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.
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    
Control #80.2