Aims

To ensure that:

  • Patients are admitted to Ashford & St Peter’s Hospitals for appropriate clinical reasons. Patients should not be admitted due to lack of social support.
  • There is minimum disruption to planned elective admissions whilst responding positively to emergency admission requirements.
  • Patients are provided with the bed placement that is most appropriate to their medical need and which takes into account any additional special needs throughout their inpatient stay.
  • If a patient’s medical needs change they may be moved to a more appropriate ward.
  • If a move occurs, continuity of care needs to be maintained and effective communication of treatment/care protocols are a priority. All internal moves will be recorded by the CSNP Team.
  • All staff utilise the RealTime system.

 

Principles of Patient Flow and Capacity Management

The Patient Flow Team is responsible for: -

  • Co-ordinating the movement of patients through admission and transfer processes
  • Ensuring appropriate communication between the medical staff, Assessment Areas, Emergency Department (ED) and the wards.
  • Liaison with the relevant managers/clinicians in respect of prioritising admissions and to initiate contingency plans, if necessary.
  • Children, pregnant women and post-natal mothers and babies will always be admitted to the appropriate clinical unit for their age and condition.
  • Patients will be referred to specialist nursing/therapy departments as soon as a need is identified.
  • Discharge planning will commence prior to admission for planned admissions and on admission, or as soon after admission as possible, for emergency admissions.
  • If a patient does not warrant admission on clinical grounds, but it may be unsafe to discharge them because of their social situation from ED, or an Admissions area then an Occupational Therapist, Care Manager or the Rapid Response Team should be informed in an attempt to facilitate immediate discharge.
  • If a patient from ED or Assessment area does not require admission and has been assessed by Occupational Therapist, but will be needing rehabilitation, Rehab coordinator (8807) and out of hours CSNP to be informed to facilitate referral to a Community rehab hospital.
  • Where a patient is living alone with no immediate support, during office hours the Rapid Response Team or Duty Case Manager (dependent on whether the concern is nursing or social) should be contacted in the usual way.
  • Out of office hours, when a need for services is identified, the Emergency Duty Team and the Rapid Response Team should be informed at the earliest opportunity (on-call contact numbers can be obtained via switchboard).

 

Policy Details

Download: PDF version
Compiled by: Susan Harris, Clinical Site Nurse Practitioner, Team Leader
Ratified by: Management Board (Chairman’s Action)
Date Ratified: May 2018
Date Issued: June 2018
Review Date: May 2021
Target Audience: All staff
Contact name: Susan Harris, Clinical Site Nurse Practitioner, Team Leader

 

See also:

  • Acute Hub Operational Policy
  • Coronary Care Unit / Birch Unit Policy
  • Critical Care Operational Policy
  • Day Surgery Operational Policy
  • Infection Control Policy
  • Paediatric Admission Policy
  • Patient Flow & Escalation Plan
  • Infection Control Policy
  • Surgical Assessment and Short Stay Unit (SASU) Operational Policy