Visits to temporary locations: Difference between revisions
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*#The patient does not return to the sending unit '''but survives''' it and goes elsewhere after the procedure: Here the [[Dispo]] for the sending site is the temporary location (or possibly '''"Other Procedure Location"''') (and the [[Dispo DtTm]] is when the patient actually left the sending unit in contrast to what EPR might say <!-- discussed at JALT 2022-06-08 -->) and things that happened in that temporary location are NOT included in the record of the sending site; also enter [[BedHeldEnd DtTm]] | *#The patient does not return to the sending unit '''but survives''' it and goes elsewhere after the procedure: Here the [[Dispo]] for the sending site is the temporary location (or possibly '''"Other Procedure Location"''') (and the [[Dispo DtTm]] is when the patient actually left the sending unit in contrast to what EPR might say <!-- discussed at JALT 2022-06-08 -->) and things that happened in that temporary location are NOT included in the record of the sending site; also enter [[BedHeldEnd DtTm]] | ||
*#The '''patient dies''' in the temporary site. In this case the [[Dispo]] of the sending site is the death (and the [[Dispo DtTm]] is as usual for '''[[Deceased patients]]''') and you should code the other diagnoses or procedures that occurred in the temporary site; also enter [[BedHeldEnd DtTm]] | *#The '''patient dies''' in the temporary site. In this case the [[Dispo]] of the sending site is the death (and the [[Dispo DtTm]] is as usual for '''[[Deceased patients]]''') and you should code the other diagnoses or procedures that occurred in the temporary site; also enter [[BedHeldEnd DtTm]] | ||
{{DiscussTask| The instructions for a death that occurs in a temporary location are not clear. As per above we are to code the dispo as died, so there wouldn't be a discharge to a temporary location and therefore no bedheld entry, I have a case of a patient that went to the OR from MICU and died in the OR. should the dispo be to the OR (Temporary location) or should it be the death date and time? [[User:Lkaita|Lisa Kaita]] 09:55, 2024 April 23 (CDT) }} | |||
== temporary locations between initial ER and first admission to one of our units == | == temporary locations between initial ER and first admission to one of our units == | ||
* A few [[Boarding Loc]] entries have shown up for the Cath Lab. They probably should not have been entered at all, but they raised the question of how to calculate [[ER Delay]] when this happens. See [[ER_Delay#ER_Delay_when_there_are_Visits_to_temporary_locations_between_initial_ER_and_first_unit]] for more. | * A few [[Boarding Loc]] entries have shown up for the Cath Lab. They probably should not have been entered at all, but they raised the question of how to calculate [[ER Delay]] when this happens. See [[ER_Delay#ER_Delay_when_there_are_Visits_to_temporary_locations_between_initial_ER_and_first_unit]] for more. | ||
Revision as of 09:55, 2024 April 23
- This refers to how to handle when a patient is sent to a temporary location
- Temporary locations includes OR, procedure suites of all types, imaging suites/radiology, etc.
- They do NOT include beds that are actually functioning in the nature of a ward or ICU bed -- i.e. Boarding Locations
- Temporary locations includes OR, procedure suites of all types, imaging suites/radiology, etc.
- There are 3 situations handled differently in these cases:
- The patient returns to the sending unit: Here everything (procedures and diagnoses) that happened in the temporary location is coded in the record of the sending site. So, do not discharge and readmit the patient, collect as a continuous stay.
- The patient does not return to the sending unit but survives it and goes elsewhere after the procedure: Here the Dispo for the sending site is the temporary location (or possibly "Other Procedure Location") (and the Dispo DtTm is when the patient actually left the sending unit in contrast to what EPR might say ) and things that happened in that temporary location are NOT included in the record of the sending site; also enter BedHeldEnd DtTm
- The patient dies in the temporary site. In this case the Dispo of the sending site is the death (and the Dispo DtTm is as usual for Deceased patients) and you should code the other diagnoses or procedures that occurred in the temporary site; also enter BedHeldEnd DtTm
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The instructions for a death that occurs in a temporary location are not clear. As per above we are to code the dispo as died, so there wouldn't be a discharge to a temporary location and therefore no bedheld entry, I have a case of a patient that went to the OR from MICU and died in the OR. should the dispo be to the OR (Temporary location) or should it be the death date and time? Lisa Kaita 09:55, 2024 April 23 (CDT) |
temporary locations between initial ER and first admission to one of our units
- A few Boarding Loc entries have shown up for the Cath Lab. They probably should not have been entered at all, but they raised the question of how to calculate ER Delay when this happens. See ER_Delay#ER_Delay_when_there_are_Visits_to_temporary_locations_between_initial_ER_and_first_unit for more.
AMA
AMA is a different scenario, but very similar rules apply.
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