El traslado interhospitalario de un paciente con hemorragia digestiva por varices esofágicas

Abstract

The care of patients with gastrointestinal bleeding from oesophageal varices during inter-hospital transfer is a complex procedure to different causes. Some of these include, the high number of parameters to take into account, the monitoring of the electro-medical equipment, the instability of the patient and their needs or the short time available to know the patient and obtain the maximum information in order to plan a safe and proper transfer. The main role of the nurse in the transfer of critically ill patients focuses on the control and monitoring of all these aspects and the maintenance of the continuity of the caring initiated in the hospital. This requires a personalized care plan to be prepared for the patient who has to be transferred to avoid putting the individual at risk due to their high vulnerability. This should minimise the risk of possible complications or accidental incidents related to the high number of instruments used for monitoring the patients during their transfer. The case presented below describes the transfer of a patient by ambulance from a level 2 hospital to a level 3 hospital of a person who had an urgent condition that reflected all this complexity. It highlights the indications and basic care that has to be taken into account in this type of transfer and the transfer of the patient once in the receiving hospital, especially in this case, where the condition of the patient is highly compromised.