Heilbrigðisstofnun Suðausturlands, Víkurbraut 2, 780 Höfn í Hornafirði. Single-story modern hospital building. Main entrance with automatic doors. Parking lot in front. Current conditions: 8°C, clear skies, good visibility. GPS coordinates: 64.2525° N, 15.2083° W. Nearest landmark: Höfn swimming pool.
62-year-old male, post-operative day 3 following a laparoscopic cholecystectomy. Patient is stable, afebrile, with minimal pain controlled by oral analgesics. Requires transfer from Höfn hospital to his home in Vík í Mýrdal. Patient is ambulatory with assistance, tolerating oral diet. Surgical site is clean, dry, and intact. No signs of infection or complications. Patient has a history of well-controlled hypertension and type 2 diabetes. Medications include Metformin 1000mg twice daily, Lisinopril 10mg once daily, and Paracetamol 1g every 6 hours as needed for pain. No known allergies. Last oral intake was breakfast at 08:00.
Timeline: Day 1: Patient underwent uneventful laparoscopic cholecystectomy for symptomatic cholelithiasis. Day 2: Patient remained stable, tolerating oral fluids and light diet. Pain well-controlled with oral analgesics. Mobilized with assistance. Day 3 (current): Patient is stable, tolerating regular diet. Surgical site is clean and dry. Ready for discharge to home in Vík í Mýrdal. Transfer is required as the patient does not have transport. Patient has had no new complaints or changes in condition. Last medical check-up was this morning with the surgeon and the nurse.
Initial Impression: Stable Post-Operative Patient for Routine Transfer Justification for F4 Classification: - Patient is hemodynamically stable, afebrile, with no signs of infection or complications. - Pain is well-controlled with oral analgesics. - Patient is ambulatory with assistance and tolerating oral diet. - Transfer is non-urgent and can be scheduled within a routine timeframe. Differential Diagnoses: 1. Post-operative pain (well controlled) 2. Post-operative infection (no signs) 3. Post-operative bleeding (no signs) 4. Dehydration (patient is tolerating oral fluids well) Required Actions: - Dispatch of non-emergency transport with appropriate equipment and trained staff. - Verification of patient's discharge paperwork and medication list. - Coordination with receiving location (patient's home).