TSICU:Admissions

Coming Soon: ER to TSICU Handoff

From the Emergency Room

• 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
  • iPASS Handoff Tool

• Any clinical concerns or signs of deterioration requires IMMEDIATE notification of the Trauma or TSICU Attending
  • TSICU:Mandatory Call Criteria

From the OR

• Patients previously admitted to the TSICU
  • media:OR_to_TSICU_RN_Handoff_Tool_.pdf

• 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 ER

Coming Soon: ER to TSCIU Admissions A3

From the Ward & Surgical RRTs

• Ensure that the TSICU Attending and relief/charge RN are aware of pending admission
• 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

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 inter-facility direct admissions or transfers