Date
of Last Review 3/13/07
SME: Director of Patient Services
Title: Patient Diversion
Purpose: The purpose of this policy is to define mechanism
for defining capacity limitations should the hospital be full and unable to
receive patients for a period of time.
Procedure:
| 1. | Only the administrator on call may place the hospital on diversion status. Administrator is to be notified by administrator on call when decision about diversion is being considered. | ||||||||
| 2. | The Director of Patient Services or designee or Nursing supervisor will be consulted regarding the decision that the hospital be placed on diversion status. | ||||||||
| 3. | The Director of Patient Services or designee and the Nursing supervisor will explore all opportunities before requesting diversion-the director will examine all units' bed availability and consider all discharges that are planned for the day. | ||||||||
| 4. | The following conditions would be considered reason to place hospital on diversion status: | ||||||||
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| 5. | The hospital will be placed on diversion for 8hrs or less. If longer than 8 hrs is needed, the supervisor will need to notify the administrator on call to seek an additional 8hrs until the crisis has passed. | ||||||||
| 6. | The Nursing supervisor or Director of Patient Services or designee will be responsible for recording the status on the admission log. | ||||||||
| 7. | When the hospital is on diversion status, the constables will be notified so that they take patients to other local psychiatric facilities. Walk-in patients will be stabilized and referred to area facilities as needed. |
Related to regulatory standards
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