Registry Patient Type

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Revision as of 14:57, 10 December 2010 by TOstryzniuk (talk | contribs) (/* Registry Patient type and [http://ltc.umanitoba.ca/wikis/ccmdb/index.php/Site_and_Location#STB_CCU_service_patients_in_STB_MICU_unit_-_Collection_Process_CHANGE_for_LOCATION_and_Registry_Patient_Type Site and Location]- New for STB as of October 1)
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Medicine

The Patient Type on your registry page can take one of two values:

Patient TYPE-Medicine Registry
S=Surgical (MED)
●admit from OR & is under Medicine attending physician service's care
●admit from RR & is under Medicine attending physician service's care
NOTE: ►If there is surgical patient that is under a surgical services care who is in a medicine bed we exclude from the database. This is not a medical service patient
M=Medical (MED)
●A patient who is admitted under a medical service attending physician for medical reasons.

Critical Care

Patient TYPE-ICU
S=Surgical (ICU)
  • admit from OR
  • admit from RR
  • all Trauma (fall, MVA, stabbing, etc)
  • all burns
  • all upper GI bleeds
  • all intracerebral bleeds
  • Pt who undergoes a surgery related to primary reason to ICU in the first 48 hrs of admission to ICU
  • Pt admitted from SURGICAL WARD
  • Pancreatitis admitted to SICU unit
M=Medical (ICU)
  • Arrests
  • Cardiogenic shock
  • CCU patient - intubated
  • pts that don't fall into Surgical or Cardiac categories
  • Pancreatitis - M-medical (if surgery in 48 hrs then S-surgical)
C=Cardiac (ICU)
  • HSC and STB only:
  • everywhere else:
    • MI
    • Rhythm
    • Unstable angina / ACS
    • CHF
    • post angio or plasty (stable
    • Pacemaker insertions (temp or permanent)

Note for HSC and STB only

Patients in MICU under MICU attending physician service are that are "cardiac" type patients should always be coded as "M" for medical whether they are stable or not. The only exception is if a patient is a surgical patient, then mark as “S” and in Var 5 put "SM".

Registry Patient type and Site and Location - New for STB as of October 1, 2010

Registry Patient Type for cardiac patients only will be determined by the service. Cardiac type means that Cardiology service is looking after the patient. If MICU takes over the patient, then Medical patient type will apply in these cases only. --LKolesar 11:15, 21 October 2010 (CDT) The same goes for when the cardiac patient is located in CICU: Location will be CICU, patient type will be cardiac as Cardiology looks after these patients. When the patient is transferred to CCU, a new profile is started.

  • Example:
    • CCU patient in MICU bed or CICU under cardiac physician service care:
    • Hosp_Loc: STB_MICU or STB_CICU
    • Reg Pt Type: C
  • This patient gets transferred to STB ICU Medicine service care physician but stays in same STB_MICU/SICU bed. Discharge to: BM
    • New profile
    • Admit From: BM
    • Hosp_Loc: STB_MICU
    • Reg Pt type: M
      • For all other patients, the patient type is still the old definition: ie: surgical patients are those coming from a surgical ward, PARR or OR, etc. This applies to Post op cardiac surgery patients that are transferred to MICU from CICU or from the CSIU (cardiac sciences inpatient unit). The type will be surgical regardless of attending. --LKolesar 13:46, 22 November 2010 (CST)

Why is this data still on reports if no longer collected?

  • Julie, we are going to stop patient type for all sites except for STB MICU/SICU on Jan 1.11......any thoughts, concerns, options? thank you.--TOstryzniuk 13:39, 28 October 2010 (CDT)
    • we will not stop collecting this element on Jan 1.11 because Julie is still reporting patient Registry Types and ICU's are requesting this information. The only quidelines that will change for Reg Pt Type is for STB MICU/SICU. SEE: New for STB as of October 1, 2010 above--TOstryzniuk 13:52, 28 October 2010 (CDT)