Definition of a Critical Care Laptop Admission
The definition of an "ICU patient" for the Regional ICU Database is:
- admitted under and ICU 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.
Bed Borrows are not ICU admissions
There are circumstances where other services "borrow" an ICU bed for procedures or monitoring. We do not collect data on bed-borrow patients. Though these patients are looked after by ICU nurses, they are not admitting under an ICU service attending physician. LOS is generally 2-4hrs then they go back to there original department bed.
Examples are:
- medicine borrows a bed for central line insertion
- post angio monitoring because angio suit has no staff.
- also see: Identifying ICU admissions
- There are other examples for bed borrows and I would like collectors to add here please. TOstryzniuk 18:10, 16 December 2008 (CST)
Considerations
Apparently the bed-borrow practice is getting more and more common. By not collecting these patients we not accounting for ICU nursing work load caused by them. Trish and Kym have communicated with Sheila Bowles about this. At last count (18:00, 16 December 2008) Trish had contacted Sheila for information. In the meantime, our definition of ICU patient stands and excludes bed borrows.
Related Articles
- For Medicine, see Defintion of a Medicine Service admission.