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Playbook 5 min· intermediate

Patient placement question — first 90 seconds

Confirm the request, location, order/status, and who owns the next step before escalating.

When to use

A unit, nurse, or coordinator is asking about a stalled bed assignment or transfer.

Steps
  1. 1
    First 90 seconds

    Restate what they asked in one sentence, without PHI. Confirm which unit is waiting and where the patient is now.

  2. 2
    What to say

    'Let me confirm the request, the status, and who owns the next step before we escalate.'

  3. 3
    What to check

    Is there an active placement order or status? Is bed control aware? Is this one patient or several?

  4. 4
    When to escalate

    If the placement is unclear after the request + status + owner check, or any time-critical workflow is waiting, escalate to command center with scope and severity.

  5. 5
    Command center handoff

    Three sentences: what is stalled, scope and severity, what you need with a callback. Close the loop with the requester within 5 minutes.

What to say
  • Speak calmly.
  • Be specific.
  • End with where you'll be.
What to capture
  • What happened.
  • When it happened.
  • Who was affected.
Common mistakes
  • Escalating before confirming ownership.
  • Sharing patient identifiers on the floor.
  • Repeating a request without timestamping it.
When to escalate

Time-critical placement (ED holding, ICU transfer, post-op recovery) waiting > 15 minutes: page command center with scope, severity, callback.