BIPAP/CPAP Task: Difference between revisions

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Task items replaced iTISS as a sampler of specific "nursing workload" items that the medicine program continues to track as QA indicators.
{{LegacyContent
|explanation=discontinued as part of move to [[ICD10]]/[[CCI]] 2019-01-01
|successor=[[BiPAP, CPAP, NIV, own ventilator (Mechanical ventilation, noninvasive)]]
|content=


Only mark a task as performed if it was done during a patients stay on your ward. If a task was done '''prior''' to patient coming to your ward or '''after''' patient is transferred to another ward, it should be marked as '''none''' during the stay on your ward.
The BIPAP/CPAP [[tasks | task]] encodes whether or not a '''medicine''' patient was '''newly started''' on your ward.  It is stored in the Diagnosis tab in [[CCMDB.accdb]] because that is the only way we could store it when we started to collect it.  


*These items are included in: [[S_AllDiagnoses]] table which is in [[CCMDB.mdb]].
Only mark if this was a '''new start''' on your ward. If a task was done '''prior''' to patient coming to your ward or '''after''' patient is transferred to another ward, it should be marked as '''none''' during the stay on your ward.
** It is very rare at STB to see a new start of CPAP on the ward.  New BIPAP is done in the ICU only.  Just wondering if this is also true of the other hospitals?  Just wondering how common this is and what this task is being used for, especially if it is seldom used. --[[User:LKolesar|LKolesar]] 13:47, 2016 July 20 (CDT)
**We start new bipap on the wards at HSC frequently.--[[User:CMarks|CMarks]] 14:21, 2016 July 20 (CDT)
**"New Start" BIPAP/CPAP is a rarity on Medicine units at VGH [[User:Ppiche|Pamela Piche]] 15:42, 2016 July 20 (CDT)
 
*These items are included in: [[s_AllDiagnoses table]] table which is in [[CCMDB.accdb]].


Possible entries for BiPAP/CPAP:  
Possible entries for BiPAP/CPAP:  
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== Patient managed? ==
== Patient managed? ==
If a patient managing their own BiPAP then this should not be marked. However, if it was '''started''' during this admission, mark it.   
If a patient managing their own BiPAP then this should not be marked. However, if it was '''newly started''' during this admission, mark it.   
* Hi Trish  I need clarification from you I was told that you only mark BiPap/CPap if it was a new start in that admission.  And if they came in with their own machine you did not mark it as yes regardless if the nurse assisted with it.So now I am told differently and I am quite upset if I have been told wrong. So what does "started " mean in the above sentence?
**thanks for putting the question out here.  The workload  we track is for a new starts as instructed above.  Patient manages own but nurse helping, not tracking.  That is how medicine drew the line for this item.
*This is difficult to differentiate as it is poorly documented sometimes.  For example a pt that has been on cpap or bipap at home now comes into the hospital with a condition where they cannot manage the bipap on their own (like a stroke or fever, etc).  It would be much simpler to identify all bipap patients rather then trying to figure out which patients can manage their bipap on their own.  I wonder what the rationale for this was??  Some of our tasks are not done by ward nurses (like dialysis), but we still track this.  --[[User:LKolesar|LKolesar]] 12:22, 2014 November 17 (CST)


== Optiflow ==
== Optiflow ==
Optiflow is not CPAP or BIPAP so don't mark this task for patients with Optiflow.
Optiflow is not CPAP or BIPAP so don't mark this task for patients with Optiflow.
== CCI ==
Will be replaced by [[BiPAP, CPAP, NIV, own ventilator (Mechanical ventilation, noninvasive)]] in CCI.
== Data Structure ==
the list of options is in [[s_AllDiagnoses table]] and the actual data is stored in [[L_Dxs]].
== Legacy ==
ICD10/CCI replaced Task items, January 1, 2019
Task items replaced [[iTISS]] December 15, 2006.
== Related Articles ==
{{Related Articles}}


[[Category:Task Elements]]
[[Category:Task Elements]]
}}

Latest revision as of 20:27, 2020 July 24

Legacy Content

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Click Expand to show legacy content.

The BIPAP/CPAP task encodes whether or not a medicine patient was newly started on your ward. It is stored in the Diagnosis tab in CCMDB.accdb because that is the only way we could store it when we started to collect it.

Only mark if this was a new start on your ward. If a task was done prior to patient coming to your ward or after patient is transferred to another ward, it should be marked as none during the stay on your ward.

    • It is very rare at STB to see a new start of CPAP on the ward. New BIPAP is done in the ICU only. Just wondering if this is also true of the other hospitals? Just wondering how common this is and what this task is being used for, especially if it is seldom used. --LKolesar 13:47, 2016 July 20 (CDT)
    • We start new bipap on the wards at HSC frequently.--CMarks 14:21, 2016 July 20 (CDT)
    • "New Start" BIPAP/CPAP is a rarity on Medicine units at VGH Pamela Piche 15:42, 2016 July 20 (CDT)

Possible entries for BiPAP/CPAP:

Patient managed?

If a patient managing their own BiPAP then this should not be marked. However, if it was newly started during this admission, mark it.

Optiflow

Optiflow is not CPAP or BIPAP so don't mark this task for patients with Optiflow.

CCI

Will be replaced by BiPAP, CPAP, NIV, own ventilator (Mechanical ventilation, noninvasive) in CCI.

Data Structure

the list of options is in s_AllDiagnoses table and the actual data is stored in L_Dxs.

Legacy

ICD10/CCI replaced Task items, January 1, 2019 Task items replaced iTISS December 15, 2006.

Related Articles

Related articles: