trauma room

You are required to have a plan for IRR, but PTSF does not have any specific required process or number of records for IRR. It can include full record reabstraction or focused review. Reabstraction can be done by one or all registrars. Some ideas include: •          Full reabstraction of record by one registrar •          Full …

DI was acquired by ESO in December 2019. There is no longer an annual DI conference you can attend. ESO does hold an annual conference called “Wave.” For 2021, this conference is in the form of a webinar series; however, it is typically held in person. ESO will not be presenting education at the 2021 …

If a physician confirms a positive or negative test result within 30 days, we would accept that documentation, and you can record a yes or no value for the COVID data element. We would not accept hearsay from a patient or family member etc. without physician confirmation.

PTSF cannot speak to what you are allowed to access or what the appropriate use is for Care Everywhere in your facility. Proper access and use of an outside facility chart in a shared database in Epic is something you will need to discuss within your facility. Specific to elements that you might abstract from …

With no secondary payor, you can now enter “9 None”. This is a new option to report for 2021 admissions instead of n/a or leaving blank.

It depends. Some fields have checks that won’t allow blanks, while others you can pass through. Registrars may use the discharge destination specify field in specific situations listed in the manual (one example is to enter Home when discharge to SNF which is patient’s residence). Otherwise, can be left blank. This field used to be …

Your best practice is to delete the second record entirely, and not reuse the number. If it was already copied over into v5 with the interface, then you want to delete it there as well. If you haven’t submitted to us yet, we will not need to delete here. But before you delete, ensure that …

The best resource to use for this is the PTOS Element History. In the Comments column it will note if the element is an optional element. Note on the Element History that elements titled in blue are current; elements with no highlight are retired.

You can absolutely use the yellow memo field after the diagnosis tab in Collector! It is the only memo field that transfers information to PTSF. We often suggest using it to describe unusual scenarios (additional prehospital info, for example), not just for diagnoses. However, please do NOT include any patient or provider identifiers in this …

You are correct that TRISS will not calculate for every patient. TRISS EOE, which is a Pennsylvania specific estimated TRISS used in these situations, is planned to be included in the next software platform.