Royal Columbian Hospital and Eagle Ridge Hospital
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QPCC Regional Rehabilitation Program Transfer of Patient Guidelines

 

 

 

 

 

Rehabilitation unit within acute care facility

 

 

Rehabilitation unit located within off site facility (WP, QPCC, LP)

 

 

Patient having medical event requiring urgent/ emergent care i.e. cardiac event

 

 

Call code

 

Call 911

 

Patient requires rapid but not necessarily immediate medical care i.e. fractured hip; bleed; sepsis; pneumonia; CHF

 

 

Access to facilitate transfer to appropriate higher level of care unit. If care cannot be provided at the site, physician to contact BC Bedline to facilitate transfer to appropriate higher level of care site.

 

BC Bedline to facilitate transfer of patient to most appropriate higher level of care unit. Patient can be moved to home site if requested by rehab physician.

 

Patient is no longer rehab candidate and requires medical care

 

 

Access to facilitate move to appropriate acute unit at home site.

 

Access to facilitate move to appropriate acute unit at home site.

 

Patient no longer rehab candidate and is ALC-HH

 

 

Homecare liaison to arrange d/c plan within reasonable time frame (3 days). If HC liaison is not able to arrange for a timely d/c plan Access will facilitate move to appropriate unit at home site (i.e. PATH unit).

 

Homecare liaison to arrange d/c plan within reasonable time frame (3 days). If HC liaison is not able to arrange for a timely d/c plan Access will facilitate move to appropriate unit at home site (i.e. PATH unit).

Overarching guidelines that apply in all cases:

  • The rehab bed remains open for 24 hours (unless specified by treating physician that patient is not likely to return to rehab within 24 hours). The patient can return to rehab unit if medically stable, but must be accepted by the Rehab MRP to return (Dr. to Dr. call).
  • The Rehabilitation program will, whenever possible, admit another rehab appropriate patient from the acute site that a rehabilitation patient is admitted to (swap patients). This will be facilitated as quickly as possible once it is known that the patient is to be admitted.
  • Once a patient is discharged from a rehab unit and admitted to acute, the patient will need to be re-referred to inpatient rehab in order to be considered for another admission to a Rehabilitation unit.

 

A downloadable and printable version may be found here: