Referral and Transport of the Sick NYI (Chapter 19)


Learning Objectives

After completion of this chapter the participant should be able to:

See Neonatal Referral Form

All facilities, which do not have capacity to care for the neonate, need to refer to next level of care. Babies requiring next level care should be referred urgently. If the baby needs to be transferred to a special care neonatal unit, ensure a safe and timely transfer. It is important to prepare the baby for transfer, communicate with the receiving facility, and provide care during transfer.

Indications of transfer to next level of care:

Components of Neonatal Transport

Step 1: Assess

Determine the indication for transporting the baby to a higher health facility.

Step 2: Preparation of baby

Step 3: Prepare for transport, including writing a referral note

Step 4: Care of neonate during transport

Step 5: Feedback by tertiary hospital

Key Facts for Providers:
Referral and Transport of Sick Neonate
  • Be clear about indications for transfer to another facility.
  • Communicate with the facility you are referring to for pre-referral care and so that they can prepare for the patient.
  • Prepare the patient – ensure they are stable, kept warm during the transfer, provide appropriate pre-referral treatment.
  • Write a clear referral note and send relevant documentation including tests and interventions done.
  • Ensure transport is available and appropriate.
  • Ensure ongoing care for the patient as they await transport.
  • Follow up the patient for feedback.