Isolation, infectious: Difference between revisions

Revision as of 20:46, 2018 December 31

This procedure is a part of CCI Collection via CCI Picklist.

This is a procedure code for a patient who is on any sort of infection isolation precautions.
It includes any/all of the following kinds of isolation protocols:
- gloves only
- gloves and gown
- mask
- negative pressure room use
- reverse isolation
- cohorting the patient with other patients with the same pathogen

If a patient is placed on Isolation, infectious on arrival only for the reason of pre existing MRSA (or other colonization), then code Admit Diagnosis Colonized with organism (not infected) and code the isolation as an Admit Procedure.

This is NOT included because such isolation (e.g. keeping pregnant nurses from caring for patients getting certain teratogenic medications) is not isolating the patient.

"CCI collect first" items are entered the first time they happen
Px Date
- if an Acquired Procedure, enter them with the Px Date of the first time they happen
- if an Admit Procedure leave the date blank and just enter the procedure
Px Count is always 1 for this collection mode

Other procedure in Therapeutic Procedure:

none found

Related articles:
Isolation-Task ‎ (← links) Staphylococcus aureus ‎ (← links) Check Isolation Px vs Isolation Dx ‎ (← links) Task Team Meeting - Rolling Agenda and Minutes 2018 ‎ (← links) Patient is on isolation (TISS Item) ‎ (← links) CCI Collection ‎ (← links) Clostridium difficile infection (C. diff) ‎ (← links) Resistance to antimicrobials, methicillin (anti-staph penicillins) ‎ (← links) Resistance to antimicrobials, vancomycin ‎ (← links) Colonized with organism (not infected) ‎ (← links) Need for medical isolation ‎ (← links) CCMDB.mdb Change Log 2018 ‎ (← links) CCI Category ‎ (← links) CCI Picklist ‎ (← links) Legacy Content ‎ (← links) Admit Procedure ‎ (← links) CCMDB.accdb Change Log 2019 ‎ (← links) Task Team Meeting - Rolling Agenda and Minutes 2019 ‎ (← links) Resistance to carbapenem antibiotics ‎ (← links) Task Team Meeting - Rolling Agenda and Minutes 2020 ‎ (← links) CCMDB.accdb Change Log 2021 ‎ (← links) ICD10 Guideline COVID ‎ (← links) Template:ICD10 Guideline MRSA ‎ (← links)

@@ Line 16: / Line 16: @@
 **cohorting the patient with other patients with the same [[Pathogens|pathogen]]
-{{DA|
+=== In the context of [[Colonized with organism (not infected)]] ===
-*For a patient with primary admit of CHF who is placed on [[Isolation, infectious]] on arrival to ward for pre existing MRSA, is the isolation coded as an admit or acquired CCI procedure? If acquired, what date is to be entered, the last date of isolation?
+If a patient is placed on [[Isolation, infectious]] on arrival '''''only''''' for the reason of pre existing MRSA (or other colonization), then code [[Admit Diagnosis]] [[Colonized with organism (not infected)]] and code the isolation as an [[Admit Procedure]].
-**I think that would be an admit, ie no date. But let's say it was decided only after arrival; then doing a code-once with the date when it stops would seem a bit strange. Again, it would be nice if someone could bring this to task meeting.
-*AG REPLY -- if this is done on admission for colonization only, then you'd include [[Colonized with organism (not infected)]] in the admit diagnoses and the isolation would be an admit procedure.
- }}
 === Isolation for Use of Cytotoxic Agents ===

Imaging Px	Diagnostic Px	Therapeutic Px	Reproductive Px Obstetric Px	Musculoskeletal/soft tissue Px Abdomen Arm Back Bone/joint Ear Leg Organ Soft tissue Thorax
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