31 icusurdt Enter the surgery end date. mm/dd/yyyy Select the surgery end date with the associated surgical Will be auto-filled as procedure performed the day of or the day after ICU admission 99/99/9999 if or transfer. icusurg = 2 If a patient leaves the operating room with an open incision (for Abstractor can enter closure at a later date/time), use the Surgery End Date - ICU 99/99/9999 of the initial procedure. Do NOT use the date the Admission patient returns to the OR for closure. When the date documented is obviously invalid (not a valid format/range), ex: a date after the before the Discharge Date, or in an invalid format Surgery End Date ICU Admission, – no other documentation is found that provides and if the correct information, the abstractor should enter “99/99/9999.” Example: Patient expires on 02-12-20XX and documentation indicates the was 03-12-20XX. Other Surgery End Date documentation in the medical record supports the date of death as being accurate. Since the Surgery End Date ICU – is outside of the parameter for care (after the Admission [death]), enter Discharge Date “99/99/9999”. If the is incorrect (in error) but it is a valid date Surgery End Date and the correct date can be found and supported with other documentation in the medical record, use the correct date for If supporting documentation of the correct date Surgery End Date. cannot be found, the medical record must be abstracted as documented Examples: (at “face value”). The anesthesia form is dated 12-10-2007 and other documentation in the medical record supports that the correct date was 12-10-2009; use the correct date as the Surgery End Date. A of 11-20-20XX and the Surgery End Date Anesthesia Start was 11-10-20XX and no other documentation can be Date found to support the correct date for the Surgery End Date, then it must be abstracted as 11-20-20XX, at face value. ICU VTE Prophylaxis
31 icusurdt Enter the surgery end date. mm/dd/yyyy Will be auto-filled as 99/99/9999 if icusurg = 2 Abstractor can enter 99/99/9999 Select the surgery end date with the associated surgical procedure performed the day of or the day after ICU admission or transfer. If a patient leaves the operating room with an open incision (for closure at a later date/time), use the Surgery End Date - ICU Admission of the initial procedure. Do NOT use the date the patient returns to the OR for closure. When the date documented is obviously invalid (not a valid format/range), ex: a date after the Discharge Date, before the Surgery End Date – ICU Admission, or in an invalid format and if no other documentation is found that provides the correct information, the abstractor should enter “99/99/9999.” Example: Patient expires on 02-12-20XX and documentation indicates the Surgery End Date was 03-12-20XX. Other documentation in the medical record supports the date of death as being accurate. Since the Surgery End Date – ICU Admission is outside of the parameter for care (after the Discharge Date [death]), enter “99/99/9999”. If the Surgery End Date is incorrect (in error) but it is a valid date and the correct date can be found and supported with other documentation in the medical record, use the correct date for Surgery End Date. If supporting documentation of the correct date cannot be found, the medical record must be abstracted as documented (at “face value”). Examples: The anesthesia form is dated 12-10-2007 and other documentation in the medical record supports that the correct date was 12-10-2009; use the correct date as the Surgery End Date. A Surgery End Date of 11-20-20XX and the Anesthesia Start Date was 11-10-20XX and no other documentation can be found to support the correct date for the Surgery End Date, then it must be abstracted as 11-20-20XX, at face value. ICU VTE Prophylaxis
VTE.docx