Course Objectives:

• Review practice guidelines for clinical scenarios that require transport to a medical facility.
• Specifically discuss etiology and management detailed in "Emergency Transport" in Part IV of the NM Practice Guidelines.
• Review current evidence and guidelines around transport criteria.
• Review and understand the Homebirth Summit Guidelines "Best Practice Guidelines for Transfer from Planned Home Birth to Hospital".
• Be familiar with current standards of practice in the field of midwifery
• Know what information clients should be educated about before a transport is necessary 
• Be familiar with how informed decisions during normal client care can affect transportations.
• Understand the variability in practice guidelines and choose the clinical orientation most appropriate for practice and clientele
• Understand the best legal documentation when a client refuses transportation. 
• Address and be clear about what your personal limits are around transportation. 
• Understand the importance of verbal code-switching. 
• Consider how attire is a form of code-switching.
• Learn about charting transports.
• Know how to transfer a chart
• Understand the importance of addressing the trauma that occurs with transports.
• Considerations concerning debriefing and peer review.
• How to follow up with receiving entities.
• Understanding your role at the hospital.

Learning Activities:

• Upload sample documentation of client education on transports
• Upload sample practice documentation of client refusals to transport
• Write policies and procedures for transportation
• Create a transport location map and direct numbers
• Create sample transport documentation to be provided to the receiving entity