Definition of a Critical Care Program Admission: Difference between revisions

Agarland (talk | contribs)
No edit summary
Agarland (talk | contribs)
Line 6: Line 6:
*'''Note that the ICU team DOES NOT take over care DURING a code on the ward'''. When the ICU team runs a ward code, they are just performing a procedure (ACLS) for the ward team. We only consider the ICU team as taking over care IF once the patient has survived the code (or possibly in between arrests), the ICU team has agreed to do so.  So, this is not automatic. The main way this will be noted is that the Medicine ward resident will almost certainly write a note indicating this.
*'''Note that the ICU team DOES NOT take over care DURING a code on the ward'''. When the ICU team runs a ward code, they are just performing a procedure (ACLS) for the ward team. We only consider the ICU team as taking over care IF once the patient has survived the code (or possibly in between arrests), the ICU team has agreed to do so.  So, this is not automatic. The main way this will be noted is that the Medicine ward resident will almost certainly write a note indicating this.


== Entry of Admission Date to Critical Care Service and  Reporting ==
== Additional info ==
See also [[STB CICU Admissions start at Arrive DtTm]]
*In the past we talked about [[Arrive DtTm]] and [[Accept DtTm]].  But in 2020 we transitioned to a different way of keeping track (separately) of the patient's physical location (i.e. [[Boarding Loc]] tmp entry) and the service they are under ([[Service tmp entry]]).
* Since the definition varies from site and unit, for the Statistician to get the correct admission date time to the ICU which is to be used to calculate [[Length of Stay (ICU Report)]], the '''admission  date and time must be entered''' in the [[Service tmp entry]] as its  first service entry  '''Start date and time'''.
**So, what used to be called [[Accept DtTm]] is now the date/time of the initial [[Service tmp entry]]
* It would be hit and miss to get the correct date and time information to the first Boarding Loc because the first physical location may not be the unit but just a boarding location and by definition does  not necessarily imply that the patient is already being taken over by the ICU service. Neither getting the correct admission date time to the succeeding boarding location which can also be a boarding location.
**And, what used to be called [[Arrive DtTm]] is now the date/time of the initial [[Boarding Loc]]
* The purpose of the Service tmp is to define the start dates the service takes over and the first start date time is the beginning date when the Critical Care service takes over regardless of the location it started (e.g. own ICU, other ICU unit, Off service unit, ER, RR, or other locations).
*What we are seeking for these dates/times is the TRUTH, which may not be what is listed in COGNOS.


== Related Articles ==
== Related Articles ==