Transfer of Accountability (ToA) Queue

You can transfer accountability for a patient (i.e., discharge from triage) directly from eCTAS. This will remove the patient from the Pretriaged and/or Triaged Patients Queues. Once a patient is indicated as TOA, they will appear on the ToA Queue.

Important: The patient's record will remain in this queue for 6 hours.

The TOA Queue is hidden by default. Refer to instructions on how to Show the ToA Queue.
It is recommended to Hide the ToA Queue when not in use as leaving it open can impact your browser's performance.
Nurses have the ability to mark a record as triaged in error from the ToA Queue. Refer to instructions on the Mark Record as Triaged in Error section.

Note: Not all facilities will use the TOA feature in eCTAS, some Complex hospitals may be configured to initiate the TOA action from their Hospital Information System. Check with your eCTAS Resource to confirm how Transfer of Accountability will be handled.

TOA Queue Columns

Column	Description
CTAS	Displays the CTAS score at the time of TOA.
TOA	Displays the time of TOA.
Left?	Indicates if a patient left without being seen.
Care	Displays appropriate icons or text to indicate care location and/or instructions entered by the nurse. Hovering over care location icons will display any care instruction text that was entered.

Column Sorting

The columns in each Queue (Pretriaged, Triaged and TOA) can be sorted to aid in finding patient information.

By default the Pretriaged Patients Queue is sorted in descending order by LOS (Length of Stay). Patients with the longest LOS will appear at the top.
By default the Triaged Patients Queue is sorted in ascending order by CTAS score. Patients with the most acute CTAS scores will appear at the top. This is a Primary sort.
By default the TOA Queue is sorted by the TOA column (Time of TOA).
Primary and Secondary sorts are indicated by a dot underneath the column name – one dot for primary, two dots for secondary. The sort order is also indicated with arrows – a down arrow for ascending and up arrow for descending.
Nurses can resort the queue by any column name i.e. Patient name or apply a Secondary sort by clicking on another column name.