April 19, 2024

Good morning, we have a patient that had a CT in the hospital as an outpt and was then sent to the ED. He went for emergent crani and another CT was not done until after..So for CT head done during resuscitative phase, can we answer, yes? And for data/information from an outside facility, can we count that as yes and pick up the CT if it was our facility, but prior to ED encounter?

Since the head CT was completed at an outpatient facility, not a transfer in, the answer would be no for CT head done during resuscitative phase. Per the manual, Yes is only an appropriate answer if the patient is coming from a referring facility, or the scan was done from time they entered your ED to time transported to Post Ed destination. You can enter No as a transfer patient, but Yes data is available, in the Referring Facility tab. The CT scan can be entered there, but not on your hospital side. In review, the situation can be noted to explain why no CT during resus.

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