Transfer Ready DtTm tmp entry: Difference between revisions

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====Specifically for Medicine ====

'''On a medicine ward''', take the following to indicate transfer ready to a lower level of care even if they have not written that explicitly:

*For SBGH If there is no discharge order, then the DC summary date/time that the attending signs off can be used, however if the date and time is after the DC time then it may be documented in a nursing or allied health IPN.

*For HSC if there is no discharge order, then check the IPN notes (nursing, allied health etc), often bed utilization will document when they are waiting on a transfer to an LAU or other facility, or rehab services will document when they are on the central wait list, or long term care (LTC) will document when they are approved for a PCH bed.

* order is written to change all iv meds to po AND remove monitoring

* patient is made '''[[ACP C|ACP-C]]'''

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** 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

** and there is no specific date and time documented for discharge or another order for discharge is written, then check the checkbox or use that new discharge order date and time

* the discharge medication reconciliation form should NOT be used as transfer ready date and time.

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* '''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.

* 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

== Data entry instructions ==

* A "Transfer Ready" line is automatically created for each [[Boarding Loc]] entry.

@@ Line 27: / Line 27: @@
 ====Specifically for Medicine ====
 '''On a medicine ward''', take the following to indicate transfer ready to a lower level of care even if they have not written that explicitly:
+*For SBGH If there is no discharge order, then the DC summary date/time that the attending signs off can be used, however if the date and time is after the DC time then it may be documented in a nursing or allied health IPN.
+*For HSC if there is no discharge order, then check the IPN notes (nursing, allied health etc), often bed utilization will document when they are waiting on a transfer to an LAU or other facility, or rehab services will document when they are on the central wait list, or long term care (LTC) will document when they are approved for a PCH bed.
 * order is written to change all iv meds to po AND remove monitoring
 * patient is made '''[[ACP C|ACP-C]]'''
@@ Line 32: / Line 34: @@
 ** 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
+** and there is no specific date and time documented for discharge or another order for discharge is written, then check the checkbox or use that new discharge order date and time
 * the discharge medication reconciliation form should NOT be used as transfer ready date and time.
@@ Line 38: / Line 40: @@
 * '''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.
 * 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
 == Data entry instructions ==
 * A "Transfer Ready" line is automatically created for each [[Boarding Loc]] entry.