What happens if you are transferred to Brookhaven from Alchemilla

What happens if you are transferred to Brookhaven from Alchemilla

You may be transferred from Alchemilla Hospital to Brookhaven Hospital when your care team believes behavioral health review, inpatient psychiatric care, crisis follow-up, medication safety review, substance-use support, or another Brookhaven service may be needed.

A transfer does not always mean you are admitted to Brookhaven right away. It may mean Brookhaven will complete additional intake, safety review, medical handoff, medication review, admission-status review, or level-of-care review before deciding the next step.

Best first step: Ask your Alchemilla care team why Brookhaven is being recommended, what information is being sent, whether you are going by ambulance or another transport method, and what to expect when you arrive.
Transfer note, unsigned below the bed assignment:
There was a HOLE here. It’s gone now.

Quick summary

  • Alchemilla may recommend Brookhaven transfer when behavioral health, safety, medication, crisis, or substance-use needs require additional review.
  • Transfer can happen from the emergency department, observation area, inpatient unit, discharge planning process, or another Alchemilla service.
  • Alchemilla should explain why the transfer is being recommended and what is being sent with you.
  • Brookhaven may complete another intake or safety review after arrival.
  • Your belongings, medications, and support-person access may be handled differently after transfer.
  • Use urgent or emergency help if safety cannot wait for transfer or review.

Why a transfer may happen

Alchemilla provides medical and emergency care. Brookhaven provides behavioral health intake, observation, inpatient behavioral health care, medication review, and other psychiatric or behavioral health services. A transfer may happen when Brookhaven is the more appropriate setting for the next review or level of care.

Reason What it may mean
Behavioral health safety review Brookhaven may need to assess whether outpatient care, crisis planning, observation, or inpatient care is safest.
Psychiatric or medication review A Brookhaven prescriber or care team may need to review medications, side effects, missed doses, withdrawal concerns, or recent changes.
Crisis follow-up Brookhaven may need to continue care after emergency or crisis evaluation.
Substance-use support Additional review may be needed for withdrawal risk, treatment options, medication support, or program placement.
Level-of-care review Brookhaven may need to decide whether inpatient care, outpatient care, urgent follow-up, or another service is the best next step.

Before the transfer

Before transfer, Alchemilla may complete medical screening, stabilization review, medication review, lab or imaging review, safety documentation, and handoff communication with Brookhaven. The exact steps depend on why you are being transferred and how urgent the situation is.

  • Ask whether you are medically cleared, still being medically monitored, or waiting on results before transfer.
  • Ask whether the transfer is for intake assessment, observation, inpatient evaluation, medication review, or admission.
  • Ask how you will be transported and whether a support person can follow or meet you later.
  • Ask what belongings are being sent, stored, inventoried, or sent home.
  • Ask whether medications you brought from home will be sent, stored, or reviewed separately.
  • Ask whether you can make a phone call before transfer if it is safe and allowed.

What information travels with you

Alchemilla and Brookhaven may share information needed for safe care. Some information may travel through the shared health record, transfer packet, nurse-to-nurse handoff, provider note, or direct care-team communication.

Information type Why it matters
Reason for transfer Helps Brookhaven understand the concern being reviewed.
Medical screening and recent results Helps Brookhaven understand medical stability, pending concerns, and whether further medical care is needed.
Medication list Helps review current medications, allergies, side effects, missed doses, and medication safety needs.
Safety concerns Helps Brookhaven decide observation level, room placement, belongings review, and immediate support needs.
Support-person information Helps Brookhaven know who may provide information, transportation, or discharge support when allowed.

When you arrive at Brookhaven

Brookhaven may repeat parts of the intake process even if you already answered questions at Alchemilla. This helps Brookhaven confirm identity, current symptoms, safety needs, medication status, privacy preferences, and the correct next step after transfer.

  1. Brookhaven confirms your identity and transfer reason.
  2. Staff review the Alchemilla handoff and any records sent with you.
  3. Staff may ask safety, medication, substance-use, and symptom questions again.
  4. Your belongings may be reviewed, inventoried, stored, or returned to a support person depending on the setting.
  5. A clinician may review whether you need intake assessment, observation, inpatient evaluation, admission, transfer elsewhere, or discharge planning.
  6. Staff explain where you will wait, who is reviewing your care, and what happens next.

Medications and belongings

Medication and belongings rules may change when you move from Alchemilla to Brookhaven. Brookhaven may have stricter safety rules for personal items, outside medication, controlled substances, sharp items, cords, glass containers, electronics, or items that could interfere with care.

