https://yk-health.org/index.php?title=INTRA_and_INTERhospital_Transfers&feed=atom&action=historyINTRA and INTERhospital Transfers - Revision history2024-03-28T18:16:10ZRevision history for this page on the wikiMediaWiki 1.39.5https://yk-health.org/index.php?title=INTRA_and_INTERhospital_Transfers&diff=7094&oldid=prevJenniferH: /* Direct Admit to NW */2020-11-19T06:40:50Z<p><span dir="auto"><span class="autocomment">Direct Admit to NW</span></span></p>
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<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>*Places admitting diagnosis on the encounter</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>*Places admitting diagnosis on the encounter</div></td></tr>
<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>*Order "Admit to Inpatient or Observation"</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>*Order "Admit to Inpatient or Observation"</div></td></tr>
<tr><td colspan="2" class="diff-side-deleted"></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins style="font-weight: bold; text-decoration: none;">[[file:Admit_to_order.png|300px]]</ins></div></td></tr>
<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>*Enters the admission Power Plan: MED Adult Admission, PED Pediatric Admission, or MED Adult Admission Holding Orders</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>*Enters the admission Power Plan: MED Adult Admission, PED Pediatric Admission, or MED Adult Admission Holding Orders</div></td></tr>
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</table>JenniferHhttps://yk-health.org/index.php?title=INTRA_and_INTERhospital_Transfers&diff=7093&oldid=prevJenniferH: /* Admit from Outpatient (Ambulatory) to NW */2020-11-19T06:40:32Z<p><span dir="auto"><span class="autocomment">Admit from Outpatient (Ambulatory) to NW</span></span></p>
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<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>*Order "Admit to Inpatient or Observation"</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>*Order "Admit to Inpatient or Observation"</div></td></tr>
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<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>*Enter the admission Power Plan: MED Adult Admission, PED Pediatric Admission, or MED Adult Admission Holding Orders</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>*Enter the admission Power Plan: MED Adult Admission, PED Pediatric Admission, or MED Adult Admission Holding Orders</div></td></tr>
<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>[[file:Admission_Orders.png|border|300px]]</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>[[file:Admission_Orders.png|border|300px]]</div></td></tr>
</table>JenniferHhttps://yk-health.org/index.php?title=INTRA_and_INTERhospital_Transfers&diff=7092&oldid=prevJenniferH: /* Admit from ED to NW (Inpatient) */2020-11-19T06:39:54Z<p><span dir="auto"><span class="autocomment">Admit from ED to NW (Inpatient)</span></span></p>
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<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>*Order "Admit to Inpatient or [[Observation Status|Observation]]"</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>*Order "Admit to Inpatient or [[Observation Status|Observation]]"</div></td></tr>
<tr><td colspan="2" class="diff-side-deleted"></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins style="font-weight: bold; text-decoration: none;">[[file:Admit_to_order.png|300px]]</ins></div></td></tr>
<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>*Enter the admission Power Plan: MED Adult Admission, PED Pediatric Admission, or MED Adult Admission Holding Orders</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>*Enter the admission Power Plan: MED Adult Admission, PED Pediatric Admission, or MED Adult Admission Holding Orders</div></td></tr>
<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>**NOTE: the ED Provider may, at times, enter the MED Adult Admission Holding Orders</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>**NOTE: the ED Provider may, at times, enter the MED Adult Admission Holding Orders</div></td></tr>
</table>JenniferHhttps://yk-health.org/index.php?title=INTRA_and_INTERhospital_Transfers&diff=6867&oldid=prevJenniferH: /* Admit from ED to NW (Inpatient) */2020-11-10T21:52:54Z<p><span dir="auto"><span class="autocomment">Admit from ED to NW (Inpatient)</span></span></p>
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<td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">Revision as of 21:52, 10 November 2020</td>
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<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>*Accesses the patient’s chart, finding the newly created Pre-Admit FIN (NOTE: orders must be entered from the correct FIN)</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>*Accesses the patient’s chart, finding the newly created Pre-Admit FIN (NOTE: orders must be entered from the correct FIN)</div></td></tr>
<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>*Places admitting diagnosis on the encounter</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>*Places admitting diagnosis on the encounter</div></td></tr>
<tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>*Order "Admit to Inpatient or Observation"</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>*Order "Admit to Inpatient or <ins style="font-weight: bold; text-decoration: none;">[[</ins>Observation <ins style="font-weight: bold; text-decoration: none;">Status|Observation]]</ins>"</div></td></tr>
<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>*Enter the admission Power Plan: MED Adult Admission, PED Pediatric Admission, or MED Adult Admission Holding Orders</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>*Enter the admission Power Plan: MED Adult Admission, PED Pediatric Admission, or MED Adult Admission Holding Orders</div></td></tr>
<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>**NOTE: the ED Provider may, at times, enter the MED Adult Admission Holding Orders</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>**NOTE: the ED Provider may, at times, enter the MED Adult Admission Holding Orders</div></td></tr>
</table>JenniferHhttps://yk-health.org/index.php?title=INTRA_and_INTERhospital_Transfers&diff=6851&oldid=prevJenniferH: /* Transferring a Patient from clinic/inpatient/Emergency Department to Anchorage via Commercial Flight or Medevac */2020-11-10T20:56:48Z<p><span dir="auto"><span class="autocomment">Transferring a Patient from clinic/inpatient/Emergency Department to Anchorage via Commercial Flight or Medevac</span></span></p>
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<td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">Revision as of 20:56, 10 November 2020</td>
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<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>#For patients who are traveling via commercial flight to Anchorage, the provider can authorize this travel if the patient does not have Medicaid or a means to pay for travel. [[Media:YK pay.pdf|See Preauthorized Travel]]</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>#For patients who are traveling via commercial flight to Anchorage, the provider can authorize this travel if the patient does not have Medicaid or a means to pay for travel. [[Media:YK pay.pdf|See Preauthorized Travel]]</div></td></tr>
<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>#'''''Always keep patient/caregiver informed of status of situation.'''''</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>#'''''Always keep patient/caregiver informed of status of situation.'''''</div></td></tr>
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<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr>
<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>[[:Category:Outpatient|Outpatient Main Page]]</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>[[:Category:Outpatient|Outpatient Main Page]]</div></td></tr>
<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div><br/>[[:Category:Pediatrics|Pediatrics Main Page]]</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div><br/>[[:Category:Pediatrics|Pediatrics Main Page]]</div></td></tr>
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</table>JenniferHhttps://yk-health.org/index.php?title=INTRA_and_INTERhospital_Transfers&diff=6850&oldid=prevJenniferH: /* Transferring a Patient from clinic/inpatient/Emergency Department to Anchorage via Commercial Flight or Medevac */2020-11-10T20:55:12Z<p><span dir="auto"><span class="autocomment">Transferring a Patient from clinic/inpatient/Emergency Department to Anchorage via Commercial Flight or Medevac</span></span></p>
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<td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">Revision as of 20:55, 10 November 2020</td>
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<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>#'''Contact accepting facility'''. ANMC/Providence contact appropriate on call service. (e.g.: the surgeons take all trauma patients, the intensivists take all intubated patients, etc.) Once you have obtained an accepting physician initiate transport. Remember if you are transferring a native patient to a non-native facility you will need to obtain approval from contract health at ANMC. </div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>#'''Contact accepting facility'''. ANMC/Providence contact appropriate on call service. (e.g.: the surgeons take all trauma patients, the intensivists take all intubated patients, etc.) Once you have obtained an accepting physician initiate transport. Remember if you are transferring a native patient to a non-native facility you will need to obtain approval from contract health at ANMC. </div></td></tr>
