TSICU:Admissions: Difference between revisions
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=='''Every admission to the TSICU requires Trauma/SICU Attending approval'''== | =='''Every admission to the TSICU requires Trauma/SICU Attending approval'''== | ||
*A TSICU MD is required to be at the bedside to receive report from the admitting service upon patient arrival to the TSICU | |||
=='''From the Emergency Room'''== | |||
*Input orders as soon as possible | |||
*Verbal orders are discouraged unless absolutely necessary as a results patient acuity (i.e. Code Blue) | |||
*Ensure completion of: | |||
**History documentation | |||
**Admission Medication Reconciliation | |||
*Obtain iMedConsent for "Intensive Care Unit Interventions" as soon as possible | |||
*Include "Blood Consent" | |||
=='''From the Emergency Room'''== | |||
[[media:ER_to_SICU_Workflow_v2.pdf]] | |||
*Following approval by the Trauma/SICU Attending, the charge or relief RN will be notified and a unit bed assigned | *Following approval by the Trauma/SICU Attending, the charge or relief RN will be notified and a unit bed assigned | ||
*At minimum, the following patient information should be conveyed (Name, MRN, admission diagnosis, clinical condition) | *At minimum, the following patient information should be conveyed (Name, MRN, admission diagnosis, clinical condition) | ||
*Bed assignment requires notification of bed control | *Bed assignment requires notification of bed control | ||
*An ER RN to SICU RN handoff must take place PRIOR to the patient's arrival in the TSICU | *An ER RN to SICU RN handoff must take place PRIOR to the patient's arrival in the TSICU | ||
*A formal handoff is to take place between a member of the on-call surgery team and a member of the TSICU team | *A formal handoff is to take place between a member of the on-call surgery team and a member of the TSICU team | ||
** | **[[media:IPASS.jpg]] | ||
*Any clinical concerns or signs of deterioration requires IMMEDIATE notification of the Trauma or TSICU Attending | *Any clinical concerns or signs of deterioration requires IMMEDIATE notification of the Trauma or TSICU Attending | ||
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**The surgical service should communicate potential need for a TSICU bed ''at least 1 day prior to the elective case'' | **The surgical service should communicate potential need for a TSICU bed ''at least 1 day prior to the elective case'' | ||
=='''From the | =='''From the Ward (including Surgical RRTs)'''== | ||
*Ensure that the TSICU Attending and relief/charge RN are aware of pending admission | |||
**Patient flow RNs are present at RRTs and should also be made aware of TSICU transfer/need for higher level of care | |||
*A formal handoff should be performed between the primary team MD or rapid response team MD and TSICU MDs using the iPASS handoff tool | *A formal handoff should be performed between the primary team MD or rapid response team MD and TSICU MDs using the iPASS handoff tool | ||
**[[media:IPASS.jpg]] | **[[media:IPASS.jpg]] | ||
== | ==Interfacility Transfers== | ||
*Direct TSICU admissions are a rare occurrence | |||
*Only the TSICU or on-call Trauma Attending is permitted to accept a direct admission to the TSICU | |||
*As per all inpatient transfer requests, the [[media:Inpatient_Transfer_Accept_Form.pdf]] must be completed and submitted to bed control | |||
[[Category:Admin]] | |||
Latest revision as of 21:57, 31 August 2022
Coming Soon: ER to TSICU Handoff
Every admission to the TSICU requires Trauma/SICU Attending approval
- A TSICU MD is required to be at the bedside to receive report from the admitting service upon patient arrival to the TSICU
- Input orders as soon as possible
- Verbal orders are discouraged unless absolutely necessary as a results patient acuity (i.e. Code Blue)
- Ensure completion of:
- History documentation
- Admission Medication Reconciliation
- Obtain iMedConsent for "Intensive Care Unit Interventions" as soon as possible
- Include "Blood Consent"
From the Emergency Room
media:ER_to_SICU_Workflow_v2.pdf
- Following approval by the Trauma/SICU Attending, the charge or relief RN will be notified and a unit bed assigned
- At minimum, the following patient information should be conveyed (Name, MRN, admission diagnosis, clinical condition)
- Bed assignment requires notification of bed control
- An ER RN to SICU RN handoff must take place PRIOR to the patient's arrival in the TSICU
- A formal handoff is to take place between a member of the on-call surgery team and a member of the TSICU team
- Any clinical concerns or signs of deterioration requires IMMEDIATE notification of the Trauma or TSICU Attending
From the OR
- Patients previously admitted to the TSICU
- Elective or scheduled operations in which TSICU admission is anticipated
- The surgical service should communicate potential need for a TSICU bed at least 1 day prior to the elective case
From the Ward (including Surgical RRTs)
- Ensure that the TSICU Attending and relief/charge RN are aware of pending admission
- Patient flow RNs are present at RRTs and should also be made aware of TSICU transfer/need for higher level of care
- A formal handoff should be performed between the primary team MD or rapid response team MD and TSICU MDs using the iPASS handoff tool
Interfacility Transfers
- Direct TSICU admissions are a rare occurrence
- Only the TSICU or on-call Trauma Attending is permitted to accept a direct admission to the TSICU
- As per all inpatient transfer requests, the media:Inpatient_Transfer_Accept_Form.pdf must be completed and submitted to bed control