Peds ICU here -- we get kids who have ingested some substance / med & though clinically look great, Poison Control recommends CV monitoring, q1 neuro checks, q1 blood glucose. We have no telemetry unit for gen care (only cardiac), so they come to PICU, stay 12-24 hrs, and go home. WE do labs, check EKG, and observe. That's OBS.
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Jana Stockwell
Professor, Pediatric Critical Care Medicine
Children's Healthcare of Atlanta, CCM
Atlanta
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Original Message:
Sent: 02-11-2023 19:36
From: Ryan Hakimi
Subject: Inpatient vs. Observation Status
Out of curiosity, what is the hospital's intention in admitting to observation? I think it would be very difficult to justify that a patient is critically-ill but is not admitted to the hospital unless you want to say that because of your critical care assessment and interventions, the patient was deemed to warrant admission to critical care.
Ryan
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Ryan Hakimi
Neurocritical Care
Director, TCD Services. Chair Pharmacy and Therapeutics Committee
University of South Carolina School of Medicine-Greenville
Greenville SC
Original Message:
Sent: 02-10-2023 19:26
From: Jason Brainard
Subject: Inpatient vs. Observation Status
Colleagues,
Our hospital is considering admitting OSH ED transfers into Observation Status vs. Inpatient Status.
For those with experience, any implications for critical care billing or collections?
Thanks!
Jason Brainard
University of Colorado
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Jason Brainard
Associate Professor of Anesthesiology and Critical Care
University of Colorado School of Medicine
Aurora
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