BRR: Difference between revisions
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==Data Integrity Rules== | ==Data Integrity Rules== | ||
If [[Witnessed Cardiac Arrest | Cardiac Arrest Witnessed 100-2]] in [[! Admit Diagnosis | '''admit''']] or [[! Acquired Diagnosis / Complication | '''complications''']] diagnosis field then the following '''must''' also be marked: | If [[Witnessed Cardiac Arrest | Cardiac Arrest Witnessed 100-2]] in [[! Admit Diagnosis | '''admit''']] or [[! Acquired Diagnosis / Complication | '''complications''']] diagnosis field then '''both''' the following '''must''' also be marked: | ||
*[[ICU_Var 2 | ICU Var 2]] – “BRR” or “XBR” | *[[ICU_Var 2 | ICU Var 2]] – “BRR” or “XBR” | ||
*[[TISS]] item [[TISS Neurological | T6-hypothermia/hyperthermia blanket]] | *[[TISS]] item [[TISS Neurological | T6-hypothermia/hyperthermia blanket]] | ||
Revision as of 22:53, 2009 May 4
BRR is a ICU Var 2 tag that we use in our database for ICU patients who have been placed on the Cardiac Arrest Cooling Protocol
- BRR - stands for "Brrrr" as in shivering or cold.
Possible values
- BRR - mean cooling protocol applied for cardiac arrest (started August 2004).
- XBR - means no cooling protocol applied for cardiac arrest (Added March 19.09)
Cardiac Arrest Cooling Protocol
- Target temp: 32°C to 34°C for 12 to 24 hours.
- Code is not to be applied when a cooling protocol is used to normalize temperature for non-arrested patients.
Taken from the Hypothermia Protocol:
- Cooling is indicated if all of the following are checked:
- Cardiac Arrest Witnessed 100-2
- Initial rhythm ventricular fibrillation/tachycardia(Dx code: 131-4, or 131-1)
- Time to ACLS <15 minutes
- Total ACLS time <60 minutes
- Persistent Glasgow Coma Scale < or = 9
- Systolic BP currently over 90 mmHg (pressors allowed)
- < 8 hours elapsed since Return of Spontaneous Circulation (ROSC)
Data Integrity Rules
If Cardiac Arrest Witnessed 100-2 in admit or complications diagnosis field then both the following must also be marked:
- ICU Var 2 – “BRR” or “XBR”
- TISS item T6-hypothermia/hyperthermia blanket
Purpose
By marking BRR or BRX for all patients with the diagnosis of witnessed cardiac arrest (100-2), collectors will have verified at the time of collection that they did not miss marking that a patient was placed on the cooling protocol. This will eliminate the query that gets send back to collectors to double check this item.
Note
- check Category:Development Documentation to see if this has been rolled out yet. Ttenbergen 23:48, 4 May 2009 (CDT)