AcceptDateSource: Difference between revisions

Line 14:

** If '''multiple times''' are documented in a given Item (say Dr Order), enter the earliest time and no need to enter the other times of the same Item. [[User:JMojica|JMojica]] 10:29, 2017 January 31 (CST)

* '''coment/column Q'''': comment if item is "Guess" or "Other"

=== Options for "Item" ===

Use one of the following for the "Item":

* ER form-Request for Admit to inpatient unit

* Inpatient summary sheet (pink ~~sheet)~~

* Inpatient summary sheet

** it can be pink or white

* Dr. order

* Standard ICU ~~order sheet~~

** written order that our service physician order accepting the patient

* ICU ~~admission notes~~

* Standard Order Sheet

* ICU ~~consult~~

** ICU or Medicine

* Admission Notes

** ICU or Medicine

* Consult Form

** only to ICU or Medicine Services

* HX & Physic note

* ER Dr note-ICU accepted the patient

* ER Dr note

* EPR - see [[#location of accept dttm in EPR]]

** that ICU/med service accepted the patient

* EPR

** see [[#location of accept dttm in EPR]]

* Inpatient Demographic Sheet

** initially entered as "WIDS – white inpatient demographic sheet (Vic site)" we will need to move that over

* Inpatient Summary Sheet

** whatever colour, white at HSC or pink at Conc, Gra

* Guess - no documentation

* Other - enter in comment what it is

*~~WIDS – white inpatient demographic~~ sheet ~~(Vic site)~~

* ... However any standard order sheet should really be considered a "Dr's order" unless we are trying to establish a consistent source across all facilities where we can determine accept time, with the exception of SBGH of course.

** Is this a ~~common place for this info~~ to ~~be documented at~~ the ~~Vic?YES every chart at the Vic has this~~. ~~Is it used elsewehre? Ttenbergen 10:01, 2017 January 31 (CST)~~

* white inpatient summary sheet at hsc (rarely see the pink)

* pink inpatient summary sheet at Conc

* pink at Grace

*~~Can the drop down in the temp file just say inpatient summary sheet (because the color could be pink or white?)[[User:GHall|GHall]] 10:57, 2017 January 31 (CST)~~

* We are also putting consults for screening medicine under other as the current dropdown allows only for ICU consult, could that be changed to say consult? [[User:Lkaita|Lisa Kaita]] 11:11, 2017 February 7 (CST)

*Can the drop down in temp file just say standard order sheet instead of ICU standard orders because some medicine wards have standard orders[[User:GHall|GHall]] 11:02, 2017 January 31 (CST)

** I agree with Gail on both counts, at the Grace we are currently entering the medicine standard orders under other and putting a comment. However any standard order sheet should really be considered a "Dr's order" unless we are trying to establish a consistent source across all facilities where we can determine accept time, with the exception of SBGH of course. We are also putting consults for screening medicine under other as the current dropdown allows only for ICU consult, could that be changed to say consult? [[User:Lkaita|Lisa Kaita]] 11:11, 2017 February 7 (CST)

== Preliminary documentation info ==

@@ Line 14: / Line 14: @@
 ** If '''multiple times''' are documented in a given Item (say Dr Order), enter the earliest time and no need to enter the other times of the same Item.  [[User:JMojica|JMojica]] 10:29, 2017 January 31 (CST)
 * '''coment/column Q'''': comment if item is "Guess" or "Other"
 === Options for "Item" ===
 Use one of the following for the "Item":
 * ER form-Request for Admit to inpatient unit
-* Inpatient summary sheet (pink sheet)
+* Inpatient summary sheet
+** it can be pink or white
 * Dr. order
-* Standard ICU order sheet
+** written order that our service physician order accepting the patient
-* ICU admission notes
+* Standard Order Sheet
-* ICU consult
+** ICU or Medicine
+* Admission Notes
+** ICU or Medicine
+* Consult Form
+** only to ICU or Medicine Services
 * HX & Physic note
-* ER Dr note-ICU accepted the patient
+* ER Dr note
-* EPR - see [[#location of accept dttm in EPR]]
+** that ICU/med service accepted the patient
+* EPR
+** see [[#location of accept dttm in EPR]]
+* Inpatient Demographic Sheet
+** initially entered as "WIDS – white inpatient demographic sheet (Vic site)" we will need to move that over
+* Inpatient Summary Sheet
+** whatever colour, white at HSC or pink at Conc, Gra
 * Guess - no documentation
 * Other - enter in comment what it is
 {{discussion}}
-*WIDS – white inpatient demographic sheet (Vic site)
+* ... However any standard order sheet should really be considered a "Dr's order" unless we are trying to establish a consistent source across all facilities where we can determine accept time, with the exception of SBGH of course.
-** Is this a common place for this info to be documented at the Vic?YES every chart at the Vic has this.  Is it used elsewehre? Ttenbergen 10:01, 2017 January 31 (CST)
-* white inpatient summary sheet at hsc (rarely see the pink)
-* pink inpatient summary sheet at Conc
-* pink at Grace
-*Can the drop down in the temp file just say inpatient summary sheet (because the color could be pink or white?)[[User:GHall|GHall]] 10:57, 2017 January 31 (CST)
+* We are also putting consults for screening medicine under other as the current dropdown allows only for ICU consult, could that be changed to say consult? [[User:Lkaita|Lisa Kaita]] 11:11, 2017 February 7 (CST)
-*Can the drop down in temp file just say standard order sheet instead of ICU standard orders because some medicine wards have standard orders[[User:GHall|GHall]] 11:02, 2017 January 31 (CST)
-** I agree with Gail on both counts, at the Grace we are currently entering the medicine standard orders under other and putting a comment.  However any standard order sheet should really be considered a "Dr's order" unless we are trying to establish a consistent source across all facilities where we can determine accept time, with the exception of SBGH of course.  We are also putting consults for screening medicine under other as the current dropdown allows only for ICU consult, could that be changed to say consult? [[User:Lkaita|Lisa Kaita]] 11:11, 2017 February 7 (CST)
 == Preliminary documentation info ==