ACP-C: Difference between revisions

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==Questions from Collectors==

*''If ACP M is just written with no qualifiers then one would classify as ACP M-. Since a significant proportion of patient do want intubation but do not want CPR, I do think it is useful to distinguish)''. Kendiss.

#''If ACP M is just written with no qualifiers then one would classify as ACP M-. Since a significant proportion of patient do want intubation but do not want CPR, I do think it is useful to distinguish)''. Kendiss.

**could you clarify the above statement? If you are saying that significant proportion of pt want intubation would the status be marked as ACP M+ and not ACP M- as indicated above? Judy Kublick June 4.15

#*could you clarify the above statement? If you are saying that significant proportion of pt want intubation would the status be marked as ACP M+ and not ACP M- as indicated above? Judy Kublick June 4.15

*ACP status at what admission point?

#**''IF ACP status is documented as NO CPR but willing to accept intubations then the patient would be ACP M+ IF ACP status is document as NO CPR and NO intubation then the patient would be ACP M- IF ACP status is just documented as ACP M OR NO CPR with other qualifiers than patient would be classified as ACP M-''.--Kendiss. June, 23.15.

**at ER admission?

#ACP status at what admission point?

**at time of arrival in unit?

#*at ER admission?

**status established within the first 24 or 48 hrs of arrival on unit?

#*at time of arrival in unit?

*ACP status at time of ~~discharge~~ as ~~well?~~

#*status established within the first 24 or 48 hrs of arrival on unit?

*ACP status ''changes'' during admission to unit?

#**''On this question, I would like further input from others..... My initial feeling is: ACP status at time of ICU admission (sometimes people are admitted with undetermined ACP status and if this is the case then first ACP status documented within the first 24 - 48 hours of ICU admission. If patient still does not have ACP status documentation within 24-48 hours then this is an important finding and should be documented as ACP not determined....)'' --Kendiss. June, 23.15.

*Is this ICU only? or medicine as well?

#*ACP status ''changes'' during admission to unit?

#*ACP status at time of discharge as well?

#**''ACP status on '''admission and discharge''' will give lots of valuable information. Although ACP changes during admission may be interesting, I am not convinced the added information will valuable enough to justify the extra work that would be required.

#Is this ICU only? or medicine as well?'' --Kendiss. June 23, 15.

#*''would also be good thing for medicine however we need to defer to the medicine program.''

Questions sent to Kendiss Olafson for further clarification of good questions above. discussed at a Task meet, jun 11.15.[[User:TOstryzniuk|Trish Ostryzniuk]] 10:58, 2015 June 12 (CDT)

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 ==Questions from Collectors==
-*''If ACP M is just written with no qualifiers then one would classify as ACP M-.  Since a significant proportion of patient do want intubation but do not want CPR, I do think it is useful to distinguish)''. Kendiss.
+#''If ACP M is just written with no qualifiers then one would classify as ACP M-.  Since a significant proportion of patient do want intubation but do not want CPR, I do think it is useful to distinguish)''. Kendiss.
-**could you clarify the above statement? If you are saying that significant proportion of pt want intubation would the status be marked as ACP M+ and not ACP M- as indicated above? Judy Kublick June 4.15
+#*could you clarify the above statement? If you are saying that significant proportion of pt want intubation would the status be marked as ACP M+ and not ACP M- as indicated above? Judy Kublick June 4.15
-*ACP status at what admission point?
+#**''IF ACP status is documented as NO CPR but willing to accept intubations then the patient would be ACP M+ IF ACP status is document as NO CPR and NO intubation then the patient would be ACP M- IF ACP status is just documented as ACP M  OR  NO CPR with other qualifiers than patient would be classified as ACP M-''.--Kendiss. June, 23.15.
-**at ER admission?
+#ACP status at what admission point?
-**at time of arrival in unit?
+#*at ER admission?
-**status established within the first 24 or 48 hrs of arrival on unit?
+#*at time of arrival in unit?
-*ACP status at time of discharge as well?
+#*status established within the first 24 or 48 hrs of arrival on unit?
-*ACP status ''changes'' during admission to unit?
+#**''On this question, I would like further input from others.....  My initial feeling is:  ACP status at time of ICU admission (sometimes people are admitted with undetermined ACP status and if this is the case then first ACP status documented within the first  24 - 48 hours of ICU admission.  If patient still does not have ACP status documentation within 24-48 hours then this is an important finding and should be documented as ACP not determined....)'' --Kendiss. June, 23.15.
-*Is this ICU only? or medicine as well?
+#*ACP status ''changes'' during admission to unit?
+#*ACP status at time of discharge as well?
+#**''ACP status on '''admission and discharge''' will give lots of valuable information.  Although ACP changes during admission may be interesting, I am not convinced the added information will valuable enough to justify the extra work that would be required.
+#Is this ICU only? or medicine as well?'' --Kendiss. June 23, 15.
+#*''would also be good thing for medicine however we need to defer to the medicine program.''
 Questions sent to Kendiss Olafson for further clarification of good questions above.  discussed at a Task meet, jun 11.15.[[User:TOstryzniuk|Trish Ostryzniuk]] 10:58, 2015 June 12 (CDT)