CAP-Community Acquired Pneumonia: Difference between revisions
TOstryzniuk (talk | contribs) mNo edit summary |
|||
| Line 6: | Line 6: | ||
==Question== | ==Question== | ||
*Regarding this rule not allowing a CAP diagnosis in the complications: If a patient aspirates in the community it is coded as CAP-aspiration. When the cultures come back a few days later as positive, Dr. Roberts has told us to code CAP-the organism in the acquired/complication section in order to capture the organism. Trish, do you want us to change this practice and only put in the aspiration then and to disregard which organism is later cultured?? Please let us know.--[[User:LKolesar|LKolesar]] 08:33, 2012 April 17 (CDT) | *Regarding this rule not allowing a CAP diagnosis in the complications: If a patient aspirates in the community it is coded as CAP-aspiration. When the cultures come back a few days later as positive, Dr. Roberts has told us to code CAP-the organism in the acquired/complication section in order to capture the organism. Trish, do you want us to change this practice and only put in the aspiration then and to disregard which organism is later cultured?? Please let us know.--[[User:LKolesar|LKolesar]] 08:33, 2012 April 17 (CDT) | ||
**I thought if the culture came back positive within the 48 hour range of admission you automatically changed your admit asp pneumonia to Cap with culture? | **I thought if the culture came back positive within the 48 hour range of admission you automatically changed your admit asp pneumonia to Cap with culture? - this is correct.[[User:TOstryzniuk|Trish Ostryzniuk]] 16:28, 2012 May 15 (CDT) | ||
**We do not have any guideline therefore this needs to be decided. Trish is going to ask the doctors if capturing aspiration is more important or if the organisms are more important if only one is to be entered. --[[User:LKolesar|LKolesar]] 09:09, 2012 April 19 (CDT) | **We do not have any guideline therefore this needs to be decided. Trish is going to ask the doctors if capturing aspiration is more important or if the organisms are more important if only one is to be entered. --[[User:LKolesar|LKolesar]] 09:09, 2012 April 19 (CDT) | ||
***I understood that if we code CAP-aspiration as an admit Dx and if the culture comes back positive; we are to then to code it as HAP in the acquired DX (ie acquired: HAP-with the bug). I am trying to find the minutes from the team meeting when Dr. Roberts stated this and will copy if able to locate. [[User:Mlaporte|Mlaporte]] 13:32, 2012 May 1 (CDT)- | ***I understood that if we code CAP-aspiration as an admit Dx and if the culture comes back positive; we are to then to code it as HAP in the acquired DX (ie acquired: HAP-with the bug). I am trying to find the minutes from the team meeting when Dr. Roberts stated this and will copy if able to locate. [[User:Mlaporte|Mlaporte]] 13:32, 2012 May 1 (CDT)- | ||