Acute inpatient non-icu to acute inpatient non-icu transfer 2025

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The intra- and inter-hospital patient transfer is an important aspect of patient care which is often undertaken to improve upon the existing management of the patient. It may involve transfer of patient within the same facility for any diagnostic procedure or transfer to another facility with more advanced care.
Definition. An inpatient transfer-in occurs when a patient moves between two services as follows: an inpatient moves between two specialties in the same hospital.
Acute: A patient that is on ventilator support. Non-acute/Step Down: A patient that is not on ventilator support, but requires continued nursing support. Patient Care Rooms: Hotel rooms converted into negative pressure rooms.
An individual deemed not at high risk of immediate adversity may be transferred to another hospital in order to expand ICU capacity and allow clinical staff to attend to the most at-risk patients.
Patient handoffs, medication reconciliation, timing of transfer, risk of readmission, preparing the family, and education on new medical needs are all factors that should be considered when transitioning patients from the ICU to the ward. The challenges of ICU strain may impact optimal transfer timing.
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Many hospitals have High Dependency Units (HDU), where each nurse will normally look after two or three patients. Some hospitals might send patients from the ICU to the HDU as they get better, until theyʼre well enough to go to a general ward.
The mean ICU length of stay was 3.4 (4.5) days for intensive care patients who survived to hospital discharge, with a median of 2 day (IQR 14) (Table 1). A third of patients (35.9%) spent only 1 day in the ICU and 88.9% of patients were in the ICU for 16 days, representing 58.6% of the ICU bed-days in the cohort.
Secondary transfer should only be performed when absolutely necessary and in the patients best interests. Transfer decisions must be made by senior clinicians at the referring and receiving institutions. Competence for transfer can be gained from courses, observation of colleagues and aided by personal reflection.

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