CC-UC-01403 - Unexpected Intraprocedural Event

Actors

• Client
• Medical doctor (MD)/nurse practitioner (NP)/surgical team

Pre-conditions

• Client is at the clinic for a medical procedure.
• Client's scheduled procedure with the MD/NP/surgical team has started.

Step	Description	Data elements collected	Result
1	MD/NP/surgical team begins the procedure.	Not applicable	Not applicable
2	Client experiences an adverse change in status during the procedure and the procedure is halted.	Not applicable	The procedure is halted, and the client's medical record is updated to reflect to reflect the event.
3	MD/NP/surgical team addresses client's adverse change in status by assessing and managing the client's condition.	Procedure Category Procedure Performed Procedure Status Procedure Status Reason Procedure Date and Time Procedure Reason Procedure Body Site Periprocedural Event Procedure Tolerance Procedure Tolerance Narrative Post-Procedure Instructions	The client's adverse change in status is managed, and the client's medical record is updated.
4	Client stabilizes and MD/NP/surgical team continue the procedure (may include additional clinical assistance, etc.).	Not applicable	The client's condition is stabilized, the procedure resumes, and the client's medical record is updated.
5	Continue at step 2 of CC-UC-01400 Primary Health Care: Medical Procedure.	Not applicable	Not applicable

Post-conditions

• Procedure is halted.
• The client's adverse change in status is managed.
• Client stabilizes and procedure continues.
• The client's medical record is updated.
• This use case continues at step 2 of CC-UC-01400 Primary Health Care: Medical Procedure.

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If you have questions about this initiative, would like to be added to our stakeholder notification list or would like to participate in our consultations, please email us.

connectedcare@cihi.ca