INTRA and INTERhospital Transfers
From Guide to YKHC Medical Practices
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