Transfer Ready DtTm tmp entry: Difference between revisions

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* Care is stepped down to '''ward frequency''' (q4hrs or less) of vitals AND off '''all''' forms of life support except possibly intermittent dialysis

* [[HSC_IICU]] consult is written

* patient is made '''[[ACP C|ACP-C]]'''

* patient is made '''[[ACP-C|ACP-C]]'''

* for organ donors, see [[Guideline for coding organ donation after death]]

* if the patient is a '''potential organ donor and then deemed not to be''', the Transfer Ready tmp DtTm will be when that determination is made

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*For HSC if there is no discharge order, then check the IPN notes (nursing, allied health etc), often bed utilization will document when they are waiting on a transfer to an LAU or other facility, or rehab services will document when they are on the central wait list, or long term care (LTC) will document when they are approved for a PCH bed.

* Order is written to change all iv meds to po AND monitor discontinued/vital sign frequency is reduced

* Patient is made '''[[ACP C|ACP-C]]'''

* Patient is made '''[[ACP-C|ACP-C]]'''

* When [[Dispo]] is PCH, use the date and time of the pre-panel checklist initiation as the [[Transfer Ready DtTm]], this will usually be documented in the notes by one of the allied health workers or LTC

* If a discharge order is written during the preceding day(s) prior to discharge:

** and a specific date and time for discharge is documented in that order, the transfer ready date and time would be the date and time specified in the order.

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== Start DtTm/Legacy ==

We used the old [[Transfer Ready DtTm]] ~~field~~ '''for transfer ready dttms''' before 2020-10-15, and use this new entry for dttms after.

We used the old [[Transfer Ready DtTm field]] '''for transfer ready dttms''' before 2020-10-15, and use this new entry for dttms after.

The data during the transition period for [[PatientFollow Project]] is inconsistent, so we use all the new and the old in [[Created TransferReady query]].

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Used via [[Created_TransferReady query]] and [[Created_transferDelay table]] to generate [[Transfer Delay]] and [[Avoidable Days (Critical Care)]].

{{DJ |

* Grace Hospital not filled this out according to instructions documented here, but some old version instead. That makes data between GRA and other sites problematic to compare. Lisa and Gail have more info. We should document which version they have been using so it can be accounted for when using this data. }}

== Background ==

@@ Line 20: / Line 20: @@
 * Care is stepped down to '''ward frequency''' (q4hrs or less) of vitals AND off '''all''' forms of life support except possibly intermittent dialysis
 * [[HSC_IICU]] consult is written
-* patient is made '''[[ACP C|ACP-C]]'''
+* patient is made '''[[ACP-C|ACP-C]]'''
 * for organ donors, see [[Guideline for coding organ donation after death]]
 * if the patient is a '''potential organ donor and then deemed not to be''', the Transfer Ready tmp DtTm will be when that determination is made
@@ Line 30: / Line 30: @@
 *For HSC if there is no discharge order, then check the IPN notes (nursing, allied health etc), often bed utilization will document when they are waiting on a transfer to an LAU or other facility, or rehab services will document when they are on the central wait list, or long term care (LTC) will document when they are approved for a PCH bed.
 * Order is written to change all iv meds to po AND monitor discontinued/vital sign frequency is reduced
-* Patient is made '''[[ACP C|ACP-C]]'''
+* Patient is made '''[[ACP-C|ACP-C]]'''
+* When [[Dispo]] is PCH, use the date and time of the pre-panel checklist initiation as the [[Transfer Ready DtTm]], this will usually be documented in the  notes by one of the allied health workers or LTC
 * If a discharge order is written during the preceding day(s) prior to discharge:
 ** and a specific date and time for discharge is documented in that order, the transfer ready date and time would be the date and time specified in the order.
@@ Line 59: / Line 60: @@
 == Start DtTm/Legacy ==
-We used the old [[Transfer Ready DtTm]] field '''for transfer ready dttms''' before 2020-10-15, and use this new entry for dttms after.
+We used the old [[Transfer Ready DtTm field]] '''for transfer ready dttms''' before 2020-10-15, and use this new entry for dttms after.
 The data during the transition period for [[PatientFollow Project]] is inconsistent, so we use all the new and the old in [[Created TransferReady query]].
@@ Line 67: / Line 68: @@
 Used via [[Created_TransferReady query]] and [[Created_transferDelay table]] to generate [[Transfer Delay]] and [[Avoidable Days (Critical Care)]].
+{{DJ  |
+* Grace Hospital not filled this out according to instructions documented here, but some old version instead. That makes data between GRA and other sites problematic to compare. Lisa and Gail have more info. We should document which version they have been using so it can be accounted for when using this data. }}
 == Background ==