Px Type: Difference between revisions

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**If a patient on the ward gets a bedside debridement which went well, and 10 minutes later he/she developed respiratory distress and went to the ICU because of that respiratory distress, that procedure is NOT related to the admission.

**If a patient on the ward gets a bedside debridement, during which he/she began to hemorrhage profusely and was transferred to the ICU because of that hemorrhage, then that procedure IS related to the admission.

**If a procedure was done in one of our collected locations (medicine or ICU) and then the patient was sent to another of our collected locations, use the same concept as above to decide whether to record that procedure in the 2nd location's record.

***On Medicine ward patient got bedside debridement (so of course that procedure would be coded for that ward) and then began to hemorrhage which led to ICU transfer. In this case the debridement was closely associated with the admission to ICU and so would be coded as an "admit" procedure for the ICU record.

***On the other hand, if the ward patient got a bedside skin biopsy shortly before transfer to ICU, and the ICU transfer had nothing to do with the skin biopsy, then you would NOT record the biopsy in the ICU record.

**It won't always be so clear if a procedure is related to the admission, and you may have to use your judgement.

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 **If a patient on the ward gets a bedside debridement which went well, and 10 minutes later he/she developed respiratory distress and went to the ICU because of that respiratory distress, that procedure is NOT related to the admission.
 **If a patient on the ward gets a bedside debridement, during which he/she began to hemorrhage profusely and was transferred to the ICU because of that hemorrhage, then that procedure IS related to the admission.
+**If a procedure was done in one of our collected locations (medicine or ICU) and then the patient was sent to another of our collected locations, use the same concept as above to decide whether to record that procedure in the 2nd location's record.
+***On Medicine ward patient got bedside debridement (so of course that procedure would be coded for that ward) and then began to hemorrhage which led to ICU transfer.  In this case the debridement was closely associated with the admission to ICU and so would be coded as an "admit" procedure for the ICU record.
+***On the other hand, if the ward patient got a bedside skin biopsy shortly before transfer to ICU, and the ICU transfer had nothing to do with the skin biopsy, then you would NOT record the biopsy in the ICU record.
 **It won't always be so clear if a procedure is related to the admission, and you may have to use your judgement.