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🌱 Answer: The "first wound excision date and time" field is for burn wound excision. For non-burn wounds, please select "Not applicable ".

🤔 Question: For non-burn patients, such as those with NSTI or non-healing wounds, is it necessary to complete the "first excision" section?

🌱 Answer: No. In the 2025 update to the Data Dictionary, we have added, “For non-burn wounds select not applicable”.

Hospital Discharge Date

🤔 Question: A question regarding two different cases where patients were admitted to inpatient hospice (with admit to Hospice order). The first case, the Burn Service continued to write notes each day while still managing their burns. The patient eventually died a couple of days later. The second case, the patient was admitted to inpatient hospice and died an hour later. The question is if the patient is under hospice care with an admit order would this end the encounter for abstracting in the registry even if we are still providing comfort care measures or do we continue the abstraction until the patient either discharges from the hospital or dies?

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🌱 Answer: The Total ICU Length of Stay is based on whatever your hospital calls an ICU day Day including the step-down day. Stepdown days are a term for medical care, though the exact definition may change at different hospitals. The general definition is: “Stepdown beds provide an intermediate level of care for patients with requirements somewhere between that of the general ward and the intensive care unit.” Both ICU and Stepdown days are considered ICU days for the ABA’s purposes.

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🌱 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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🌱 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. 

🤔 Question: If a burn patient is admitted a 2nd time for planned operation and then discharged back to the rehab facility, would the discharge disposition be home or rehab??

🌱 Answer: If you are discharging to a rehab, then that’s what the disposition is. 

🤔 Question: What do you do when a patient has left the hospital against medical advice 4 times?

🌱 Answer: Record the admissions the way you normally would (Initial admission and Related admissions) and record for Discharge Disposition "Left Against Medical Advice or Discontinued Care." The decision to continue to admit the patient is up to your facility/burn service.

🤔 Question: A patient was homeless before admission and is being discharged to the street. Should we select "discharge to home or self-care" or "discharge to a shelter/half-way house/recoup care/street"?

🌱 Answer: Select Discharge to a shelter/ half-way house/recoup care/street, as this more accurately depicts where the patient was discharged to.

Percent Wound Closure at Time of Discharge

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