Isolation, infectious: Difference between revisions

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*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.
*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]].
*It can, on occasion be coded as both an [[Admit Procedure]] and (later in the admission) as a separate [[Acquired Procedure]].
{{Discuss|
* For EMIPs with covid suspect as part of admit dx list and already on isolation, would the isolation be considered an admit or acquired CCI?
** Is there a way it would not meet the definition of [[Admit Procedure]]? Are you wondering because the procedure is really more of a continuous thing, which most procedures would not be? [[Admit Procedure]] seems to define this all around the start of the record. Could you please clarify how it is not clear? Ttenbergen 21:26, 2020 November 1 (CST)
***I am wondering because there is no physical move to another unit in the case of EMIP and most of the time, isolation is implemented prior to medicine accept date/time Thank you, [[User:Ppiche|Pamela Piche]] 06:53, 2020 November 3 (CST).
}}


=== Definition ===
=== Definition ===
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**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
**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]]
**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)]] ===
=== In the context of [[Colonized with organism (not infected)]] ===
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=== Do not use this code for isolation for Use of Cytotoxic Agents ===
=== Do not use this code for isolation for Use of Cytotoxic Agents ===
*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.
*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.
== Related Code ==
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.


{{CCI Collection Mode}}
{{CCI Collection Mode}}
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== Data use ==
== Data use ==
* [[Medicine report]] - need right link
* [[Directors Quarterly and Annual Report (Medicine)|Directors Quarterly and Annual Report]]


== Related Articles ==
== Related Articles ==