Transfer Ready DtTm field: Difference between revisions

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This entry is about the time of an '''intent''', nothing to do with what '''actually happened''' to the patient after.

**If the patient is "medically stable" (written anywhere in the chart) and/or care is stepped down ie. VS decreased, off monitor, IV meds changed to PO meds, etc. then the patient is "transfer ready". For instance a patient may be very deconditioned but still be medically stable. This can be decided by our nursing judgement as we follow the patient through their hospital stay on our wards. This was discussed at a previous task meeting and Dr Garland agreed that it can be decided by data collectors. --[[User:CMarks|CMarks]] 14:39, 2017 January 13 (CST)

**~~Another comment regarding ICU transfer ready: Often~~ a patient ~~has care D/C'ed (ventilator or vasoactive drugs stopped). Sometimes the pt does not pass away right away but they are~~ made ACP-C~~. In these cases, we should still say~~ they are transfer ready ~~because~~ they ~~no longer require ICU care. Just wanted to clarify that even if D/C tx is indicated, there~~ are cases where the pt may be transfer ready for a while before death actually occurs.(Technically if they needed the bed, they could transfer the patient). If they pass away immediately upon D/C tx then there is no need to ~~put a transfer ready date and time~~,~~(Use "not transfer ready")~~. --[[User:~~LKolesar~~|~~LKolesar~~]] 08:45, 2017 January 16 (CST)

***If a patient is made ACP-C in ICU they are considered "transfer ready" regardless of whether they or not they are still intubated and ventilated according to Dr Garland at Task meeting on Jan 12, 2017.--[[User:CMarks|CMarks]] 12:12, 2017 January 23 (CST)

**When there is a plan to send a patient to IICU at HSC : for transfer ready date and time, use the date and time that the IICU consult is written and the patient is ready for transfer to that unit. Often there is a long wait for a bed to become available before actual transfer can occur. The transfer ready date and time helps to reflect the long wait times for beds in IICU. --LKolesar 12:27, 2017 January 20 (CST)

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 This entry is about the time of an '''intent''', nothing to do with what '''actually happened''' to the patient after.
 **If the patient is "medically stable" (written anywhere in the chart) and/or care is stepped down ie. VS decreased, off monitor, IV meds changed to PO meds, etc. then the patient is "transfer ready". For instance a patient may be very deconditioned but still be medically stable. This can be decided by our nursing judgement as we follow the patient through their hospital stay on our wards. This was discussed at a previous task meeting and Dr Garland agreed that it can be decided by data collectors. --[[User:CMarks|CMarks]] 14:39, 2017 January 13 (CST)
-**Another comment regarding ICU transfer ready:  Often a patient has care D/C'ed (ventilator or vasoactive drugs stopped).  Sometimes the pt does not pass away right away but they are made ACP-C.  In these cases, we should still say they are transfer ready because they no longer require ICU care.  Just wanted to clarify that even if D/C tx is indicated, there are cases where the pt may be transfer ready for a while before death actually occurs.(Technically if they needed the bed, they could transfer the patient).  If they pass away immediately upon D/C tx then there is no need to put a transfer ready date and time,(Use "not transfer ready").  --[[User:LKolesar|LKolesar]] 08:45, 2017 January 16 (CST)
+***If a patient is made ACP-C in ICU they are considered "transfer ready" regardless of whether they or not they are still intubated and ventilated according to Dr Garland at Task meeting on Jan 12, 2017.--[[User:CMarks|CMarks]] 12:12, 2017 January 23 (CST)
 **When there is a  plan to send a patient to IICU at HSC : for transfer ready date and time, use the date and time that the IICU consult is written and the patient is ready for transfer to that unit. Often there is a long wait for a bed to become available before actual transfer can occur. The transfer ready date and time helps to reflect the long wait times for beds in IICU. --LKolesar 12:27, 2017 January 20 (CST)