<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>#All patients who require medevac to ANMC go by LifeMed, the air ambulance service that is 50% owned by YKHC and 50% by Providence Hospital in Anchorage. You have to activate this service as soon as you have an accepting doc at ANMC. ANMC uses Guardian for their air ambulance service, but you must use LifeMed, unless the LifeMed service is busy and you believe that delaying the transport until a LifeMed flight is available would be unsafe for the patient.</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>#All patients who require medevac to ANMC go by LifeMed, the air ambulance service that is 50% owned by YKHC and 50% by Providence Hospital in Anchorage. You have to activate this service as soon as you have an accepting doc at ANMC. ANMC uses Guardian for their air ambulance service, but you must use LifeMed, unless the LifeMed service is busy and you believe that delaying the transport until a LifeMed flight is available would be unsafe for the patient.</div></td></tr>
<tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>#If patient is stable, contact our travel office and complete a patient transport order form. Have parent sign a consent to transfer patient and discuss risk/benefit. If commercial flights are full and no charter available for a few days, the decision might be made to [[:Category:Medevacs and Transport#Medevac Activation Process| transfer by Medevac]].</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>#<ins style="font-weight: bold; text-decoration: none;">'''</ins>If patient is <ins style="font-weight: bold; text-decoration: none;">''</ins>stable<ins style="font-weight: bold; text-decoration: none;">'''''</ins>, contact our travel office and complete a patient transport order form. Have parent sign a consent to transfer patient and discuss risk/benefit. If commercial flights are full and no charter available for a few days, the decision might be made to [[:Category:Medevacs and Transport#Medevac Activation Process| transfer by Medevac]].</div></td></tr>
<tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>#If patient is unstable, activate Rapid Response or Code Blue as appropriate and initiate [[:Category:Medevacs and Transport#Medevac Activation Process|transfer via Medevac]]. Patient will need to be transferred to ER until transport arrives. See [[INTRA and INTERhospital Transfers#Transfer from Ambulatory to ED|Transfer from Ambulatory to ED]] and [[INTRA and INTERhospital Transfers#Critical Care Transfers between Inpatient Ward and ED|Critical Care Transfers between Inpatient Ward and ED]].</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>#<ins style="font-weight: bold; text-decoration: none;">'''</ins>If patient is <ins style="font-weight: bold; text-decoration: none;">''</ins>unstable<ins style="font-weight: bold; text-decoration: none;">'''''</ins>, activate Rapid Response or Code Blue as appropriate and initiate [[:Category:Medevacs and Transport#Medevac Activation Process|transfer via Medevac]]. Patient will need to be transferred to ER until transport arrives. See [[INTRA and INTERhospital Transfers#Transfer from Ambulatory to ED|Transfer from Ambulatory to ED]] and [[INTRA and INTERhospital Transfers#Critical Care Transfers between Inpatient Ward and ED|Critical Care Transfers between Inpatient Ward and ED]].</div></td></tr>
<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>#'''Complete Raven note / transfer summary''' with pertinent details.</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>#'''Complete Raven note / transfer summary''' with pertinent details.</div></td></tr>
<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>#'''Obtain all radiological images''' on disk from radiology department.</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>#'''Obtain all radiological images''' on disk from radiology department.</div></td></tr>
</table>JenniferHhttps://yk-health.org/index.php?title=INTRA_and_INTERhospital_Transfers&diff=6849&oldid=prevJenniferH: /* Transferring a Patient from clinic/inpatient/Emergency Department to Anchorage via Commercial Flight or Medevac */2020-11-10T20:54:24Z<p><span dir="auto"><span class="autocomment">Transferring a Patient from clinic/inpatient/Emergency Department to Anchorage via Commercial Flight or Medevac</span></span></p>
<table style="background-color: #fff; color: #202122;" data-mw="interface">
<col class="diff-marker" />
<col class="diff-content" />
<col class="diff-marker" />
<col class="diff-content" />
<tr class="diff-title" lang="en">
<td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">← Older revision</td>
<td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">Revision as of 20:54, 10 November 2020</td>
</tr><tr><td colspan="2" class="diff-lineno" id="mw-diff-left-l239">Line 239:</td>
<td colspan="2" class="diff-lineno">Line 239:</td></tr>
<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>#If patient is stable, contact our travel office and complete a patient transport order form. Have parent sign a consent to transfer patient and discuss risk/benefit. If commercial flights are full and no charter available for a few days, the decision might be made to [[:Category:Medevacs and Transport#Medevac Activation Process| transfer by Medevac]].</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>#If patient is stable, contact our travel office and complete a patient transport order form. Have parent sign a consent to transfer patient and discuss risk/benefit. If commercial flights are full and no charter available for a few days, the decision might be made to [[:Category:Medevacs and Transport#Medevac Activation Process| transfer by Medevac]].</div></td></tr>
