INTRA and INTERhospital Transfers: Difference between revisions
From Guide to YKHC Medical Practices
(→OB RN) |
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*Requests NW clerk contact Registration to communicate the admission and the patient’s room number | *Requests NW clerk contact Registration to communicate the admission and the patient’s room number | ||
*Initiates Admission orders | *Initiates Admission orders | ||
==Direct Admit to NW== | |||
NOTE: Patients may be directly admitted from ANMC, the village, or another health care facility | |||
===NW Provider=== | |||
*Has been in contact with a provider regarding the admission | |||
*Accepts the admission directly | |||
*Accesses the patient’s chart, finding the newly created Pre-Admit FIN (NOTE: orders must be entered from the correct FIN) | |||
*Places admitting diagnosis on the encounter | |||
*Enters the admission Power Plan: MED Adult Admission, PED Pediatric Admission, or MED Adult Admission Holding Orders | |||
[[file:Admission_Orders.png|border|300px]] | |||
*Selects “Plan for Later” when signing the Power Plan | |||
*Informs NW RN the orders are entered | |||
*Completes the Admission Medication Reconciliation AFTER the transfer is complete | |||
===NW RN=== | |||
*Receives report from RN at transferring facility | |||
*Requests NW clerk contact Registration to create a Pre-Admit FIN | |||
*After the patient arrives, requests NW clerk contact Registration to change the Pre-Admit FIN to Inpatient FIN (communicating the patient’s room number) | |||
*Initiates Admission orders | |||
*Notifies NW Provider when patient arrives |
Revision as of 09:23, 30 October 2020
Admit from ED to NW (Inpatient)
ED Provider
- After assessment and work-up, deems admission is warranted
- Contacts the NW provider to discuss admission
- Communicates with ED nursing staff that patient will be admitted
- Places the order Decision to Admit
- Completes the Admission Medication Reconciliation
ED Nursing Staff
- Communicates with NW Charge nurse that the patient will be admitted
- Verifies bed status with NW Charge nurse
- Requests Pre-Admit FIN to be entered by ED clerk
- NOTE: the Pre-Admit FIN can be accessed in First Net and Power Chart by changing the location in the blue banner bar
- Calls report to NW RN
NW Provider
- Accesses the patient’s chart, finding the newly created Pre-Admit FIN (NOTE: orders must be entered from the correct FIN)
- Places admitting diagnosis on the encounter
- Enters the admission Power Plan: MED Adult Admission, PED Pediatric Admission, or MED Adult Admission Holding Orders
- NOTE: the ED Provider may, at times, enter the MED Adult Admission Holding Orders
- Selects “Plan for Later” when signing the Power Plan
- Completes the Admission Medication Reconciliation AFTER the transfer is complete
- Informs NW RN the orders are entered
NW RN
- Receives report from ED RN
- Requests NW clerk contact Registration to change the Pre-Admit FIN to Inpatient FIN (communicating the patient’s room number)
- Initiates Admission orders
- Notifies NW Provider when patient arrives
Admit from Outpatient (Ambulatory) to NW
Outpatient Provider
- Assesses/evaluates the patient and deems admission is warranted
- Contacts NW Provider to discuss admission
- Communicates with OP Clinic/Charge RN
- Completes the Outpatient Medication Reconciliation
OP Clinic/Charge RN
- Communicates with NW Charge nurse that the patient will be admitted
- Verifies bed status with NW Charge nurse
- Requests Pre-Admit FIN to be entered by Outpatient clerk
- Calls report to NW RN
NW Provider
- Accesses the patient’s chart, finding the newly created Pre-Admit FIN (NOTE: orders must be entered from the correct FIN)
- Places admitting diagnosis on the encounter
- Enters the admission Power Plan: MED Adult Admission, PED Pediatric Admission, or MED Adult Admission Holding Orders
- Selects “Plan for Later” when signing the Power Plan
- Informs NW RN the orders are entered
- Completes the Admission Medication Reconciliation AFTER the transfer is complete
NW RN
- Receives report from Outpatient RN
- Requests NW clerk contact Registration to change the Pre-Admit FIN to Inpatient FIN (communicating the patient’s room number)
- Initiates Admission orders
- Notifies NW Provider when patient arrives
Admit from OB Triage to OB Inpatient
OB Provider
- Places admitting diagnosis on encounter (NOTE: uses the same FIN as in OB Triage)
- Enters Admission Power Plan: OB Labor and Delivery Admit and OB Postpartum
- Selects “Plan for Later” when signing the Power Plan
- Informs OB RN the orders are entered
- Completes the Admission Medication Reconciliation AFTER the transfer is complete
OB RN
- Requests NW clerk contact Registration to communicate the admission and the patient’s room number
- Initiates Admission orders
Direct Admit to NW
NOTE: Patients may be directly admitted from ANMC, the village, or another health care facility
NW Provider
- Has been in contact with a provider regarding the admission
- Accepts the admission directly
- Accesses the patient’s chart, finding the newly created Pre-Admit FIN (NOTE: orders must be entered from the correct FIN)
- Places admitting diagnosis on the encounter
- Enters the admission Power Plan: MED Adult Admission, PED Pediatric Admission, or MED Adult Admission Holding Orders
- Selects “Plan for Later” when signing the Power Plan
- Informs NW RN the orders are entered
- Completes the Admission Medication Reconciliation AFTER the transfer is complete
NW RN
- Receives report from RN at transferring facility
- Requests NW clerk contact Registration to create a Pre-Admit FIN
- After the patient arrives, requests NW clerk contact Registration to change the Pre-Admit FIN to Inpatient FIN (communicating the patient’s room number)
- Initiates Admission orders
- Notifies NW Provider when patient arrives