ACP Status Collection: Difference between revisions
Ttenbergen (talk | contribs) Discussed this with DR today; sure enough I asked about only the example of a previous service, but didn't explicitly consider a patient returning to our service after. So the "definition" part above is a bit of an extension I just decided on the spot when I realized his answer would create more questions. |
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===Sources=== | ===Sources=== | ||
*ACP Prior to admission (PTA) | *'''ACP Prior to admission (PTA)''' | ||
**ACP forms from previous hospitalizations, PCH, health directives can be used to determine the ACP status prior to admission. If the last ACP status prior to admission cannot be readily found within the current chart, enter not documented. The PTA ACP does not need to be established or signed by a physician. | **ACP forms from previous hospitalizations, PCH, health directives can be used to determine the ACP status prior to admission. If the last ACP status prior to admission cannot be readily found within the current chart, enter not documented. The PTA ACP does not need to be established or signed by a physician. | ||
*ACP first; in this context consider the first done by a provider for the current [[Definition of a Critical Care Program Admission]]/[[Definition of a Medicine Program Admission]], not the first during this hospitalization | *'''ACP first'''; in this context consider the first done by a provider for the current [[Definition of a Critical Care Program Admission]]/[[Definition of a Medicine Program Admission]], not the first during this hospitalization | ||
**ACP form, orders, notes, use ACP forms made during same hospitalization (e.g. ACP status documented by ER, or ward or on prior ICU/ward for transferred patients) | **ACP form, orders, notes, use ACP forms made during same hospitalization (e.g. ACP status documented by ER, or ward or on prior ICU/ward for transferred patients) | ||
**SBGH EPR- go to EPR orders. Under "transfers and care directives" there should be an order that states, "advanced care planning goals of care" with the ACP status listed (this also displays in the top of the EPR individual patient demographic information). If you double click on the order, the ACP electronic form displays (it is exactly the same as the paper form which was previously used). When the physician writes the order, the form automatically is populated with the doctor name and the ACP status also. However, if there are special conditions or comments, the doctor may fill out parts of the form itself separately from the displayed order. | **SBGH EPR- go to EPR orders. Under "transfers and care directives" there should be an order that states, "advanced care planning goals of care" with the ACP status listed (this also displays in the top of the EPR individual patient demographic information). If you double click on the order, the ACP electronic form displays (it is exactly the same as the paper form which was previously used). When the physician writes the order, the form automatically is populated with the doctor name and the ACP status also. However, if there are special conditions or comments, the doctor may fill out parts of the form itself separately from the displayed order. | ||
*ACP Last | *'''ACP Last''' | ||
**ACP form, order, notes use ACP forms made during same hospitalization (e.g. ACP status documented by ER, or ward or on prior ICU/ward for transferred patients) | **ACP form, order, notes use ACP forms made during same hospitalization (e.g. ACP status documented by ER, or ward or on prior ICU/ward for transferred patients) | ||
**SBGH EPR as per above instruction | **SBGH EPR as per above instruction | ||