<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>#If patient is unstable, activate Rapid Response or Code Blue as appropriate and initiate [[:Category:Medevacs and Transport#Medevac Activation Process|transfer via Medevac]]. Patient will need to be transferred to ER until transport arrives. See [[INTRA and INTERhospital Transfers#Transfer from Ambulatory to ED|Transfer from Ambulatory to ED]] and [[INTRA and INTERhospital Transfers#Critical Care Transfers between Inpatient Ward and ED|Critical Care Transfers between Inpatient Ward and ED]].</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>#If patient is unstable, activate Rapid Response or Code Blue as appropriate and initiate [[:Category:Medevacs and Transport#Medevac Activation Process|transfer via Medevac]]. Patient will need to be transferred to ER until transport arrives. See [[INTRA and INTERhospital Transfers#Transfer from Ambulatory to ED|Transfer from Ambulatory to ED]] and [[INTRA and INTERhospital Transfers#Critical Care Transfers between Inpatient Ward and ED|Critical Care Transfers between Inpatient Ward and ED]].</div></td></tr>
<tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>#Complete Raven note / transfer summary with pertinent details.</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>#<ins style="font-weight: bold; text-decoration: none;">'''</ins>Complete Raven note / transfer summary<ins style="font-weight: bold; text-decoration: none;">''' </ins>with pertinent details.</div></td></tr>
<tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>#Obtain all radiological images on disk from radiology department.</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>#<ins style="font-weight: bold; text-decoration: none;">'''</ins>Obtain all radiological images<ins style="font-weight: bold; text-decoration: none;">''' </ins>on disk from radiology department.</div></td></tr>
<tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>#Complete a [[media:ptos.pdf|Patient Transport Form (PTO)]] with all appropriate signatures.</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>#<ins style="font-weight: bold; text-decoration: none;">'''</ins>Complete a [[media:ptos.pdf|Patient Transport Form (PTO)]]<ins style="font-weight: bold; text-decoration: none;">''' </ins>with all appropriate signatures.</div></td></tr>
<tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>#Complete a paper consent for transfer if sending by medevac, signed by you and the patient. </div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>#<ins style="font-weight: bold; text-decoration: none;">'''</ins>Complete a paper consent for transfer<ins style="font-weight: bold; text-decoration: none;">''' </ins>if sending by medevac, signed by you and the patient. </div></td></tr>
<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>#Remind clerk to print out all Raven documents and labs and place in transfer packet.</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>#Remind clerk to print out all Raven documents and labs and place in transfer packet.</div></td></tr>
<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>#If the patient’s condition changes, call and update the accepting doc (for example if you have to intubate the patient, let them know because this affects where the patient can go.)</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>#If the patient’s condition changes, call and update the accepting doc (for example if you have to intubate the patient, let them know because this affects where the patient can go.)</div></td></tr>
<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>#For patients who are traveling via commercial flight to Anchorage, the provider can authorize this travel if the patient does not have Medicaid or a means to pay for travel. [[Media:YK pay.pdf|See Preauthorized Travel]]</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>#For patients who are traveling via commercial flight to Anchorage, the provider can authorize this travel if the patient does not have Medicaid or a means to pay for travel. [[Media:YK pay.pdf|See Preauthorized Travel]]</div></td></tr>
<tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>#Always keep patient/caregiver informed of status of situation.</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>#<ins style="font-weight: bold; text-decoration: none;">'''''</ins>Always keep patient/caregiver informed of status of situation.<ins style="font-weight: bold; text-decoration: none;">'''''</ins></div></td></tr>
<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr>
<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>[[:Category:Outpatient|Outpatient Main Page]]</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>[[:Category:Outpatient|Outpatient Main Page]]</div></td></tr>
<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div><br/>[[:Category:Pediatrics|Pediatrics Main Page]]</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div><br/>[[:Category:Pediatrics|Pediatrics Main Page]]</div></td></tr>
