BCCFH - For Healthcare Providers
The Baltimore Convention Center Field Hospital:
- Has physical therapy/mobility support 7 days a week allowing us to care for patients who might have greater difficulty with activities of daily living (ADLs)
- Is taking patients who require intravenous medications, including remdesivir
- Will take patients recovering from COVID with an oxygen requirement > 4L/min
Patient Transfer Criteria
Patients may be transferred to BCCFH who meet the following criteria:
- All patients are COVID positive.
- Hospitalized or emergency department patients who are not critically ill, improving from diagnosed COVID-19 infection (e.g., no requirement for monitoring, no ventilator)
- Patients requiring intermittent intravenous medication (after discussion with BCCFH triage team)
- Patients 18 years of age or older
- Patient can be on 4/L oxygen via nasal cannula with an oxygen saturation no lower than 92%. If > 4/L oxygen required, discussion of patient’s baseline oxygen requirements with BCCFH triaging physician is needed.
- Patients who do not require scheduled respiratory therapy using nebulizer, BiPAP or CPAP
- If AM-PAC score is > 19, patient is eligible for admission to BCCFH. See how to calculate AM-PAC score.
- If AM-PAC score is > 13 and < 18, patient can be considered for admission, but this requires discussion with triage team prior to transfer.
- If patient is a current tobacco user, patient is willing to cease or accept nicotine replacement alternatives (i.e., patches, etc.) for the entire duration of their stay at the BCCFH.
- Patients who would do well in a potentially crowded environment with close living quarters.
Patients who do not meet the criteria for transfer:
- Because of the risk of infectious spread, we cannot take patients with persistent vomiting or diarrhea or known infectious gastroenteritis.
- At the current time, we cannot take patients who require scheduled hemodialysis.
- Patients with severe behavioral health issues including psychosis, advanced and/or moderate dementia, temporary or permanent incapacity, severe delirium, suicidality or behavior requiring a sitter should not be considered for admission to the BCCFH.
Process for Patient Transfer
A physician at the originating facility writes orders to discharge a patient to the Baltimore Convention Center Field Hospital (BCCFH).
- All transfers should be initiated through the UMMC Access Center at 410-328-1234.
- The Access Center will maintain a patient list with the originating hospital of all patients.
The steps for transfer are:
- A physician at the originating site will make the initial call to the Access Center at 410-328-1234 and will be connected with a receiving physician and triage nurse to determine if a patient meets the criteria.
- If a patient meets the criteria for transfer to BCCFH and the physicians jointly agree to admit the patient, the Access Center will review the Census bed board to confirm capacity for the patient.
- If the BCCFH provider accepts the patient, the originating physician will initiate documentation and coordination of transportation.
- Download and fill out the BCC Intake Triage form.
- Originating facility Case Management will coordinate with families to pick up extraneous items.
- Originating provider will communicate to Case Management and Social Work.
- Patient is discharged from the originating facility and triaged to BCCFH; documentation is given to EMS Unit
- In transfer, the patient should only have the following items:
- Street clothes
- Med pack provided by hospital with 30 days of medications (preferable)
- Cell phone and phone charger and other electronic devices (iPad)
- Reading material
- EMS to call 410-649-6100 or 410-649-6101 when leaving for BCCFH and upon arrival.
- Drop off patient at designated BCCFH drop-off location. Review these patient drop off instructions.
- Meet Tier 1 nurse at Triage; deliver documentation to Tier 1 nurse.
- EMS does not go beyond Triage location.