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Transport of Adult ICU Status Patients Within University Hospital (2.1.12)

Transport of Adult ICU Status Patients Within University Hospital (2.1.12) - Policies, Clinical, UW Health Clinical, General Care and Procedures, Admission, Discharge, Transfer

2.1.12


UW HEALTH CLINICAL POLICY 1
Policy Title: Transport of Adult ICU Status Patients Within University Hospital
Policy Number: 2.1.12
Category: UW Health
Type: Inpatient
Effective Date: December 18, 2015

I. PURPOSE

To ensure the safe transport of adult ICU status patients w ithin the University Hospital (600 Highland
Avenue). Transport for the purposes of this policy is defined as the entire time aw ay from the home unit.

II. POLICY ELEMENTS

A. All adult ICU status patients requiring transport w ithin the hospital w ill be monitored in accordance w ith their
clinical condition.
i. All adult ICU status patients w ith mechanical ventilation w ill have continuous ECG and pulse
oximetry monitoring during transport. Clinical judgment w ill dictate w hen continuous pulse oximetry
should be used for ICU patients not requiring mechanical ventilation. Equipment must be available
during transport for emergency blood pressure measurement.
ii.
iii. Arterial pressure w ill be continuously monitored w hen a catheter is placed for the purpose of
measuring blood pressure. Exception: in the MRI scanner.
iv. Clinical judgment w ill dictate w hen a pulmonary artery pressure w aveform should be monitored
during an intra-hospital transport.
v. Clinical judgment w ill dictate w hen intracranial pressure should be monitored during an intra-
hospital transport.
vi. Clinical judgment of the respiratory therapists, physicians, transport nurses, and nurses w ill dictate
staff presence required during intra-hospital transport of critically ill patients. A nurse or anesthesia
provider is alw ays required for transports w ithin the hospital.
a. Adult ICU status patients that require invasive ventilation or continuous non-invasive
ventilation w ill be accompanied by a respiratory therapist (RT) or an anesthesia provider
during transport to and from the procedure.
b. Adult ICU status patients requiring continuous monitoring/intervention by a physician w ill
be accompanied by a physician during transport.
B. Therapeutic interventions w ill be provided through the transport process.
i. Ventilator dependent patients w ill be maintained on a critical care or transport ventilator during the
transport process. Patients w ill only be manually ventilated if an emergency arises or the patient is
being transported to/from the operating room.
ii. For non ventilator dependent patients, oxygen therapy w ill be provided at currently specif ied level
during the transport process.
iii. Continuous medication infusions (e.g., pressors, paralytic drugs) w ill be maintained during the
transport process.
iv. Continuous inhaled speciality gases w ill be maintained during the transport (i.e. Nitric Oxide and
Heliox)
v. Continuous inhaled medications w ill be maintained during the transport (i.e. bronchodilators and
epoprostenol.
vi. Emergency medications and equipment appropriate to the patient's condition w ill be available
during the transport process.

III. COORDINATION

Author(s): VP, Associate Chief Nursing Officer
Senior Management Sponsor: SVP, Patient Care Services and CNO
Review ers: SVP, Medical Affairs; Director, Respiratory Care Services
Approval committees: UW Health Clinical Policy Committee
UW Health Clinical Policy Committee Approval: November 16, 2015

UW Health is a cohesive, united and integrated academic medical enterprise comprised of several entities.
This policy applies to facilities and programs operated by the University of Wisconsin Hospitals and Clinics
and the University of Wisconsin Medical Foundation, Inc., and to clinical facilities and programs



UW HEALTH CLINICAL POLICY 2
Policy Title: Transport of Adult ICU Status Patients Within University Hospital
Policy Number: 2.1.12

administered by the University of Wisconsin School of Medicine and Public Health. Each entity is
responsible for enforcement of this policy in relation to the facilities and programs that it operates.

IV. APPROVAL

Jeff Grossman, MD
UW Health CEO

J. Scott McMurray, MD
Chair, UW Health Clinical Policy Committee

V. REFERENCES

Nursing Practice Guideline, Off-Unit Transport: Skill Level for Accompanying Patient
Respiratory Care Services Departmental Policy #2.05, Transportation of Patients Supported by Non-
Invasive (NIV) or Mechanical Ventilation (MV)
UWHC policy #8.97, Safe Transport of Sedated and/or Intubated Children in CSC (including AFCH)

VI. REVIEW DETAILS
Version: Revision
Next Revision Due: December 18, 2018
Formerly Know n as: Hospital Administrative policy #8.10