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Service Sending to ICU: Difference between revisions

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JMojica (talk | contribs)
CCMDB_legit, admin, approved, Administrators
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:** If the patient had been accepted to a service, ie admitted and therefore now an inpatient, even if they were still physically in the ER, then '''yes, do'' code Service Sending with the specific service.  However, if the pt was in ER but not accepted by any service and then they are sent up to the ICU, (or to another ICU in the city), then put in "not an inpatient" in service sending. --[[User:LKolesar|LKolesar]] 13:35, 2015 December 14 (CST)  
:** If the patient had been accepted to a service, ie admitted and therefore now an inpatient, even if they were still physically in the ER, then '''yes, do'' code Service Sending with the specific service.  However, if the pt was in ER but not accepted by any service and then they are sent up to the ICU, (or to another ICU in the city), then put in "not an inpatient" in service sending. --[[User:LKolesar|LKolesar]] 13:35, 2015 December 14 (CST)  
**For patients moving from one ICU to another ICU, use only the "z_not applicable" in the service sending tmp.  --[[User:LKolesar|LKolesar]] 13:35, 2015 December 14 (CST)
**For patients moving from one ICU to another ICU, use only the "z_not applicable" in the service sending tmp.  --[[User:LKolesar|LKolesar]] 13:35, 2015 December 14 (CST)
**For patients coming from a ward, use any in the ITEM except "z_not applicable", "z_not an inpatient", "zz_enter" in the sending service tmp. -- [[User:JMojica|JMojica]] 14:40, 2016 March 11 (CST)
***for patients moving from CCU or CICU to another ICU, use the "z_not applicable" in the service sending tmp  - not 'Cardiology' or 'Cardiac Surgery'.
 
**For patients coming from a ward, use any in the ITEM except "z_not applicable", "z_not an inpatient", "zz_enter" in the sending service tmp.  
===why no nephrology?===
**For patients coming from HOME, use "z_not an inpatient" in the sending service tmp.
{{discussion}}
***Admit from Home is most common to patients admitted to CCU.
*Just wondered why Nephrology is not listed in the services?  I know we can put "other" but it would seem that this particular service is important and should perhaps be on the list??--[[User:LKolesar|LKolesar]] 13:37, 2016 February 19 (CST)
** they didn't ask for it... Ttenbergen 16:39, 2016 February 22 (CST)
** who made or provided the list? could it be that it was just overlooked? [[User:JMojica|JMojica]] 16:16, 2016 March 2 (CST)
*** I believe it was provided by Allan Garland at a task meeting. Not sure where he got it. Laura, could you bring this to the next task meeting so we can discuss? Ttenbergen 09:21, 2016 March 3 (CST) {{Discuss@task}}
 
=== Service from Home? ===
{{discussion}}
* Is it possible to have a sending service for patients who were admitted from HOME - say, Cardiology service admitted from home to CCU?  --  [[User:JMojica|JMojica]] 14:51, 2016 March 11 (CST)
** Would that not be entered as "z_not an inpatient"? I could add home if needed. Laura/Trish, any collection concerns around it? However, in your example, would that not actually mean admitted from Cardiology? I guess it also depends on what we want to do with this data; would the recipients want to know "home" in this case, or what would they want to know? Ttenbergen 15:39, 2016 March 16 (CDT)
** When one is admitted from home and the sending service is Cardiology (n=17 cases found in TmpV2), does it mean that a  cardiologist phoned the hospital's CCU (HSC/STB) and requested for the patient's admission to the unit?  If indeed happening and from home, is there a need to distinguish those "z_not an inpatient" with those having a sending service? - a question to ask to the TASK Group? [[User:JMojica|JMojica]] 15:36, 2016 March 18 (CDT)
 


=== Service unknown?===
=== Service unknown?===
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* Is it possible to have an unknown service for patients coming from ward or OR or RR? what is being entered when you do not know the service? z_Other? -- [[User:JMojica|JMojica]] 16:19, 2016 March 11 (CST)  
* Is it possible to have an unknown service for patients coming from ward or OR or RR? what is being entered when you do not know the service? z_Other? -- [[User:JMojica|JMojica]] 16:19, 2016 March 11 (CST)  
** I could add that. Laura/Trish, any collection concerns around it? Would we want an option other than "z_other" and "z_not applicable"? Ttenbergen 15:39, 2016 March 16 (CDT)
** I could add that. Laura/Trish, any collection concerns around it? Would we want an option other than "z_other" and "z_not applicable"? Ttenbergen 15:39, 2016 March 16 (CDT)
*** Add "z_unknown" as agreed in the Task group meeting 21 March 2016. Tina, you may remove this discussion once roll out.


=== how to code ===
=== how to code ===
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:** '''z_not applicable''' - in this case an entry to the comment field in tmp will be required. (z_ to sort to bottom)
:** '''z_not applicable''' - in this case an entry to the comment field in tmp will be required. (z_ to sort to bottom)
:** '''z_other''' - any others such as EENT surgery at STB
:** '''z_other''' - any others such as EENT surgery at STB
:** '''z_unknown''' - if unknown service for patients coming from ward or OR or RR
:** '''zz_other''' - the entry automatically put in for new CC patients, not accepted as final entry when checking tmp checkbox
:** '''zz_other''' - the entry automatically put in for new CC patients, not accepted as final entry when checking tmp checkbox


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