Central lines inserted in emergency situations (e.g., in cases of severe trauma or when cardio pulmonary resuscitation is required) are also excluded from bundle compliance (excluded from the numerator and denominator). Also central lines inserted for diagnostic purposes (e.g., right heart catheterization, pulmonary angiography) that are normally removed directly after insertion, are also excluded from bundle reporting. “Intensive Care Units” (ICU) The NHSN defines an ICU care area that provides intensive observation, as, “A nursing diagnosis, and therapeutic procedures for adults and/or children who are critically ill. An ICU excludes nursing areas that provide step-down, intermediate care or telemetry only. Specialty care areas are also excluded.” NOTE: NHSN defines care as a hospital location providing specialized care for “specialty area” solid organ transplants or inpatient acute dialysis. (NICU) “Neonatal Intensive Care Units” The NHSN defines a NICU hospital unit organized with personnel and equipment to as, “A provide continuous life support and comprehensive care for extremely high-risk newborn infants and those with complex and critical illness. There are two types of NICU in NHSN: combined Level II/III NICU and Level The CDC/NHSN Patient Safety Component III NICU.” Protocol provides detailed definitions of Levels II and III. or “Ventilator” “Mechanical Ventilation” A ventilator is a device to assist or control respiration continuously, inclusive of the weaning period, through a tracheostomy or by endotracheal intubation. Lung expansion devices such as intermittent positive-pressure breathing (IPPB); nasal positive pressure (PEEP); and continuous nasal positive airway pressure (CPAP, hypoCPAP) are not considered ventilators unless delivered via tracheostomy or endotracheal intubation (e.g., ET-CPAP).
Central lines inserted in emergency situations (e.g., in cases of severe trauma or when cardio pulmonary resuscitation is required) are also excluded from bundle compliance (excluded from the numerator and denominator). Also central lines inserted for diagnostic purposes (e.g., right heart catheterization, pulmonary angiography) that are normally removed directly after insertion, are also excluded from bundle reporting. “Intensive Care Units” (ICU) The NHSN defines an ICU as, “A nursing care area that provides intensive observation, diagnosis, and therapeutic procedures for adults and/or children who are critically ill. An ICU excludes nursing areas that provide step-down, intermediate care or telemetry only. Specialty care areas are also excluded.” NOTE: NHSN defines “specialty care area” as a hospital location providing specialized care for solid organ transplants or inpatient acute dialysis. “Neonatal Intensive Care Units” (NICU) The NHSN defines a NICU as, “A hospital unit organized with personnel and equipment to provide continuous life support and comprehensive care for extremely high-risk newborn infants and those with complex and critical illness. There are two types of NICU in NHSN: combined Level II/III NICU and Level III NICU.” The CDC/NHSN Patient Safety Component Protocol provides detailed definitions of Levels II and III. “Ventilator” or “Mechanical Ventilation” A ventilator is a device to assist or control respiration continuously, inclusive of the weaning period, through a tracheostomy or by endotracheal intubation. Lung expansion devices such as intermittent positive-pressure breathing (IPPB); nasal positive pressure (PEEP); and continuous nasal positive airway pressure (CPAP, hypoCPAP) are not considered ventilators unless delivered via tracheostomy or endotracheal intubation (e.g., ET-CPAP).
HAI%20Data%20Microspecifications%20Manual%20December%202015.docx