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Transfer Ready DtTm tmp entry: Difference between revisions

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* order is written to change all iv meds to po AND remove monitoring
* order is written to change all iv meds to po AND remove monitoring
* patient is made '''[[ACP C|ACP-C]]'''
* patient is made '''[[ACP C|ACP-C]]'''
* If a discharge order is written during the preceding day(s) prior to discharge:
** and a specific date and time for discharge is documented in that order, the transfer ready date and time would be the date and time specified in the order. 
** and If the order is to discharge after a specific test or procedure/treatment ie. dialysis or last dose of antibiotics, then the transfer ready date and time would be the time they finish the treatment or procedure.
** and there is no specific date and time documented for discharge or another order for discharge is written, then check the checkbox
* the discharge medication reconciliation form should NOT be used as transfer ready date and time.


* '''PT/OT Assessment''': Before going home, some ward patients get a home safety evaluation from PT and OT, and if deemed safe for home get a homecare evaluation before going home. The transfer ready date/time in such a situation should be only after the PT/OT evaluation has deemed them safe to go home, i.e. before homecare has seen them.  The rationale is that homecare evaluation can occur after discharge, but a hospitalized patient who “fails” their home safety evaluation will end up going to LTC, not home.
* '''PT/OT Assessment''': Before going home, some ward patients get a home safety evaluation from PT and OT, and if deemed safe for home get a homecare evaluation before going home. The transfer ready date/time in such a situation should be only after the PT/OT evaluation has deemed them safe to go home, i.e. before homecare has seen them.  The rationale is that homecare evaluation can occur after discharge, but a hospitalized patient who “fails” their home safety evaluation will end up going to LTC, not home.
{{DA| '''JALT ''' We need a consistent approach to how we handle the following scenario:  We can assume that in all scenarios there is no other clear documentation.
* exception to this would be for those patients that are waiting for transfer to a rehab ward (Geri, stroke, amp, neuro etc) The date and time they are placed on the wait list for rehab can be used as their transfer ready date and time
*1. Discharge order written with date and time, but the order is to discharge the following day or on a specific date (reasons for the delay are some times clearly documented, ie if they are waiting for homecare services or transportation etc, or discharge post last dose IV ABX, discharge after dialysis.
 
*2. Recently at SB, they have been including the Med Reconciliation orders in EPR documents. Typically, once a pt is transferrable, a Med Rec is initiated. If there are no discharge orders, no discharge summary and no discharge time documented, including the examples above specific to Medicine, could we (SB) also use this as our TransferReady dtm?--[[User:Mdamian|Mailah Damian]] 13:51, 2022 May 18 (CDT) }}
 
== Data entry instructions ==
== Data entry instructions ==
* A "Transfer Ready" line is automatically created for each [[Boarding Loc]] entry.
* A "Transfer Ready" line is automatically created for each [[Boarding Loc]] entry.
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