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
- Confirm transmission-based precaution category and determine whether transport is essential.
- If transport is nonessential, defer and continue in-room care when possible.
- For essential transport, notify receiving team of isolation status before movement.
- Apply route-consistent patient barriers based on ordered precautions and facility policy.
- Cover infectious skin lesions or drainage areas before movement when indicated.
- Ensure transport staff don required PPE per facility policy before departure.
- Limit transport duration and unnecessary hallway exposure.
- On arrival, complete safe handoff and reinforce continued precaution measures.
- 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.
Related
- transmission-based-precautions - Core framework for airborne, droplet, and contact isolation decisions.
- airborne-precaution-supply-readiness - Pre-entry and PPE-readiness behaviors support safe isolation workflows.