/policies/,/policies/clinical/,/policies/clinical/uw-health-clinical/,/policies/clinical/uw-health-clinical/gen-care/,/policies/clinical/uw-health-clinical/gen-care/admission-discharge-transfer/,

/policies/clinical/uw-health-clinical/gen-care/admission-discharge-transfer/218.policy

201510282

page

100

UWHC,UWMF,

Policies,Clinical,UW Health Clinical,General Care and Procedures,Admission, Discharge, Transfer

Transfer of the Decompensating Patient from The American Center (2.1.8)

Transfer of the Decompensating Patient from The American Center (2.1.8) - Policies, Clinical, UW Health Clinical, General Care and Procedures, Admission, Discharge, Transfer

2.1.8


UW HEALTH CLINICAL POLICY 1
Policy Title: Transfer of the Decompensating Patient from The American Center
Policy Number: 2.1.8
Category: UW Health
Type: Inpatient
Effective Date: August 13, 2015

I. PURPOSE

To establish procedure for transfer of a decompensating patient from The American Center to a facility to
provide an appropriate level of care.

II. PROCEDURE

A. Physician/Advanced Practice Provider (APP) Role
i. All transfers must be coordinated and approved by the covering physician/APP.
a. Physician/APP contacts the University of Wisconsin (UWHC) Access Center to initiate
patient transfer.
b. Obtain accepting physician/APP and provide handoff .
B. Nurse’s role
i. Nursing staff are responsible for arranging transportation and providing communication to receiving
unit.
a. Verify bed assignment on receiving unit.
b. Update medical record as needed.
c. Enter any changes about safe keeping of valuables.
d. Complete a Handoff note and give report to the receiving unit; orders released and acted
upon before transfer should be acknow ledged by sending unit and the status of any orders
released should be included in the report to the receiving unit.
e. Notify patient’s family of transfer as appropriate.
f. Notify pharmacy of patient transfer.
g. Notify Transfusion Services (263-8367) of patient transfer w hen blood is hanging.

C. Patient Care Technician (PCT)
i. The transfer w ill be initiated w hen the transfer orders are entered in Health Link and a phone call is
made to the receiving unit to coordinate transfer.
ii. The patient’s chart and any paper records w ill be gathered and forw arded by the transferring unit to
the receiving unit. Records should be sent w ith the ambulance crew .
iii. The PCT w ill complete the transfer in Health Link w hen the patient is physically moving to the new
unit.
iv. Patients transferring out of The American Center w ill require the follow ing information:
a. New unit and bed assignment
b. Effective date and time of transfer
c. Change of service if applicable
d. Change of attending provider
v. Notify Environmental Services (EVS) of patient transfer.
D. Respiratory Therapy
i. Provide a handoff to the receiving therapist.
ii. Document the patient assessment on the appropriate f low sheets.
iii. Complete a handoff note.

III. COORDINATION

Author(s): Director, Professional Services at The American Center
Senior Management Sponsor: VP, Clinical and Interventional Services and Chief Nursing Officer
Review ers: Director, Overnight Care Services at The American Center; Director, Access Services; Director,
Respiratory Therapy
Approval committees: UW Health Clinical Policy Committee; Medical Board
UW Health Clinical Policy Committee Approval: July 20, 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



UW HEALTH CLINICAL POLICY 2
Policy Title: Transfer of the Decompensating Patient from The American Center
Policy Number: 2.1.8

and the University of Wisconsin Medical Foundation, Inc., and to clinical facilities and programs
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

Peter New comer, MD
UW Health Chief Medical Officer

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

V. REVIEW DETAILS
Version: Original
Next Revision Due: August 13, 2018