STEMI
A STEMI is a myocardial infarction with ST elevation on ECG [1].
The following admit-from and diagnosis coding instructions apply to patients with a STEMI.
Admit_From_&_Discharged_To#STEMI_from_home_.28zz.29_to_St_Boniface
Occasionally a patient is picked up by paramedics at home and transferred directly to the heart cath lab at St. Boniface Hospital. They will not go to ER first to facilitate a very rapid "primary" PTCA. These patients are then sent from the heart cath lab to CCU at STB or HSC. In this scenario, code 'admit from' home (ZZ) and primary admit diagnosis is Coronary Angiogram or angioplasty (only exception is a cardiac arrest or cardiogenic shock which would be #1 and the angio would be #2). --LKolesar 19:11, 1 November 2008 (CDT)
If a patient comes from the heart cath lab you need to put where they were prior to this. For example Dauphin ER or ICU. If the patient was at St.B. ER but was transferred from another hospital prior to this, put the first entry hospital in the admit from. On the paper log sheet we put a small heart figure to indicate all primary angios in the admit-from space but you also need to put where the patient was just prior, which is also written in this space.
Discussion
- This doesn't actually tell me when to use the STEMI code.Ttenbergen 16:36, 1 October 2009 (CDT)
- Is STEMI ever used in the "to" slot? Ttenbergen 16:36, 1 October 2009 (CDT)
- I think we should integrate this completely in Admit_From_&_Discharged_To#STEMI and only link there from here. Ttenbergen 16:36, 1 October 2009 (CDT)
- CODE STEMI is a city wide alert system (similiar to a CODE BLUE) that is called on the PA system in the hospital to alert specific personnel to assist with this patient. For the data base purposes, after discussing this with Trish, she just wanted to capture this specific situation by the from code being ZZ and the first diagnosis being angiogram or plasty. This has nothing to do with the actual STEMI diagnosis which is usually coded with the specific location of the MI. (like inferior, posterior, anterior, etc.) I think all the nurses who are data collectors are aware of the difference here. --LKolesar 10:37, 2 October 2009 (CDT)
- I realize that dx STEMI and admit-from STEMI are not the same thing. I suggested moving this to the admit-from Stemi documentation here.Ttenbergen 14:46, 2 October 2009 (CDT)
- CODE STEMI is a city wide alert system (similiar to a CODE BLUE) that is called on the PA system in the hospital to alert specific personnel to assist with this patient. For the data base purposes, after discussing this with Trish, she just wanted to capture this specific situation by the from code being ZZ and the first diagnosis being angiogram or plasty. This has nothing to do with the actual STEMI diagnosis which is usually coded with the specific location of the MI. (like inferior, posterior, anterior, etc.) I think all the nurses who are data collectors are aware of the difference here. --LKolesar 10:37, 2 October 2009 (CDT)