EBS 50 (TEST TEST, 2022-07-16, NA)


Referral
Transfer date: 19 Jul 2022, 6:07 p.m.
Referring hospital: NA
Caller name & position: NA
Referring consultant: None
Contact number: None
Receiving hospital: NA
Baby
Baby name: TEST TEST
Date of birth: 16 Jul 2022
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: Surgical
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)