INTRA and INTERhospital Transfers

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