Respiratory Arrest: Difference between revisions

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*We have  eliminated the respiratory arrest code.  We already code the reason for the respiratory difficulty, (like CHF or COPD exacerbation, or sedative- related resp. failure., etc.).  We will only put in the respiratory problem and not the respiratory arrest.  If the pt is intubated, this is captured on the tiss in the ICU where the pt will end up if they are not already there.  This was discussed at the task group meeting on October 20th, 2015 and it was decided to eliminate this coded as unnecessary. Tina will be taking it out of CCMDB in the near future.  [[Change Priorities]]--[[User:LKolesar|LKolesar]] 12:18, 2015 October 20 (CDT)  
*We have  eliminated the respiratory arrest code.  We already code the reason for the respiratory difficulty, (like CHF or COPD exacerbation, or sedative- related resp. failure., etc.).  We will only put in the respiratory problem and not the respiratory arrest.  If the pt is intubated, this is captured on the tiss in the ICU where the pt will end up if they are not already there.  This was discussed at the task group meeting on October 20th, 2015 and it was decided to eliminate this coded as unnecessary. Tina will be taking it out of CCMDB in the near future.  [[Change Priorities]]--[[User:LKolesar|LKolesar]] 12:18, 2015 October 20 (CDT)  
==Data Integrity Rule -as of 5 June 2000==
 
=={{CCMDB Data Integrity Checks}}==
as of 5 June 2000
'''Never use respiratory arrest (Code: 100-0300  as [[Primary Admit Diagnosis]].'''
'''Never use respiratory arrest (Code: 100-0300  as [[Primary Admit Diagnosis]].'''
{{discussion}}  
{{discussion}}  
*Wonder if that was ever implemented as a data check. If so it should be documented differently here on the wiki...
This was never set up as an integrity check - does it need to be? Ttenbergen 16:31, 2016 June 6 (CDT)
**not added as a check.   


Always code the '''reason''' for the respiratory arrest first, then code 100-3 '''only if the following criteria are met''':  
Always code the '''reason''' for the respiratory arrest first, then code 100-3 '''only if the following criteria are met''':  

Revision as of 16:31, 6 June 2016

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  • We have eliminated the respiratory arrest code. We already code the reason for the respiratory difficulty, (like CHF or COPD exacerbation, or sedative- related resp. failure., etc.). We will only put in the respiratory problem and not the respiratory arrest. If the pt is intubated, this is captured on the tiss in the ICU where the pt will end up if they are not already there. This was discussed at the task group meeting on October 20th, 2015 and it was decided to eliminate this coded as unnecessary. Tina will be taking it out of CCMDB in the near future. Change Priorities--LKolesar 12:18, 2015 October 20 (CDT)

Template:CCMDB Data Integrity Checks

as of 5 June 2000 Never use respiratory arrest (Code: 100-0300 as Primary Admit Diagnosis. Template:Discussion This was never set up as an integrity check - does it need to be? Ttenbergen 16:31, 2016 June 6 (CDT)

Always code the reason for the respiratory arrest first, then code 100-3 only if the following criteria are met:

  • A. Code Blue is usually called
  • B. Code Blue record is usually completed(in some cases won't be filled in)
  • C. Pulse is present
  • D. INTUBATION is required
    • the above provide "minimal" guidelines to follow, however not all cases follow the exact rules. If it looks like resp arrest and smells like resp arrest, code it as resp arrest.
  • Resp arrest is never a admit 1 code, there is usually a reason for it, like CHF, COPD exac.etc. This always be coded first.
  • If patient progresses to full cardiac arrest then don't code resp arrest. That is redundant.