CRRT Project: Difference between revisions

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HSC Critical Care patients only who get CRRT therapy

=== how to code ===

=== how to code in CCMDB TMP ===

Nephrology will completed a FORM (Renal Diagnostic Codes Checklist). This form is attached to a consult form in the HSC_ICU's and will stay on patient chart. The Nephrology ATTENDING must fill the form reason for CRRT. Collectors will get there information from for reason for CRRT

Nephrology will completed a FORM (Renal Diagnostic Codes Checklist). This form is attached to a consult form in the HSC_ICU's and will stay on patient chart. The Nephrology ATTENDING must fill the form reason for CRRT. Collectors will get there information from for reason for CRRT.

Project: CRRT

*Project: CRRT

Item: enter is this field the marked renal codes from the Renal DX code form on patient chart.

*Item: enter is this field the marked renal codes from the Renal DX code form on patient chart.

**there could be more than than one reason for CRRT, if so, then in TMP you will enter 2 rows of data.

~~One of major reasons for CRRT in Non-Renal failure population at all sites having this renal replacement therapy(RRT) option often rises from the severe burn and trauma victim group.~~

Their need for fluids(crystalloid/colloid, blood products and nutritional support[TNA])over a 24hour period can often exceed 20 liters in the first several days of ICU care...the severe burns with skin losses require significant volume replacement throughout their acute injury and debridement stages.

CRRT allows for this excessive volume administration as diuretics cannot maintain a stable balance and further renal compromise is almost a certain outcome as well as progressive respiratory issues/failure in the ventilated patient. Allowing room for early nutritional replacement is a significant benefit and aids in improved outcomes.

~~CRRT can remove up to 2L per hour-where and when necessary over a 24 hour period.~~

~~=== How to determine? ===~~

~~<detail>~~

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The Critical Care and Renal Programs made a decision last Feb 2, 2016 to consider the TISS28 as the source of CRRT data starting Jan 2016.

However TISS28 does not contain the diagnostic reasons for CRRT therapy so a request to collect this information separately by the data collectors of the Critical Care Database was made. The Renal Program had identified the possible reasons for CRRT therapy and proposed to list them in a form for the attending Nephrologist to mark.

@@ Line 15: / Line 15: @@
 HSC Critical Care patients only who get CRRT therapy
-=== how to code ===
+=== how to code in CCMDB TMP ===
-Nephrology will completed a FORM (Renal Diagnostic Codes Checklist).  This form is attached to a consult form in the HSC_ICU's and will stay on patient chart.    The Nephrology ATTENDING must fill the form  reason for CRRT. Collectors will get there information from for reason for CRRT
+Nephrology will completed a FORM (Renal Diagnostic Codes Checklist).  This form is attached to a consult form in the HSC_ICU's and will stay on patient chart. The Nephrology ATTENDING must fill the form  reason for CRRT. Collectors will get there information from for reason for CRRT.
-Project: CRRT
+*Project: CRRT
-Item:  enter is this field the marked renal codes from the Renal DX code form on patient chart.
+*Item:  enter is this field the marked renal codes from the Renal DX code form on patient chart.
+**there could be more than than one reason for CRRT, if so, then in TMP you will enter 2 rows of data.
-One of major reasons for CRRT in Non-Renal failure population at all sites having this renal replacement therapy(RRT) option often rises from the severe burn and trauma victim group.
-Their need for fluids(crystalloid/colloid, blood products and nutritional support[TNA])over a 24hour period can often exceed 20 liters in the first several days of ICU care...the severe burns with skin losses require significant volume replacement throughout their acute injury and debridement stages.
-CRRT allows for this excessive volume administration as diuretics cannot maintain a stable balance and further renal compromise is almost a certain outcome as well as progressive respiratory issues/failure in the ventilated patient. Allowing room for early nutritional replacement is a significant benefit and aids in improved outcomes.
-CRRT can remove up to 2L per hour-where and when necessary over a 24 hour period.
-=== How to determine? ===
-<detail>
@@ Line 39: / Line 32: @@
 The Critical Care and Renal Programs made a decision last Feb 2, 2016 to consider the TISS28 as the source of CRRT data starting Jan 2016.
 However TISS28 does not contain the diagnostic reasons for CRRT therapy so a request to collect this information  separately by the data collectors of the Critical Care Database was made. The Renal Program had identified the possible reasons for CRRT therapy and proposed to list them in a form for the attending Nephrologist to mark.