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Hospital Discharge Time

Total ICU Length of Stay

🤔 Question: A burn center only has ICU beds and med-surg beds. When there are intermediate care patients, they have to stay in an ICU room. Should the intermediate care days be counted as ICU days?

🌱 Answer: Yes, for the ABA Burn Registry all ICU and intermediate days are counted as ICU days.

Total Ventilator Days

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titleQuestions

🤔 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.

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