Workflow for Patient Transfer with an Account Change

Medical or Surgical to Rehab,  MHU to Medical,  Rehab to LTC etc.

NOT between Departments with same Account ( Medical to CCU )

Or (Inpt ER to Inpt Med/Surg/CCU)

                                                  The Sending MD opens Discharge Routine and selects Discharge Transfer

                                                       They would select the Department the patient will be going to.

The Sending MD would then reconcile the current orders on the patient

Reconciling the Home Meds and the Current Active Meds for the Transfer

The Sending MD would then select Add New orders and complete the ADMIT REHAB order set 

Selecting the Receiving Department and Accepting MD in the appropriate sections

and any additional orders within the order set

On the Pt’s Status Board, the nurse will see the pending DC Transfer and should leave the Acknowledge order for the receiving nurse to complete

** At the point, The Sending Nurse and MD should complete all Documentation. Med Admin, and Assessments before the Acute Chart will be closed by Registration **

** The Sending Nurse and Receiving Nurse will communicate and ensure the receiving bed is clean and ready to transfer the patient to the new unit**

** When Porter is transferring the patient up to the new department, this is the time to call Registration to ask them to close their “old” account and open the new account under the new MD in their new bed ** 

Once the patient’s new REHAB Account is created, it now appears on the Accepting MD’s patient’s list, they will

click on either of the two areas below to see the Transfer Orders and to Process them.

They will see the pending Yellow Flag and can either Preview the Orders or Reconcile them and change anything he/she would want at this point then enter their PIN.

From a nursing point of view, the receiving nurse now can see on their status board that all the info the patient had prior to the transfer, has moved over to the new chart. Including Code Status, Special Indicators, Isolation, Meds, Etc.  The pt’s account number is now changed to reflect the change in departments. The receiving nurse will click on Ack-Meds to acknowledge and be aware of the transfer orders. * Pharmacy will be alerted to verify the meds as well.

The last thing the receiving nurse would need to do is add the new department’s SOC to the worklist to access the appropriate Interventions.

END OF PROCESS

Please also refer to the following YouTube Video on this process.

https://www.youtube.com/watch?v=L8oCzCYtXWk