BRR
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.
- If ADMIT or COMPLICATION diagnosis is Cardiac Arrest Witnessed 100-2 AND the cooling protocol is applied THEN both of the following items must be marked:
- ICU Var 2 BRR AND TISS item T6-hypothermia
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
- BRX if protocol NOT applied
TOstryzniuk 16:19, 22 July 2008 (CDT)
Data Integrity Rules
- If 100-2 on ADMIT or COMPLICATION DX slot then the following must also be marked:
- ICU Var 2 – “BRR” or “XBR”
- BRR - mean cooling protocol applied for cardiac arrest
- XBR - means no cooling protocol applied for cardiac arrest
- ICU Var 2 – “BRR” or “XBR”
- AND
- TISS item 6 (T6) - hypo/hyperthermia blanket
- By marking BRR or BRX for all with DX of 100-2, collectors will have verified at the time of collection that they did not miss marking Var 2, and this will reduce the query's that gets send back for double checking.--TOstryzniuk 21:46, 18 March 2009 (CDT)
- the above is a SUGGESTION for updated version of CCMDB: look here:Suggestion for Catching missed BRR in ACCESS.--TOstryzniuk 16:03, 28 January 2009 (CST).