Definition of a Critical Care Program Admission: Difference between revisions

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 **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:
-*# HSC SICU: As SICU patients remain under the primary care of the surgical service (technically, the SICU team is a consulting service even though much of the daily ICU care is guided by the SICU team), 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 (technically, the SICU team is a consulting service even though much of the daily ICU care is guided by the SICU team), the general rule is modified such that the patient becomes a Critical Care Laptop patient at the date/time that the SICU team agrees to take over care of the patient (in 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.
 *# Some Cardiac Surgery patients are tricky in regards to this, even though as per the general rule, the patient becomes a Critical Care laptop patient at the date/time when he/she transitions to be under the care of the CICU team. The tricky issue here is related to the fact that there are cardiac surgeons who are CICU attendings, cardiac surgery ward attendings, and operating surgeons guiding care in PACU.  Thus it can sometimes be tricky to figure out ''which'' cardiac surgery service is caring for the patient before they actually arrive in CICU (or equivalent boarding location).
-*# Pts in ICU for procedures only who are never actually under the ICU service: These patients are, by definition, not ICU patients, and clearly DO fall under the general rule.  But they may be tricky if it is not recognized that they were never under the care of the ICU team.\
+*# Pts in ICU for procedures only who are never actually under the ICU service: These patients are, by definition, not ICU patients, and clearly DO fall under the general rule.  But they may be tricky if it is not recognized that they were never under the care of the ICU team.
 === From Code Blue ===
-* 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.
+* The ICU team '''does not take over main/overall care of a patient 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.
 {{Discuss |
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 ::* ''the ICU team is considered as having accepted the patient when they arrive on the scene if the patient is successfully resuscitated and goes to a unit''
 * I think the wording that was in this page already is more precise, but is it what STB actually does? [[User:Ttenbergen|Ttenbergen]] 13:55, 2021 December 2 (CST)
+AG RESPONSE --- Tina, I don't see this language in the Service tmp entry.  Did you already remove it?
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