Admission/Discharge/Transfer

ADT is Epic's system for tracking inpatient visits from their arrival (admission), to their movements inside the hospital (transfer), to their departure (discharge). Unit Manager is used by inpatient nursing staff to manage patient movement and bed availability.

ADT Resource Pages

ADT Main Page  |  Admission Resources  |  Discharge Resources  |  Transfer Resources  |  Unit Manager Resources

Discharge Resources

  • Discharge a Patient - (Handout) When a patient’s discharge has been ordered, and the provider has performed Order Reconciliation, an After Visit Summary is typically printed, instructions provided by nursing staff, and the patient is released from the unit. At that time Unit Clerks and Nurses can discharge the patient through the Unit Manager activity.
  • Discharging a Deceased Patient - (Handout) A deceased patient will be discharged from the Unit Manager with the discharge disposition of Deceased and will include the declared date and time of death.
  • Organ Donor Process - (Handout) The unit clerk or nurse from the ICU or the OR will call the ATC when they have a patient who has deceased on the unit or in the OR and is a confirmed organ donor. The ATC will follow the Organ Donor Day Book documentation process in addition to the Epic documentation workflow below.
  • Discharge Milestones & Delays- (Handout) Discharge Milestones are key activities or tasks that must be completed prior to discharge. Discharge Delays identify reasons patients are not discharged by 1100 on the day of discharge.
  • Discharge Now vs Discharge Pending - (Handout) This document is a guide to utilizing the Discharge Patient order (ADT8) and new required question to capture specific criteria for a patient to meet prior to discharge or when all tasks are complete, and the patient can discharge immediately.
  • Expected Discharge Date - (Handout) The Expected Discharge Date (EDD) and Time in Epic has strong multidisciplinary value towards throughput workflows within the organization, to meet regulatory compliances, and overall efficient discharge processes.
  • Undo a Discharge - (Handout) The Event Management activity is used to track events that have occurred during the patient’s encounter. The Cancel Last Event button can be used to undo a discharge entered in error.
  • Undo a Discharge – Disposition “Deceased” - (Handout ) Using Event Management to undo a discharge with a disposition of “Deceased”.
  • Undo a Patient Status Marked “Deceased” via Registration Activity - (Handout) If a patient has been incorrectly marked as “Deceased” through the Registration activity, then the Registration activity should be used to undo this process. Marking a patient as “Deceased” cancels all future appointments, procedures, and admissions for the patient. This process to Undo will not reinstate those encounters. However, if the error is corrected within two hours, the inpatient orders will be reactivated.

Return to Epic Resources