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Service tmp entry: Difference between revisions

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|ProjectRequestor=internal
|ProjectRequestor=internal
|ProjectCollectionStartDate=2020-10-15
|ProjectCollectionStartDate=2020-10-15
|Project=Boarding Loc
|Project=Service tmp
}}
}}


This data encodes which service is taking care of a patient. See [[Definition of a Critical Care Laptop Admission]] / [[Definition of a Medicine Laptop Admission]] for info on when a new profile should be started.  
This data encodes which service is taking care of a patient. See [[Definition of a Critical Care Program Admission]] / [[Definition of a Medicine Program Admission]] for info on when a new profile should be started.  


== Data Collection Instructions ==
== Data Collection Instructions ==
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=== How to enter this ===
=== How to enter this ===
Add an additional entry for service only if the service changes during their stay.
Add an additional entry for service only if the service changes during their stay. (see [[#Which service to use when several are listed for the same timeframe]] below.
{{Ex |  
{{Ex |  
*E.G. patient X is in the ER and is accepted by HSC A medicine on Oct 15,2020@0900, On Oct 17,2020 @1500 HSC H medicine takes over his care
*E.G. patient X is in the ER and is accepted by HSC A medicine on Oct 15,2020@0900, On Oct 17,2020 @1500 HSC H medicine takes over his care
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==== DtTm to use ====
==== DtTm to use ====
* Edit the Service Start DtTm in the [[Patient Viewer Tab Cognos ADT2]]
* Edit the Service Start DtTm in the [[Patient Viewer Tab Cognos ADT2]]
* If you are changing the Service Start DtTm, make sure that the [[Visit Admit DtTm]] is either before or the same as the Service Start DtTm
* value is entered from [[CSS]] as per [[Using Cognos2 to keep track of patients]]
* for the '''first''' [[Service tmp entry]] per admission: once patient is discharged and before setting [[RecordStatus]] to "complete", update as per [[DtTm for First Boarding Loc and First Service]]


* value is initially entered in [[CSS]] as per [[Using Cognos2 to keep track of patients]]
=== Which service to use when several are listed for the same timeframe ===
* once patient is discharged, set as per [[Definition of a Critical Care Laptop Admission]] or [[Definition of a Medicine Laptop Admission]]; except if within 30 min of time in Cognos, use Cognos time <!-- as per ICU Database Task Group Meeting – April 15, 2021 #4 -->
* use what you know to be correct from chart and your knowledge of your hospital.
** at this point also update the first [[Boarding Loc]] DtTm as per [[DtTm for Frist Boarding Loc and First Service]]
* exclude services that are not relevant to the current admission, or are an obvious entry error ie. if there are two service entries for an ICU admission that are one minute apart, but one is HSC critical care general surgery and the other is just HSC general surgery, exclude the HSC general surgery service as this is not an ICU service.
 
==== Code Blue ====
See [[Definition_of_a_Critical_Care_Laptop_Admission#From_Code_Blue]] for when a profile should start in case of a code blue.  


==== Specifically for STB Critical Care ====
==== Specifically for STB Critical Care ====
'''Special rules apply to [[STB CICU Admissions start at Arrive DtTm]] '''
Special rules apply to [[STB CICU Admissions start at Arrive DtTm]].
 
*at StB, the Service tmp date and time for ICU patients coming from ER is taken from the orders.  If the time is written after the patient has already arrived to the ICU, the Service tmp date and time is the same time as the [[Boarding Loc]] time
* if the patient is coming from the Cath Lab, or the OR, the time is obtained from the ICU flowsheet
 
==== Item - Special instruction for HSC Critical Care ====
<!-- if title is removed or changed, also update https://ccmdb.kuality.ca/index.php?title=HSC_Critical_Care_Collection_Guide -->
HSC Critical Care services (''except "HSC Critical Care / Intermediate", which is entered as is)'' should be entered as "HSC Critical Care - MICU", "HSC Critical Care - SICU".
 
For HSC MICU, COGNOS generally lists the service as Critical Care Medicine, on occasion other services will be listed eg. Critical Care internal medicine A, or Critical care Respiratory etc but this is usually followed by a second entry that is Critical Care Medicine. These should be changed to HSC Critical Care-MICU.
 
For HSC SICU, COGNOS generally lists the service as "Critical Care" followed by a surgical service, for eg. Critical Care Acute Care Trauma, Critical Care Neurosurgery, Critical Care Thoracic Surgery, Critical Care Orthopedics etc. These should be changed to HSC Critical Care - SICU.
 
There are a few services that can be mapped to either HSC Critical Care MICU or HSC Critical Care SICU
*HSC Critical Care / Adult General
*HSC Critical Care / Amputee
*HSC Critical Care / General
*HSC Critical Care / Intensive Care
*HSC Critical Care / Obstetrics
*HSC Critical Care / Oncology
 
These will require further investigation by reading through the chart or EPR documents before you make the decision to map it to HSC Critical Care-MICU or HSC Critical Care-SICU


=== Direct Admissions/Transfers ===
=== Direct Admissions/Transfers ===
For patients who have been accepted from another hospital '''but have a wait time in ER''' (who used to be called Direct Admissions/Parked in ER), use the [[Visit Admit DtTm]] shown in [[Patient Viewer Tab Cognos ADT2]]. You can use the [["VA" button]] to fill it in.  
For patients who have been accepted from another hospital '''but have a wait time in ER''' (who used to be called Direct Admissions/Parked in ER), use the [[Visit Admit DtTm]] shown in [[Patient Viewer Tab Cognos ADT2]]. You can use the [["VA" button]] to fill it in.  


=== Which service to use when several are listed for the same timeframe ===
==== From Code Blue / [[Respiratory arrest]] ====
Use what you know to be correct from chart and your knowledge of your hospital.
See [[Definition of a Critical Care Program Admission#From Code Blue / Respiratory arrest]] for when a profile should start in case of a code blue.  
 
{{Boarding Loc, Service content}}


{{Data Integrity Check List}}
{{Data Integrity Check List}}
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