STB Cardiac Care patients: Difference between revisions

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== Data Collection ==


[[Site_and_Location#NEW_-_STB_CCU_service_patients_in_STB_MICU_unit_-_Collection_Process_CHANGE_for_LOCATION_and_Registry_Patient_Type]]
== Legacy ==
{{Discussion}}
{{Collapsable
*some of this information is repeated in link above.  Not sure how best combined since one article is about registry type and the other is about site location and Both are related "changes" for STB cardiology patient overflowing into CICU and MICU.--[[User:TOstryzniuk|TOstryzniuk]] 15:02, 10 December 2010 (CST)
| always= Legacy only
Registry Patient Type for cardiac patients only will be determined by the service.  Cardiac type means that Cardiology service is looking after the patient. If MICU takes over the patient, then Medical patient type will apply in these cases only.  --[[User:LKolesar|LKolesar]] 11:15, 21 October 2010 (CDT)
| full=
The same goes for when the cardiac patient is located in CICU:  Location will be CICU, patient type will be cardiac because Cardiology looks after these patients.  When the patient is transferred to CCU, a new profile is started. 
== Data linking ==
*Example:
The [[Statistician]] who uses [[SAS]] programs to link [[continuous admission]]s, will update her SAS program so that an admission '''FROM''' Site_Loc, STB_MICU '''TO''' Site_Loc, STB_MICU, will not be flagged as an error.  
**CCU patient in MICU bed or CICU under cardiac physician service care:
As of July 7, 2016, with the new change from [[CCU Service Tracking]] to [[ACCU borrow]], the linking for [[continuous admission]] can now use the Site_Loc, STB_ACCU in either admission '''FROM''' or '''TO''' just like the other Site_loc and will not be flagged as an error. Starting April 2018, the [[ACCU borrow]]  has been continued in [[ICUotherService]] and the linking process remains the same as in [[ACCU borrow]].
**Hosp_Loc: STB_MICU or STB_CICU
**Reg Pt Type: Cardiac
*This patient gets transferred to STB ICU Medicine service care physician but stays in same STB_MICU bed.  Discharge to: St.Boniface MICU
**New profile
** Admit From: St Boniface MICU
**Hosp_Loc: STB_MICU
**Reg Pt type: Medical
 
***For all other patients, the patient type is still the old definition:  ie:  surgical patients are those coming from a surgical ward, PARR or OR, etc.  This applies to Post op cardiac surgery patients that are transferred to MICU from CICU or from the CSIU (cardiac sciences inpatient unit).  The type will be surgical regardless of attending.  --[[User:LKolesar|LKolesar]] 13:46, 22 November 2010 (CST)
****What about GIB,Airway burns with no body surface area burns,all ICH even if no surgical intervention?? Why surgical as in list above.List needs a revision please as it is not followed as stated above.Trish please comment on surgical list above.[[User:GHall|GHall]] 08:09, 2012 April 5 (CDT)
*****I don't call GI Bleeds surgical unless they came from the OR.Most of them are treated by endoscope embolization in the unit. It seems that patient type is coded different ways,Trish is aware.Today she mentioned the guidelines still apply.
 
 
#Cardiology (CCU) Service Patients that are '''physically located''' in the '''STB MICU''' but are looked after by the Cardiology Service physician will be collected and entered into the database with a '''Site_location as: STB_MICU.''' GO TO: [[Overflow to other units - Critical Care HSC and STB only#STB-CCU overflow patient in MICU (under cardiology service) |STB_CCU overflow patient in STB_MICU]]
#Cardiology Service Patients that are "physically located" in the '''STB_CICU''' but are looked after the Cardiology Service physician will collected and entered into the database with a '''Site_location as: STB_CICU'''. GO TO: [[Overflow to other units - Critical Care HSC and STB only#STB-CCU overflow patient in CICU  (under cardiology care)| STB_CCU overflow in STB_CICU]]
#*[[Registry Patient Type]] for the above two scenerios will be coded as '''Cardiac''' to indicate the patient is under Cardiology Physician Service Care. 
#If MICU attending physician '''takes over''' their '''care''', a NEW profile will be started
#'''Site_Location''' for the NEW profile will be '''STB_MICU'''
#[[Registry Patient Type]] will be coded as  '''Medical''' to indicate the patient is under Medical Physician Service Care
#*The [[Statistician]] who uses [[SAS]] programs to link [[continuous admission]]s, will update her SAS program so that an admission '''FROM''' Site_Loc, STB_MICU '''TO''' Site_Loc,STB_MICU, will not be flagged as an error.   The distinguishing feature of these cases will be [[Registry Patient Type]], which will indicate the Physician Service Care the patient is under will in the STB MICU unit.
#*The [[:Category: Data Integrity Rules | data integrity rules]] in [[CCMDB.mdb]] will be changed to allow site and location STB_MICU with discharge to: STB MICU if Registry type is Cardiac.  If registry type Medical or Surgical, then not allowed.    If Site and location STB_CICU with discharge to: CICU if registry type is Cardiac. If registry type S then not allowed.     
#If the patient is moved '''FROM''' STB_MICU '''TO''' STB_CCU location on A5, a new profile will again be used:  
#Site_Location will be STB_CCU
#[[Registry Patient Type]] will be coded as '''Cardiac''' to indicate the patient is under Cardiac Physician Service Care. 
*--[[User:LKolesar|LKolesar]] 15:54, 20 October 2010 (CDT)


