Isolation, infectious: Difference between revisions

(27 intermediate revisions by 5 users not shown)

Line 8:

==Additional Info==

=== Code as Acquired Procedure ===

~~'''This almost always needs to~~ be coded as an [[Acquired Procedure]]. It's counter-intuitive, but review the documentation at [[Acquired Procedure]]/[[Admit Procedure]] and it should be clear why. ~~'''~~

*While this can be an [[Admit Procedure]] or an [[Acquired Procedure]], it usually will be coded as an [[Acquired Procedure]]. It's counter-intuitive, but review the documentation at [[Acquired Procedure]]/[[Admit Procedure]] and it should be clear why.

*It can, on occasion be coded as both an [[Admit Procedure]] and (later in the admission) as a separate [[Acquired Procedure]].

=== Definition ===

*This is a procedure code for a patient who is on infection isolation precautions.

**To qualify for this, the ~~patient must himself/herself have a~~ condition for which isolation is indicated. ~~So,~~ a ~~group for which this code should NOT be used are patients who are~~ put on isolation ~~precautions '''prophylactically'''~~, ~~i.e~~. for ~~infection present in~~ somebody ~~else on the ward. An example is when a group of ward patients get C. diff and in response everyone on that ward is~~ put on isolation ~~precautions. The patients on such prophylactic precautions would NOT get this code. However, if such a person then does get (in this example) C. diff~~, ~~he/she would get this code~~ as ~~of the day he/she got the infection for which~~ the isolation ~~is being done~~.

*The person does NOT have to turn out to have the condition for which isolation is indicated.

**Thus use it if a patient is put on isolation for TB, or COVID-19 even if they turn out NOT to have those infections.

**Can also use it for somebody put on isolation prophylactically, as is the case with reverse isolation.

*It '''includes''' any/all of the following kinds of isolation protocols:

**gloves only

Line 18:

Line 21:

**mask

**negative pressure room use

**reverse isolation

**reverse isolation -- i.e. a person at risk for getting infection (e.g. neutropenic after chemotherapy for cancer) is isolated to try and avoid them being exposed

**cohorting the patient with other patients with the same [[Pathogens|pathogen]]

**use for those AGMP's that are continuous e.g. BIPAP, CPAP, Optiflow . As of May10,2023 only those patients designated as "orange", or "red" require isolation/PPE precautions. "green" patients have no special precautions. Do not use for one time AGMP's where there is no other indication for isolation. e.g intubation, bronchoscopy, CPR, nebulizer medications

=== In the context of [[Colonized with organism (not infected)]] ===

Line 28:

Line 33:

*This is NOT included because such isolation (e.g. keeping pregnant nurses from caring for patients getting certain teratogenic medications) is not isolating the patient.

==~~= Using this code during COVID =~~==

== Related Code ==

~~{{DiscussTask | *ONLY use this~~ code ~~if the person being isolated HAS~~ (~~or turns out to have~~) ~~the condition for which they're being isolated. Do not use it if it's prophylactic and they turn out NOT to have the condition. -~~

This code is similar to [[Patient is on isolation (TISS Item)]] but collected as a different [[CCI Collection Mode]], so we decided to keep both.

**Need further discuss at may 5.20 Task meeting. [[~~p:Joanna Velasco~~]]}}

Line 41:

Line 45:

== Data use ==

* [[Medicine ~~report~~]] ~~- need right link~~

* [[Directors Quarterly and Annual Report (Medicine)|Directors Quarterly and Annual Report]]

== Related Articles ==

@@ Line 8: / Line 8: @@
 ==Additional Info==
 === Code as Acquired Procedure ===
-'''This almost always needs to be coded as an [[Acquired Procedure]]. It's counter-intuitive, but review the documentation at [[Acquired Procedure]]/[[Admit Procedure]] and it should be clear why. '''
+*While this can be an [[Admit Procedure]] or an [[Acquired Procedure]], it usually will be coded as an [[Acquired Procedure]]. It's counter-intuitive, but review the documentation at [[Acquired Procedure]]/[[Admit Procedure]] and it should be clear why.
+*It can, on occasion be coded as both an [[Admit Procedure]] and (later in the admission) as a separate [[Acquired Procedure]].
 === Definition ===
 *This is a procedure code for a patient who is on infection isolation precautions.
-**To qualify for this, the patient must himself/herself have a condition for which isolation is indicated.  So, a group for which this code should NOT be used are patients who are put on isolation precautions '''prophylactically''', i.e. for infection present in somebody else on the ward.  An example is when a group of ward patients get C. diff and in response everyone on that ward is put on isolation precautions.  The patients on such prophylactic precautions would NOT get this code.  However, if such a person then does get (in this example) C. diff, he/she would get this code as of the day he/she got the infection for which the isolation is being done.
+*The person does NOT have to turn out to have the condition for which isolation is indicated.
+**Thus use it if a patient is put on isolation for TB, or COVID-19 even if they turn out NOT to have those infections.
+**Can also use it for somebody put on isolation prophylactically, as is the case with reverse isolation.
 *It '''includes''' any/all of the following kinds of isolation protocols:
 **gloves only
@@ Line 18: / Line 21: @@
 **mask
 **negative pressure room use
-**reverse isolation
+**reverse isolation -- i.e. a person at risk for getting infection (e.g. neutropenic after chemotherapy for cancer) is isolated to try and avoid them being exposed
 **cohorting the patient with other patients with the same [[Pathogens|pathogen]]
+**use for those AGMP's that are continuous e.g. BIPAP, CPAP, Optiflow . As of May10,2023 only those patients designated as "orange", or "red" require isolation/PPE precautions.  "green" patients have no special precautions. Do not use for one time AGMP's  where there is no other indication for isolation. e.g intubation, bronchoscopy, CPR, nebulizer medications
+<!-- discussed inconsistency with Optiflow being included here but not else; yes it is correct that it is excluded elsewhere and included here - discussed at task. 2022-06-22 -->
 === In the context of [[Colonized with organism (not infected)]] ===
@@ Line 28: / Line 33: @@
 *This is NOT included because such isolation (e.g. keeping pregnant nurses from caring for patients getting certain teratogenic medications) is not isolating the patient.
-=== Using this code during COVID ===
+== Related Code ==
-{{DiscussTask | *ONLY use this code if the person being isolated HAS (or turns out to have) the condition for which they're being isolated.  Do not use it if it's prophylactic and they turn out NOT to have the condition. -
+This code is similar to [[Patient is on isolation (TISS Item)]] but collected as a different [[CCI Collection Mode]], so we decided to keep both.
-**Need further discuss at may 5.20 Task meeting.  [[p:Joanna Velasco]]}}
 {{CCI Collection Mode}}
@@ Line 41: / Line 45: @@
 == Data use ==
-* [[Medicine report]] - need right link
+* [[Directors Quarterly and Annual Report (Medicine)|Directors Quarterly and Annual Report]]
 == Related Articles ==