Accept DtTm field

Data Element (edit)
Field Name:	Accept DtTm
CCMDB Label:	not stated
CCMDB tab:	not stated
Table:	L_Log table
Data type:	date
Length:	not stated
Program:	Med and CC
Created/Raw:	not entered
Start Date:	1988-07-11
End Date:	2300-01-01
Sort Index:	999

The Accept DtTm field contains the date and time when the patient is accepted from the ER department ONLY. This is applicable for both ICU and Medicine Database Program.

• SMW

Legacy implementation right in the table

• Cargo

• Categories

• Forms

Collection Instruction

Only for patients admitted from your own ER department enter the date/time that the service physician accepted the patient, leave blank for all others.

• If there is no clear record of the accept date/time, leave the Accept_DtTm field blank and check Accept DtTm missing field check box.
• If there is an accept date but no time documented, entered the Accept Date, and enter the time as: 00:00
• If the Accept DtTm > Arrive DtTm, make accept = arrive

• The ICU standing orders at the Concordia are always written after the patient arrives.If I use those orders as the accept DtTm because no other time prior to this exists, then the accept would=arrive?GHall 08:00, 2016 October 31 (CDT)
  • Is there a different source you could use that would give better information? See #Possible documentation locations for ideas and update there if necessary. Ttenbergen 10:37, 2016 October 31 (CDT)
• I would use a different source like prior orders,consult sheet, progress note documentation except it rarely exists at the concordiaGHall 10:55, 2016 October 31 (CDT)
• Do you want us to use the time on the inpatient demographic sheet for the accept date and time even if this doesn't specify an ICU admission? ie presumed accept time?

Direct Admissions/Transfers

For patients who have been accepted from another hospital but have a wait time in ER (who used to be called Direct Admissions/Parked in ER), use the triage date and time for the Accept Date and Time as it is clearly marked on the triage sheet. The Visit Date and Time (found in EPR) may actually be later than the accept date and time, so don't use it as your Accept DtTm.

Possible documentation locations

• admission/separation registers
  • hospital admission sheet (e.g the white admission separation/triage sheet at HSC)
• EPR
  • use the date and time from the "accepted to service" on the EPR orders. i.e. in the epr, click on orders, then highlight the order that says "admit to inpatient-medicine-medical service". Right click on that order. Scroll down to view, then across to history, then across to status. Click on status. Use the date and time as listed in the top "new" order. This is the date and time the patient is accepted to medical service.
• Physician Order sheet
• the IPN (integrated progress note) which is a hand written admission note by the nurse. We at HSC in medicine use this.--CMarks 08:10, 26 January 2012 (CST)

When does collection start?

see

• Definition of an ICU admission
• Definition of a Medicine Service admission

Data Use

Patient flow

• medicine program: to monitor delays to move patient from ER to Med ward bed
• as of July 2016 onward - ICU same purpose

Template:CCMDB Data Integrity Checks

• either Accept DtTm field must have content or Accept DtTm missing field must be checked.
• Function Dispo Chronological()
• Function long LOS()

Legacy

This field is part of the 2016 Time and Place changes.

For medicine this concept is related to admit date and time (when pt is from ER). It does not simply replace the field, so this value still needs to be entered for patients not from ER. Resp. field L_Log.R_AdmDate and L_Log.R_AdmTime

For critical care this concept is related to Service Sending to ICU. (There is no comparable field in ICU for this in the old system).