Accept DtTm field: Difference between revisions

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For patients who have been accepted from another hospital '''but have a wait time in ER''' (who used to be called Direct Admissions/Parked in ER), use the triage date and time for the Accept Date and Time as it is clearly marked on the triage sheet. The Visit Date and Time (found in EPR) may actually be later than the accept date and time, so don't use it as your Accept DtTm.

===~~Possible documentation locations~~===

===Source===

* admission/separation registers

=* EPR [[Admission Register]]

* EPR

**if from the ER - in EPR use: ''triage'' DtTm.

**Accept Date & Time are found under the orders tab, Transfers/Care Directives. You will see an "admit to inpatient order".

***use the date and time from the "accepted to service" on the [[EPR]] orders. i.e. in the epr, click on orders, then highlight the order that says "admit to inpatient-medicine-medical service". Right click on that order. Scroll down to view, then across to history, then across to status. Click on status. Use the date and time as listed in the top "new" order. This is the date and time the patient is accepted to medical service.

* Physician Order sheet

* the IPN (integrated progress note) which is a hand written admission note by the nurse. We at HSC in medicine use this.--[[User:CMarks|CMarks]] 08:10, 26 January 2012 (CST)

* consult sheet

*history and physical

=== When does collection start? ===

@@ Line 21: / Line 21: @@
 For patients who have been accepted from another hospital '''but have a wait time in ER''' (who used to be called Direct Admissions/Parked in ER), use the triage date and time for the Accept Date and Time as it is clearly marked on the triage sheet. The Visit Date and Time (found in EPR) may actually be later than the accept date and time, so don't use it as your Accept DtTm.
-===Possible documentation locations===
+===Source===
-* admission/separation registers
+=* EPR [[Admission Register]]
-* EPR
 **if from the ER - in EPR use: ''triage'' DtTm.
 **Accept Date & Time are found under the orders tab, Transfers/Care Directives. You will see an "admit to inpatient order".
 ***use the date and time from the "accepted to service" on the [[EPR]] orders. i.e. in the epr, click on orders, then highlight the order that says "admit to inpatient-medicine-medical service". Right click on that order. Scroll down to view, then across to history, then across to status. Click on status. Use the date and time as listed in the top "new" order. This is the date and time the patient is accepted to medical service.
-* Physician Order sheet
 * the IPN (integrated progress note) which is a hand written admission note by the nurse. We at HSC in medicine use this.--[[User:CMarks|CMarks]] 08:10, 26 January 2012 (CST)
 * consult sheet
-*history and physical
 === When does collection start? ===