LTV: Difference between revisions

m paraphrased and took emphasis out of Legacy info since that part is reference only and attention doesn't need to be drawn to it.
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The '''Filter''' field is currently used to tag patients that are on a '''long term ventilator''' (LTV).
{{LegacyContent
|explanation=Pre-ICD10 coding, discontinued
|successor=[[Chronic dependence on mechanical ventilator]]
|content=


In '''Critical Care only''', add '''LTV''' to the '''Filter''' field under the "Reg&ADL&Var" tab in the [[patient viewer]] in [[CCMDB.mdb]] if either of the following:
<onlyinclude>The [[LTV]] field designates critical care patients on a '''long term ventilator''' (LTV). </onlyinclude>
* '''currently home ventilated patient''': patient is already on home/institution ventilation either on an LP 3-10
** what's an LP 3-10? [[User:Ttenbergen|Ttenbergen]] 10:13, 4 November 2010 (CDT) {{discussion}}
* '''home ventilation start:''' a decision has been confirmed to start patient on home ventilation during the current admission
**'''consult not sufficient''': a consult to home ventilation service is not sufficient because some patients are turned down by the LTV Service or successfully weaned off of the ventilator. Example: C spine injury; severe COPD.


== Legacy Data ==
== Collection Instruction ==
1. HSC-CCU Only. 
In '''Critical Care only''', add '''LTV''' to the '''Filter''' field under the "Dispo" tab in the [[patient viewer]] in [[CCMDB.accdb]] if either of the following:
* Started: Sept 25, 2003
* '''currently home ventilated patient''': patient is already on home/institution ventilation either on an LP 3-10 (type of portable home ventilator).
* Stopped 2005
* '''home ventilation start:''' a decision has been confirmed to start patient on home ventilation during the "current" admission/
* B = CCU patient on B3 only
**'''consult not sufficient''': a consult to home ventilation service is not sufficient because some patients are turned down by the LTV Service or successfully weaned off of the ventilator.  
* H = CCU patient on H7-CCU only
* BH = CCU patient on BOTH B3 & H7-CCU during one admission
Purpose was to capture CCU patient location during ICU CCU bed closure and during some renovations.


2.  HSC & STB-CCU patients only.
== Related dx codes ==
Tags used for ICU:
The ICD10 code for this is [[Chronic dependence on mechanical ventilator]].  
* CC -  intubated/ventilated patient in MICU under care of cardiology service or co-managed with MICU attending
Examples: C spine injury; severe COPD.
* CCN - not ventilated but requires inotrope support, IABP or central lines in MICU under the care of cardiology service or co-managed with MICU attending
Patients that co-managed by CCU & MICU attending service at the teaching hospitals.
This code applies to coronary care patients who are deemed "too sick" for the Coronary Care Unit (CCU) and are managed or co-managed in the Medical ICU because they required one or more of the following:  
* ventilation
* inotropes
* central lines
* IABP


== Data info ==
It's stored in a field called [[R_Filter]]. We considered changing that, but the field is legacy so no use in spending time on this.


[[category: Legacy Data Collection]]
== Related articles ==
[[category: IT_Instructions]]
{{Related Articles}}
[[category: Data_Collection_Guide]]
 
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