EBS 154 (Baby Test 1234567, 2024-04-01, Ipswich General Hospital)


Referral
Transfer date: 4 Apr 2024, 12:05 p.m.
Referring hospital: Ipswich General Hospital
Caller name & position: NA
Referring consultant: None
Contact number: None
Receiving hospital: NA
Baby
Baby name: Baby Test 1234567
Date of birth: 1 Apr 2024
Time of birth: None
Birth gestation week: None
Birth gestation day: None
Corrected gestation week: None
Corrected gestation day: None
Birth weight: None
Recent weight: None
NHS Number: None
Other
Reason: NA
Time critical?: No
Reason for progression: NA
Transfer Team
D1: (Doctor: Team PANDR, Nurse: Team PANDR, Driver: Team PANDR)
D2: (Doctor: Team PANDR, Nurse: Team PANDR, Driver: Team PANDR)
Night: (Doctor: Team PANDR, Nurse: Team PANDR, Driver: Team PANDR)
Consultant: (Decision Support only)