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| ***** i.e. this is the '''transition''' to transfer ready, so if they arrived already transfer ready at a [[Boarding Loc]] you should ''not'' enter the start of that [[Boarding Loc]] and instead enter the date of a subsequent new first transfer ready status at this second [[Boarding Loc]] | | ***** i.e. this is the '''transition''' to transfer ready, so if they arrived already transfer ready at a [[Boarding Loc]] you should ''not'' enter the start of that [[Boarding Loc]] and instead enter the date of a subsequent new first transfer ready status at this second [[Boarding Loc]] |
| ::OR | | ::OR |
| :::* checkbox checked if the patient is never transfer ready (ie. moves to a higher level of care, moves to an equal level of care, or leaves AMA) | | :::* checkbox checked if a clear transfer ready date '''and time''' are never documented |
| {{Discuss |
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| * where the pt actually goes is irrellevant to the checkbox, why does that keep coming back into this? [[User:Ttenbergen|Ttenbergen]] 11:28, 2022 May 18 (CDT)
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| }}
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| :: OR
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| :::if there is no clear [[Transfer Ready DtTm]] enter the [[Dispo DtTm]] if discharged from hospital or use the date and time of the subsequent [[Boarding Loc]] if transferred to a lower level of care.
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| {{Ex| Mr Jones went from MICU to SICU. In MICU he was transfer ready but at no time after transfer did the team caring for him in the SICU write that he was transfer ready. Thus he will have a transfer ready date/time from the MICU boarding loc, but not from the SICU boarding loc.}}
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| {{Combined instructions for Transfer Ready DtTm and Boarding Loc}} | | {{Combined instructions for Transfer Ready DtTm and Boarding Loc}} |
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| === Patient doesn't become [[#Transfer Ready]] before leaving unit ===
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| * If pt never becomes [[#Transfer Ready]], check the checkbox to say so. This is so we can be sure the entry wasn't just forgotten.
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| * Don't check this until the patients actually leaves that [[Boarding Loc]] (either to a next one or to [[Dispo]]) and you are sure a date never became available.
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| === Transfer ready to serveral different lower levels of care ===
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| * If there is clearly written as transfer-ready to a lower level, and then while in the same location he/she is written as transfer-ready to an ''even lower'' level of care, only enter the first date and time.
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| === What if the pt ends up transferred to a higher level of care ===
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| '''The original {{PAGENAME}} does not change. We want the first one one only.'''
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| {{Collapsable
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| | always= Expand for details why
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| | full=
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| * It might '''seem''' that a patient who was transfer ready but then moves to a higher level of care should be excluded, since they did not actually get transferred to a lower level of care. However, when the patient was deemed transfer ready, additional time in the ward was "wasted time" - if we could have sent them elsewhere we would have. If the patient later crashes, that doesn't make it not-wasted time - they could have crashed anywhere. So the interpretation that a pt moving to a higher level of care after transfer ready is not wasted time is not right. We discussed this repeatedly at task and steering meetings. The only way this makes sense is if it is done by intent.
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| After discussion with medicine, Allan reported back that they want the '''first medically stable'' only ([[Task Team Meeting - Rolling Agenda and Minutes 2021#ICU Database Task Group Meeting – June 15, 2021]]).
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| }}
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| == Start DtTm/Legacy == | | == Start DtTm/Legacy == |