TSICU:Transfers & Downgrades

General Guidelines

• Trauma/SICU Attending approval is required for all transfers and downgrades
  • Trauma patients
    • Reconcile orders BEFORE patient leaves the unit

• • Non-trauma patients
    • Primary service is responsible for reconciling meds once downgraded and transferred out of the TSICU

• Out of network patients will require a minimum of 24 hours of observation in a non-ICU monitored bed PRIOR to transfer

• ICU-to-ICU transfers require approval by BOTH service Attendings
  • Contact Laura Santana for all ICU-to-ICU transfers

• Sign out patient verbally using IPASS (page appropriate team) and sign transfer summary BEFORE patient leaves the unit
  • media:IPASS.jpg

• Always remember to sign out patient’s baseline GCS/mental status and systems-based plan