<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div><br/>[[:Category:Emergency Room|Emergency Department Main Page]]</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div><br/>[[:Category:Emergency Room|Emergency Department Main Page]]</div></td></tr>
</table>JenniferHhttps://yk-health.org/index.php?title=INTRA_and_INTERhospital_Transfers&diff=6848&oldid=prevJenniferH: /* Transferring a Patient from clinic/inpatient/Emergency Department to Anchorage via Commercial Flight or Medevac */2020-11-10T20:53:08Z<p><span dir="auto"><span class="autocomment">Transferring a Patient from clinic/inpatient/Emergency Department to Anchorage via Commercial Flight or Medevac</span></span></p>
<table style="background-color: #fff; color: #202122;" data-mw="interface">
<col class="diff-marker" />
<col class="diff-content" />
<col class="diff-marker" />
<col class="diff-content" />
<tr class="diff-title" lang="en">
<td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">← Older revision</td>
<td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">Revision as of 20:53, 10 November 2020</td>
</tr><tr><td colspan="2" class="diff-lineno" id="mw-diff-left-l238">Line 238:</td>
<td colspan="2" class="diff-lineno">Line 238:</td></tr>
<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>#All patients who require medevac to ANMC go by LifeMed, the air ambulance service that is 50% owned by YKHC and 50% by Providence Hospital in Anchorage. You have to activate this service as soon as you have an accepting doc at ANMC. ANMC uses Guardian for their air ambulance service, but you must use LifeMed, unless the LifeMed service is busy and you believe that delaying the transport until a LifeMed flight is available would be unsafe for the patient.</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>#All patients who require medevac to ANMC go by LifeMed, the air ambulance service that is 50% owned by YKHC and 50% by Providence Hospital in Anchorage. You have to activate this service as soon as you have an accepting doc at ANMC. ANMC uses Guardian for their air ambulance service, but you must use LifeMed, unless the LifeMed service is busy and you believe that delaying the transport until a LifeMed flight is available would be unsafe for the patient.</div></td></tr>
<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>#If patient is stable, contact our travel office and complete a patient transport order form. Have parent sign a consent to transfer patient and discuss risk/benefit. If commercial flights are full and no charter available for a few days, the decision might be made to [[:Category:Medevacs and Transport#Medevac Activation Process| transfer by Medevac]].</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>#If patient is stable, contact our travel office and complete a patient transport order form. Have parent sign a consent to transfer patient and discuss risk/benefit. If commercial flights are full and no charter available for a few days, the decision might be made to [[:Category:Medevacs and Transport#Medevac Activation Process| transfer by Medevac]].</div></td></tr>
<tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>#If patient is unstable, activate Rapid Response or Code Blue as appropriate and initiate [[:Category:Medevacs and Transport#Medevac Activation Process|transfer via Medevac]]. Patient will need to be transferred to ER until transport arrives. See <del style="font-weight: bold; text-decoration: none;">transfer </del>to <del style="font-weight: bold; text-decoration: none;">ER section</del>.</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>#If patient is unstable, activate Rapid Response or Code Blue as appropriate and initiate [[:Category:Medevacs and Transport#Medevac Activation Process|transfer via Medevac]]. Patient will need to be transferred to ER until transport arrives. See <ins style="font-weight: bold; text-decoration: none;">[[INTRA and INTERhospital Transfers#Transfer from Ambulatory </ins>to <ins style="font-weight: bold; text-decoration: none;">ED|Transfer from Ambulatory to ED]] and [[INTRA and INTERhospital Transfers#Critical Care Transfers between Inpatient Ward and ED|Critical Care Transfers between Inpatient Ward and ED]]</ins>.</div></td></tr>
<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>#Complete Raven note / transfer summary with pertinent details.</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>#Complete Raven note / transfer summary with pertinent details.</div></td></tr>
<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>#Obtain all radiological images on disk from radiology department.</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>#Obtain all radiological images on disk from radiology department.</div></td></tr>
</table>JenniferHhttps://yk-health.org/index.php?title=INTRA_and_INTERhospital_Transfers&diff=6847&oldid=prevJenniferH: /* Transferring a Patient from clinic/inpatient/Emergency Department to Anchorage via Commercial Flight or Medevac */2020-11-10T20:50:22Z<p><span dir="auto"><span class="autocomment">Transferring a Patient from clinic/inpatient/Emergency Department to Anchorage via Commercial Flight or Medevac</span></span></p>
