Direct admit: Difference between revisions
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DEFINITION: If a patient has been sent from a ward, ER or ICU to your hospital where the sending physician has discussed the case with the accepting physician and the accepting physician has accepted the pt to their service, this is a direct admission. These patients could still stop off in your ER, but are not seen by the ER doctors. Normally, when these direct admit patients arrive in ER, the accepting physician or service will be paged by ER and they will go down to assess the patient there and arrange for the pt admission. (this is usually the case with patients sent form other hospital ER's or wards). Patients that require ICU care and the ICU physician has accepted them will usually go directly to the ICU (without stopping in ER) | DEFINITION: If a patient has been sent from a ward, ER or ICU to your hospital where the sending physician has discussed the case with the accepting physician and the accepting physician has accepted the pt to their service, this is a direct admission. These patients could still stop off in your ER, but are not seen by the ER doctors. Normally, when these direct admit patients arrive in ER, the accepting physician or service will be paged by ER and they will go down to assess the patient there and arrange for the pt admission. (this is usually the case with patients sent form other hospital ER's or wards). Patients that require ICU care and the ICU physician has accepted them will usually go directly to the ICU (without stopping in ER) | ||
==Clarification for TMP "ER Wait" category "Direct Admit" (medicine program only)== | ==Clarification for TMP "ER Wait" category "Direct Admit" (medicine program only)== | ||
To use the ER WAIT in the TMP section, the pt must have been located in '''your hospital''' ER.. | To use the ER WAIT (ER ADMIT)in the TMP section, the pt must have been located in '''your hospital''' ER.. ("admit from" must be ER of own hospital) | ||
* | *To use the ER WAIT (DIRECT ADMIT) in the TMP section, the pt must have come from another location (other than your own hospital ER)this setting means that the pt came usually from another hospital and the sending physician has already discussed the pt with the medicine doctor at the receiving hospital. The medicine doctor has already agreed to accept the pt to their service. The pt goes to ER because they need to still wait for a medicine bed, but the pt has been accepted by the medicine service on arrival. The ER doctors do not see these patients so they are "direct admit" under ER waits. | ||
*See [[ER Wait]] | |||
=== Direct to Medicine ward from Ambulatory Care === | === Direct to Medicine ward from Ambulatory Care === | ||
DIRECT to Medicine are patients who the medicine service attending Dr. has already accepted to their service, but the patient is sent to the ER to wait for a ward bed. | DIRECT to Medicine are patients who the medicine service attending Dr. has already accepted to their service, but the patient is sent to the ER to wait for a ward bed. | ||