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Acute Care Transfer Document Checklist/Envelope - 50/pack


Availability: In stock

Price: $31.50
  • Buy 2-4 for $29.95 each and save 5%
  • Buy 5 or more for $27.75 each and save 12%

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INTERACT (Interventions to Reduce Acute Care Transfers) is a quality improvement program that focuses on the management of acute change in resident condition. The INTERACT program includes clinical and educational tools and strategies for use in every day practice in long-term care facilities. The goal is to improve care and reduce the frequency of potentially avoidable transfers to the acute hospital. Click Here for more information.


MED-PASS is a licensed provider of the INTERACT tools.


© 2011 Florida Atlantic University, all rights reserved. This document is available for clinical use, but may not be resold or incorporated in software without permission of Florida Atlantic University.


When it has been determined that a resident/patient requires transfer to an acute care hospital, a packet of pertinent medical information should accompany them.


The Transfer Checklist Envelope includes a two-part, carbonless checklist affixed to the front which prompts for and documents contents that should accompany the resident/patient to the hospital, including medical documents that emergency room staff will need to make an appropriate evaluation. Envelope is large enough to accommodate glasses, dentures and other personal belongings.

  • Checklist provides convenient checkboxes that prompt for and indicate:
    • Documents that are recommended to accompany the resident/patient such as current medication list, SBAR, advance directives and transfer form
    • Documents to be included such as the most recent history and physical, relevant lab results and x-rays, if available
  • For use by all SNF staff at the time of transfer to acute care
  • Convenient minimum order quantity of 50 per pack
Size 11" x 17"
Unit Package of 50
Number of Pages Two-Part Carbonless Checklist Affixed to Envelope