Bed borrow: Difference between revisions
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A bed borrow is when a patient is located in one place while admitted under the physician of a different location (the home location). | A bed borrow is when a patient is located in one place while admitted under the physician of a different location (the home location). | ||
If a patient overflows into another unit, they are still patient of the unit where they are admitted and in the location on the laptop. Return to the unit is not a transfer. | If a patient overflows into another unit, they are still patient of the unit where they are admitted and in the location on the laptop. Return to the unit is not a transfer. | ||
=== collection instructions === | |||
* If a patient comes from arrives on your ward from a bed borrow location, code [[Pre-admit Inpatient Institution field]]/[[Previous Location field]] as the home location, not the bed borrow one. | * If a patient comes from arrives on your ward from a bed borrow location, code [[Pre-admit Inpatient Institution field]]/[[Previous Location field]] as the home location, not the bed borrow one. | ||
* If a patient you collect is currently in a borrowed bed somewhere off-ward, collect the [[Service/Location field]] as the home ward. | * If a patient you collect is currently in a borrowed bed somewhere off-ward, collect the [[Service/Location field]] as the home ward. | ||
* If you discharge a patient to a bed borrow location, code [[Dispo field]] as the home location. | * If you discharge a patient to a bed borrow location, code [[Dispo field]] as the home location. | ||
== Exception: EMIP == | === Exception: [[EMIP]] === | ||
EMIP patients are essentially bed borrows in the Emergency Room | EMIP patients are essentially bed borrows in the Emergency Room, but we collect and are specifically interested in this group, so follow the [[EMIP]] collection instructions for these patients. | ||
=== [[ACCU borrow]] === | |||
See [[ACCU borrow]] for borrows involving STB ICU patients. | |||
== Background == | == Background == | ||
The concept is important because it affects the [[Previous Location field]], [[Service/Location field]], [[Dispo field]], various cross-checks, and concepts like [[EMIP]], [[Off ward]], [[Definition of an ICU admission]] and [[Definition of a Medicine Service admission]]. | The concept is important because it affects the [[Previous Location field]], [[Service/Location field]], [[Dispo field]], various cross-checks, and concepts like [[EMIP]], [[Off ward]], [[Definition of an ICU admission]] and [[Definition of a Medicine Service admission]]. | ||
The concept is the counterpart of an [[Off ward]] - a patient who is counted as an off-ward by one site could be seen as a bed borrow by the site where they actually are. | |||
The concept is the counterpart of an [[Off ward]] - a patient who is counted as an | |||
=== Circumstances leading to bed borrows === | === Circumstances leading to bed borrows === | ||
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* medicine borrows a ICU bed for central line insertion or for dialysis or for a bronchoscopy, etc. | * medicine borrows a ICU bed for central line insertion or for dialysis or for a bronchoscopy, etc. | ||
* post angio monitoring because pre and post procedure in angio is closed in late evening and night shifts. | * post angio monitoring because pre and post procedure in angio is closed in late evening and night shifts. | ||
* medicine borrows a ICU bed for | * medicine borrows a ICU bed for [[Cardioversion]] | ||
* (does anyone have additional bed borrow scenerios?) | * (does anyone have additional bed borrow scenerios?) | ||
* (any examples for borrowed med beds?) | * (any examples for borrowed med beds?) | ||