<table style="background-color: #fff; color: #202122;" data-mw="interface">
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<col class="diff-content" />
<col class="diff-marker" />
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<tr class="diff-title" lang="en">
<td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">← Older revision</td>
<td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">Revision as of 20:50, 10 November 2020</td>
</tr><tr><td colspan="2" class="diff-lineno" id="mw-diff-left-l238">Line 238:</td>
<td colspan="2" class="diff-lineno">Line 238:</td></tr>
<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>#All patients who require medevac to ANMC go by LifeMed, the air ambulance service that is 50% owned by YKHC and 50% by Providence Hospital in Anchorage. You have to activate this service as soon as you have an accepting doc at ANMC. ANMC uses Guardian for their air ambulance service, but you must use LifeMed, unless the LifeMed service is busy and you believe that delaying the transport until a LifeMed flight is available would be unsafe for the patient.</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>#All patients who require medevac to ANMC go by LifeMed, the air ambulance service that is 50% owned by YKHC and 50% by Providence Hospital in Anchorage. You have to activate this service as soon as you have an accepting doc at ANMC. ANMC uses Guardian for their air ambulance service, but you must use LifeMed, unless the LifeMed service is busy and you believe that delaying the transport until a LifeMed flight is available would be unsafe for the patient.</div></td></tr>
<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>#If patient is stable, contact our travel office and complete a patient transport order form. Have parent sign a consent to transfer patient and discuss risk/benefit. If commercial flights are full and no charter available for a few days, the decision might be made to [[:Category:Medevacs and Transport#Medevac Activation Process| transfer by Medevac]].</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>#If patient is stable, contact our travel office and complete a patient transport order form. Have parent sign a consent to transfer patient and discuss risk/benefit. If commercial flights are full and no charter available for a few days, the decision might be made to [[:Category:Medevacs and Transport#Medevac Activation Process| transfer by Medevac]].</div></td></tr>
<tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>#If patient is unstable, activate Rapid Response or Code Blue as appropriate and [[:Category:Medevacs and Transport#Medevac Activation Process|<del style="font-weight: bold; text-decoration: none;">initiate </del>transfer via Medevac]]. Patient will need to be transferred to ER until transport arrives. See transfer to ER section.</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>#If patient is unstable, activate Rapid Response or Code Blue as appropriate and <ins style="font-weight: bold; text-decoration: none;">initiate </ins>[[:Category:Medevacs and Transport#Medevac Activation Process|transfer via Medevac]]. Patient will need to be transferred to ER until transport arrives. See transfer to ER section.</div></td></tr>
<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>#Complete Raven note / transfer summary with pertinent details.</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>#Complete Raven note / transfer summary with pertinent details.</div></td></tr>
<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>#Obtain all radiological images on disk from radiology department.</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>#Obtain all radiological images on disk from radiology department.</div></td></tr>
</table>JenniferHhttps://yk-health.org/index.php?title=INTRA_and_INTERhospital_Transfers&diff=6846&oldid=prevJenniferH: /* Transferring a Patient from clinic/inpatient/Emergency Department to Anchorage via Commercial Flight or Medevac */2020-11-10T20:49:40Z<p><span dir="auto"><span class="autocomment">Transferring a Patient from clinic/inpatient/Emergency Department to Anchorage via Commercial Flight or Medevac</span></span></p>
<table style="background-color: #fff; color: #202122;" data-mw="interface">
<col class="diff-marker" />
<col class="diff-content" />
<col class="diff-marker" />
<col class="diff-content" />
<tr class="diff-title" lang="en">
<td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">← Older revision</td>
<td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">Revision as of 20:49, 10 November 2020</td>
</tr><tr><td colspan="2" class="diff-lineno" id="mw-diff-left-l235">Line 235:</td>
<td colspan="2" class="diff-lineno">Line 235:</td></tr>
<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>==Transferring a Patient from clinic/inpatient/Emergency Department to Anchorage via Commercial Flight or Medevac==</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>==Transferring a Patient from clinic/inpatient/Emergency Department to Anchorage via Commercial Flight or Medevac==</div></td></tr>
