Parked in ER tmp entry: Difference between revisions
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My understanding of "direct" admissions is that they must be an inpatient on a ward or unit or an EMIP in another facility. A pt sent from one ER to another ER that was never assessed by medicine or ICU would not be a direct admission. If they send a pt from, for example, Selkirk ER, the patient would still have to be accepted by either medicine or ICU once they arrive in the accepting ER. This would just be a standard admission (not a direct admission). If the patient was an EMIP in Selkirk (already assessed and accepted by their medicine service) and then transferred to a different hospital ER, then the previous location would be Selkirk EMIP, the previous service would be medicine and the pre admit inpatient location would be Selkirk EMIP.--[[User:LKolesar|LKolesar]] 08:55, 2017 October 13 (CDT) | My understanding of "direct" admissions is that they must be an inpatient on a ward or unit or an EMIP in another facility. A pt sent from one ER to another ER that was never assessed by medicine or ICU would not be a direct admission. If they send a pt from, for example, Selkirk ER, the patient would still have to be accepted by either medicine or ICU once they arrive in the accepting ER. This would just be a standard admission (not a direct admission). If the patient was an EMIP in Selkirk (already assessed and accepted by their medicine service) and then transferred to a different hospital ER, then the previous location would be Selkirk EMIP, the previous service would be medicine and the pre admit inpatient location would be Selkirk EMIP.--[[User:LKolesar|LKolesar]] 08:55, 2017 October 13 (CDT) | ||
*I agree - I made the change in the definition of Direct admit as already an 'in-patient'. However, EMIPs in other facilities are not in our down list and we don't want to add them. Therefore we will miss them in the database but that is fine because transfers from ER to ER to ER will create more confusions/questions. Let us simplify the process and follow the Special Case guideline above - enter Previous Location as simply ER (not ER direct). --[[User:JMojica|JMojica]] 09:53, 2017 October 13 (CDT) | *I agree - I made the change in the definition of Direct admit as already an 'in-patient'. However, EMIPs in other facilities are not in our down list and we don't want to add them. Therefore we will miss them in the database but that is fine because transfers from ER to ER to ER will create more confusions/questions. Let us simplify the process and follow the Special Case guideline above - enter Previous Location as simply ER (not ER direct). --[[User:JMojica|JMojica]] 09:53, 2017 October 13 (CDT) | ||
**If the sending ER is one of the city hospitals and does have an option of EMIP, then we would still use this I assume?--[[User:LKolesar|LKolesar]] 11:19, 2017 October 13 (CDT) | |||
=== for patient leaving a ward/unit via parked in ER === | === for patient leaving a ward/unit via parked in ER === | ||