BRR: Difference between revisions

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*SUGGESTION for updated version of CCMDB: look here:[[CCMDB.mdb_Change_Log_2009#ICU_Var2:_BRR_.26_Complication_DX_code_of_Cardiac_Arrest |Suggestion for Catching missed BRR in ACCESS]].--[[User:TOstryzniuk|TOstryzniuk]] 16:03, 28 January 2009 (CST).   
*the above is a SUGGESTION for updated version of CCMDB: look here:[[CCMDB.mdb_Change_Log_2009#ICU_Var2:_BRR_.26_Complication_DX_code_of_Cardiac_Arrest |Suggestion for Catching missed BRR in ACCESS]].--[[User:TOstryzniuk|TOstryzniuk]] 16:03, 28 January 2009 (CST).   
*tina, I am not sure were this rule disappeared from the big automatic integrity check list.  I found it in history and put the rule here.[[User:TOstryzniuk|TOstryzniuk]] 16:22, 18 March 2009 (CDT)
*tina, I am not sure were this rule disappeared from the big automatic integrity check list.  I found it in history and put the rule here.[[User:TOstryzniuk|TOstryzniuk]] 16:22, 18 March 2009 (CDT)



Revision as of 15:23, 2009 March 18

BRR is a ICU Var 2 tag that we use in our database for ICU patients who have been placed on the Cardiac Arrest Cooling Protocol

  • BRR - stands for "Brrrr" as in shivering or cold.



Cardiac Arrest Cooling Protocol

  • Target temp: 32°C to 34°C for 12 to 24 hours.
  • Code is not to be applied when a cooling protocol is used to normalize temperature for non-arrested patients.

Taken from the Hypothermia Protocol:

  • Cooling is indicated if ALL of the following are checked:
    • Witnessed Arrest (Dx code: 100-2)
    • Initial rhythm ventricular fibrillation/tachycardia(Dx code: 131-4, or 131-1)
    • Time to ACLS <15 minutes
    • Total ACLS time <60 minutes
    • Persistent GCS < or = 9
    • Systolic BP currently over 90 mmHg (pressors allowed)
    • < 8 hours elapsed since Return of Spontaneous Circulation (ROSC)

--LKolesar 13:54, 22 January 2009 (CST) --TOstryzniuk 20:37, 26 January 2009 (CST)


Possible Value: BRR if the protocol was applied.

TOstryzniuk 16:19, 22 July 2008 (CDT)

Data Integrity Rules

FOR: ICU_Var2: BRR and DX code of Cardiac Arrest

  • If ANY admit or complication DX on an ICU patient is 100-0 or 100-1 or 100-2
    • then Var 2: MUST have either BRR or XBR (new code)
      • BRR - mean cooling protocol applied for cardiac arrest
      • XBR - means no cooling protocol applied for cardiac arrest