View source for GRA ICU Collection Guide

This page contains information specific to Grace Hospital '''ICU''' collection only. See [[GRA General Collection Guide]] for information related to all Grace Hospital collection, and see [[ICU Curriculum]] for information to all-site ICU data collection. 

computer #GHDW210X5100R23 

==Grace ICU==
For info about the unit, see [[GRA MICU]]

== ICU ATD log ==
See also [[Identifying ICU admissions]]

Grace MICU does not use the standard Admission/Transfer/Discharge Log.  Admissions/Discharges are logged into a Ledger book located to the side of the Ward Clerk's desk. Admit from location, patient name, age (not DOB), admit/transfer/discharge date and time, and MRN are manually entered into the ledger. This ledger is used to keep track of in-house Code Blues, ventilator hours etc.. 
At the start of a new month, all patients still admitted in the ICU are carried forward in the ledger. Their names, date of admission, MRN, etc. are re-entered on the top of the first page of this new month. Carried over entries are assigned a letter in alphabetical order ( A., B., C, etc.). All new admissons are assigned a number, starting at one (1) for the first admission of each month.
*all admissions/transfers/discharges are also noted in the calendar notepad at the clerk's desk

== Charts, TISS and Green Sheets ==
TISS sheets are kept on the nurses' bedside clipboard.
*When patients are discharged or when the TISS sheet is full, the green sheets and TISS are placed in the front of the TISS/Green sheet binder, located on the rounds cart.
*Thinned charts and old charts are kept on the lower shelf of the rounds cart.
*The patient's chart is usually kept on a bedside table with the bedside red binder

== Documentation change once Transfer Ready ==
Once the patient has been deemed medically stable ie. transfer ready, the ICU flowsheets are no longer used.  Only the daily systems review sheet is used to document VS, activity, lines etc.

== Medications ==
Continuous flow medications are documented on both the ICU flowsheet and the MAR.  
PRN medications are documented on the PRN (non-scheduled) medication form.
Regularly scheduled medications are documented on the scheduled medication form.
Blood products are documented on the Blood product form, the ICU flowsheet or sometimes on the scheduled medication form if ordered regularly ie. HSA25% BID

==Lab Counts==
ABG/VBG are not entered in the EPR but are found on the ABG flowsheet found on the bedside clipboard

== Diagnostics ==
Ultrasounds are done on the bedside now, if patient is ventilated. So on the TISS, it's not counted as a trip with RN out of ICU anymore.

== GRA ER use as borrow location ==
See [[GRA ER use as borrow location]]

== GRA ICU Data Collector ==
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[[Collection Location Program::Critical Care]]
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Additionally:
* Other staff that can do shifts at Grace: [[p:Pamela Piche]],[[p:Allyson Alcudia]], [[p:Stephanie Cortilet]], [[p:Lisa Kaita]],

== GRA_MICU Contacts ==
[[GRA MICU]]



[[Category: Grace Hospital Office]]
[[Category: Site Specific Collection Guide]]
[[Category: Data Collection Guide]]