• If you are citizen of an European Union member nation, you may not use this service unless you are at least 16 years old.

View
 

Admission Protocol

Page history last edited by Charles Pizanis 1 month, 2 weeks ago

Ward System Home

 

For all admissions use these sheets:  Admission/Transfer Triage Sheets 

 

Ward team responsibilities when on call, accepting, or transferring patients can be found here.

 

 

Weekday Structure

06:30 - 0700: transition

0700 - 1200: Silver admits

1200 - 1800: Day call admits

1800 - 1900: transition

1900 - 0630: Night Float admits

 

 

0700-1200 Admit Flow - Silver 

 

*Silver uses the 0700 am census to determine the flow of patients

*Silver team should be in contact with the Day Call team in the morning and will sign out at noon in the ED workroom. If the Day Call team anticipates discharges (that were not evident at 0700) the Day Call team can request patients from Silver above the designated 8 cap (prevents more backfill to Day Call on the post Day Call day).  

 

Silver takes handoff from Night Float residents for patients yet to see (cafeteria at 0700) 

 

Step 1: Silver team admits the first 4 patients or up to 8 (whichever comes first) to the DCT  Step 2: Once step 1 is complete, all remaining patients are admitted to Silver**

  

 

*If the DCT is at 8 or more at 0700, skip this team and admit patients to Silver

**Silver team will cross cover patients admitted to Silver on date of admission up until 1900.  At the end of the day, the Gold attending will transfer these patients onto Gold/Copper/Nickel depending on patient/provider assignment

 

 

 

 

1200-1800 Admit Flow  - Day Call Team

 

DCT receives handoff from silver at 1200. 

 

Step 1: DCT admits to themselves up to cap ( 12) Step 2: DCT admits to the oncoming NAT up to cap ( 12)  Step 3: DCT admits 2 patients or up to 10 (whichever comes first, but no more than 2) to tomorrow's MOT Step 4: DCT admits all remaining patients to Gold and Copper back and forth up to cap** -> then all further admissions admitted to Nickel.  

 

*If DCT is at cap (12), skip them and admit to the oncoming NAT. 

*If the oncoming NAT is at cap (12), skip them and admit to tomorrow’s MOT

**If tomorrow’s MOT is at 10 or more, skip them and admit 1 patient to Gold then 1 patient to Copper then back to Gold and Copper up until each team at cap (Gold cap = 14 if 1 APP on; 18 if 2 APPs on; Copper cap = 16 if 1 APP on; 20 if 2 APPs on) -> then admit to Nickel

 

 

1900-0630 Admit Flow Night Float 

 

Step 1: NF admits to the oncoming NAT up to cap (12)  Step 2: NF admits 4 patients (or up to 12, but no more than 4) to previous DCT (backfill) Step 3: NF admits 2 patients or up to 10 (whichever comes first, but no more than 2) to the oncoming MOT  Step 4: NF admits all remaining patients to Gold and Copper back and forth up to cap** -> then all further admissions admitted to Nickel.  

 

*If the oncoming NAT is at cap (12), skip them and admit to previous DCT

*If previous DCT is at 12, skip them and admit to tomorrow’s MOT

**If tomorrow's MOT is at 10 or more, skip them and admit 1 patient to Gold then 1 patient to Copper then back to Gold and Copper up until each team at cap (Gold cap = 14 if 1 APP on; 18 if 2 APPs on; Copper cap = 16 if 1 APP on; 20 if 2 APPs on) -> then admit to Nickel

 

 --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- 

 

Weekend & Holiday Structure

06:30 - 0700: Transition

0700 - 1800: Day call admits

1800 - 1900: Transition

1900 - 0630: Night Float admits

 

 

0700-1800 Admit Flow- Day Call Team  

 

DCT takes handoff from Night Float residents for patients yet to see (cafeteria at 0700) 

 

Step 1: DCT admits to themselves up to cap (12)  Step 2: DCT admits to the oncoming NAT up to cap (12)   Step 3: DCT admits 2 patients or up to 10 (whichever comes first, but no more than 2) to tomorrow's MOT  Step 4: DCT admits all remaining patients to Gold and Copper back and forth up to cap** then all further admissions admitted to Nickel.  

 

*If DCT is at cap (12), skip them and admit to the oncoming NAT.

*If the oncoming NAT is at cap (12), skip them and admit to tomorrow’s MOT.

**If tomorrow’s MOT is at 10 or more, skip them and admit 1 patient to Gold then 1 patient to Copper then back to Gold and Copper up until each team at cap (Gold cap = 14 if 1 APP on; 18 if 2 APPs on; Copper cap = 16 if 1 APP on; 20 if 2 APPs on) -> then admit to Nickel

 

 

 

1900-0630 Admit Flow- Night Float

Same as weekdays. See above.

 

 

New Ward System Home


 

 

Comments (0)

You don't have permission to comment on this page.