Respiratory Arrest
Legacy Content
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Data Integrity Rule -as of 5 June 2000
Never use 100-03 as primary admit diagnosis. Always code the reason for the respiratory arrest first, then code 100-3 only if the following criteria are met:
- A. Code Blue is called
- B. Code Blue record is completed
- C. Pulse is present
- D. Intubation is required
- see: Unwitnessed Cardiac Arrest
- see: Witnessed Cardiac Arrest and Cooling Protocol BRR
Discussion
Template:Discussion I'm not sure the above rules are realistic in terms of code blue records and a code being called.Some patients are intubated on the ward and brought to ICU or intubated immediately on arrival without an actual code being called. I would think they would be coded respiratory arrest regardless of a code call or not.What do the rest of the ICU collectors do?If everyone is sticking to all of the rules I will remove this discussion. Thanks!GHall 22:03, 7 July 2011 (CDT)
- I do code respiratory arrest for some situations that do not fit the above rules. If a "Code 25" or "HMO STAT" is called or the attending MD is seeing the patient on the ward, and the patient requires immediate intubation-I code it as a respiratory arrest. The wards often use their own familiar chart forms/addendums rather than the "Code Blue" record for such events; therefore, I do not stick to the rule " "Code Blue" record is completed".
I do not code respiratory arrest if the patient can "maintain their airway" for transport to ICU or ER for more of a controlled or 'elective intubation' (some sites send patients to ER for stabilization until bed available in ICU).Mlaporte 16:49, 19 July 2011 (CDT)