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🤔 Question: For the "pneumonia, ventilator related" definition on page 121 of the Data Dictionary, the sourced material is to chapter 6 from the CDC National Healthcare Safety Network NHSN. Chapter 10 of the NHSN is the more updated source for this definition. Should we reference chapter 6 or chapter 10? 🌱 Answer: Please consult with your Infection Preventionist to determine what they recommend for reporting of Pneumonia, Ventilator Associated. In general, NHSN Chapter 6, Pediatric Ventilator Associated Pneumonia (PVAP) and NHSN Chapter 10, Infection-Related Ventilator Associated Condition (IVAC) should be included. 🤔 Question: Is only pediatric ventilator related pneumonia (PVAP) counted as a complication or should Infection-related Ventilator-Associated Complication (IVAC), Ventilator Associated Condition (VAC), or Ventilator Associated Event (VAE) be counted as a Pneumonia, Ventilator Related? 🌱 Answer: Please consult with your Infection Preventionist to determine what they recommend for reporting of Pneumonia, Ventilator Associated. In general, NHSN Chapter 6, Pediatric Ventilator Associated Pneumonia (PVAP) and NHSN Chapter 10, Infection-Related Ventilator Associated Condition (IVAC) should be included. 🤔 Question: Need clarification on what is considered wound closure at time of discharge. 🌱 Answer: The data point is intended to collect the percent of the wounds that are permanently closed at the time of discharge, either by re-epithelialization or grafting with a permanent wound coverage agent (STSG, FTSG, cell culture).
Percent Wound Closure at the Time of Discharge Definition: Percent of the wounds, including the burns and grafted areas, that are healed at time of discharge.
Additional Info: Healed will refer to epithelialization of the wound bed. Estimate the percentage epithelialized with no further need for dressing intended to facilitate wound closure. |
Hospital Discharge Disposition
🤔 Question: The hospital discharge disposition does not have an option to select discharged to an alternate residence such as foster care which would be a semi routine discharge in the instance of abuse. What discharge disposition is the appropriate choice?
🌱 Answer: In this case, you would select “Discharged/Transferred to court/law enforcement” as patients are not discharged to Foster Care without this being arranged by the courts when there is a question of abuse or investigation of abuse.
Care Directives
Percent Wound Closure at Time of Discharge
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