Category:Questions: Difference between revisions

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  • Trish, I am covering CCU right now and noticed that occasionally a patient will come up from the heart cath lab for recovery in CCU. The reason is just that it is after hours that the pre and post recovery staff are not available. These patients are sometimes recovered on the cardiology ward as well. You may have already dealt with this issue, but I want to know if I should be entering these patients into the database? Technically they are not admitted under a CCU doctor as the interventionalist is responsible for them. However the CCU nurse do all the post procedure care which is quite time consuming. I talked to the PTM for CCU and she said to discuss it with you and then get back to her. She said this is happening more and more and that it could impact the nursing workload. Please let me know. --LKolesar 10:46, 6 December 2008 (CST)
    • I have emailed and talked to Sheila Bowles. Kym also had similar patient like this in the unit and has discussed with Sheila. I am waiting to hear what she wants to do. I am not clear what is going on there in terms of these patient and why ICU is under the impression these are not really ICU admissions.TOstryzniuk 18:00, 16 December 2008 (CST)
      • the definition of an "ICU/CCU patient" for the Regional ICU Database is: admitted under and ICU/CCU service attending physician to an ICU/CCU bed. If patient doesn't meet this definition then we don't collect data and enter into the ICU database.
      • ICU resources are being utilized for these "bed borrows" and the impact on workload is not being monitored and accounted for in this Database. This is the same for other ICU's in the city. For example if medicine at the VIC borrows an ICU bed to insert a central line, we don't record this as an admission to VIC_ICU database.TOstryzniuk 18:00, 16 December 2008 (CST)
      • We have a question. If a GI patient has an ERCP done, we code the ERCP under GI scope 797. A stent for drainage is placed. Can this be coded?WGobert 15:46, 17 December 2008 (CST)
        • ERCP under GI scope group correct. Stents inserted with ERCP not collected in our database.

If drainage is performed you can use the code 794-7, 794-8 or 794-11. Please have a look in you DX code book. TOstryzniuk 17:51, 17 December 2008 (CST)