record is orally communicated to the person receiving the patient.

    (3)     A patient care record in relation to a medium acuity patient or a high acuity patient must include the following information—

        (a)     the patient's name;

        (b)     the patient's address;

        (c)     the patient's date of birth;

        (d)     the patient's gender;

        (e)     whether the patient is a medium acuity patient or a high acuity patient;

        (f)     all relevant clinical details of the patient including any co-morbidities;

        (g)     the time and date of the patient's transport and, in the case of an aeromedical service, the flight time;

        (h)     the reason for the patient's transport;

              (i)     the name and position of the person who assessed the patient as being haemodynamically stable for the duration of the transport;

        (j)     the patient's pick up location and final destination;

        (k)     details of any monitoring or treatment provided to the patient during transportation;

        (l)     the names and titles of the crew members undertaking the patient's transport.

    (4)     If a medium acuity patient or a high acuity patient's destination is a medical service or aged care service, the provider must ensure that—

        (a)     the information contained in the patient care record is communicated orally to the person receiving the patient; and

        (b)     a copy of the patient care record is provided to the person receiving the patient.

Reg. 38(5) inserted by S.R. No. 148/2021 reg. 23(2).

    (5)     The provider must ensure that at least 50 per cent of patient care records for medium or high acuity patients are reviewed to determine if there are any clinical issues or issues relating to patient safety.



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