Write Transfer Orders

• To add to existing transfer orders, see Edit Transfer Orders.

• If you haven't already:

1. Select a patient.

2. Click Special Orders (ALT+O).

3. Click Transfer Orders (ALT+T).

4. Click New (ALT+N). 

• If the patient has been admitted from the ED without pre-admission orders, and there are still active orders from the ED:

•  When prompted, click Inactivate ED orders (ALT+I).

• If the allergy record was updated in the ED, the order(s) must be resigned. MDs, NPs, PAs, and CNMs are authorized to resign; click Continue (ALT+C), type your signing key when prompted, then click OK (ALT+O).

• Review the Current Active Orders:

5. To open Knowledge Link:

• Click .

• Click Exit (ALT+E) to return to the orders list.

• Click Pop Out (ALT+P) to detach the KnowledgeLink window from the CAS. Toggle between Order Entry and KnowledgeLink by clicking the icons in the taskbar. Click to close the Knowledge Link window.

6. For each item on the list, click the corresponding checkbox to indicate whether to Continue or Discontinue the order when the transfer orders are activated.

• If the patient has no active orders, this step is skipped.

• You must click a checkbox to indicate whether to Continue or Discontinue these order types: Medications, IV, Respiratory, Blood Products, Labs, Foods and Nutrition, Code Status, and General Care orders for wound care, precautions, diagnosis, vascular access devices, and anti-embolism.

• Chemotherapy and chemotherapy-related orders are carried forward automatically.

• Some orders, including life-sustaining treatment and required pneumococcus and seasonal influenza vaccination review, are pre-checked to continue. If you click to discontinue these orders, you will have to add new ones to the session.

• Current active orders that are expected to be carried out before transfer are displayed as view only. These include Radiology, Consults, Vital Signs, Diagnostic Studies, one-time (X1) medications, and General Care orders except wound care, precautions, diagnosis, vascular access devices, and anti-embolism.

• Restraint orders are view-only and cannot be added to transfer orders. The need for restraint must be assessed on the patient's arrival in the receiving care unit.

7. To generate a paper copy of orders that must be added to the transfer session if they are needed post-transfer, click Print View Only Orders.

8. Click OK (ALT+O).
   Continued orders are displayed in the Transfer Orders session scratch pad.

• Active orders for chemotherapy and total/peripheral parenteral nutrition (TPN/PPN)  are continued automatically.

• Complete the transfer orders:

9. Add any other orders needed for care in the new unit or service, just the way you would in a routine order session. See Writing Orders.

10. Sign the current session. See Signing Orders.

• To return to the patient list:

11. Click Close (ALT+C).

12. Click Back to UCM Options (ALT+B).

• Transfer orders must be activated and transcribed by the receiving unit after the patient arrives on the floor.

• See also:

• Procedures for Transfer Orders

• Overview of Transfer Orders