Division of Pulmonary & Critical Care Medicine

Direct Admission from Clinic

1. Physician/APP enters EPIC order and notifies Nurse
2. Physician/APP calls ATMO, will be transferred to medical officer to approve direct admission
   
3. Bed assignment***, then Physician/APP and Nurse give SIGNOUT
4. Patient will be accompanied by a physician/APP if being directly admitted to the ICU (NOT required for GPU or ER)

***If no bed is available immediately, the patient will be sent to the ER or told to wait at home or in lobby based on physician’s judgement if the patient can wait for 6-8 hours without intervention.  As ‘a bed will be available’ turns into 6-8 hours.***

Clinic Transfer to ER/ICU

(For patients with clinical instability, those needing immediate interventions(urgent antibiotics), or those without a bed available + cannot wait at home due to distance/safety concerns).

1. Physician/APP notifies patient and Nurse and Documents (minimum: vitals signs, rationale for transfer to ER)
2. Physician/APP calls ER with brief signout (patient can then bypass waiting area, ER aware of suspected issues/recommended workup)
3. MA/Nurse transports patient to the ER

Direct Admission from Home

1. Physician/APP enters EPIC order (indicate that ATMO should call patient and best number).
2. Physician/APP calls ATMO, will be transferred to medical officer to approve direct admission
   
3. Bed assignment given to provider by ATMO, then Physician/APP calls admitting team to provide signout. Would also remind ATMO to call patient.