OVERNIGHT/MORNING MEDICAL ADMISSIONS HANDOVER POLICY

from 11pm- 7am

at the time of admission decision, AND after consultation with ED in-charge Registrar:

  1. Please use the hyperlink to outlook (found here). Don’t use the desktop

  2. Create new email and attached the following address as the email recipient

    9e468f24.o365groups.health.nsw.gov.au@au.teams.ms


ISBAR SUMMARY:

MRN/patient name

Write MRN and patient name here

Situation

a brief summary of the clinical case focused on the HPI and positive findings on examination

Background

any background relevant medical or social history

Assessment

a summary of the history/examination findings supporting the diagnoses and the medical decision making, inclusive of consideration why (or why not) certain high risk diagnoses have or have not been investigated.

Recommendation  DIRECT

 Diagnosis, investigations completed, review timeframe, end of life/Resus documentation, communication, thrombophalaxis


 

**All decisions to admit under medicine should be in line with the Local Procedure LHS-MAIT-70: Admission to Inpatient Units  

 

ADMISSIONS SAFE TO GO TO THE WARD OVERNIGHT

Only patients with the following diagnostic criteria should be considered safe for admission to a ward level bed overnight. 

1.     Community Acquired Pneumonia

2.     COPD

3.     Atypical chest pain / stable NSTEMI

4.     Congestive heart failure

5.     CVA / Stroke / TIA

 

  1. At 7am, the Day FACEM will review the Teams Channel with ED ‘in-charge’ and call the AMO to inform them of admissions, directing them to review the MS team channel for details.

    1. This will not be a comprehensive handover conversation but rather an active handover and acceptance of admitted patient responsibility.

    2. Where possible, the AMO can request to speak to ED JMO who has initially seen the patient should more information of the patient's overnight presentation be necessary

    3. if AMO concerned or not accepting of a patient, they are to come to ED when they arrive at hospital to discuss the case further with the FACEM in-charge. 

    4. In line with NSW Health policy: PD2009_055 Emergency Department - Direct Admission to inpatient wards, the final decision to admit ultimately rest with the FACEM in-charge.