Hospital Admission/Transfer to Emergency Dept.
- Provider contacts the admitting team to discuss the admission; Identify which team is accepting, will need this information for the Temporary Acute Care Admission Orders
- Nursing contacts census office to arrange for bed (744-3932) and then calls the floor nurse to give report
- If hospital is full – it may be necessary for the provider to discuss the admission with Dr Lessler (page 663-2688); nursing will be notified when calling the census office and will advise the admitting provider
- Provider completes Temporary Acute Care Admission Orders unless the admitting team is or will be in clinic shortly to accept the patient
- If clinic is closing and bed not yet available or if patient becomes unstable then patient may need to board in the ED as a floor patient. In this case contact the ED medicine attending (CP 744-7974) and complete the Temporary Acute Care Admission Orders.
- Patient is transported to the floor or ED by patient transport or clinic staff depending on the clinical situation and time of day
Transfer to the Emergency Department
- Criteria for immediate transfer
- Hemodynamic instability
- Need for emergent/urgent treatment (MI, CVA)
- Need for ICU care
- Sepsis physiology
- Need for close monitoring (need for cardiac monitor, unstable angina)
- Need for urgent care not available in clinic (e.g. casting of fracture)
- Suicidal or homicidal ideation
- Provider or attending call the ED medicine attending (CP 744-7974) or Medic One Doc.
- Nursing call ED charge nurse (744-4025)
- Patient is transported to the triage station within the ED (NOT to the waiting room) with appropriate monitoring
- Depending on the situation, the STAT nurse may be called to assist in the transfer (do this by calling hospital operator 4-3000 and asking them to page)
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