Definition of a Critical Care Program Admission: Difference between revisions

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This page defines what would be a profile (aka "record") in the [[Critical Care program]] portion of the database (see also [[Definition of a Medicine Program Admission]]).  
This page defines what would be a profile (aka "record") in the [[Critical Care program]] portion of the database (see also [[Definition of a Medicine Program Admission]]). There are some differences in CC and Med collection, see [[ICU Curriculum]]/[[Medicine Curriculum]].


A [[Critical Care]] profile constitutes all care under a given ICU service team. Thus when a patient changes service, a new record is begun. If a patient moves locations, but remains on the same ICU service, no new record is begun.
A [[Critical Care]] profile constitutes all care under a given ICU service team. Thus when a patient changes service, a new record is begun. If a patient moves locations, but remains on the same ICU service, no new record is begun.  


It is relevant for [[Using Cognos2 to keep track of patients]] general data use.  
It is relevant for [[Using Cognos2 to keep track of patients]] general data use.  
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* The ICU team '''does not take over main/overall care of a patient DURING a code on the ward'''. When the ICU team runs a ward code, they are just performing a procedure (ACLS) for the ward team. We only consider the ICU team as taking over care IF once the patient has survived the code (or possibly in between arrests), the ICU team has agreed to do so.  So, this is not automatic. The main way this will be noted is that the Medicine ward resident will almost certainly write a note indicating this.
* The ICU team '''does not take over main/overall care of a patient DURING a code on the ward'''. When the ICU team runs a ward code, they are just performing a procedure (ACLS) for the ward team. We only consider the ICU team as taking over care IF once the patient has survived the code (or possibly in between arrests), the ICU team has agreed to do so.  So, this is not automatic. The main way this will be noted is that the Medicine ward resident will almost certainly write a note indicating this.


===ICU Service Attendings and Admissions===
There is an "A', "B" and "C or outreach physician" The outreach physician is responsible for rounding on JJ3 patients and new consults are seen by A, B, C or housestaff depending on how busy the unit is.


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* Is this relevant (how) to the definition of a critical care program admission? [[User:Ttenbergen|Ttenbergen]] 15:00, 17 July 2025 (CDT)
** yes it helps identify service changes when reading notes, the physicians will identify which physician they are for the week.  It is also helpful to know how the service runs, especially for someone new [[User:Lkaita|Lisa Kaita]] 22:34, 17 July 2025 (CDT)
*** the service changes themselves would come from Cognos now, right? So how does this affect collection after that? If it is relevant, then would it be relevant to all sites or just HSC? If so, we would need the equivalent for other sites, but it should likely go to a different page connected to the [[Data Collector Portal]], possibly [[ICU Curriculum]] if all sites or [[HSC Critical Care Collection Guide]] if HSC CC specific. [[User:Ttenbergen|Ttenbergen]] 23:47, 17 July 2025 (CDT)
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=== Patients accepted to ICU service who never physically arrived in an ICU [[Boarding Loc]] ===
=== Patients accepted to ICU service who never physically arrived in an ICU [[Boarding Loc]] ===