Vanderbilt Allergy & Immunology Transfer and Handover Protocol
Transfers: The Vanderbilt Allergy & Immunology Service is strictly consultative and there is no inpatient A&I Service. As there is no inpatient service, the Vanderbilt A & I section does not accept transfers from other hospitals or other services within Vanderbilt Hospital or the Monroe Carell Children’s Hospital at Vanderbilt. Any transfers from other hospitals must be accepted by a primary Internal Medicine, Pediatric, or ICU team.
Handover: The call schedule for both Vanderbilt Allergy & Immunology residents and faculty is published on line at https://synergy.mc.vanderbilt.edu/. This is instantaneously available to all Vanderbilt physicians and staff after entering their VUNet ID and password. The call schedule lists the resident and faculty members’ e-mail address and pager number. The primary handover tool is StarPanel, the Vanderbilt electronic medical record. All pediatric and adult A & I consults are generated by the referring physician entering the consult into StarPanel. In addition, all referring physicians are requested to call the A & I resident to provide additional history and the clinical question for which an answer is desired by the consult. The StarPanel tool is used by both the resident and faculty for handovers, as all patients currently being seen in consultation must be listed in StarPanel for a consult to be generated. There are specific “Patient Lists” in StarPanel for both adult and pediatric patients. When a resident is ending her or his on call responsibility, the A & I policy is that this resident communicates in writing or orally the reason for the consult, the work-up to date that has been undertaken, the current plan, and the pertinent issues that are still outstanding at the time of the handover. There are separate pediatric and adult on call physicians who also utilize the StarPanel handover tool. The use of the StarPanel handover tool provides optimal continuity for patient care.