Written Policies and Safety Precautions for Entities that Transport
Clients, Residents or Patients Outside the Facility
PDF Version of BQA 06-001
(PDF, 91 KB)
Date: January 3, 2006 -- DDES-BQA 06-001
FROM: Jan Eakins, Section Chief, Provider
Regulation and Quality Improvement
Via: Otis Woods, Director, Bureau of Quality Assurance
The purpose of this memo is to increase awareness of several serious
situations that have arisen when clients, residents or patients have been
transported outside the facility. This includes being left in vehicles
unattended during periods of heat and cold, and not being properly secured
during transportation. Since these situations can be life-threatening, it
is important for entities that transport clients, residents or patients
outside the facility to address associated risk factors.
Organizations are expected to have written policies that address the
transportation of clients or residents outside the facility. If an entity
contracts for transportation services with an outside agency, the entity
should ensure that the transportation company they are using has similar
safeguards as part of their policies.
Typical written policies for entities that provide their own
transportation services include, but are not limited to:
- A plan for in-service training of staff and volunteers who
transport, or accompany clients, residents or patients during transit.
- A plan for providing supervision to clients, residents, or patients
during periods of transportation outside the facility.
- A procedure to initially assess clients, residents, or patients for
risks during periods of transportation outside the facility and to
reassess as necessary when changes occur.
- A plan to address the safe and secure transport of clients,
residents or patients. Issues to consider in this plan include the use
of seat belts, security of wheel chairs, safety precautions when
transporting oxygen or other potentially hazardous materials, and a
schedule for the provision of vehicle maintenance.
An important factor to remember when establishing policies and
procedures is that Wisconsin does experience varying temperature
conditions, including heat and cold. It is especially important for
entities to recognize risk factors when transporting clients, residents or
patients during these times.
The following information from a study conducted by Stanford University
doctors and a San Francisco State meteorologist show that temperatures
inside a vehicle can rise to life-threatening levels even when outdoor
temperatures are moderate.
Please see additional information on hypothermia and heat-related
illness at http://www.dhs.wisconsin.gov/rl_DSL/Providers/heat.htm
Thank you for your commitment to the health, safety and welfare of
residential and health care consumers in Wisconsin. If you have additional
questions, please contact one of the persons listed below.
Assisted Living Section
|Adult Day Cares, Adult Family Homes, Community Based Residential
Facilities, Residential Care Apartment Complexes
|Jane Walters [replaced by Cremear Mims, 243-2028]
Interim Section Chief
Health Services Section
|Ambulatory Surgical Centers, Certified Mental Health and AODA
Treatment Centers, End Stage Renal Dialysis Centers, Hospitals
|JoAnne Powell, Regional Director
Resident Care Review Section
(715) 365-2802 /
|Nursing Homes, ICFs/MR (FDDs)
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