QA Septic Shock: Difference between revisions

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*Here is another scenario for you: A patient develops septic shock in a community hospital and is coded by the data collector, then a few days later the patient is transferred to a tertiary ICU for continued care. The data collector in the second hospital needs to code septic shock because it is still ongoing. Should she use the same times of low BP and antibiotic start as the first presentation of septic shock at the first hospital? We cannot always derive this information from the bits of chart that the sending hospital copies for us. The only way to be sure of getting the same times would be to email the first data collector and obtain the times from her. Is this the correct process to follow?? --[[User:LKolesar|LKolesar]] 11:08, 16 October 2009 (CDT)

**The data collector in the second hospital needs to code in the Admit Diagnosis septic shock because it is still ongoing however, if a patient comes from an ICU with a previous onset of septic shock and the data has already captured in the previous ICU admission TMP file, there is no need to enter the same start date of onset of shock in the next ICU admission TMP file. We don't want to double count same episode of septic shock.

***'''INSTRUCTION''': for next ICU transfered into, in the TMP file select ITEM: First BP <90, don't put a date however in the '''COMMENT''' section type in the following: '''transfered from previous ICU with DX of shock already coded'''.

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 *Here is another scenario for you:  A patient develops septic shock in a community hospital and is coded by the data collector, then a few days later the patient is transferred to a tertiary ICU for continued care.  The data collector in the second hospital needs to code septic shock because it is still ongoing.  Should she use the same times of low BP and antibiotic start as the first presentation of septic shock at the first hospital?  We cannot always derive this information from the bits of chart that the sending hospital copies for us.  The only way to be sure of getting the same times would be to email the first data collector and obtain the times from her.  Is this the correct process to follow?? --[[User:LKolesar|LKolesar]] 11:08, 16 October 2009 (CDT)
 **The data collector in the second hospital needs to code in the Admit Diagnosis septic shock because it is still ongoing however, if a patient comes from an ICU with a previous onset of septic shock and the data has already captured in the previous ICU admission TMP file, there is no need to enter the same start date of onset of shock in the next ICU admission TMP file.  We don't want to double count same episode of septic shock.
+***'''INSTRUCTION''': for next ICU transfered into, in the TMP file select ITEM: First BP <90, don't put a date however in the '''COMMENT''' section type in the following: '''transfered from previous ICU with DX of shock already coded'''.