STB ACCU Collection Guide: Difference between revisions

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== STEMI code for From/To slots ==
== STEMI code for From/To slots ==
A code [[Admit_From_%26_Discharged_To#STEMI | STEMI]] is when a patient comes directly to the heart cath lab via EMS.  This will result in an admit code from home (ZZ).  If a patient comes from the heart cath lab you need to put where they were prior to this.  For example Dauphin ER or ICU. 
Some heart attack patients are admitted straight to the heart cath lab without being admitted to the. See [[Admit_From_%26_Discharged_To#STEMI_from_home_.28zz.29_to_St_Boniface | STEMI]] for how to admit such patients.
If the patient was at St.B. ER but was transferred from another hospital prior to this, put the first entry hospital in the admit from. On the paper log sheet we put a small heart figure to indicate all primary angios in the admit from space but you also need to put where the patient was just prior, which is also written in this space.   
=== Discussion ===
{{discussion}}
* This doesn't actually tell me when to use the STEMI code.[[User:Ttenbergen|Ttenbergen]] 16:36, 1 October 2009 (CDT)
* Is STEMI ever used in the "to" slot? [[User:Ttenbergen|Ttenbergen]] 16:36, 1 October 2009 (CDT)
* I think we should integrate this completely in [[Admit_From_%26_Discharged_To#STEMI]] and only link there from here. [[User:Ttenbergen|Ttenbergen]] 16:36, 1 October 2009 (CDT)
** CODE STEMI is a city wide alert system (similiar to a CODE BLUE) that is called on the PA system in the hospital to alert specific personnel to assist with this patient.  For the data base purposes, after discussing this with Trish, she just wanted to capture this specific situation by the from code being ZZ and the first diagnosis being angiogram or plasty.  This has nothing to do with the actual STEMI diagnosis which is usually coded with the specific location of the MI.  (like inferior, posterior, anterior, etc.)  I think all the nurses who are data collectors are aware of the difference here.  --[[User:LKolesar|LKolesar]] 10:37, 2 October 2009 (CDT)
*** I realize that dx STEMI and admit-from STEMI are not the same thing. I suggested moving this to the admit-from Stemi documentation [[Admit_From_%26_Discharged_To#STEMI | here]].[[User:Ttenbergen|Ttenbergen]] 14:46, 2 October 2009 (CDT)


== Diagnostic Coding vs Admit-From==  
== Diagnostic Coding vs Admit-From==