Accept DtTm field: Difference between revisions
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***Gail has pointed out that at her site, where we do not collect medicine, a patient could be initially accepted under medicine in the ER and then deteriorate and are then accepted and transferred to the ICU. The previous location would indicate ER (at sites where medicine is collected this would indicate EMIP) , the previous service would be medicine, would Gail still enter an accept time? or is this an exception to the rule since they were accepted under another service first while in ER? Patients could also potentially be accepted by other services in the ER, eg. surgery, and then switch to medicine or ICU, so is an accept time required for these patients? [[User:Lkaita|Lisa Kaita]] 10:43, 2017 May 9 (CDT) | ***Gail has pointed out that at her site, where we do not collect medicine, a patient could be initially accepted under medicine in the ER and then deteriorate and are then accepted and transferred to the ICU. The previous location would indicate ER (at sites where medicine is collected this would indicate EMIP) , the previous service would be medicine, would Gail still enter an accept time? or is this an exception to the rule since they were accepted under another service first while in ER? Patients could also potentially be accepted by other services in the ER, eg. surgery, and then switch to medicine or ICU, so is an accept time required for these patients? [[User:Lkaita|Lisa Kaita]] 10:43, 2017 May 9 (CDT) | ||
**** the rule will still holds for any patient who spent time in ER whether under ER service or other services prior to acceptance to Medicine or Critical Care service. --[[User:JMojica|JMojica]] 11:37, 2017 May 10 (CDT) | **** the rule will still holds for any patient who spent time in ER whether under ER service or other services prior to acceptance to Medicine or Critical Care service. --[[User:JMojica|JMojica]] 11:37, 2017 May 10 (CDT) | ||
*****so just to be clear, if a patient in ER admitted under medicine, deteriorates and then goes to ICU, previous location =EMIP, previous service =medicine and we should enter an accept time for the ICU admission? [[User:Lkaita|Lisa Kaita]] 09:54, 2017 May 30 (CDT) | |||
=== Direct Admissions/Transfers === | === Direct Admissions/Transfers === | ||
For patients who have been accepted from another hospital '''but have a wait time in ER''' (who used to be called Direct Admissions/Parked in ER), use the triage date and time for the Accept Date and Time as it is clearly marked on the triage sheet. The Visit Date and Time (found in EPR) may actually be later than the accept date and time, so don't use it as your Accept DtTm. | For patients who have been accepted from another hospital '''but have a wait time in ER''' (who used to be called Direct Admissions/Parked in ER), use the triage date and time for the Accept Date and Time as it is clearly marked on the triage sheet. The Visit Date and Time (found in EPR) may actually be later than the accept date and time, so don't use it as your Accept DtTm. | ||