GRA ICU Collection Guide: Difference between revisions

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*ICU collectors, please document collection data guidelines for related to GRA ICU unit here.  If there are any collection details that are specific to your ward, they should be documented here also. 
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. Also see [[2020_GRA_COVID_unit_transition#GRA_MICU]].
This will serve as a reference for any collector who is assigned or choices to pick up extra hours during sick or vacation at this site.  


If you want to see current guideline for sites go to:  [[Medicine Curriculum]] or [[ICU Curriculum]] and look at top of this article to find link to hosp/unit specific guideline in progress.--Thanks everyone.[[User:TOstryzniuk|TOstryzniuk]] 20:18, 21 October 2010 (CDT)
computer #GHDW210X5100R23


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


==ICU ATD log==
== Charts  ==
*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


-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..
== Documentation change once Transfer Ready ==
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.
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.


='''Charts, TISS and Green Sheets'''=
== Medications ==
TISS sheets are kept on the nurses' bedside clipboard. When the pt is discharged or when the TISS sheet is full it is placed in the front of the "TISS/Green sheet binder" located on the rounds cart.  
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


When patients are discharged the green sheets are placed in the front of the TISS/Green sheet binder.
==Lab Counts==
ABG/VBG are not entered in the EPR but are found on the ABG flowsheet found on the bedside clipboard


Thinned charts and old charts are kept on the lower shelf of the rounds cart.
== 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.


The patient's chart is kept in a chart holder at the foot of their bed.
== GRA ICU Data Collector ==


==Office Room Number==
Additionally:
{{discussion}}
* Other staff that can do shifts at Grace: [[p:Pamela Piche]], [[p:Allyson Alcudia]], [[p:Stephanie Cortilet]], [[p:Lisa Kaita]],[[p:Sherry Urbansk]], [[p:Mindy Crawley]]


==ICU PHONE NUMBERS==
== GRA_MICU Contacts ==
[[GRA MICU]]


ICU:
== Related articles ==
Main Desk: (204)837-0148/0149 if calling from outside the facility. 
{{Related Articles}}
            Extension: 2148/2149 if calling from within the facility




ICU Clinical Manager:
[[Category: Grace Hospital Office]]
Lily Foubert
Telephone Number: (204)837-0525
FAX number: (204)837-0576
Pager: (204)935-2019
 
Please refer to the [[GRA Medicine Collection Guide]] for further information re:
#DATA COLLECTION OFFICE
#GRACE TELEPHONE NUMBERS
#DATABASE SUPPLY COST CENTRE
 
 
[[Category:Grace Hospital Office]]
[[Category: Site Specific Collection Guide]]
[[Category: Site Specific Collection Guide]]
[[Category: Data Collection Guide]]
[[Category: Data Collection Guide]]

Latest revision as of 14:24, 2021 December 15

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. Also see 2020_GRA_COVID_unit_transition#GRA_MICU.

computer #GHDW210X5100R23

Grace ICU

For info about the unit, see GRA MICU

Charts

  • 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 ICU Data Collector

Additionally:

GRA_MICU Contacts

GRA MICU

Related articles

Related articles:
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