Parked in ER

A patient is considered parked in ER if they are a direct admit who gets stuck in the ER.

Collection Instruction

• The Visit Admit DtTm field and the Accept DtTm field will be the same
• in Tmp Boarding Loc enter <site>_ER, the date and time will be the same as the Visit Admit DtTm field and the Accept DtTm field

The rest is the same as for any other patient, expand to see details.

Previous Location field, enter the previous physical location of the patient From an inpatient location- the Pre-admit Inpatient Institution and the Previous Location will be the same Not from an inpatient location- the Pre-admit Inpatient Institution would be not applicable and the Previous Location would be their last physical location e.g. Thompson ER Service/Location would be <site>_Med, <site>_CC, STB MICU, STB_ICCS, STB_ACCU. Previous Service field, enter the sending service, otherwise enter Unknown or not applicable or other known but not on list in Service tmp entry enter the accepting service, with the same date/time as the Accept DtTm field If the patient is transferred to another ward/unit of same service, add another line in the Tmp Boarding Loc for the next location. if they are transferred to a different service which we are collecting then a new profile. in Tmp enter Transfer Ready DtTm / Transfer Ready DtTm tmp entry if applicable, if not transfer ready check off column B

Does this make Previous Location entry "STB - ER (parked)" etc defunct? Or should those still be used? If defunct, pls let me know when the last pt that uses these is sent so I can remove them from S dispo table. If not defunct, how should those now be used? Ttenbergen 22:40, 2020 October 18 (CDT) Whatever is decided is fine, just wondering what to enter for previous location in these instances? Pamela Piche 13:13, 2020 November 24 (CST) Enter them as if they were not a direct admit. If we had never had such a concept you'd enter them as coming from ER, right? Ttenbergen 16:15, 2020 November 25 (CST) The question above implies a discussion, the previous location collection change (from ie. ER parked entry to ER) is embedded/hidden in the example and should be clearly visible and included in collection instructions above otherwise could be easily missed I see your point. And that's why I don't think we should write the details like that on this page, just referring to the other page is better. I didn't want the explicit details here, that's why I added "The following may be out of sync with the linked pages; if it is, please update it with info from the linked pages which is likely the right version." at the top of the list of details. I will confirm with Julie that the "*ER (parked)" entries can be inactivated. Chances are they can't just be inactivated because people are still using them, so if we want them gone we need to do something about it. Ttenbergen 21:49, 2020 November 26 (CST) yes defunct this as of Oct 16, 2020. --JMojica 14:07, 2020 November 27 (CST)

• SMW

• Cargo

• Categories

Data use / Reporting

What reports use this?

• Critical Care Inter-facility Transfer Report

inter facility transfers report (semi annual and Fiscal year) given to Critical Care Admin Director and Quality Officer.

• Patient Flow - where patient were have been admitted FROM

How is it used?

• To distinguish the reason of transfer due to bed management reason
• To distinguish the reason of transfer due Medical Necessity reason
• To determine the flow of patients from teaching hospital to teaching hospital, teaching to community, community to teaching, community to community, from outside city/province facility to regional hospital.

Data to be Reported

• for Inpatient direct admit
  • Site Ward via ED
  • Site ICU via ED

• For Non Inpatient direct Admit (e.g. Emergency, Ambulatory Clinic, PCH, Home, Nursing Station)
  • Site Emergency via ED
  • Site Ambulatory via ED
  • PCH via ED
  • Home via ED
  • Nursing Station via ED

related concepts

• Dispo_field#Discharge_to_ER
• Boarding Loc
• Category:Overflow
• EMIP
• ECIP

Data Integrity Checks (automatic list)

none found

Legacy info

This used to be collected as Parked in ER tmp entry.