Parents Version
Readiness to Transfer Checklist
This checklist is designed to help you and your adolescent prepare for transition on
to adult services. You will recognise how your role is now changing from managing
your child’s care to becoming a source of support and resource. Supporting your
son/daughter in taking some practical steps in managing their IBD can make a
significant difference in how they manage the transition.
Adolescents Name
MRN
Date
I’m not sure He/she
needs to
work on
this
Yes,
He/she has
He/she can achieved
do this
this. Sign and
date
Completed by:
Medical condition:
My son/daughter can confidently
describe his/her IBD
He/she understands the medical terms
specific to his/her IBD
He/she can answer questions from
his/her GP/Consultant in regard to
his/her IBD
He/she knows the symptoms or
complications specific to his/her IBD
He/she is aware of any allergies he/she
have and how to manage them
N/A
He/she has discussed the effects of
smoking/alcohol and drugs on his/her
IBD with his/her consultant
He/she has discussed with his/her
consultant/CNS how having IBD may
impact on his/her reproductive health
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Parents Version
Readiness to Transfer Checklist
He/she
needs to
work on
this
Yes,
He/she has
He/she can achieved this.
do this
Sign and date
Medications and Treatment:
My son/daughter knows his/her
medication(s), and treatment routine
He/she knows which tests to have
regularly and why they are necessary
N/A
He/she is responsible for remembering
and taking medication on time
He/she is aware of when his/her
prescription needs to be renewed
He/she knows what equipment he/she
needs and what it is used for
N/A
He /she knows how to order supplies as
necessary
N/A
Appointments:
My son /daughter can make his/her own
outpatient appointment
He/she knows how to change an
appointment if necessary
He/she knows it is possible to have time
on his/her own with his/her Consultant
at outpatient clinic
He/she can comfortably communicate
with all members of the
Gastroenterology team
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Parents Version
Readiness to Transfer Checklist
He/she feels comfortable asking his/her
consultant or nurse to further explain
information that is not clear to him/her
I’m not sure He/she
needs to
work on
this
Yes,
He/she has
He/she can achieved this.
do this
Sign and date
Getting Help:
My son/daughter has a regular GP he/she
trusts and is comfortable talking to
He/she knows where and how to get
advice about his/her health issues
He/she knows what to do if he/she
becomes unwell or needs urgent medical
assistance
He/she knows who to contact if he/she
needs medical support after hours
He/she recognises the importance of a
balanced lifestyle
(nutrition,fitness,leisure & education)
Support/wellbeing:
My son/daughter knows how/where to
get educational support
He/she knows how/where to get
information about IBD support groups
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Parents Version
Readiness to Transfer Checklist
I’m not sure He/she
needs to
work on
this
Yes,,
He/she has
He/she can achieved this.
do this
Sign and date
He/she knows who his/her personal
supports are and where to get more
support if needed
He/she has supports in place if he/she is
feeling stressed or upset
He/she knows how to get information on
effects of alcohol and drugs on his/her
IBD
Transition:
My son/daughter understands what the
transition process involves
He/she feels prepared for his/her
transfer on to an adult gastroenterology
team
He/she would be able to write his/her
own referral letter to his/her new
gastroenterologist
He/she knows the name of the
gastroenterologist and CNS at the adult
centre he/she will be attending
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Parents Version
Readiness to Transfer Checklist
He/she has information about the
differences between adult and paediatric
services
Any queries or concerns you may have can be discussed with your CNS
and/or your Consultant
Dept of Gastroenterology, OLCHC, Crumlin,
Dublin 12
Nov 2013
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