STB Critical Care Collection Guide: Difference between revisions

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*[[STB MICU Collection Guide]]  
*[[STB MICU Collection Guide]]  


=== IMPORTANT INFORMATION DURING COVID PANDEMIC ===
'' see [[STB General Collection Guide#IMPORTANT UPDATE DURING CORONAVIRUS PANDEMIC]] for general info
*STB ICU Data Collectors will be working from home until recalled or redeployed; we are monitoring our emails


=== Covid Unit info === <!-- pls leave that header in, it's so we can link this from [[COVID Designated Ward]] -->
 
====AS OF NOVEMBER 2020, in order to accommodate COVID ICU patients & in an attempt to keep specific units "clean/dirty"====
*STB ICU Data Collectors work from from home and are on site once a week to do records and ward followups.
“ACCU has transferred 4 of their beds over to ICCS, in order to take in 4 beds for ICMS overflow patients.  There has been a surge in ICU bed requirements lately, and this is part of the pandemic plan through HICS. 
In order to keep ICCS somewhat green, ACCU will take on the overflow for ICMS. 
The ACCU attendings will be the responsible physicians for those patients in ICCS (this is different than the current guidelines, as these patients are not our overflow but part of their baseline);
The unit staff remain in their own units at this time  - collaboration between the units will continue, and conversations about acuity will be front and center.”
**ICMS has now 18 opened beds (14+4 in ACCU)
**ACCU remains 8 opened bed (4 main unit +4 ICCS)  giving their other 4 Bed to ICMS
**ICCS reduced  from 14 to whatever available (e.g. 10)


=== On-site presence of collectors ===
=== On-site presence of collectors ===
*each ICU collector will be on site once weekly to collect completed TISS forms & complete profiles in Health Records & ICUs as required
*each ICU collector will be on site 3 times weekly to complete profiles in Health Records & ICUs as required
**Valerie Penner will be on site each Wednesday
**Stephanie Cortilet will be on site each Thursday


=== [[STB Medical Records requests]] ===
=== [[STB Medical Records requests]] ===
*Health Records requests 5 business days notice for pulling your list
*use the MR generator within Access to email your list to Reggie Albis & Joanna Talastas; cc supervisor Tianna Mohammed who will redirect the list as required
*STB Critical Care has a resource website maintained by our ICU Educators;
https://extranet.manitoba-ehealth.ca/hospitals/SBH/ICMSR/_layouts/15/start.aspx#/SitePages/Home.aspx


== Cardiac Type patients ==
== Relevant articles specific to STB Critical Care patients ==
see [[STB Cardiac Care patients]]
'''ECMO article'''
* https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4522501/
 
'''VAD article'''
* https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4921031/


== VAP notification ==
== VAP notification ==
an email notifying that there is a patient who has met VAP criteria is sent by the Data Collector to the Chair & Co-chair of the VAP Committee, as well as to Rob Ariano, from Pharmacy.  Any further VAP notification will then be sent out by them. 
There is no longer a requirement to notify the VAP Committee regarding a confirmed or potential VAP
*positions of Chair & Co-chair are currently being filled by Christina Kuttnig & Carlos Molina respectively
 
== CLI notification ==
*when a patient has met criteria for [[Iatrogenic, infection, central venous catheter-related bloodstream infection (CVC-BSI, CLI)]], there is no longer any need to inform any unit staff


See [[STB VAP Committee]].
== CCI/TISS ==


== Labs ==
*cardiac MRI, echos and angiograms can be found in the CCI picklist
* [[Lab Collection Process]]
Remember to count cardiac MRI, echos and angiograms in the labs.


*With the [[STB Electronic Patient Record]] we do not count most labs or pharms until the patient is discharged from the unit, it is the last thing we do.--[[User: LKolesar|LKolesar]]
*With the [[STB Electronic Patient Record]] we collect/count CCI/TISS entries as we are able when we review the record.  Confirmation of entries is done on final review of the chart.  Pharmacy is completed after final review of the chart.


== Code STEMI ==
== Code STEMI ==
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See [[STB Cardiac Care patients]] for information specific to the cardiac service care patients in the STB MICU/SICU unit.
See [[STB Cardiac Care patients]] for information specific to the cardiac service care patients in the STB MICU/SICU unit.


