Transfer of Trauma Patients to Medical Hospitalist Service
Original Date: 08/2013 | Supersedes: 07/2017 | Last Review Date: 07/2021
Purpose: To identify appropriate trauma patients for transfer to medical hospitalist service and improve efficiency of patient care.
Hospitalist transfer should be approved by the rounding trauma attending.
Trauma team representative will contact the triage Hospitalist Attending via Perfect Serve in order to transfer care and discuss patient issues.
A complete progress note will be in the electronic chart prior to transfer. The note will include any remaining active issues and established follow up plans (Vascular surgery to remove IVC Filter, Trauma Clinic follow up, pending procedures, etc.).
The problem list will be updated by the Trauma team prior to transfer in order to ensure a safe transition.
Initiate transfer before 5pm. If patient volume becomes an issue after 5 pm, Hospitalist service will not refuse transfers to help decompress the Trauma teaching services.
Please consider not calling transfers out of the STICU until patient has a floor bed assignment.
Exclusion criteria (patients not appropriate for Hospitalist transfer)
- anticipated discharge from hospital within 24 hours
- patient in STICU or SIMU
- patient with active trauma surgery issues
- chest tubes or surgical drains
- complex wound management
- recent abdominal or thoracic operation