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Parked in ER tmp entry: Difference between revisions

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{{LegacyContent
|explanation=This is no longer collected as a tmp entry, see [[Parked in ER]]
|successor=[[Parked in ER]]
|content=
{{Project
{{Project
|ProjectActive=active
|ProjectActive=legacy
|ProjectProgram=CC and Med
|ProjectProgram=CC and Med
|ProjectRequestor=
|ProjectCollectionStartDate=Oct 10, 2017
|ProjectCollectionStartDate=
|ProjectCollectionStopDate=2020-10-16
|Project=Parked in ER
|Project=Parked in ER
}}
}}
This tmp entry was replaced by [[Parked in ER]] as part of [[Change from Service Location to Service, Boarding Loc and Transfer Ready DtTm tmp entry]]
== collection instructions ==
=== for patient arriving at a ward/unit via parked in ER ===
* [[Previous Location field]], enter one of
**HSC - ER (parked)
**GRA - ER (parked)
**STB - ER (parked)
* [[Previous Service field]], enter the accepting service, otherwise enter ''Unknown''


A patient is considered '''parked in ER''' if they are a '''[[direct admit]]''' who gets stuck in the ER.
Example:  Patient in Thompson ER accepted by medicine prior to their arrival at HSC ER, previous service=medicine
* For these patients the [[Visit Admit DtTm field]] and the ''Accept DtTm field'' will be the same


*There are '''two types of Direct admits:'''
Old discussion:
**'''already an Inpatient'''
* Lisa, you changed this from "the service at the sending facility". I think the new definition is inconsistent with what is said in [[Previous Service field]] which seems to say to enter "Not Applicable". Am I missing something? Ttenbergen 10:43, 2020 July 9 (CDT)
**'''not an Inpatient'''


== collection instructions ==
* '''For an INPATIENT direct admit:'''   
=== for patient arriving at a ward/unit via parked in ER ===
**[[Pre-admit Inpatient Institution field]], enter the other site/unit/ward (including the HSC/STB/GRA [[EMIP]]s) they were last sent from 
* The [[Visit Admit DtTm field]] and the [[Accept DtTm field]] will be the same
* in Tmp [[Boarding Loc]] enter ER, the date and time will be the same as the [[Visit Admit DtTm field]] and the [[Accept DtTm field]]


{{Discuss |
* '''For a NON INPATIENT direct admit:''' 
* All the below seem to be the same as any other pt. Could we just say "Enter [[Previous Location field]], [[Pre-admit Inpatient Institution]], [[Service/Location]], [[Previous Service field]] as for any other patient. " If we duplicate this info here for trivial scenarios then it will get lost if we change process for any of these. Ttenbergen 22:26, 2020 October 18 (CDT)
** go to '''Tmp Project,''' '''[[Accept_Loc_Park]]'''
}}
**follow the instruction on how to enter the non inpatient location they were last sent from
* [[Previous Location field]], enter the previous physical location of the patient
**From an inpatient location- the [[Pre-admit Inpatient Institution]] and the [[Previous Location]] will be the same
**Not from an inpatient location- the [[Pre-admit Inpatient Institution]] would be not applicable and the [[Previous Location]] would be their last physical location  e.g. Thompson ER
* [[Service/Location]] would be the generic HSC_Med, GRA_Med, or STB_Med
* [[Previous Service field]], enter the sending service, otherwise enter ''Unknown'' or ''not applicable'' or ''other known but not on list''
* in [[Service tmp entry]] enter the accepting service, with the same date/time as the [[Accept DtTm field]]
* If the patient is transferred to a ward, in Tmp [[Boarding Loc]] enter their Home medicine ward, or bed borrow/contingency location, if they are discharged or transferred to another facility it will be an EMIP. 
* in Tmp enter [[Transfer Ready DtTm]] / [[Transfer Ready DtTm tmp entry]] if applicable, if not transfer ready check off column B


=== for patient leaving a ward/unit via parked in ER ===
=== for patient leaving a ward/unit via parked in ER ===
Into [[Dispo]], enter the new ward that the patient will go to. The option ER (parked) will not be available.
Into [[Dispo]], enter the new ward that the patient will go to. The option ER (parked) will not be available.
== Dates ==
*Start Date = Oct 10, 2017
*End Date = Indefinite


== [[Media:DirectAdmit2.ppt | Direct Admit Process-POWER POINT presentation]] ==
== [[Media:DirectAdmit2.ppt | Direct Admit Process-POWER POINT presentation]] ==
*collection details and process change present by [[p:Julie Mojica]] at collection Collector meeting 2017_Nov_30.
*collection details and process change present by [[p:Julie Mojica]] at collection Collector meeting 2017_Nov_30.
== Data use / Reporting ==
What reports use this?
*[[Critical Care Inter-facility Transfer Report]]
inter facility transfers report (semi annual and Fiscal year) given to Critical Care Admin Director and Quality Officer.
*[[Patient Flow]] - where patient were have been admitted FROM
How is it used?
* To distinguish the reason of transfer due to bed management reason 
* To distinguish the reason of transfer due Medical Necessity reason
* To determine the flow of patients from teaching hospital to teaching hospital, teaching to community, community to teaching, community to community, from outside city/province facility to regional hospital.
=== Data to be Reported ===
* for Inpatient direct admit
** Site Ward via ED
** Site ICU via ED
* For Non Inpatient direct Admit (e.g. Emergency, Ambulatory Clinic, PCH, Home, Nursing Station)
** Site Emergency via ED
** Site Ambulatory via ED
** PCH via ED
** Home via ED
** Nursing Station via ED
== related concepts ==
* [[Dispo_field#Discharge_to_ER]]
* [[Boarding Loc]]
* [[:Category:Overflow]]
* [[EMIP]]
* [[ECIP]]
{{Data Integrity Check List}}


== Related articles ==
== Related articles ==
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[[Category: Admit/Discharge]]
[[Category: Admit/Discharge]]
[[Category: Overflow]]
[[Category: Overflow]]
}}
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