Respiratory Arrest: Difference between revisions

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I'm not sure the above rules are realistic in terms of code blue records and a code being called.Some patients are intubated on the ward and brought to ICU or intubated immediately on arrival without an actual code being called. I would think they would be coded respiratory arrest regardless of a code call or not.What do the rest of the ICU collectors do?If everyone is sticking to all of the rules I will remove this discussion. Thanks![[User:GHall|GHall]] 22:03, 7 July 2011 (CDT)
I'm not sure the above rules are realistic in terms of code blue records and a code being called.Some patients are intubated on the ward and brought to ICU or intubated immediately on arrival without an actual code being called. I would think they would be coded respiratory arrest regardless of a code call or not.What do the rest of the ICU collectors do?If everyone is sticking to all of the rules I will remove this discussion. Thanks![[User:GHall|GHall]] 22:03, 7 July 2011 (CDT)


*I do code respiratory arrest for some situations that do not fit the above rules.  If a "Code 25" or "HMO STAT" is called or the attending MD is seeing the patient on the ward, and the patient requires immediate intubation-I code it as a respiratory arrest. The wards  often use their own familiar chart forms/addendums rather than the "99" record for such events; therefore, I do not stick to the rule " "99" record is completed".   
*I do code respiratory arrest for some situations that do not fit the above rules.  If a "Code 25" or "HMO STAT" is called or the attending MD is seeing the patient on the ward, and the patient requires immediate intubation-I code it as a respiratory arrest. The wards  often use their own familiar chart forms/addendums rather than the "Code Blue" record for such events; therefore, I do not stick to the rule " "Code Blue" record is completed".   
I do not code respiratory arrest if the patient can "maintain their airway" for transport to ICU or ER for more of a controlled or 'elective intubation' (some sites send patients to ER for stabilization until bed available in ICU).[[User:Mlaporte|Mlaporte]] 16:49, 19 July 2011 (CDT)
I do not code respiratory arrest if the patient can "maintain their airway" for transport to ICU or ER for more of a controlled or 'elective intubation' (some sites send patients to ER for stabilization until bed available in ICU).[[User:Mlaporte|Mlaporte]] 16:49, 19 July 2011 (CDT)

Revision as of 16:52, 19 July 2011

Legacy Content

This page is about the pre-ICD10 diagnosis coding schema. See the ICD10 Diagnosis List, or the following for similar diagnoses in ICD10:

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edit dx infobox
Category/Organ
System:
Category: Cardiovascular Problems (old)

Type:

[[:Category: Medical Problem (old)]][[Category: Medical Problem (old)]]

Main Diagnosis: Arrest
Sub Diagnosis: Respiratory Arrest-Witnessed
Diagnosis Code: 10003 -Respiratory Arrest
Comorbid Diagnosis: No
Charlson Comorbid coding (pre ICD10): 0
Program: CC & Med
Status: Currently Collected


Data Integrity Rule -as of 5 June 2000

Never use 100-03 as primary admit diagnosis. Always code the reason for the respiratory arrest first, then code 100-3 only if the following criteria are met:

  • A. Code Blue is called
  • B. Code Blue record is completed
  • C. Pulse is present
  • D. Intubation is required



Discussion

Template:Discussion I'm not sure the above rules are realistic in terms of code blue records and a code being called.Some patients are intubated on the ward and brought to ICU or intubated immediately on arrival without an actual code being called. I would think they would be coded respiratory arrest regardless of a code call or not.What do the rest of the ICU collectors do?If everyone is sticking to all of the rules I will remove this discussion. Thanks!GHall 22:03, 7 July 2011 (CDT)

  • I do code respiratory arrest for some situations that do not fit the above rules. If a "Code 25" or "HMO STAT" is called or the attending MD is seeing the patient on the ward, and the patient requires immediate intubation-I code it as a respiratory arrest. The wards often use their own familiar chart forms/addendums rather than the "Code Blue" record for such events; therefore, I do not stick to the rule " "Code Blue" record is completed".

I do not code respiratory arrest if the patient can "maintain their airway" for transport to ICU or ER for more of a controlled or 'elective intubation' (some sites send patients to ER for stabilization until bed available in ICU).Mlaporte 16:49, 19 July 2011 (CDT)