Computerized South-To-North ED to ED Emergent Transfer Time Log
Enter times into this form ONLY for the emergent ED-to-ED South to North transfers (not for floor admits, MRIs, nursing home discharges, etc.)
Transfer Date *
MM
/
DD
/
YYYY
Transfer Time *
Time
:
Call Type
Indication
Decision Time by ED Attending to Send *
Time
:
Time Call Placed to CEMS for Transfer *
Time
:
Time Call Answered at CEMS *
Time
:
Estimated Arrival Time (Minutes)
Your answer
Time EMS Arrived at South ED *
Time
:
EMS Agency Providing Transfer
Time EMS Departed South ED *
Time
:
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