<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>see [[:Category:Medevacs and Transport|Medevacs and Transport]] for full details.</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>see [[:Category:Medevacs and Transport|Medevacs and Transport]] for full details.</div></td></tr>
<tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>#Contact accepting facility. ANMC/Providence contact appropriate on call service. (e.g.: the surgeons take all trauma patients, the intensivists take all intubated patients, etc.) Once you have obtained an accepting physician initiate transport. Remember if you are transferring a native patient to a non-native facility you will need to obtain approval from contract health at ANMC. </div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>#<ins style="font-weight: bold; text-decoration: none;">'''</ins>Contact accepting facility<ins style="font-weight: bold; text-decoration: none;">'''</ins>. ANMC/Providence contact appropriate on call service. (e.g.: the surgeons take all trauma patients, the intensivists take all intubated patients, etc.) Once you have obtained an accepting physician initiate transport. Remember if you are transferring a native patient to a non-native facility you will need to obtain approval from contract health at ANMC. </div></td></tr>
<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>#All patients who require medevac to ANMC go by LifeMed, the air ambulance service that is 50% owned by YKHC and 50% by Providence Hospital in Anchorage. You have to activate this service as soon as you have an accepting doc at ANMC. ANMC uses Guardian for their air ambulance service, but you must use LifeMed, unless the LifeMed service is busy and you believe that delaying the transport until a LifeMed flight is available would be unsafe for the patient.</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>#All patients who require medevac to ANMC go by LifeMed, the air ambulance service that is 50% owned by YKHC and 50% by Providence Hospital in Anchorage. You have to activate this service as soon as you have an accepting doc at ANMC. ANMC uses Guardian for their air ambulance service, but you must use LifeMed, unless the LifeMed service is busy and you believe that delaying the transport until a LifeMed flight is available would be unsafe for the patient.</div></td></tr>
<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>#If patient is stable, contact our travel office and complete a patient transport order form. Have parent sign a consent to transfer patient and discuss risk/benefit. If commercial flights are full and no charter available for a few days, the decision might be made to [[:Category:Medevacs and Transport#Medevac Activation Process| transfer by Medevac]].</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>#If patient is stable, contact our travel office and complete a patient transport order form. Have parent sign a consent to transfer patient and discuss risk/benefit. If commercial flights are full and no charter available for a few days, the decision might be made to [[:Category:Medevacs and Transport#Medevac Activation Process| transfer by Medevac]].</div></td></tr>
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<td colspan="2" class="diff-lineno">Line 241:</td></tr>
<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>#Complete Raven note / transfer summary with pertinent details.</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>#Complete Raven note / transfer summary with pertinent details.</div></td></tr>
<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>#Obtain all radiological images on disk from radiology department.</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>#Obtain all radiological images on disk from radiology department.</div></td></tr>
<tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>#Complete Patient <del style="font-weight: bold; text-decoration: none;">Transfer form </del>(<del style="font-weight: bold; text-decoration: none;">PTOS</del>) with all appropriate signatures.</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>#Complete <ins style="font-weight: bold; text-decoration: none;">a [[media:ptos.pdf|</ins>Patient <ins style="font-weight: bold; text-decoration: none;">Transport Form </ins>(<ins style="font-weight: bold; text-decoration: none;">PTO</ins>)<ins style="font-weight: bold; text-decoration: none;">]] </ins>with all appropriate signatures.</div></td></tr>
<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>#Complete a paper consent for transfer if sending by medevac, signed by you and the patient. </div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>#Complete a paper consent for transfer if sending by medevac, signed by you and the patient. </div></td></tr>
<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>#Remind clerk to print out all Raven documents and labs and place in transfer packet.</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>#Remind clerk to print out all Raven documents and labs and place in transfer packet.</div></td></tr>
</table>JenniferH