When instructions or orders to relocate or transfer a patient are received, the Bed Management Department will be contacted for a bed assignment. PATIENT RELOCATION: Patients placed in an off service bed due to bed shortage at admission or patients desiring a different bed accommodation may be relocated if appropriate to meet the needs of the patient. This relocation may occur without a physician’s order when: care is continuing to be managed by the same medical service and the provided level of care on the unit to which they are being relocated is the same as the unit from which they transferred, (i.e., intensive care to intensive care or general unit to general unit). Patients receiving services in the Operating Room should be temporarily relocated within the electronical medical record, EMR system and current medical orders should be placed on hold. Prior to return to the bedded unit, medical orders previously placed on hold will be reviewed by the physician and any additional orders required for post-operative care entered into the electronic record. PATIENT TRANSFER: Patients transferring from one level of care to another and/or from one medical service to another require physician to physician notification, documentation of this communication in the patient record and review of current orders by the receiving physician within six hours of arrival of the patient on the receiving unit. The nursing staff will contact the attending physician if the receiving physician fails to review the orders and/or see the patient. (Refer to Clinical Programs Policy Inpatient Admissions, Discharges & Internal Transfer - MS 5.01 & Transfer of Inpatient Admissions to University Hospital - MS 5.12. ) TRANSFER PROCEDURE: As soon as bed management notifies the unit of the availability of an appropriate bed: 1. The transferring unit will provide verbal report (hand-off) to the receiving unit according to procedure 2. The nurse caring for the patient on the transferring unit will document the transfer. 3. The patient will be transported to the receiving unit with all personal items, records and individualized medications if applicable (All units except the OR and 5D utilize Pyxis/unit dose). A RN will accompany patients being transferred to or from an Intensive Care Unit. As soon as the patient arrives on the receiving unit, the nurse and/or the PSC will: 1. Assure proper identification of the patient. 2. Complete the patient transfer in the EMR. 3. Notify the physician within one hour of the patient’s arrival on the unit. 4. Document physician notification and patient status upon arrival to the unit in the medical record.
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