in STC makes decision to admit STC provider discussed admission with ward fellowattending who agre e to take admission STC provider enters in ORCHID order consult to UR entered on Infusion Center FIN ID: 657316
Download Presentation The PPT/PDF document "STC provider evaluates pt" is the property of its rightful owner. Permission is granted to download and print the materials on this web site for personal, non-commercial use only, and to display it on your personal computer provided you do not modify the materials and that you retain all copyright notices contained in the materials. By downloading content from our website, you accept the terms of this agreement.
Slide1
STC provider evaluates
pt
in STC, makes decision to admitSTC provider discussed admission with ward fellow/attending who agree to take admissionSTC provider enters in ORCHID order “consult to UR”, entered on Infusion Center FIN
UR calls back by phone to STC provider with preadmit FINSTC provider enters a “REQUEST FOR BED” order on the preadmit FIN, identifying the H/O ward team as the care team
Ward team evaluates patient in STCWard team does not enter admit orders UNTIL bed location is identified and available (ie, room is empty, cleaned, and RN ready to accept report)--- Once bed is assigned, H/O Ward team enters admit orders on preadmit FIN
STC provider informs H/O Ward team of the preadmit FIN
Ward team enters admission orders on the preadmit FIN (which is ‘flipped’ to the inpatient FIN when the patient arrives on the floorPt is transported to assigned bedAdmission orders entered on preadmit FIN are activated
Immediately upon registration in the ER, an “ER FIN” will be generatedThe preadmit FIN and all attached orders will disappearThe Infusion Center FIN and all attached orders will disappear
STC provider calls ER physician, presents case which needs to be transferred to ER, identifies the H/O Ward team as the accepting team, and does verbal handoff of any ongoing treatment plans on the Infusion FIN
Ward team waits for the ER FIN to be generated, and then writes admit orders on the ER FINWard team signs out the pt in the ER to the cross cover team
STC provider may identify additional interventions while patient is in STC before transfer (e.g., cultures, fluids, antibiotics); these orders are entered in ORCHID on Infusion Center FIN
HOWEVER: these orders will be lost the moment the Infusion Center FIN is cancelled either by (a) the activation of the preadmit FIN (which happens at admission) or (b) transfer of the patient to the ER and generation of an ER FIN
Ward team does this:
STC team does this:
Ward Team may identify additional interventions while patient is in STC before transfer (e.g., cultures, fluids, antibiotics); these orders are entered in ORCHID on Infusion Center FIN
If a bed is not assigned by 3 pm, the patient will be transported from STC to the ER
If patient is sent to ER:
If patient is sent to floor:
Handoff check list:
Orders for blood tests, cultures, and/or imaging studies ordered in STC on
infusion Center FIN: were they done?Any critical signs/symptoms/VS which need monitoring? e.g. did the tachycardia respond to IV fluid bolus?Does the floor RN see all of the medication orders? The floor RN’s cannot see medications started in STC or prior MAR medicatons; verify critical medications (e.g., antibiotics for patients with SIRS/SEPSIS)