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| Only mark a task as performed if it was done during a patients stay on your ward. If a task was done '''prior''' to patient coming to your ward or '''after''' patient is transferred to another ward, it should be marked as ''no'' or '''none''' during the stay on your ward.
| | #redirect:[[Dialysis Tasks]] |
| === Dialysis ===
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| Patients who have underlying CRF are on chronic hemodialysis or peritoneal dialysis, if they go for a kidney transplant and develop a complication of rejection, hyper K+ or renal failure etc., post kidney transplant and subsequently require dialysis, this will be considered '''acute''' dialysis.
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| Not all pts with DX of ARF or CRF in comorbids have their dialysis during ward admission, particularly if they are a short stay (less than 4 days). Pt is sent to other wards for their dialysis, therefore it may be correct that there might not be a dialysis acute or chronic TASK is marked.
| | [[Category:Task Elements]] |
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| ==== Peritoneal Dialysis ====
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| * possible entries: (none, acute, chronic)
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| ** Acute – first time peritoneal dialysis ever, during this hospital admission
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| ** Chronic - dialysis which was being done on an outpatient basis prior to this hospitalization or patient was doing on their own at home prior to this hospitalization
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| *Also see:
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| :[[Hemodialysis_Task]]
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| == Dialysis Examples ==
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| '''Example 1''':
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| *I have a patient that was admitted to my floor from another medical floor. The patient was a chronic h.d. patient prior to admisssion. A week or two after admission (while still on the first medical floor), the patient was switched to p.d. For my admission I put h.d. chronic, and p.d. acute. This patient has now switched back and forth between h.d., and p.d. on an almost weekly basis. How do I code the dialysis tasks now that she has gone back and forth with both?--[[User:DPageNewton|DPageNewton]] 15:55, 15 October 2008 (CDT)
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| **''HD Chronic & PD Acute or not mutally exclusive therefore you can mark both in TASKS if both are occurring while patient is on your ward''.--[[User:TOstryzniuk|TOstryzniuk]] 00:40, 19 November 2008 (CST)
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| '''Example 2''':
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| *Patient came from ER with CRF and was receiving outpatient peritoneal dialysis (PD). Pt developed shock and was sent to ICU where he had Hemodialysis. On your ward the pt had peritoneal dialysis done once before going to ICU.
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| **''You would mark CHRONIC PD as a TASK. You would not mark ACUTE HD. This is being done during his ICU stay''.
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| '''Example 3''':
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| *Pt came from ER to your ward with CRF (on outpatient PD dialysis). Pt had to be switched to hemodialysis because of peritonitis.
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| **''Peritoneal dialysis should be marked '''chronic''' if patient had peritoneal dialysis done one or more times while on your ward. Switched to hemodialysis which is new and should therefore be marked as '''acute'''''.
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| '''Example 4''':
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| *An ICU patient with ARF receiving '''acute''' hemodialysis in ICU, comes to your ward from the ICU and expires within a day or two. No dialysis was ever done for the short time patient was on your ward.
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| **''The hemodialysis task should be marked as '''none'''''.
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| * In [[! Automated Data Integrity Checks]] I read: "If Grace and VIC Med send patient for dialysis to HSC or STB, then they return back to medicine bed, TASK will be marked with dialysis for their site." I think Trish wrote it. If this is true, it needs to be included here. [[User:Ttenbergen|Ttenbergen]] 17:16, 27 October 2008 (CDT)
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| [[Category: Task Elements]] | |