Transport Under Transmission-Based Precautions

Key Points

  • Patient transport under transmission-based precautions should be limited to essential needs only.
  • Transport barriers must match route and transmission risk.
  • Route-specific controls reduce risk of pathogen spread beyond the patient room.
  • Apply source-control barriers on the patient that match transmission risk (for example, cover draining skin infection areas during movement).

Equipment

  • Isolation signage and current transmission-precaution order
  • Patient barrier setup per ordered precaution and route-risk profile (for example mask, gown, covered lesions/drainage)
  • Staff PPE for transport team per precaution requirements
  • Communication handoff pathway with receiving department

Procedure Steps

  1. Confirm transmission-based precaution category and determine whether transport is essential.
  2. If transport is nonessential, defer and continue in-room care when possible.
  3. For essential transport, notify receiving team of isolation status before movement.
  4. Apply route-consistent patient barriers based on ordered precautions and facility policy.
  5. Cover infectious skin lesions or drainage areas before movement when indicated.
  6. Ensure transport staff don required PPE per facility policy before departure.
  7. Limit transport duration and unnecessary hallway exposure.
  8. On arrival, complete safe handoff and reinforce continued precaution measures.
  9. Doff PPE per protocol and perform hand hygiene after transport tasks.

Common Errors

  • Transporting without clear essential indication avoidable transmission exposure.
  • Applying incomplete route-specific barriers during movement increased transmission risk.
  • Incomplete receiving-team notification delayed precaution setup at destination.
  • PPE doffing errors after transport self-contamination and cross-unit spread risk.