Registry Patient Type

Medicine Wards

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

M-Medical Type

Patient who is admitted under the care of a Medical Service attending physician

S-Surgical Type

• admitted from the OR but is under the care of the Medicine Service Attending Physician.
• admitted from the RR and is under the care of the Medicine Service Attending Physician.

NOTE: if there is a surgical patient on an medicine ward bed that is under a Surgical Service care, we exclude from the database. This is not a medicine service care patient.

Critical Care Units

S-Surgical Type

• 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 a SURGICAL WARD
• Pancreatitis if surgery < =48 hrs of admission to unit

M-Medical Type

• Cardiac or respiratory arrest
• Cardiogenic shock
• Pancreatitis if surgery >48 hrs of admission to unit
• don't fall into Surgical or Cardiac type category

C-Cardiac Type

• STB and HSC in the MICU units - if under the Care of Cardiology Service

Other ICU's

• MI
• rhythm disturbances
• unstable angina / ACS
• CHF
• post angio/plasty
• pacemaker insertions (temp or perm)

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

• some of this information is repeated in link above. Not sure how best combined since one article is about registry type and the other is about site location and Both are related "changes" for STB cardiology patient overflowing into CICU and MICU.--TOstryzniuk 15:02, 10 December 2010 (CST)

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)