Pending Transfers
Pending Transfers
Patient who has been accepted as a transfer to another inpatient facility pending transport and/or bed availability
Accepting facility, name of accepting attending and anticipated time of transfer established with First Call
Delay in transfer such that transfer directly from main ED not imminent
Patient / POA is in agreement with anticipated transfer
Level of nursing care outside of scope of CDU Nursing (IMC or ICU level care)
Titratable drips, PCA or other interventions needed prior to transfer not possible in CDU
Hemodynamic Instability
Psych facility transfers (stay in main ED)
Clear documentation of:
Diagnosis
Accepting facility name
Accepting attending physician name
Anticipated date/time of transfer
Recommendations from accepting attending for treatments and diagnositics while awaiting transfer
CDU Provider to stay in regular communication with First Call for transfer updates
Usual CDU orders including home meds, diet, PRNs etc
Telemetry, Pulse ox or any other monitoring as indicated by patient condition
Disposition
Bed available and transport available for transfer
Patient remains stable for transfer
Condition has resolved and patient can be discharged, only after discussing with accepting facility and their agreement.
Patient no longer stable for transfer (admit)
Transfer not imminent after 24 hours in CDU (admit)
Patient develops need for higher level of care while awaiting transfer (admit)
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