Parked in ER tmp entry
Sometimes currently admitted patients are sent to the local or other ER, often with the intention to go on to ICU. Right now we can't discharge to ER, so there are work-arounds. Different things are documented in different places. Starting this article after discussion with Trish and Julie to consolidate. Collectors, please get involved early if we are missing something.
from VIC ICU Collection Guide
See also Dispo_field#Discharge_to_ER
- On rare occasions, a patient who has become unstable/codes on the ward will be transferred to the ER if a bed is not yet available in the ICU. If these patients have been accepted by MICU attending, then these patients should be entered into the ICU computer, with an admit location from the ward that they came from, and an admit time of when they arrived in the ER from the ward. These patients are transferred to the ICU once a bed is available. If patient dies prior to arriving in the ICU, they should still be entered into the database. Document in the notes field time of transfer from the ER to the ICU.
from Pre-admit Inpatient Institution field about OAK_MICU
- Patients that are admitted to a ward at SOGH and become unstable may be transferred to the SOGH ER for determination of problem and disposition. If they are deemed critically ill and are an ICU candidate, they are then admitted from the ER to SOGH ICU. This is not a consistent practice but does occur on a regular basis. Main office notes that my pre-admit inpatient field is Oak-Ward but my previous location is Oak-ER and is an outlier compared to everyone else.
The question to other data collectors is: is this only a SOGH phenomenom? If it is occurring at your facility, does it occur only rarely which is why the data has not shown this elsewhere? Or is your coding different in these cases? --Lpruden2 14:37, 2016 October 13 (CDT)
- At the VIC, the only reason that I have seen patients making a stop in the ER is when they have been accepted to the ICU, but the bed is not yet available. They sometimes will be cared for in the ER until the ICU bed is ready. This is a rare occurrence-I would estimate that it only happens once or twice a year. Mlagadi 10:05, 2016 October 17 (CDT)
- It looks like what Lorri describes only happens at the Oaks, then. How should we code it there? I have added a link from Oaks_ICU_Collection_Guide#Data_Collection to this article to make sure a visiting collector can find this. Ttenbergen 10:40, 2016 October 20 (CDT)
- The same thing happens at Concordia that Lori described for SOGH. Patients go to the ER from the ward for treatment and assessment then to ICU.GHall 17:19, 2016 October 20 (CDT)