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| === Which codes go on picklist === | | === Which codes go on picklist === |
| ===CCI counting conerns ===
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| ==== CXRs and scan counting in CCI concerns====
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| {{DiscussAllan | repeated CXRs - if we do collect them it will be a nuisance; if we don't they won't compare to the labs count [[CXR]] we are doing now, that this is supposed to replace. How should we proceed?}}
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| *Do we have to enter a CXR for each day it is done or can we enter CXR once and then keep using the times feature?
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| *For longer stay patients this could be 50 entries.
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| *Why do we need to know what day a CXR was done on?
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| *What is wrong with using the lab count feature we now use? The same for blood gases and scans.--[[User:LBilesky|LBilesky]] 14:05, 2018 January 19 (CST)
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| ** That is what is planned for now, but this might be worth talking about again to confirm it is worth it.
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| *** Does the pt travel out of the unit for this?
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| ==== ABG/VBG counting in CCI & concerns ====
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| {{DiscussAllan | repeated ABG/VBG counts - to many rows of data in CCI & lots of rows to scroll down to check what has been entered. time consuming.}}
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| * I see arterial blood gases are on the picklist. However, Dr Garland had said that arterial blood gases and venous blood gases will remain in our count list unlike all the other things we count. Should arterial blood gases be removed from the CCI pick list?--[[User:LKolesar|LKolesar]] 13:29, 2018 April 9 (CDT)
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| *I have tested a few pts and included ABG/VBG counts.
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| *What is this being used for?
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| *Is the counting necessary? This is a time Counting is a time consuming task, besides counting now also entering dates.
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| **Example: I had 2 pts that had 50-100 ABG/VBG's to count and enter dates for. I found there was too many rows of data in addition to the CCI being collected, so lots to scroll through to check what I had entered. [[p:Joanna Velasco]]
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| {{DiscussAllan | In some limited testing of the entering of counted labs in CCI, I find that it takes considerably longer to do this vs just counting the number of each item as we currently do it.-Laura}}
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| *For example:
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| one patient that was in ICMS for 3 weeks
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| *on ECMO had 86 ABG's done in their admission.
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| *It took me 15 minutes to just enter the ABG's in CCI.
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| *It only takes one minute to enter this item in the old count method off of EPR labs.
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| *If I spent the time to enter all the blood products, tests and labs, etc. It would have taken much longer. No one has that much extra time in their day to spend it putting in these CCI entries for every lab. It may work for short stay patients with minimal labs and procedures but not for more complex patients. We need to discuss this. --[[User:LKolesar|LKolesar]] 14:13, 2018 April 20 (CDT)
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| {{Discussion}}
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| **'''Laura,'''' we discussed your testing at task. A question came up in regards to what method did you use to enter these 86 ABG's?
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| ***Were you counting number of ABG PER day and then enter that count into CCI and assigning a date? or
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| ***Did you go from EPR to paper then into CCMDB CCI?
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| ***Did you use the + button? [[User:TOstryzniuk|Trish Ostryzniuk]]
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| ****I did the CCI entries exactly as directed using the + button for new entries and putting the # for each day in the column for that. I did it as efficiently as I could, I never use paper. You can likely see it in the profile if you would like to look at it. I think it was MICU profile #31216. I sent it in after April 17th. --[[User:LKolesar|LKolesar]] 07:10, 2018 April 26 (CDT)
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| *****Entering these tests is very tedious and time consuming and it takes away from our time doing diagnostic coding. It took me 20 mins to enter just CXR's on a patient that was a long stay patient and I was only half done. --[[User:LKolesar|LKolesar]] 14:19, 2018 May 1 (CDT)
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| == Common items done in a unit that are missing from Picklist == | | == Common items done in a unit that are missing from Picklist == |
| *also check out: [[CCI procedures we don't code]]. | | *also check out: [[CCI procedures we don't code]]. |