How do you react when doing interfaclity transfer and you find the pt not stable.

Nothing to sweat we transport from this facility all the time they always have it together until one day we get a call?? And the peeing contest begins. Here is the situation me and my partner respond to a local medical facility to transport a pt who is 79 yoa as per our standing orders we check heart and lung sounds before moving pt and check pt's chart for any problems. Pt is a nasal @ 2 lpm but she has pull the nasal off and her sats are down to 80% now mind you this pt is still in her room at the medical faclity and we haven't signed for her yet but we put the nasal back on bump the O2 up to 5 lpm and her sats come up nicely but upon checking lung tones the breathing is course and very diminished in lower lobes. We report the situation and we are told she is ready for transport we advise the medical staff we can transport until clearance is given. The charge nurse listens clears her and off we go or so they thought. How would you react in this situation.

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Spoken like a true professional ms. anne but I would like to say this. In all my journeys down life's road I find it ever so sad that in many cases, not all cases but in many cases the only time that many of pt's expreince compassion and caring is when the ems crews arrive. This isn't because that the staff of the facilities don't care it is because of the number of pt's they have to attend too. Here in Ga there is a serious shortage of qualified nurses and paramedics. The most eye opening thing is that I have encountered is the language barrier. Alot of the medical personnel working in the reha, nursing and even the hospital don't speak english worth a dam. And alot of times it is a communication problem. Oh well enough said every one be safe. danny
If a pt is a mouth breather they have put mask on pt's for theat reason......
I used to work for a transport bus. When I first started one of the senior emts told me, after sevreal incidents like this its faster and easier to just take them and go.

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