Definition of a Critical Care Program Admission: Difference between revisions
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* '''The GENERAL RULE''' is that a patient becomes a Critical Care Laptop patient at the date/time that the ICU team takes over being their primary care team -- regardless of their physical location, even if it is a [[Boarding Loc]] such as ED or PACU. Thus, this relates to the first relevant [[Service tmp entry]]. | * '''The GENERAL RULE''' is that a patient becomes a Critical Care Laptop patient at the date/time that the ICU team takes over being their primary care team -- regardless of their physical location, even if it is a [[Boarding Loc]] such as ED or PACU. Thus, this relates to the first relevant [[Service tmp entry]]. | ||
**We define ''the ICU takes over being their primary care team'' as occurring when there is clear indication (usually a progress note) to this effect. That note may be by the ward team or by the ICU team. | **We define ''the ICU takes over being their primary care team'' as occurring when there is clear indication (usually a progress note) to this effect. That note may be by the ward team or by the ICU team. | ||
*Each critical care team that the patient is admitted under will be a separate profile. For HSC, this means MICU, SICU, and IICU admissions will all be collected as separate profiles. The same rule applies to St Boniface for ICMS, ACCU, and ICCS admissions. Grace only has one critical care service so this is not relevant there. | |||
**The profiles are by service, not by location. So for example, if an MICU patient is transferred to SICU for bed management reasons and remains under the MICU service, this remains one profile and is not divided into two. Conversely, if an MICU patient is accepted by the SICU service and transfers to SICU, this stay would be separated into two profiles by service. | |||
* There are a small number of tricky situations (not really exceptions) for this general rule: | * There are a small number of tricky situations (not really exceptions) for this general rule: | ||
*# HSC SICU: As SICU patients remain under the primary care of the surgical service, the general rule is modified such that the patient becomes a Critical Care Laptop patient at the date/time that the ICU team agrees to take the patient into SICU (or equivalent SICU boarding location such as ER or PACU). This is thus a "partial exception" in that the only difference with the general rule is that the ICU team isn't officially the primary care team of SICU patients. | *# HSC SICU: As SICU patients remain under the primary care of the surgical service, the general rule is modified such that the patient becomes a Critical Care Laptop patient at the date/time that the ICU team agrees to take the patient into SICU (or equivalent SICU boarding location such as ER or PACU). This is thus a "partial exception" in that the only difference with the general rule is that the ICU team isn't officially the primary care team of SICU patients. | ||