Tuesday, July 19, 2011

SJWH-NICU Transfer Process

  • Patients from 2nd floor will be transferred to 3rd floor when Level 2 criteria is met, and staffing and vacancy allows
  • Patients from 3rd floor will be transferred to 2nd floor when Level 3 criteria is imminent or met (must be transferred before HFV is initiated)
  • If possible, schedule transfers to occur prior to shift change, to allow following shift staffing to accommodate census change
  • Transfer Team will consist of Bedside RN and PST (Resource RN and Delivery RN to assist if able)
  • If pt. is receiving oxygen therapy, RT will join transfer team
  • Giraffe shuttle will be utilized for pt. transfers (if giraffe due to be changed within 4 days, transfer pt to clean Giraffe from receiving floor at this time)
  • Bedside RN to obtain patient's medications from Pyxis bin and place in giraffe drawer for transfer
  • Bedside RN to obtain patient's chart and room folder contents for transfer
  • PST to obtain HM and/or formula from existing refrigerator and place in giraffe drawer for transfer
  • Bedside RN to disassociate transferring pt. from existing monitor in I-View
  • Transferring floor's HUC to transfer pt.in Cerner (automatically "dirtying" room in Teletracker)
  • RN to discharge pt. from B850 monitor and remove PDM and install in Transport Pro monitor
  • Transfer PDM from Transport Pro monitor to "discharged" monitor
  • Transfer Team transports pt. via southernmost elevators to receiving floor
  • Once in vacant room, install patient's PDM into receiving monitor, and place "receiving" monitor's PDM in Transport Pro
  • Transfer team to admit pt. into monitor via Admit/Discharge menu on B850
  • Transferring Bedside RN to give report to Receiving RN following Kardex "Patient Hand-Off"
  • Receiving RN to associate pt. with "receiving" monitor in I-View
  • Receiving floor's CN to update device assignments in West-Call and Emergin
  • 2nd floor CN to update NICU Patient Tracking log
  • Transferring PST to update Visitation Tracking Log on both floors
  • Housekeeping will clean vacated room
  • PST will clean equipment in vacated room

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