Previous Service field: Difference between revisions

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===From Cardiac Cath Lab===

A patient goes to emergency, then is sent to the cardiac cath lab for an angiogram. The pt ~~can't really go to~~ the cath lab ~~without~~ a ~~cardiologist involved~~, so sending service would be ~~cardiology~~. ~~(as discussed at 2016-06 team meeting)~~

*A patient goes to emergency, then is sent to the cardiac cath lab for an angiogram. Julie would like the sending service to be Emergency Medicine in these cases (not cardiology). Discussed at the task group meeting on July 20, 2017.

*Most patients come to CCU or ICU via the heart cath as a code stemi, in which case the previous service is cardiology because they bypass ER and go direct to the heart cath lab.

*The previous service is who was looking after the pt before the heart cath in some situations. For example, if ECMO is done in the heart cath lab : If the pt was on a ward or unit prior to the procedure, the service is whatever ward or unit it was that sent the pt there. If ER sends a pt for a VV ECMO, the ER is the sending service, unless ICU takes over the pt prior to the ECMO. (They would need to consult cardiac surgery for the ecmo procedure but it would be the ICU that takes over the care ultimately).

There is an exception to this rule: The previous service is who was looking after the pt before the heart cath in some situations. For example, if ECMO is done in the heart cath lab : If the pt was on a ward or unit prior to the procedure, the service is whatever ward or unit it was that sent the pt there. For example, if ER sends a pt for a VV ECMO, the ER is the sending service, unless ICU takes over the pt prior to the ECMO. This was discussed at the task group meeting on June 21, 2017~~. It was discussed at the same time that we will need to confirm with the [[statistician]] that this is in line with how she reports on this data~~.

This was discussed at the task group meeting on June 21, 2017.

=== from OR ===

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 ===From Cardiac Cath Lab===
-A patient goes to emergency, then is sent to the cardiac cath lab for an angiogram. The pt can't really go to the cath lab without a cardiologist involved, so sending service would be cardiology. (as discussed at 2016-06 team meeting)
+*A patient goes to emergency, then is sent to the cardiac cath lab for an angiogram. Julie would like the sending service to be Emergency Medicine in these cases (not cardiology).   Discussed at the task group meeting on July 20, 2017.
+*Most patients come to CCU or ICU via the heart cath as a code stemi, in which case the previous service is cardiology because they bypass ER and go direct to the heart cath lab.
+*The previous service is who was looking after the pt before the heart cath in some situations. For example, if ECMO is done in the heart cath lab : If the pt was on a ward or unit prior to the procedure, the service is whatever ward or unit it was that sent the pt there. If ER sends a pt for a VV ECMO, the ER is the sending service, unless ICU takes over the pt prior to the ECMO. (They would need to consult cardiac surgery for the ecmo procedure but it would be the ICU that takes over the care ultimately).
-There is an exception to this rule:  The previous service is who was looking after the pt before the heart cath in some situations. For example, if ECMO is done in the heart cath lab : If the pt was on a ward or unit prior to the procedure, the service is whatever ward or unit it was that sent the pt there.  For example, if ER sends a pt for a VV ECMO, the ER is the sending service, unless ICU takes over the pt prior to the ECMO.  This was discussed at the task group meeting on June 21, 2017. It was discussed at the same time that we will need to confirm with the [[statistician]] that this is in line with how she reports on this data.
+This was discussed at the task group meeting on June 21, 2017.
 === from OR ===