21 vtesurg Was a surgical procedure performed using general or 1,2 If unable to determine if the patient had a surgical procedure and/or If 2 and vteprin is on whether general or neuraxial anesthesia was used from the medical neuraxial anesthesia the day of or the day after Joint Commission record documentation, select “2.” hospital admission? Table 7.01, 8.1 or 8.2, Inclusion Guidelines for Abstraction: go to icuvte; else if 2, General Anesthesia: Inhaled gases, Intravenous, Endotracheal, auto-fill vtesurdt as Laryngeal mask airway, or anesthesia (LMA) 99/99/9999, and go to Neuraxial Anesthesia; Spinal block, Epidural block, Spinal vtepro anesthesia, Subarachnoid blocks Conscious sedation, Exclusion Guidelines for Abstraction: Monitored anesthesia care (MAC), Local with sedation , Local with stand-by, Peripheral nerve blocks, Saddle block, Deep sedation Enter the surgery end date. 22 vtesurdt mm/dd/yyyy If a patient leaves the operating room with an open incision (for Will be auto-filled as closure at a later date/time), use the Surgery End Date of the initial 99/99/9999 if procedure. Do NOT use the date the patient returns to the OR for vtesurg = 2 closure. Abstractor can enter If unable to determine the surgery end date after reviewing the 99/99/9999 medical record documentation, enter 99/99/9999. VTE Prophylaxis
21 vtesurg Was a surgical procedure performed using general or neuraxial anesthesia the day of or the day after hospital admission? 1,2 If 2 and vteprin is on Joint Commission Table 7.01, 8.1 or 8.2, go to icuvte; else if 2, auto-fill vtesurdt as 99/99/9999, and go to vtepro If unable to determine if the patient had a surgical procedure and/or whether general or neuraxial anesthesia was used from the medical record documentation, select “2.” Inclusion Guidelines for Abstraction: General Anesthesia: Inhaled gases, Intravenous, Endotracheal, Laryngeal mask airway, or anesthesia (LMA) Neuraxial Anesthesia; Spinal block, Epidural block, Spinal anesthesia, Subarachnoid blocks Exclusion Guidelines for Abstraction: Conscious sedation, Monitored anesthesia care (MAC), Local with sedation , Local with stand-by, Peripheral nerve blocks, Saddle block, Deep sedation 22 vtesurdt Enter the surgery end date. mm/dd/yyyy Will be auto-filled as 99/99/9999 if vtesurg = 2 Abstractor can enter 99/99/9999 If a patient leaves the operating room with an open incision (for closure at a later date/time), use the Surgery End Date of the initial procedure. Do NOT use the date the patient returns to the OR for closure. If unable to determine the surgery end date after reviewing the medical record documentation, enter 99/99/9999. VTE Prophylaxis
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