Transfer Ready DtTm tmp entry: Difference between revisions

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* '''PT/OT Assessment''': Before going home, some ward patients get a home safety evaluation from PT and OT, and if deemed safe for home get a homecare evaluation before going home. The transfer ready date/time in such a situation should be only after the PT/OT evaluation has deemed them safe to go home, i.e. before homecare has seen them. The rationale is that homecare evaluation can occur after discharge, but a hospitalized patient who “fails” their home safety evaluation will end up going to LTC, not home.

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

*1. 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. }}

*1. 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.

{{* Recently at SB, they have been including the Med Reconciliation orders in EPR documents. Typically, once a pt is transferrable, a Med Rec is initiated. If there are no discharge orders, no discharge summary and no discharge time documented, including the examples above specific to Medicine, could we (SB) also use this as our TransferReady dtm?--[[User:Mdamian|Mailah Damian]] 13:51, 2022 May 18 (CDT)}}

*2. Recently at SB, they have been including the Med Reconciliation orders in EPR documents. Typically, once a pt is transferrable, a Med Rec is initiated. If there are no discharge orders, no discharge summary and no discharge time documented, including the examples above specific to Medicine, could we (SB) also use this as our TransferReady dtm?--[[User:Mdamian|Mailah Damian]] 13:51, 2022 May 18 (CDT) }}

== Data entry instructions ==

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 * '''PT/OT Assessment''': Before going home, some ward patients get a home safety evaluation from PT and OT, and if deemed safe for home get a homecare evaluation before going home. The transfer ready date/time in such a situation should be only after the PT/OT evaluation has deemed them safe to go home, i.e. before homecare has seen them.  The rationale is that homecare evaluation can occur after discharge, but a hospitalized patient who “fails” their home safety evaluation will end up going to LTC, not home.
 {{DA|  We need a consistent approach to how we handle the following scenario:  We can assume that in all scenarios there is no other clear documentation.
-*1. 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. }}
+*1. 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.
-{{* Recently at SB, they have been including the Med Reconciliation orders in EPR documents. Typically, once a pt is transferrable, a Med Rec is initiated. If there are no discharge orders, no discharge summary and no discharge time documented, including the examples above specific to Medicine, could we (SB) also use this as our TransferReady dtm?--[[User:Mdamian|Mailah Damian]] 13:51, 2022 May 18 (CDT)}}
+*2. Recently at SB, they have been including the Med Reconciliation orders in EPR documents. Typically, once a pt is transferrable, a Med Rec is initiated. If there are no discharge orders, no discharge summary and no discharge time documented, including the examples above specific to Medicine, could we (SB) also use this as our TransferReady dtm?--[[User:Mdamian|Mailah Damian]] 13:51, 2022 May 18 (CDT) }}
 == Data entry instructions ==