==STB Swing Beds==
*STB Swing Bed entries are "bed" records within a "unit" in EPR/Cognos. They are not beds or locations but conceptual service location and time entries used for patient moves. This data causes a patient record to show up in Cognos/CUS as having arrived on a unit even when the pt has not actually arrived, and it isn't visible in our listings whether the record is for a swing or real bed.
*Any ICU pt. may be placed into a swing bed, but the majority of swing beds are used for the ICCS pt's. The pt. is placed in a swing bed while in the OR, and then moved into a real bed post op when they arrive in the CICU. Their stay in a swing bed may be any length of time. The true arrive Dt/Tm is taken from the ICU flow sheets.
if a pt. was placed into an ICU swing bed but was never admitted to the ICU, the pt. entries are manually excluded from Cognos when reviewed
== cost center ==
== cost center ==
Our cost number for supply ordering is 6766
Our cost number for supply ordering is 6766


== [[Outreach efforts]] ==
== [[Outreach efforts]] ==
St Boniface critical care collectors attend the [[STB VAP Committee]].
St Boniface critical care collectors attend the [[STB VAP Committee]] when requested by the chair/co-chair. There is no longer any need to email the committee regarding a potential or confirmed VAP


== Related articles ==  
== Related articles ==  

Latest revision as of 07:55, 2024 April 25

This article contains information specific to STB Critical Care Units.

  • See STB General Collection Guide for general STB information such as: links to EPR, Mail room, medical records. Information also in regards to obtaining hand sanitizer, wipes, printer paper for collection offices.
  • See ICU Curriculum for general critical care info.

Please make sure you document information at the most general level that is applicable, i.e. don't code something that affects all collection at StB in the program or unit level articles.

See also:


  • STB ICU Data Collectors work from from home and are on site once a week to do records and ward followups.

On-site presence of collectors

  • each ICU collector will be on site 3 times weekly to complete profiles in Health Records & ICUs as required

STB Medical Records requests

  • Health Records requests 5 business days notice for pulling your list
  • use the MR generator within Access to email your list to Reggie Albis & Joanna Talastas; cc supervisor Tianna Mohammed who will redirect the list as required


  • STB Critical Care has a resource website maintained by our ICU Educators;

https://extranet.manitoba-ehealth.ca/hospitals/SBH/ICMSR/_layouts/15/start.aspx#/SitePages/Home.aspx

Relevant articles specific to STB Critical Care patients

ECMO article

VAD article

VAP notification

There is no longer a requirement to notify the VAP Committee regarding a confirmed or potential VAP

CLI notification

CCI/TISS

  • cardiac MRI, echos and angiograms can be found in the CCI picklist
  • With the STB Electronic Patient Record we collect/count CCI/TISS entries as we are able when we review the record. Confirmation of entries is done on final review of the chart. Pharmacy is completed after final review of the chart.

Code STEMI

Some heart attack patients go straight to the heart cath lab directly from EMS. See STEMI for collection instructions for such patients.

Cardiac Care patients

See STB Cardiac Care patients for information specific to the cardiac service care patients in the STB MICU/SICU unit.

STB Swing Beds

  • STB Swing Bed entries are "bed" records within a "unit" in EPR/Cognos. They are not beds or locations but conceptual service location and time entries used for patient moves. This data causes a patient record to show up in Cognos/CUS as having arrived on a unit even when the pt has not actually arrived, and it isn't visible in our listings whether the record is for a swing or real bed.
  • Any ICU pt. may be placed into a swing bed, but the majority of swing beds are used for the ICCS pt's. The pt. is placed in a swing bed while in the OR, and then moved into a real bed post op when they arrive in the CICU. Their stay in a swing bed may be any length of time. The true arrive Dt/Tm is taken from the ICU flow sheets.

if a pt. was placed into an ICU swing bed but was never admitted to the ICU, the pt. entries are manually excluded from Cognos when reviewed

cost center

Our cost number for supply ordering is 6766

Outreach efforts

St Boniface critical care collectors attend the STB VAP Committee when requested by the chair/co-chair. There is no longer any need to email the committee regarding a potential or confirmed VAP

Related articles

Related articles:
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