Patient Transfer to Hospital
It is the policy of the facility to transfer patients with
the following conditions to a general acute care hospital:
1. Patients who have received CPR.
2. Patients whose recovery is going to be prolonged.
3. Patients whose medical condition cannot be treated at our
4. Patients who have received or are in need of emergency
1. The physician in charge will give the order for transfer.
2. The senior nursing person will call for emergency medical
service or transport personnel, if indicated.
3. The Hospital will be notified of the planned transfer.
4. The receiving physician will be notified of the transfer.
5. The family will be notified of the plan to transfer.
6. Personal effects will be given to family.
7. A copy of the Resuscitation Record, if appropriate, will
be transferred with the patient. Copies of the medical
record will be forwarded to the Hospital, as appropriate.
This will include a copy of the history and physical,
medication and anesthesia records, diagnostic test
results, explanation of precipitating incident
necessitating transfer (including records of medications
administered, and demographic and insurance information).
The Medical Director or physician will call and obtain name
of the physician accepting the patient at the Hospital and
will document this on the transfer form. The Medical
Director or physician will also be available to communicate
with other physicians providing care to the patient.
In the case of suspected abuse, all evidentiary material
released by a victim must be collected, retained, and
safeguarded until released to emergency services that will
accept/collect such evidence.
MEDICARE CERTIFICATION ONLY
A Medicare Certified Organization will have a written
transfer agreement with a Medicare participating hospital or
ensure that all physicians performing surgery at the ASC have
admitting privileges at a Medicare participating hospital.
Approved By Governing Board