Definition of a Critical Care Laptop Admission: Difference between revisions

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*admitted under and ICU service attending physician to an ICU/CCU bed. If patient doesn't meet this definition then we don't collect data and enter into the ICU database.
*admitted under and ICU service attending physician to an ICU/CCU bed. If patient doesn't meet this definition then we don't collect data and enter into the ICU database.


*there are circumstances where other services "borrow" an ICU bed for procedures or monitoring, such as medicine for central line insertions, post angio monitoring because angio suit has no staff. Though these patients are looked after by ICU nurses, they are not admitting under an ICU service attending physician.  LOS is generally 2-4hrs then they go back to there original department bed.
== Bed Borrows are '''not''' ICU admissions ==
There are circumstances where other services "borrow" an ICU bed for procedures or monitoring. We do not collect data on bed-borrow patients. Though these patients are looked after by ICU nurses, they are not admitting under an ICU service attending physician.  LOS is generally 2-4hrs then they go back to there original department bed.
 
Examples are:
* medicine borrows a bed for central line insertion
* post angio monitoring because angio suit has no staff.  
* also see: [[Identifying ICU admissions]]
* also see: [[Identifying ICU admissions]]
*For Medicine, see [http://ltc.umanitoba.ca/ccmdb/index.php/Definition_of_a_Medicine_Service_admission Defintion of a Medicine Service admission].
{{Discussion}}
{{Discussion}}
*There are other examples for bed borrows and I would like collectors to add here please. Collectors????
*There are other examples for bed borrows and I would like collectors to add here please. [[User:TOstryzniuk|TOstryzniuk]] 18:10, 16 December 2008 (CST)   
[[User:TOstryzniuk|TOstryzniuk]] 18:10, 16 December 2008 (CST)   


=== Considerations ===
Apparently the bed-borrow practice is getting more and more common. By not collecting these patients we not accounting for ICU nursing work load caused by them. 
Trish and Kym have communicated with Sheila Bowles about this. At last count (18:00, 16 December 2008) Trish had contacted Sheila for information.
In the meantime, our definition of ICU patient stands and '''excludes''' bed borrows.


 
== Related Articles ==
=== As transferred from the Questions Category ===
*For Medicine, see [http://ltc.umanitoba.ca/ccmdb/index.php/Definition_of_a_Medicine_Service_admission Defintion of a Medicine Service admission].
*Trish, I am covering CCU right now and noticed that occasionally a patient will come up from the heart cath lab for recovery in CCU.  The reason is just that it is after hours that the pre and post recovery staff are not available.  These patients are sometimes recovered on the cardiology ward as well.  You may have already dealt with this issue, but I want to know if I should be entering these patients into the database?  Technically they are not admitted under a CCU doctor as the interventionalist is responsible for them.  However the CCU nurse do all the post procedure care which is quite time consuming.  I talked to the PTM for CCU and she said to discuss it with you and then get back to her.  She said this is happening more and more and that it could impact the nursing workload.  Please let me know.  [[category: questions]]  --[[User:LKolesar|LKolesar]] 10:46, 6 December 2008 (CST)
**I have emailed and talked to Sheila Bowles.  Kym also had similar patient like this in the unit and has discussed with Sheila.  I am waiting to hear what she wants to do. I am not clear what is going on there in terms of these patient and why ICU is under the impression these are not really ICU admissions.[[User:TOstryzniuk|TOstryzniuk]] 18:00, 16 December 2008 (CST) 
***the definition of an "ICU/CCU patient" for the Regional ICU Database is: admitted under and ICU/CCU service attending physician to an ICU/CCU bed. If patient doesn't meet this definition then we don't collect data and enter into the ICU database.
***ICU resources are being utilized for these "bed borrows" and the impact on workload is not being monitored and accounted for in this Database. This is the same for other ICU's in the city.  For example if medicine at the VIC borrows an ICU bed to insert a central line, we don't record this as an admission to VIC_ICU database.[[User:TOstryzniuk|TOstryzniuk]] 18:00, 16 December 2008 (CST)
 
 
{{stub}}




[[Category: Critical Care Element]]
[[Category: Critical Care Element]]
[[Category: Questions]]
[[Category:Questions General Collection]]

Revision as of 16:49, 10 September 2009

The definition of an "ICU patient" for the Regional ICU Database is:

  • admitted under and ICU service attending physician to an ICU/CCU bed. If patient doesn't meet this definition then we don't collect data and enter into the ICU database.

Bed Borrows are not ICU admissions

There are circumstances where other services "borrow" an ICU bed for procedures or monitoring. We do not collect data on bed-borrow patients. Though these patients are looked after by ICU nurses, they are not admitting under an ICU service attending physician. LOS is generally 2-4hrs then they go back to there original department bed.

Examples are:

  • medicine borrows a bed for central line insertion
  • post angio monitoring because angio suit has no staff.
  • also see: Identifying ICU admissions

Template:Discussion

  • There are other examples for bed borrows and I would like collectors to add here please. TOstryzniuk 18:10, 16 December 2008 (CST)

Considerations

Apparently the bed-borrow practice is getting more and more common. By not collecting these patients we not accounting for ICU nursing work load caused by them. Trish and Kym have communicated with Sheila Bowles about this. At last count (18:00, 16 December 2008) Trish had contacted Sheila for information. In the meantime, our definition of ICU patient stands and excludes bed borrows.

Related Articles

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