Medication safety: Tell Brookhaven if you took medication before transfer, missed a dose, took more than prescribed, stopped a medication recently, used alcohol or substances, or are worried about withdrawal or side effects.

If you brought medication to Alchemilla, ask whether it is being sent with you, stored, returned to a support person, or documented separately. Do not take personal medication after transfer unless Brookhaven staff confirm the plan.

Support person and privacy

A support person may help explain what happened at Alchemilla, provide medication information, help with transportation, or participate in planning when allowed. Brookhaven may still need permission before sharing details back.

  • Adult patients generally decide who can receive updates unless legal authority or emergency circumstances apply.
  • Brookhaven may need to speak with the patient privately for part of the review.
  • Support people may be asked to wait in a separate area during clinical review.
  • Visitor access may depend on unit rules, safety review, admission status, and patient preference.
  • Some behavioral health, substance-use, teen, dependent, or safety-related information may have additional privacy limits.

Portal and records after transfer

After transfer, some Alchemilla and Brookhaven information may appear in the MySHH Portal. Some records may appear under Alchemilla, some under Brookhaven, and some may be delayed, restricted, or released only through Health Information Management.

  • Alchemilla emergency or hospital records may appear separately from Brookhaven behavioral health records.
  • Brookhaven discharge instructions may not appear at the same time as Alchemilla visit summaries.
  • Medication lists may show changes from both facilities, but sensitive records may still have privacy limits.
  • Proxy users may see less than the patient sees.
  • Linked records do not override Brookhaven privacy, safety, or consent rules.

If the transfer is delayed

A transfer may be delayed while Alchemilla and Brookhaven coordinate medical review, safety review, transportation, bed availability, legal status, insurance or authorization, or receiving-team acceptance.

  • Ask whether you are waiting on medical results, a Brookhaven bed, transportation, or clinician review.
  • Ask whether your admission status or observation status has changed.
  • Ask who is responsible for medications while you wait at Alchemilla.
  • Ask whether your support person can receive updates.
  • Ask what to do if symptoms worsen while waiting.
  • Tell staff right away if you feel unsafe, overwhelmed, confused, or physically worse.

Questions to ask

Before or after transfer, ask staff to explain the plan in plain language. It is reasonable to ask the same question more than once if the situation is moving quickly.

  • Why is Brookhaven being recommended?
  • Am I being transferred for intake, observation, inpatient evaluation, admission, or another review?
  • Is the transfer voluntary, involuntary, or still being reviewed?
  • What information is Alchemilla sending to Brookhaven?
  • How will I get there, and who is arranging transportation?
  • What happens to my belongings and medications?
  • Can my support person come with me, follow me, or receive updates?
  • What should I do if I feel unsafe before or after transfer?
  • Who will explain the next step after I arrive?

If you need urgent help

Do not wait for transfer, intake, portal messages, bed availability, or discharge instructions if there is immediate danger, thoughts of self-harm, thoughts of harming someone else, possible overdose, severe withdrawal, severe confusion, or you cannot stay safe.

  • Use emergency services if there is immediate danger.
  • Tell Alchemilla or Brookhaven staff immediately if you are on campus and feel unsafe.
  • Call or text 988 in the U.S. for mental health, emotional distress, substance-use, or crisis support.
  • Call Poison Control at 1-800-222-1222 in the U.S. for possible poisoning, overdose, or medication mistakes.

FAQ

Does transfer mean I am admitted to Brookhaven?

Not always. Transfer may mean Brookhaven needs to complete intake, safety review, observation, medication review, or level-of-care review before deciding the next step.

Can I refuse transfer?

Ask staff what status applies and what options are available. Depending on safety concerns, legal status, age, and clinical review, refusal may lead to additional evaluation or legal-status review.

Will my Alchemilla records go to Brookhaven?

Information needed for safe care may be shared through the health record, transfer packet, or care-team handoff. Some records may still appear separately in the portal.

Can my family come with me?

Sometimes. Ask Alchemilla and Brookhaven whether a support person can ride with you, follow separately, wait at Brookhaven, or receive updates. Access may depend on safety rules, privacy preferences, visitor policy, and legal authority.

What if I feel worse while waiting for transfer?

Tell staff immediately. If you are not on campus and there is immediate danger, use emergency services. For mental health, emotional distress, substance-use, or crisis support in the U.S., call or text 988.

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