Nursing Assignment: Patient Referral and Intervention Report Analysis

This report is a nursing assignment focused on the patient referral process and necessary interventions. It details the case of Peggy, a patient requiring transfer to a major city hospital, and addresses the specific challenges and considerations involved. The assignment emphasizes the importance of legal procedures, including referral letters with detailed patient information and the use of the SBAR framework for clear communication. It highlights the crucial role of community nurses in stabilizing the patient before transport, addressing issues like shortness of breath and swollen feet. Furthermore, the report covers the preparation of necessary medical documents, such as lab results and X-rays, and the education of the patient regarding fluid intake during the journey. The assignment underscores the significance of personalized care and attention to the patient's preferences to ensure a smooth and safe transfer.

Running head: NURSING ASSIGNMENT
PATIENT REFERRAL AND INTERVENTION
Name of the Student
Name of the University
Author note

NURSING ASSIGNMENT1
Referral service is an important aspect in healthcare. As per the legal procedures, if one
physician is unable to treat the patient with the medical interventions available, he or she need to
refer the patient to another improved healthcare facility. It is important so that quality of the
healthcare provided to the patient can be maintained (Wendt, 2014). In this assignment Peggy
(62) has to be referred to an improved hospital 800 km away from her community village and
therefore will discuss the assessment and interventions needed for successful referral of Peggy.
The journey of Peggy from her village to major city hospital is very long. Further, she is
suffering from health issues such as infection in the site of tenckoff catheter site, shortness of
breath, loss in peripheral as well as clouding in central vision, feverish feelings. Therefore, in
this non-clinical transfer the community healthcare workers should take interventions to stabilize
her swollen foot, shortness of breath and cramps so that she can travel 800 km with less pain and
discomfort. Further for the legal referral procedure, a referral letter mentioning the MRN number
of the patient contact details of the general physicians, important aspects of Peggy’s health, any
current support she received, her personal care choices and a copy of referral should be attached
with her referral documents (Wendt, 2014). This referral assessment procedure is important, as it
will determine Peggy’s choices related to her community, issues related to her lifestyle and
dietary habits so that in the major city hospital, her preferences can be addressed without any
mistake (Coombes et al., 2015). Further, an SBAR framework will be used along with the letters
of referrals. The community nurse will clearly state Peggy about the most comfortable position at
the time of the journey. The emergency medications will be carefully preserved and carried. The
Peggy will be carrying her recent lab results, recent X rays, the dialysis access type. The
community nurse will educate Peggy about her fluid intake during the course of her journey, so

NURSING ASSIGNMENT2
that through these interventions, Peggy can be transferred to the major city hospital without any
further health complication (Wendt, 2014).

NURSING ASSIGNMENT3
References
Coombes, J. S., Law, J., Lancashire, B., & Fassett, R. G. (2015). “Exercise is medicine” curbing
the burden of chronic disease and physical inactivity. Asia Pacific Journal of Public
Health, 27(2), NP600-NP605.
Wendt, C. (2014). Changing healthcare system types. Social policy & administration, 48(7), 864-
882.