Arrive DtTm field

This field is currently being implemented, please check the instructions and put a discussion for anything that isn't clear.

The Arrive DtTm field contains the date and time that a patient physically arrived on unit (Service/Location field).

Collection Instruction

For each patient enter the date and time when the patient physically arrived on the ward.

If the Accept DtTm > Arrive DtTm, make accept = arrive.

Has there been a decision about the arrive date/time for ICU patients who overflow outside their units?--Jpeterson 10:20, 2016 June 13 (CDT)
- This is my understanding: If the patient never does arrive on your unit, then the arrive date and time will be the same time as the accept date and time. If the patient does arrive on your unit, then the arrive time will be the physical arrival on the unit, while the accept time will be when the service accepted care of the patient.-Mlagadi 15:18, 2016 June 14 (CDT)

ICU

I often have patients who are in PACU when accepted by SICU but have to stay in PACU as overflow. I had been told when oriented to consider the time accepted by SICU as the admit time & Arrive DtTm field in these cases. Should I be changing my practice to the time the patient actually comes to SICU, this sometimes never occurs as the bed space may never be found before the patient is discharged to the ward.--Jpeterson 11:19, 2012 December 10 (EST)
- There apparently is a discrepancy between some of the data collectors for the discharge/admit time of a patient who has a code on the ward and then admitted to the ICU. After a discussion with Trish, the time of admission to the ICU should be when the patient arrives in the ICU after the code.--Jpeterson 13:03, 2016 May 13 (CDT)
  - That is the way I have always done it, usually first vital signs unless clear charting otherwise.GHall 13:44, 2016 May 13 (CDT)
    - now that we have an Accept DtTm field, in the EPR, if you are able to find documentation when an ICU service accepted the patient prior to arrival to your unit, then you can fill in this field. If there is no clear ICU acceptance date/time OR the patient stayed for example: in the PACU under ICU physican's care, but never moved into the ICU, then the Admit Data and time field + (Accept DtTm field + Arrive DtTm field will all be the SAME.--Trish Ostryzniuk 14:57, 2016 May 13 (CDT)
      - great input everyone!Trish Ostryzniuk 14:57, 2016 May 13 (CDT)

Many things, need to pull them together Ttenbergen 12:59, 2016 March 21 (CDT)

Implemented:

Still needs confirmation/implementation:

function Panelling_admit_transfer_same(Pat_ID) - function is called as part of ADT_Chronological() and of Dx_Checker()
- needs to be updated to check DISPO fields instead and be called by ADT Chronological
- need to eliminate part of DISPO_chronological that breaks correct entry.

Minimal Data Set - or at least the date part is, will need instructions for that.

no comments

For Medicine this concept is related to old ER Wait date an time.

For ICU this concept is related to the old Admit date and time.