Admission Status Protocol Update

Friday, January 19, 2007 at 3:28:33 PM

The purpose of the Admission Status Protocol is to resolve issues associated with incorrect admission status, and has been very helpful. It currently applies to Emergency Dept. patients or direct admissions, but not to patients admitted for scheduled procedures, Labor/Delivery, Behavioral Health, and NICU. A few important reminders:

For patients under the Admission Status Protocol: -When the patient is sent from the ED or Admissions to the Nursing Unit, the Prescriber Orders should NOT include an admission order. If a special unit/Level of Care is required, please use the wording “Place on Telemetry” and avoid using the word “Admit”. -Once the Admission Protocol sheet has been initiated, the Physician should sign it promptly -If the Physician disagrees with the assigned Level of Care, he/she should discuss with the Care Manager and/or Physician Advisor and then write an order with the intended level of care along with supporting documentation.

For those patients who are not eligible for the Admission Status Protocol: -The physician is responsible to write admission orders. For elective patients, it should be clear postoperatively whether the admission order is for Inpatient or Outpatient care. -When a level of care change occurs, the physician needs to write orders for this change, including the effective date. If there are any questions, please contact the involved case manager, or Care Management at 763-5289.

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