Bchap23 at 20:21, 12 May 2026

2026-05-12T20:21:16Z

Bchap23 at 20:08, 12 May 2026

2026-05-12T20:08:42Z

← Older revision		Revision as of 20:08, 12 May 2026
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	* Draft - not is process yet!		* Draft - not is process yet!
			* Blood, Iron, IV fluids
			* 1st (by RN office) & 5th floor (5E) infusion centers
			** 8a - 4p; DHS/eligible only
			Path resident consents for blood transfusions
			Triage resident for calls

			==

			Patient Eligibility Criteria (ED Provider)

			Eligible patients must meet all the following criteria prior to transition from the Emergency Department (ED) to the Infusion Center:
			• Hemodynamically stable with no indication for continued ED monitoring or inpatient admission
			• Appropriate for outpatient Infusion Center services, including:
			• Blood transfusion
			• Iron infusion
			• IV hydration
			• No active bleeding, high risk for severe transfusion/infusion reaction, or unstable comorbid conditions requiring a higher level of care
			ED Provider Responsibilities

			• Submit an Infusion Center referral through the HAR-OP-INFUSION message pool
			• Clearly specify the following in the referral:
			- Clinical indication (e.g., anemia, dehydration)
			- Type of infusion/service requested (e.g., PRBC transfusion, iron infusion, IV hydration)
			- Ordered dose, infusion rate, and any special instructions or precautions
			• Ensure all required laboratory studies are completed prior to referral, including:
			- CBC
			- Type and crossmatch (for transfusion requests)
			- Iron studies, if applicable
			Nursing Coordination Responsibilities (ED Nurse)

			• Confirm patient stability and appropriateness for discharge prior to transition to the Infusion Center
			• Ensure appropriate IV access is established when indicated per protocol
			• Provide patient education regarding:
			- Infusion Center appointment details
			- Expectations during the infusion visit
			- Return precautions and indications for seeking emergent care
			• Communicate directly with the Infusion Center nurse to provide clinical handoff and ensure continuity of care
			Infusion Center Scheduling & Coordination

			• Verify referral and orders
			• Schedule a same-day or next-day appointment
			• For Blood Transfusion, check with BB if blood product is available
			• Confirm staffing and chair availability
			5. Patient Transition

			• Patient discharged from ED with:
			o Appointment time and location (if same day)
			o If after hours, inform the patient to expect a call from the Infusion Center to schedule the patient's infusion or blood transfusion appointment.
			o Instructions and contact information
			• Transport:
			o Ambulatory / family transport (no medical transport required unless indicated) (if the same day)
			Infusion Center Responsibilities

			• Check in the patient and complete the intake assessment, including vital signs, medical history, and review of ED documentation
			• Verify provider orders, required laboratory results, and transfusion consent documentation (Pathology will obtain and provide transfusion consent)
			• Administer infusion therapy, including blood products, iron infusions, and IV hydration, in accordance with established protocols and safety standards
			• Monitor and observe patients for adverse reactions during and after infusion therapy
			• Initiate emergency response protocols immediately if an infusion or transfusion reaction occurs
			• Promptly escalate and communicate with the ED and/or ordering provider if the patient develops any adverse reaction or change in clinical condition during treatment
			Documentation

			• Emergency Department (ED): Document referral details, confirmation of clinical stability, and discharge instructions provided to the patient
			• Infusion Center: Document treatment rendered, patient tolerance and response to therapy, and any adverse events or complications encountered during care
			Safety Considerations

			• Strict adherence to established patient eligibility and exclusion criteria
			• Maintenance of emergency response protocols for infusion and transfusion reactions
			• Clear escalation and transfer pathway back to the Emergency Department (ED) for any patient demonstrating clinical instability or adverse changes in condition
			CONTACT INFORMATION:

			Infusion Center: x65591
			ED Provider: ???
			Triage Army Charge Nurse: x66950

Bchap23: Created page with "* Draft - not is process yet!"

2026-05-12T19:58:50Z

Created page with "* Draft - not is process yet!"

New page

* Draft - not is process yet!

Harbor:ED to Infusion Center - Revision history

Bchap23 at 20:21, 12 May 2026

Bchap23 at 20:08, 12 May 2026

Bchap23: Created page with "* Draft - not is process yet!"