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ICU to ICU transfers: what is your policy?

K Mattox kmattox at aol.com
Sun Apr 1 00:16:48 BST 2012


Entails only applies to transfer from EC.     

k

Sent from my iPhone

On Mar 31, 2012, at 6:07 PM, "McSwain, Norman E" <nmcswai at tulane.edu> wrote:

> CMS and EMTALA have rules that you cannot transfer to a lesser level of
> care
> 
> Norman
> 
> Norman McSwain MD, FACS
> Professor of Surgery, Tulane University
> Trauma director, Spirit of Charity Trauma Center, ILH
> 504 988 5111
> 
> 
> -----Original Message-----
> From: trauma-list-bounces at trauma.org
> [mailto:trauma-list-bounces at trauma.org] On Behalf Of Caesar Ursic
> Sent: Saturday, March 31, 2012 5:00 PM
> To: Trauma-List [TRAUMA.ORG]
> Subject: Re: ICU to ICU transfers: what is your policy?
> 
> Ron, at your hospital is there any sort of policy, either informal or
> written, that states that you do not transfer your ICU patients out to
> lesser level of care ICU (i.e. to an outside non trauma center ICU)?
> 
> 
> 
> On Sun, Apr 1, 2012 at 9:05 AM, Robert Smith <rfsmithmd at comcast.net>
> wrote:
> 
>> Ron,
>> 
>> The bottom line is the podcast.
>> 
>> You sound totally exhausted. I've heard trauma is a young man's game. 
>> Is there any truth to that?
>> 
>> 
>> 
>> Thanks for thinking of us,
>> 
>> Rob
>> 
>> 
>> 
>> Robert Smith, MD, MPH
>> Secretary War Dogs Making It HomeChair, Div Pre-hospital Care and 
>> Prevention (ret) Department of Trauma John H.Stroger Jr. Hospital of 
>> Cook County War Dogs - Making it home Tiny service dog heals Hampshire
> 
>> Marine - DailyHerald.com
>> 
>> http://www.whereistheoutrage.net/wordpress/2012/03/20/interview-war-do
>> gs-making-it-home
>> 
>> 
>> 
>> 
>> 
>> 
>> On Mar 31, 2012, at 11:44 AM, Gross, Ronald wrote:
>> 
>>> You cannot justify transferring a patient from a higher level of 
>>> care to
>> a lesser level of care. You just can't.  On the other hand if the 
>> patient is on the floor and the level of care is basic then I could 
>> see the convenience transfer.....sometimes.
>>> Ron
>>> 
>>> Sent from my iPhone
>>> 
>>> On Mar 31, 2012, at 11:12 AM, "Caesar Ursic" <cmursic at gmail.com>
> wrote:
>>> 
>>>> For those of you who work in designated/verified trauma centers:
>>>> 
>>>> What is your official policy (or your opinion if there is no actual
>> policy
>>>> where you are) on the transfer of trauma patients from *your* ICU 
>>>> (at a trauma center) to another ICU at an outside hospital that is 
>>>> *not* a
>> trauma
>>>> center?  Obviously I am speaking of transfers for reasons *other* 
>>>> than provision of higher level of care, i.e. you are transferring 
>>>> for non-medical reasons.  Perhaps the reason is that the family 
>>>> wants the patient to be closer to home, or perhaps the patient 
>>>> belongs to a
>> hospital
>>>> plan that, for financial reasons, prefers its patients to be 
>>>> treated at specific participating institutions which are NOT 
>>>> designated trauma
>> centers.
>>>> 
>>>> Is it an acceptable risk to the patient to transfer him/her ICU to 
>>>> ICU
>> when
>>>> there is no *medical* need to do so? Or should the transfer wait 
>>>> until
>> the
>>>> patient is downgraded to "floor status," based on improvement of 
>>>> medical condition and acuity?
>>>> 
>>>> Many thanks,
>>>> 
>>>> C. Ursic, MD
>>>> --
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>>>> http://www.trauma.org/index.php?/community/
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> 
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