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Table 2 List of Cost Objects for EDs

From: Cost objects: How is your ED performing?

ServicesDescription
1Administration of drugs by subcutaneous or intravenous injectionAdministration of injectable medications of medications that can be administered to the patient without an additional approval process or paperwork because they are not controlled drugs.
2Administration of non-injectable drugsAdministration either oral, buccal or other enteral route for non-injectable medications
of medications that can be administered to the patient without an additional approval process or paperwork because they are not controlled drugs.
3Administration of non-injectable prescribed drugsAdministration either oral, buccal or other enteral route for prescribed non-injectable medication of medications that cannot be administered to the patient without an additional approval process or paperwork because they are controlled drugs.
4Administration of prescribed drugs by subcutaneous or intravenous injectionAdministration of injectable medications of medications that cannot be administered to the patient without an additional approval process or paperwork because they are controlled drugs.
5Alcohol screening testApplication of validated screening tools for alcohol misuse and alcohol use disorder.
6Application of a larger orthopedic medical castProcedure in which a large orthopedic cast is used to treat a trauma condition.
7Application of a shorter orthopedic medical castProcedure in which a short orthopedic cast is used to treat a trauma condition.
8Arterial blood gas sampleArterial blood gas (ABG) sampling to obtain information on a patient’s respiratory status (blood oxygen and carbon dioxide levels), as well as the patient’s acid-base balance.
9Black braided silk sutureProcedure for approximation and/or litigation of soft tissue in which a black braided silk suture is used. This type of surgical suture is a non-absorbable multifilament composed of an organic protein.
10Bladder instillationBladder instillation is a combination drug therapy to help painful bladder or cystitis type symptoms including frequency, urgency, burning pain or stinging sensations when passing urine. It works by reducing inflammation and discomfort within the bladder.
11Blood culture sampleBlood culture collection to test for foreign invaders like bacteria, yeast, and other microorganisms in the blood.
12Blood glucose testProcedure to test the amount of glucose in blood.
13Blood samplingBlood specimen collection to obtain blood for laboratory testing.
14Burn wound dressingProcedure to dress a dermal burn to absorb fluid, avoid maceration and seal the wound from the outside environment to reduce pain and infection.
15Catgut sutureSurgical suture procedure in which a catgut suture is used. This type of suture is naturally degraded by the body’s own proteolytic enzymes. It is used for surgical procedures such as general closure, ophthalmic and orthopedics.
16Complex foreign body extractionComplex localization, incision and removal of foreign bodies because of the location of the foreign body inside the patient’s body and the material or shape of the foreign body.
17Complex wound dressingProcedure to dress a complex wound that requires specialist wound care intervention. Complex wound dressing often is a result of the treatment of any number of other conditions, including cardiac, pulmonary, neuromuscular and renal diseases.
18Diagnostic and therapeutic punctureMedical diagnostic and therapeutic puncture for sample and treatment purposes.
19Diagnostic punctureMedical diagnostic puncture for sample purposes.
20Discharge of deceased patientsIt involves all the administrative processes the ED needs to follow to discharge deceased patients.
21ElectrocardiogramTest provided at the ED to evaluate whether the patient’s heart is beating at a normal rate and strength.
ServicesDescription
22Endotracheal intubationEndotracheal intubation is a medical procedure in which a tube is placed into the trachea, usually through the mouth, to assist breathing.
23EnemaProcedure used to stimulate stool evacuation.
24Feeding tube insertionTechnique in which a nasogastric tube is inserted into the patient’s nose, reaching first the back of the throat and then pushed down the esophagus until it reaches the stomach.
25HistoacrylProcedure in which histoacryl is applied for closing skin wounds.
26Intramuscular drugs administrationTechnique used to deliver medications deep into the muscles through an injection of medications that can be administered to the patient without an additional approval process or paperwork because they are not controlled drugs.
27Intramuscular prescribed drugs administrationTechnique used to deliver medications deep into the muscles through an injection of medications that cannot be administered to the patient without an additional approval process or paperwork because they are controlled drugs.
