Definition of a Critical Care Laptop Admission
The definition of an "ICU patient" for the Regional ICU Database is:
- admitted under an 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.
- This definition may work for some ICU's (closed units), however, at STB in ICMS we have Cardiologists who also admit to this ICU and who attend the patient. (This may change when the new CCU opens which is planned for late June 2016 because they will be accepting intubated patients and IABP patients in the new CCU, so they may not need to put their patients into ICMS very often then). --LKolesar 12:40, 2016 May 19 (CDT)
Short stay ICU patients
There might be some inconsistency.
I remember reading somewhere that we don't include short stay ICU patients but now can't find it. Could someone link to that location pls? On the other side, I just transferred the following from the Arrest Category because it belongs here, really: "As of October 24, 2011 all patients that arrive in the ICU in the process of resuscitation should be included in the database, even if they are there for a short lenght of time and subsequently pass away. This has been recommended by the ICU Database Task Group and approved by Dr. Dan Roberts from the Steering Committee. Do the best you can to formulate an apache score either with vital signs & labs during the resuscitation, if available, or the vital signs & labs just before the arrest if available. --LKolesar 08:41, 25 October 2011 (CDT
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:
- ER borrows a bed to do hemodialysis and then the pt goes back to ER.
- medicine borrows a bed for central line insertion or for dialysis or for a bronchoscopy, etc.
- post angio monitoring because pre and post procedure in angio is closed in late evening and night shifts.
- medicine borrows a bed for cardioversion
- (does anyone have additional bed borrow scenerios?)
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.
In the meantime, our definition of ICU patient stands and excludes bed borrows.