CRITICAL CARE ACTIVITY CODE

01

Respiratory support via a tracheal tube (Respiratory support via a tracheal tube provided)

02

Nasal Continuous Positive Airway Pressure (nCPAP) (PATIENT receiving nCPAP for any part of the day)

03

Surgery (PATIENT received surgery)

04

Exchange Transfusion (PATIENT received exchange transfusion)

05

Peritoneal Dialysis (PATIENT received Peritoneal Dialysis)

06

Continuous infusion of inotrope, pulmonary vasodilator or prostaglandin (PATIENT received a continuous infusion of an inotrope, vasodilator (includes pulmonary vasodilators) or prostaglandin)

07

Parenteral Nutrition (PATIENT receiving Parenteral Nutrition (amino acids +/- lipids))

08

Convulsions (PATIENT having convulsions requiring treatment)

09

Oxygen Therapy (PATIENT receiving additional oxygen)

10

Neonatal abstinence syndrome (PATIENT receiving drug treatment for neonatal abstinence (withdrawal) syndrome)

11

Care of an intra-arterial catheter or chest drain (PATIENT receiving care of an intra-arterial catheter or chest drain)

12

Dilution Exchange Transfusion (PATIENT received Dilution Exchange Transfusion)

13

Tracheostomy cared for by nursing staff (PATIENT receiving care of tracheostomy cared for by nursing staff not by an external Carer (e.g. parent))

14

Tracheostomy cared for by external Carer (PATIENT receiving care of tracheostomy cared for by an external Carer (e.g. parent) not by a NURSE)

15

Recurrent apnoea (PATIENT has recurrent apnoea needing frequent intervention, i.e. over 5 stimulations in 8 hours, or resuscitation with IPPV two or more times in 24 hours)

16

Haemofiltration (PATIENT received Haemofiltration)

21

Carer Resident - Caring for Baby (External Carer (for example, parent) resident with the baby and reducing nursing required by caring for the baby)

22

Continuous monitoring (PATIENT requiring continuous monitoring (by mechanical monitoring equipment) of respiration or heart rate, or by transcutaneous transducers or by Saturation Monitors. Note: apnoea alarms and monitors are excluded as forms of continuous monitoring)

23

Intravenous glucose and electrolyte solutions (PATIENT being given intravenous glucose and electrolyte solutions)

24

Tube-fed (PATIENT being tube-fed)

25

Barrier nursed (PATIENT being barrier nursed)

26

Phototherapy (PATIENT receiving phototherapy)

27

Special monitoring (PATIENT receiving special monitoring of blood glucose or serum bilirubin measurement at a minimum frequency of more than one per calendar day)

28

Observations at regular intervals (PATIENT requiring recorded observations for Temperature, Heart Rate, Respiratory Rate, Blood Pressure or scoring for neonatal abstinence syndrome. Recorded observations must be at a minimum frequency of 4 hourly)

29

Intravenous medication (PATIENT receiving intravenous medication)

50

Continuous electrocardiogram monitoring

51

Invasive ventilation via endotracheal tube

52

Invasive ventilation via tracheostomy tube

53

Non-invasive ventilatory support

55

Nasopharyngeal airway

56

Advanced ventilatory support (Jet or Oscillatory ventilation)

57

Upper airway obstruction requiring nebulised Epinephrine/ Adrenaline

58

Apnoea requiring intervention

59

Acute severe asthma requiring intravenous bronchodilator therapy or continuous nebuliser

60

Arterial line monitoring

61

Cardiac pacing via an external box (pacing wires or external pads or oesophageal pacing)

62

Central venous pressure monitoring

63

Bolus intravenous fluids (> 80 ml/kg/day) in addition to maintenance intravenous fluids

64

Cardio-pulmonary resuscitation (CPR)

65

Extracorporeal membrane oxygenation (ECMO) or Ventricular Assist Device (VAD) or aortic balloon pump

66

Haemodialysis (acute PATIENTS only i.e. excluding chronic)

67

Plasma filtration or Plasma exchange

68

ICP-intracranial pressure monitoring

69

Intraventricular catheter or external ventricular drain

70

Diabetic ketoacidosis (DKA) requiring continuous infusion of insulin

71

Intravenous infusion of thrombolytic agent (limited to tissue plasminogen activator [tPA] and streptokinase)

72

Extracorporeal liver support using Molecular Absorbent Liver Recirculating System (MARS)

73

Continuous pulse oximetry

74

PATIENT nursed in single occupancy cubicle

80

Heated Humidified High Flow Therapy (HHHFT) (PATIENT  receiving HHHFT)

81

Presence of an umbilical venous line

82

Continuous infusion of insulin (PATIENT  receiving a continuous infusion of insulin)

83

Therapeutic hypothermia (PATIENT  receiving therapeutic hypothermia)

84

PATIENT  has a Replogle tube in situ

85

PATIENT  has an epidural catheter in situ

86

PATIENT  has an abdominal silo

87

Administration of intravenous (IV) blood products

88

PATIENT  has a central venous or long line (Peripherally Inserted Central Catheter line) in situ

89

PATIENT  has an indwelling urinary or suprapubic catheter in situ

90

PATIENT  has a trans-anastomotic tube in situ following oesophageal atresia repair

91

PATIENT  has confirmed clinical seizure(s) today and/or continuous cerebral function monitoring (CFM)

92

PATIENT  has a ventricular tap via needle or reservoir today

93

PATIENT  has a stoma

94

PATIENT  has arrhythmia requiring intravenous anti-arrhythmic therapy

95

PATIENT  has reduced conscious level (Glasgow Coma Score 12 or below) and hourly (or more frequent) Glasgow Coma Score monitoring

96

Intravenous infusion of sedative agent (PATIENT  receiving continuous intravenous infusion of sedative agent)

97

PATIENT  has status epilepticus requiring treatment with continuous intravenous infusion

99

No Defined Critical Care Activity (PATIENT is not receiving any of the critical care interventions listed above (Excluding code 21). For example, PATIENT is on the Intensive Care Unit ready for discharge and is receiving normal care. This is the default code.