Admission Bed Request Order- (Handout) An Admission Bed Request order, that includes level of care, is required before Bed Planning to a UI Healthcare unit can occur. Providers are responsible for placing this order, but in the event the provider cannot place the order in a timely fashion, the ATC Nurse can accept a verbal order to initiate the placement of the Admission Bed Request order.
Admission Bed Request - Ambulatory Clinics- (Handout) When a UIHC ambulatory clinic provider determines that a patient requires admission to the UIHC, an Admission Bed Request order with level of care is required before Bed Planning to a UI Healthcare unit can occur. The bed request order will trigger the Admission & Transfer Center (ATC) to find a bed for the patient.
Canceling a Bed Hold- (Handout) ATC staff can cancel a bed hold if a patient is not going to return to their current unit following a procedure. The unit will call the ATC and request that they cancel the ‘Hold Old Bed’ so that it can be made available for expected admissions or transfer.
Changing EVS Bed Cleaning Request to Stat- (Handout) When a unit would like to update a normal priority bed cleaning request to a Stat priority cleaning, the NUC or RN will call the ATC.
Code STEMI Workflow- (Handout) Admission and Transfer Center staff will receive calls for Code STEMI patients transferring from outside facilities that need to be bed planned to the Cath Lab and to CVICU.
Direct Admission Workflows- (Handout) Use the Transfer Center activity to document intake steps involved with a patient coming from an outside facility (or home) to a UIHC inpatient unit. This document addresses the general, ICU, Psych, and stroke workflows.
- (Handout) Use the Transfer Center activity to document intake steps involved with a patient coming from an outside facility (or home) to a UIHC inpatient unit. This document addresses the Labor & Delivery workflow.
ED Transfer to Inpatient via Bed Request Order- (Handout) When an ED provider places a bed request order, a Pending Intake is created and internal triage can be completed before the request moves to Bed Planning.
Emergent Admission- (Handout) ATC may receive calls from an Ambulatory unit or an HOD when a patient requires an immediate admission to an Intensive Care Unit (ICU). The ATC will complete the admission regardless if the patient is physically on the unit yet.
Emergent Unit to Unit Transfer- (Handout) Inpatient units will call the ATC when they receive an emergent transfer to their unit before a bed request for a unit to unit transfer is entered in Epic.
Entering a New Preadmission- (Handout) A preadmission is entered in Epic with the New Preadmission Questionnaire. Use the following steps to Create, Update, and Delete it.
HOD Admit- (Handout) When either a procedure is scheduled to the DDC Procedure Suite, or a provider places a Bed Request Order during an appointment in an HOD (Hospital Outpatient Department) area, the ATC staff will add a Level of Care order and pre-assign to the unit.
Internal Transfer with Triage Workflow- (Handout) Transfer requests for patients moving from some locations (ICUs, 5South, 3BT) to a General or Intermediate Care unit within UIHC will populate both the Bed Planning and Transfer Center activities. The bed can be preassigned but the actual patient transfer will not occur until ATC has completed the Triage.
OpTime Bed Request- (Handout) If a procedure patient was to be discharged from recovery, but it is later determined that the patient requires hospitalization or observation after surgery, submit a bed request.
Planned Admits- (Handout) A pending preadmission will be placed by front desk staff when it has been determined that a patient needs to be admitted. These patients will be found in the Direct Admits group of Bed Planning.
Procedure Admits- (Handout) Scheduled procedures will be monitored for bed planning needs. The Admission and Transfer Center staff will assign levels of care for all procedure patients and bed plan for patients who require a bed after surgical procedures (PreOp and Same Day Admit). Hospital Outpatient Surgery patients can be planned to the areas scheduled to perform the procedure.
Process for GIP Hospice Conversion- (Handout) The Admission and Transfer Center will be notified to convert current inpatient admissions to GIP Hospice admissions upon approval.
Psychiatry: Distinct Unit Transfer- (Handout) Patients transferring to and from a Psychiatric Hospital unit will require a new Admission Bed Request order. The order will create a new Pended Admission for the ATC to bed plan as appropriate.
UIHC Ambulatory Clinic Admit- (Handout) When a clinic provider places an admission bed request order on a patient they are seeing in clinic today, the request populates the Transfer Center pending tab so an internal triage can be completed before the request moves to Bed Planning.
Unit to Unit Transfer- (Handout) When a unit requests that a patient be transferred to another unit, these requests will be found in the Transfers group within Bed Planning. The ATC will determine the appropriate placement for the patient and pre-assign to the new unit.
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