Transfer Ready date and time: Difference between revisions

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== Medicine ==

The transfer ready date is the '''first''' date during this ward stay that a patient was deemed medically stable and is ready to be discharged. ~~If the patient status changes again after, the date remains in effect.~~

The transfer ready date is the '''first''' date during this ward stay that a patient was deemed medically stable and is ready to be discharged.

** '''Patient arrives transfer-ready''': If a pt already has a transfer ready date and time and is moved to another ward where a new profile is started, the transfer ready date and time will be the time of admission to that ward. For example, a pt has been in acute care and is medically stable on Oct 15 at 1000. This is your transfer ready data and time. The pt is then transferred to a chronic ward on Oct 30, and a new profile is started. The admit date for the new profile is Oct 30 and you should fill in the transfer ready date as Oct 30 (1000 hrs) because the pt is still medically stable and continues to wait for discharge. Julie needs them done this way as she links the profiles.--[[User:LKolesar|LKolesar]] 08:59, 10 November 2011 (CST)

==='''Required''' for Medicine when===

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* patient is being transferred to an ICU

* a patient goes from one medical '''teaching''' unit to another in same facility or another facility in the city.

** exception: if patient was transfer ready in one medical teaching unit, but in the interim, gets sent to another teaching unit while waiting for longer term care, then transfer ready date can be recorded in first teaching unit, and for the second teaching unit, the transfer ready date/time will be the SAME as admit date/time to the receiving ward. Since the CCMDB.mdb will not allow admit and transfer date as the same time, please make the time 1 min. later to get past this issue.

* goes home [[Med Var 6 - AMA]] '''A'''gainst '''M'''edical '''A'''dvice

*goes home [[Med Var 6 - AMA]] '''A'''gainst '''M'''edical '''A'''dvice

* when patient dies on a medicine ward

*when patient dies on a medicine ward

* transfer to an ICU

*transfer to an ICU

* sent to operating room (OR)

*sent to operating room (OR)

* sent for procedure or test and doesn't come back to the ward

*~~Sent~~ for procedure or test~~, (example: angiogram, CT scan, fluroscopy, bronchoscopy, MUGA scan etc.)~~

=== Transfer ready DATE NOT available Medicine only===

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=== Medicine Special Case - Condition Deteriorates ===

If a patient develops a complication ~~AFTER~~ they were deemed to be medically stable and transfer ready, you do not ~~cancell~~ their transfer ready date/time. Dr Roberts did indicate that he would like the transfer ready to be recorded and unchanged even if the pts condition changes. The original transfer ready date and time are still relevant to the [[:Category: OverstayProject | OverstayProject]]. As per discussions with Roberts for updated guidelines. --[[~~User:LKolesar|LKolesar~~]] ~~15:04, 2012 March 19 (CDT~~)

If a patient develops a complication '''after''' they were deemed to be medically stable and transfer ready, you '''do not change''' their transfer ready date/time. This is unlike the ICU instructions.

Dr Roberts did indicate that he would like the transfer ready to be recorded and unchanged even if the pts condition changes. The original transfer ready date and time are still relevant to the [[:Category: OverstayProject | OverstayProject]]. As per discussions with Roberts for updated guidelines.

=== Medicine Special Case - Patient arrives transfer-ready===

If a pt already has a transfer ready date and time and is moved to another ward, the transfer ready date and time will be the time of admission (1 minute later to keep [[#CCMDB Consistency Checks]] happy) to that ward. Needs to be done this way because of the way our [[statistician]] reports this data.

= Sources =

@@ Line 34: / Line 34: @@
 == Medicine ==
-The transfer ready date is the '''first''' date during this ward stay that a patient was deemed medically stable and is ready to be discharged. If the patient status changes again after, the date remains in effect.
+The transfer ready date is the '''first''' date during this ward stay that a patient was deemed medically stable and is ready to be discharged.
-** '''Patient arrives transfer-ready''': If a pt already has a transfer ready date and time and is moved to another ward where a new profile is started, the transfer ready date and time will be the time of admission to that ward. For example, a pt has been in acute care and is medically stable on Oct 15 at 1000.  This is your transfer ready data and time.  The pt is then transferred to a chronic ward on Oct 30, and a new profile is started.  The admit date for the new profile is Oct 30 and you should fill in the transfer ready date as Oct 30 (1000 hrs) because the pt is still medically stable and continues to wait for discharge.  Julie needs them done this way as she links the profiles.--[[User:LKolesar|LKolesar]] 08:59, 10 November 2011 (CST)
 ==='''Required''' for Medicine when===
@@ Line 45: / Line 44: @@
 * patient is being transferred to an ICU
 * a patient goes from one medical '''teaching''' unit to another in same facility or another facility in the city.
-** exception: if patient was transfer ready in one medical teaching unit, but in the interim, gets sent to another teaching unit while waiting for longer term care, then transfer ready date can be recorded in first teaching unit, and for the second teaching unit, the transfer ready date/time will be the SAME as admit date/time to the receiving ward. Since the CCMDB.mdb will not allow admit and transfer date as the same time, please make the time 1 min. later to get past this issue.
+* goes home [[Med Var 6 - AMA]] '''A'''gainst '''M'''edical '''A'''dvice
-*goes home [[Med Var 6 - AMA]] '''A'''gainst '''M'''edical '''A'''dvice
+* when patient dies on a medicine ward
-*when patient dies on a medicine ward
+* transfer to an ICU
-*transfer to an ICU
+* sent to operating room (OR)
-*sent to operating room (OR)
+* sent for procedure or test and doesn't come back to the ward
-*Sent for procedure or test, (example: angiogram, CT scan, fluroscopy, bronchoscopy, MUGA scan etc.)
 === Transfer ready DATE NOT available Medicine only===
@@ Line 56: / Line 54: @@
 === Medicine Special Case - Condition Deteriorates ===
-If a patient develops a complication AFTER they were deemed to be medically stable and transfer ready, you do not cancell their transfer ready date/time. Dr Roberts did indicate that he would like the transfer ready to be recorded and unchanged even if the pts condition changes.  The original transfer ready date and time are still relevant to the  [[:Category: OverstayProject | OverstayProject]]. As per discussions with Roberts for updated guidelines. --[[User:LKolesar|LKolesar]] 15:04, 2012 March 19 (CDT)
+If a patient develops a complication '''after''' they were deemed to be medically stable and transfer ready, you '''do not change''' their transfer ready date/time. This is unlike the ICU instructions.
+Dr Roberts did indicate that he would like the transfer ready to be recorded and unchanged even if the pts condition changes. The original transfer ready date and time are still relevant to the  [[:Category: OverstayProject | OverstayProject]]. As per discussions with Roberts for updated guidelines.
+=== Medicine Special Case - Patient arrives transfer-ready===
+If a pt already has a transfer ready date and time and is moved to another ward, the transfer ready date and time will be the time of admission (1 minute later to keep [[#CCMDB Consistency Checks]] happy) to that ward. Needs to be done this way because of the way our [[statistician]] reports this data.
 = Sources =