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On a 911 call, you build the plan. You show up, you assess, you decide what happens next.
An interfacility transfer is different. So on a transfer, you inherit a plan someone else already built. A ventilator someone else set. A drip someone else started. A patient whose baseline you were not there for.
That's the whole problem in one sentence: continuity of care, wearing an ambulance. Three questions run the entire call.
Is this inside my scope and my unit's capability? Do I have the information and the backup plan before I leave the building? And can I tell a patient problem from an equipment problem at 60 miles an hour?
Every section below is one of those three questions, worked in detail.
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