A&E transfer to ICU

1. When a patient is admitted into resus / a&e department in your hospital what is the criteria for the patient to be transferred to ITU? All patients who are admitted to the ICU (Intensive Care Unit) at the Royal Surrey County Hospital NHS Foundation Trust are reviewed prior to admission by a senior member of the ICU medical team. If organ support is considered necessary and appropriate the patient will be accepted.

2.(a) is the resus / a&e department having discretionary and mandatory right to transfer patient to ITU department, or
2.(b) is the resus / a&e department not having discretionary and mandatory to transfer patient to ITU department and requires first it to have an ITU department lead doctor arrive into resus / a&e department to do an assessment (for permission) on the patient to see if they should be transferred to their ITU department? The resus / A&E department at the Royal Surrey County Hospital NHS Foundation Trust does not have a discretionary and mandatory right to admit patients to the ICU. All patients who are admitted to the ICU are reviewed prior to admission by a senior member of the ICU medical team. If organ support is considered necessary and appropriate the patient will be accepted.

3. If your answer to 2.(b) requires resus / a&e department to first seek assessment and permission from ITU department lead doctor who sees the patient before they can transfer patient from resus / a&e department to ITU department, then similarly is their assessment and permission required from other department lead doctors before the patient is transferred from one department to another, for example, transfer from resus / a&e department to acute ambulatory care and transfer from acute ambulatory unit to care of the elderly etc? If not, why is it different to transfer from resus / a&e department transfer to ITU department? Any patient who is admitted as an inpatient is reviewed by a senior member of the appropriate specialist (medical or surgical – or other) team to assess the necessity for admission. Transfer between specialities whilst an inpatient occurs once the patient has been reviewed by the new speciality team and transfer of care is considered appropriate.

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