28Installation of a removable cast walker bootProcedure in which a removable cast walker boot is placed to treat trauma conditions such as severe sprains, fractures, and tendon or ligament tears in the ankle or foot.
29IV fluid changeProcedure in which the IV fluid bag is change for another one based on the needs of the patient.
30Life risk care managementIt involves all the administrative processes the ED needs to follow to admit a patient with a life-threatening condition regardless of their ability to pay.
31Management of imaging testsIt involves all the administrative processes the ED needs to follow to ensure that an ED patient is scheduled (if an appointment is required) for the imaging tests prescribed and transported from the ED to the Imaging Unit and back to the ED.
32Medical attention of patients arrived by ambulanceIt involves all the administrative processes the ED needs to follow to admit a patient arriving by ambulance.
33Medical consultationIt includes the administrative process required to admit the patient into the ED, as well as the physician’s evaluation.
34Medical interconsultationIt includes the administrative process required to ask a specialist to further evaluate the patient, in order to correctly diagnose the patient, as well as the specialist’s evaluation.
35Medium-complex foreign body extractionMedium-complex localization, incision and removal of foreign bodies because of the location of the foreign body inside the patient’s body or the material or shape of the foreign body.
36Monofilament nylon sutureProcedure for approximation and/or litigation of tissue in which a monofilament nylon suture is used. This type of suture is non-absorbable by the body.
37NebulizationProcedure in which a nebulizer is used to treat a person with asthma or another respiratory condition to administer medication directly and quickly to the lungs.
38Observation dayIt involves all the procedures required to monitor the patient’s status while the patient remains under observation.
39Orthopedic trauma medical attentionIt includes the administrative process required to admit the patient into the ED, as well as the evaluation of the patient’s condition by an orthopedic trauma specialist.
40Oxygen therapyProcedure in which oxygen is provided if oxygen saturation on a patient is below the threshold defined as desirable for the patient’s condition in order to reach the targeted oxygen saturation level.
41PhleboclysisIt corresponds to the administration of fluids intravenously drop by drop, by the drip method, through a peripheral catheter.
42Polypropylene sutureProcedure for approximation and/or litigation of tissue in which a polypropylene suture is used. This type of suture is non-absorbable by the body.
43Preparation of patients for hospitalizationIt includes the administrative process, preparation and transference of patients to be hospitalized.
44Preparation of patients for surgeryIt includes the administrative process, preparation and transference of patients for surgery.
45ReductionProcedure to repair a fracture or dislocation to the correct alignment without surgery.
46ReferralIt includes all the administrative processes required to transfer a patient to another hospital, primarily because the hospital currently treating the patient has not all the resources required to successfully treat the patient’s condition.
47ResuscitationA life-saving procedure performed when someone has stopped breathing or the heart has stopped beating, as in cardiopulmonary resuscitation (CPR).
48Secretion clearanceTechnique aiming to remove sputum (the combination of mucus and saliva) from the patient’s lungs.
49Simple foreign body extractionSimple localization, incision and removal of foreign bodies because the foreign body is located in a place of the body easy to reach and the material or shape of the foreign body are not likely to cause harm while the extraction process is conducted.
50Simple wound dressingProcedure to dress a simple wound. This type of wound is defined as a dry dressing, apply to viable skin which does not require specialist wound care intervention.
51Skin sutureProcedure for approximation and/or litigation of tissue using cutaneous suture.
52SplintingProcedure to apply a rigid or flexible device that maintains in position a displaced or movable part; also used to keep in place and protect an injured part.
53Stomach pumpingProcedure of cleaning out the contents of the stomach through a gastric lavage.
54Stool sampleStool specimen collection to obtain stool (feces) for laboratory testing.
55Teaching activitiesIt includes all the teaching and research activities carried out within the ED.
56Urethral soundingProcedure that involves inserting a sound into the urethra for dilatation of strictures or for obtaining access to the bladder.
57Urine specimen collectionUrine specimen collection to obtain urine for laboratory testing.
58Verify injuriesProcedures requested by a judicial order or the police to verify type and severity of injuries.
59Vicryl sutureProcedure for approximation and/or litigation of tissue using vicryl suture. This type of suture is absorbable, synthetic, and normally braided.