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Line 6: |
| For each patient enter the date and time when the patient '''physically arrived''' on the ward. | | For each patient enter the date and time when the patient '''physically arrived''' on the ward. |
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| If the [[Accept DtTm field|Accept DtTm]] > [[Arrive DtTm field|Arrive DtTm]], make accept = arrive.
| | For [[off ward field | off ward]] patients, |
| | * if the patient never does arrive on your unit, then the [[Arrive DtTm]] will be the same time as the [[Accept DtTm]] |
| | * if the patient does arrive on your unit, then the [[Arrive DtTm]] will be the physical arrival on the unit, while the [[Accept DtTm]] will be when the service accepted care of the patient |
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| === patient who overflow to other units ===
| | If the [[Accept DtTm]] > [[Arrive DtTm]], make accept = arrive. |
| {{discussion}}
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| * Has there been a decision about the arrive date/time for ICU patients who overflow outside their units?--[[User:Jpeterson|Jpeterson]] 10:20, 2016 June 13 (CDT)
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| **This is my understanding: If the patient never does arrive on your unit, then the arrive date and time will be the same time as the accept date and time. If the patient does arrive on your unit, then the arrive time will be the physical arrival on the unit, while the accept time will be when the service accepted care of the patient.-[[User:Mlagadi|Mlagadi]] 15:18, 2016 June 14 (CDT)
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| *I often have patients who are in PACU when accepted by SICU but have to stay in PACU as overflow. I had been told when oriented to consider the time accepted by SICU as the admit time & [[Arrive DtTm field]] in these cases. Should I be changing my practice to the time the patient actually comes to SICU, this sometimes never occurs as the bed space may never be found before the patient is discharged to the ward.--[[User:Jpeterson|Jpeterson]] 11:19, 2012 December 10 (EST)
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| **There apparently is a discrepancy between some of the data collectors for the discharge/admit time of a patient who has a code on the ward and then admitted to the ICU. After a discussion with Trish, the time of admission to the ICU should be when the patient arrives in the ICU after the code.--[[User:Jpeterson|Jpeterson]] 13:03, 2016 May 13 (CDT)
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| ***That is the way I have always done it, usually first vital signs unless clear charting otherwise.[[User:GHall|GHall]] 13:44, 2016 May 13 (CDT)
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| ****now that we have an [[Accept DtTm field]], in the EPR, if you are able to find documentation when an ICU service accepted the patient prior to arrival to your unit, then you can fill in this field. If there is no clear ICU acceptance date/time ''OR'' the patient stayed for example: in the PACU under ICU physican's care, but never moved into the ICU, then the '''Admit Data and time field''' + ([[Accept DtTm field]] + [[Arrive DtTm field]] will all be the SAME.--[[User:TOstryzniuk|Trish Ostryzniuk]] 14:57, 2016 May 13 (CDT)
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| *****great input everyone![[User:TOstryzniuk|Trish Ostryzniuk]] 14:57, 2016 May 13 (CDT)
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| == Data Use == | | == Data Use == |