=== Legacy: Patients located on MISI ===
As of October 1, 2010 CCU collectors do not collect data on CCU (Cardiology) pts that are located in MICU or ICCS.  Instead these pts are put as MICU or CICU location with cardiac type.  The MICU or CICU collector is responsible for these patient profiles.  If the pt care is transferred to the MICU attending, the profile will be restarted and it will be a medical type, instead of cardiac type.  .  Must remember to start a new tiss if the patient is transferred to the MICU physician's care.  The first profile is logged out to MICU and the new profile is logged into MICU even though in both cases the location is MICU.  This scenario happens rarely as usually Cardiology service looks after their patients while they are in MICU or CICU.     
===Legacy: cardiac info ===
* prior to October 1, 2010:  MSICU and ICCS had CCU patients as CCU overflows.  They would often be located in one of these areas if they require intubation and /or IABP.  However, they were still attended by the CCU doctors and the CCU data collector entered them as a CCU patient.  They usually remained under CCU unless further multi system issues exist that the CCU attending wished to transfer the care to the ICU.  In this case the patient is discharged from CCU and admitted to the ICU and the ICU data collector then would start a profile and continue to follow this patient.  The respective [[TISS]] sheet followed the patient as they are moved between units if they continued to be a CCU pt.)  The overflow was marked in the variable 5 slot.
**This entire section is now legacy and Julie has changed this system to utilization of tmp section to designate Cardiology vs MICU coverage back to January 1, 2015. See [[CCU Service Tracking]] . Anything before that date will still have the old system of determining Cardiology service.  --[[User:LKolesar|LKolesar]] 10:19, 2015 June 9 (CDT)
}}


== Origin of this article ==
== Related articles ==  
This article combines information from the following locations to avoid inconsistencies and duplication:
{{Related Articles}}
* [[Registry Patient Type#StB Cardiac patients]]
* [[Site_and_Location#NEW_-_STB_CCU_service_patients_in_STB_MICU_unit_-_Collection_Process_CHANGE_for_LOCATION_and_Registry_Patient_Type]]
* [[STB Critical Care Collection Guide]]
 
== Legacy ==
*Registry patient type said started in October 1, 2010
*Site and Location table said started in November 1, 2010
{{discussion}}
*does the inconsistency mean it's wrong? Ttenbergen


[[Category: St Boniface Hospital Office (Critical Care)]]
[[Category:St Boniface Hospital Office (Critical Care)]]
[[Category: Site Specific Collection Guide]]
[[Category:Site Specific Collection Guide]]

Latest revision as of 15:37, 23 December 2025

Data Collection

Legacy

Legacy only   

Data linking

The Statistician who uses SAS programs to link continuous admissions, will update her SAS program so that an admission FROM Site_Loc, STB_MICU TO Site_Loc, STB_MICU, will not be flagged as an error. As of July 7, 2016, with the new change from CCU Service Tracking to ACCU borrow, the linking for continuous admission can now use the Site_Loc, STB_ACCU in either admission FROM or TO just like the other Site_loc and will not be flagged as an error. Starting April 2018, the ACCU borrow has been continued in ICUotherService and the linking process remains the same as in ACCU borrow.

Legacy: Patients located on MISI

As of October 1, 2010 CCU collectors do not collect data on CCU (Cardiology) pts that are located in MICU or ICCS. Instead these pts are put as MICU or CICU location with cardiac type. The MICU or CICU collector is responsible for these patient profiles. If the pt care is transferred to the MICU attending, the profile will be restarted and it will be a medical type, instead of cardiac type. . Must remember to start a new tiss if the patient is transferred to the MICU physician's care. The first profile is logged out to MICU and the new profile is logged into MICU even though in both cases the location is MICU. This scenario happens rarely as usually Cardiology service looks after their patients while they are in MICU or CICU.

Legacy: cardiac info

  • prior to October 1, 2010: MSICU and ICCS had CCU patients as CCU overflows. They would often be located in one of these areas if they require intubation and /or IABP. However, they were still attended by the CCU doctors and the CCU data collector entered them as a CCU patient. They usually remained under CCU unless further multi system issues exist that the CCU attending wished to transfer the care to the ICU. In this case the patient is discharged from CCU and admitted to the ICU and the ICU data collector then would start a profile and continue to follow this patient. The respective TISS sheet followed the patient as they are moved between units if they continued to be a CCU pt.) The overflow was marked in the variable 5 slot.
    • This entire section is now legacy and Julie has changed this system to utilization of tmp section to designate Cardiology vs MICU coverage back to January 1, 2015. See CCU Service Tracking . Anything before that date will still have the old system of determining Cardiology service. --LKolesar 10:19, 2015 June 9 (CDT)

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