Transfer Ready DtTm tmp entry: Difference between revisions

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**In making this delineation, except as for the exceptions listed immediately below, only consider a clearly written intent that the team now desires the patient to be transferred to such a lower level of care.

***In particular, when a ward patient is transferred (e.g. home) without any notes stating the team’s intention to do so in advance or even an order to discharge, collectors ''should '''not''' attempt to make educated guesses'' from the notes of when the patient was ''probably'' clinically ready to leave.

{{DA| We need a consistent approach to how we handle the following scenarios: We can assume that in all scenarios there is no other clear documentation.

*1. Discharge order, or a progress note written with date but no time. (either same day of discharge or day prior)

*2. Discharge order written with date and time, but the order is to discharge the following day or on a specific date (reasons for the delay are some times clearly documented,ie.if they are waiting for homecare services or transportation etc), or discharge post last dose IV ABX, discharge after dialysis.

*This is likely not an issue at SBGH because their notes would be automatically date and time stamped. At HSC when there is an order without a time for the day of discharge, we generally use 1000 as the time, as rounds happen between 9-1100, or should we just use the dispo date and time? For those orders that are written the day prior and the reason is waiting for services or transportation we would use the date the order is written with the time 1000, for those that are waiting for medical treatments we use the dispo date and time. We also investigate, so that if the prior order is date and time stamped well after 1000, then we obviously cannot use the 1000 so we would use the dispo date and time. }}

'''EXCEPTIONS:'''

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 **In making this delineation, except as for the exceptions listed immediately below, only consider a clearly written intent that the team now desires the patient to be transferred to such a lower level of care.
 ***In particular, when a ward patient is transferred (e.g. home) without any notes stating the team’s intention to do so in advance or even an order to discharge, collectors ''should '''not''' attempt to make educated guesses'' from the notes of when the patient was ''probably'' clinically ready to leave.
+{{DA|  We need a consistent approach to how we handle the following scenarios:  We can assume that in all scenarios there is no other clear documentation.
+*1. Discharge order, or a progress note written with date but no time.  (either same day of discharge or day prior)
+*2. Discharge order written with date and time, but the order is to discharge the following day or on a specific date (reasons for the delay are some times clearly documented,ie.if they are waiting for homecare services or transportation etc), or discharge post last dose IV ABX, discharge after dialysis.
+*This is likely not an issue at SBGH because their notes would be automatically date and time stamped.  At HSC when there is an order without a time for the day of discharge, we generally use 1000 as the time, as rounds happen between 9-1100, or should we just use the dispo date and time?  For those orders that are written the day prior and the reason is waiting for services or transportation we would use the date the order is written with the time 1000, for those that are waiting for medical treatments we use the dispo date and time. We also investigate, so that if the prior order is date and time stamped well after 1000, then we obviously cannot use the 1000 so we would use the dispo date and time. }}
 '''EXCEPTIONS:'''