Page 235 - 2026 SMOG

POST-OPERATIVE AND CC INTERFACILITY TRANSFER
Patient Report and Transfer of Care at the Receiving Hospital
• A verbal and written patient report will be given to the receiving nurse or physician upon
delivery of the patient.
• Routinely, the responsibility of care will be transferred to the receiving ED. On rare occasions
(i.e., mass casualty incidents, pending emergency flights, etc.), care may need to be transferred
on the helipad rather than at the bedside.
• For Tail-to-Tail transfers, the Flight Paramedic/Provider initiating transport will send all
documentation from the transferring facility and the patient care documentation from the first
leg of the flight with the Flight Paramedic/Provider completing the second leg of the transfer.
The Flight Paramedic/Provider completing the second leg of the transfer will initiate their
own patient care documentation, circling “2nd Leg” at the top of the form and ensuring all
documentation is turned over to the MTF upon arrival and handoff of patient care.
• The patient care documentation will be completed and left with the patient at the receiving
facility at the time of patient handover. If unable to complete documentation due to extensive
mission requirements, the patient care documentation will be forwarded to the appropriate
medical information receiving facility/person IAW local/theater policy.
Any in-flight problems should be addressed per the appropriate protocol and per written
instruction from the transferring physician. Continued problems should prompt contacting medical
control as soon as possible.
**Document procedure, results, and vital signs.**
Reference: CPG ID #27 (Interfacility Transfer of Patients Between Theater MTFs)

2026 Standard Medical Operating Guidelines (SMOG) • 227