Page 236 - 2026 SMOG

FACILITY TRANSFER CHECKLIST
DO NOW TAKE WITH IN FLIGHT
M: M: M:
• Check all bandages, splints, dressings, • Additional Blood • Blood products
and tourniquets for placement/evidence products (1:1:1) administration
of ongoing hemorrhage • Tubing • Check all bandages,
• Mark bleeding strikethrough • Warmer splints, dressings,
• Measurement of the abdomen • Golden Hour and tourniquets for
• Request orders for type and cross- Container placement/evidence of
matched blood or O-Negative blood ongoing hemorrhage.
• Measurement of the
abdomen
A: A: A:
• Assess/document ETT size, depth, • Extra ETT/King • Confirm ETT is in the
security, cuff pressure, bite block LT/IGEL appropriate position
• Attach EtCO monitor • Suction soft-tip • Look/feel for symmetric
2
• Insert/Assess and document • 10ml syringe chest wall rise
NG/OG tube placement, size, depth, • Bite block • Verify the tube position
and security • Tape at the teeth
• Review chest radiograph for ET • BVM • Check EtCO 2
confirmation and NG/OG placement • DOPE
• Apply a C-collar for airway stability
R: R: R:
• Set up the ventilator and confirm • O for transport • Look and feel for chest
2
ventilator settings • Backup ventilator excursion
• Check baseline lung compliance/ • Suction • Check pulse oximeter
resistance with BVM • Needle for • Check patient’s color
• Auscultate heart/lung sounds decompression
• Check placement and function of chest
tube/drainage system/Heimlich valve
• Request ABG after the transport
ventilator is attached to the patient
C: C: C:
• Set up the monitor and zero all • Vasoactive • Check temp, pulse, BP,
pressure lines medications and cardiac rhythm
• Assess distal pulses and neurovascular (Dopamine, Neo, • Assess distal pulses and
status Norepinephrine) neurovascular status
• Ensure IV access × 2 (minimum) • Pressure bags during transport.
• Remove air from IV bags and • IV fluids and tubing • Assess IV access
pressurize • LZC pressure lines
• IV medications arranged for easy
access (20mL, 10mL, 5mL, 3mL)
• Review CBC/Chemistry results
• Check Foley catheter placement,
measure output amount, empty bag (continues)
REFERENCE 228 • REFERENCE