ACP Status Collection in ICU: Difference between revisions
TOstryzniuk (talk | contribs) m →WRHA guidelines: minor |
TOstryzniuk (talk | contribs) →Coding Instructions: ACP - April 8.16 - NEW-Include the DATE of documented ACP status you used from the chart at ICU admission & and at discharge, transfer or death |
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* '''ACP Status at end''' (ie at end of stay resp. at death). If the pt has care D/C'ed do not automatically change the ACP to C. Use the last documented ACP on the chart for the end ACP. | * '''ACP Status at end''' (ie at end of stay resp. at death). If the pt has care D/C'ed do not automatically change the ACP to C. Use the last documented ACP on the chart for the end ACP. | ||
Change the ITEM for each of them to the ACP status at that time. Options are as follows | Change the ITEM for each of them to the ACP status at that time. '''April 8.16 -INCLUDE THE DATE of when status was documented.''' Options are as follows | ||
* '''[[ACP C]]''' - comfort care | * '''[[ACP C]]''' - comfort care | ||
* '''ACP R''' - full resuscitation | * '''ACP R''' - full resuscitation | ||
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**If you '''cannot find''' any mention of ACP on the chart, do not default to ACP-R, put '''ACP n/a''' as per above instructions indicate. | **If you '''cannot find''' any mention of ACP on the chart, do not default to ACP-R, put '''ACP n/a''' as per above instructions indicate. | ||
**Also, if the documented ACP is '''not present''' in the '''first 6 hours of admission''', use '''ACP n/a''' for the admission.(Verified with Kendiss Olafson on August 18, 2015). | **Also, if the documented ACP is '''not present''' in the '''first 6 hours of admission''', use '''ACP n/a''' for the admission.(Verified with Kendiss Olafson on August 18, 2015). | ||
*'''Do not fill''' Checkbox | *'''Do not fill''' Checkbox, numbers, not used for this project | ||
=== What if ACP-M is documented without +/-? === | === What if ACP-M is documented without +/-? === | ||