Future State: ED to IP Handoff Process
by Amos Andrew Formantes
1. Order for IP Admission
1.1. Barrier: Appropriate Level of Care
1.2. Order placed within EMR
2. Patient placement assigns Pt. to unit
2.1. Barrier: Wrong Unit Assigned
2.2. EMR: Tracked in Event Management System
2.2.1. EMR: Bed Assignment Board
3. Charge nurse from IP Unit assigns a room and nurse
3.1. Barrier: No available beds on unit
3.2. Barrier: No available staff
3.3. EMR: Unit Manager
4. Receiving IP Nurse obtains RPT from ED
4.1. Barrier: Calling ED and asking for report
4.2. Barrier: ED will call and ask to give report
4.3. Telephone
5. Utilization Review
5.1. Barrier: Delay in Documentation
5.2. Utilization Review conducted via CERME
6. Waitlist Process
6.1. EMR: Pt.'s prioritized via acuity
7. Staffing Management
7.1. Hiplink: Staff Paging System
8. ED Transfer Note
8.1. Autogenerated/populated via EMR
8.2. Concurrent w/ Face to Face