Project ABO TEE: Difference between revisions

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{{Discussion}}
{{Project
Hi Tina
|ProjectActive=active
Would like to add the following items to TMP for CICU. Approved by steering.  
|ProjectProgram=CC
Not sure if you want to put in in tmp and then move it into new database repository. Like TMSX, Tmp is not very "flexible".-[[User:TOstryzniuk|Trish Ostryzniuk]] 17:27, 2013 January 18 (EST)
|ProjectRequestor=Dr. R. Manji, Dr. A. Menkis
|ProjectCollectionStartDate=2013-01-28
|Project={{PAGENAME}}
}}
We are collecting blood type and cardiac function on [[STB CICU]] patients for analysis of outcomes, research, quality assurance. The project name stands for ABO blood types, and TEE for [https://en.wikipedia.org/wiki/Transesophageal_echocardiogram Trans Esophageal Echocardiogram].


#ABO blood type:
==Collection Instructions== 
#*A
* Project '''A_T blood type'''
#*B
* Blood type would be collected for '''all patients in CICU except those admitted under a different service'''  .... if there is a blood type in chart (which there would be), need to collect it.There may not be a blood group for patients who are Jehovah's Witnesses; no group & hold will be sent as no blood products will be administered
#*AB
**A
#*O
**B
#LV ejection fraction from intra-op TEE, BEFORE Cardiopulmonary bypass:
**AB
#*<20%
**O
#*20-29%
**z not available (starts with z to sort to end)
#*30-49%
** this information is found under the red Blood Products tab on the Red Cross G&M results the hard chart or right after the gold pages of the ABG records on the Health Records chart.
#*50% or greater
 
#Right ventricular function from intra-op TEE BEFORE cardiopulmonary bypass:
* Project '''A_T LV fraction''' (LV ejection fraction) '''before''' Cardiopulmonary bypass (should be from intra-op TEE (Transesophageal echocardiogram) if available, or other pre-op echo if not ):
#*Normal
**<20%
#*Mildy depressed
**20-29%
#*Moderately depressed
**30-49%
#*Severely depressed
**50% or greater
#**NOTE: if the documentation says mild-moderate or moderate to severe, then coding would be towards the worse value-eg. Mild-moderate would be recorded as moderate and moderate-severe would be recorded as severe.
**z not available (starts with z to sort to end)
 
*Project '''A_T function''' (Right ventricular) '''before''' Cardiopulmonary bypass (should be from intra-op TEE (Transesophageal echocardiogram) if available, or other pre-op echo if not ):
**If the documentation says mild-moderate or moderate to severe, then coding would be towards the worse value-eg. Mild-moderate would be recorded as moderate and moderate-severe would be recorded as severe.
**Values are:
***Normal
***Mildy depressed
***Moderately depressed
***Severely depressed
***z not available (starts with z to sort to end)
** '''Use checkbox for “pre-op echo” – check the box if a result of a pre-op echo was used; leave unchecked if intra-op TEE was used'''
 
 
=== Finding results ===
TEE results can be found in several places:
*1)on the physician progress/medicine notes post op under TEE which is described in the operative information
*2)at the back of the hard chart under the OR tab, there is sometimes a printout of the colour chart and printed details of the interpretation
*3)on the XCelera computer at the ICCS nursing station  [http://incenter.medical.philips.com/doclib/enc/fetch/2000/4504/577242/577250/587413/587431/HI_730609-16_50971_FD_Xcelera_R3.pdf%3fnodeid%3d6392123%26vernum%3d-2  Xcelera]
*4) now on EPR under DI tab, echocardiograpy US Cardiac Intraoperative TEE
 
=== Using Xcelera ===
*password can be found in the front of STB_CICU data collection binder or ask the other collectors in the office.
*locate small black box on desk on right side of computer at STB in CICU.
*2 settings=2 gray buttons; the left one is for Xrays & the right one is for Xcelera
*Make sure the light by the Xcelera mode is on by pushing the right hand gray button
*Log on to the computer using the user name Asper and the password found in the ICCS data collector binder
*doubleclick on the Xcelera icon at the bottom left
**The TEE reports will come up.
*Scroll to the one you want and doubleclick to bring it up.
 
==Collection parameters==
* Collected only at [[STB CICU]]
* Start Date: 2013-01-28
* End Date: planned as continuous collection without an end date
 
==Data Use==
Information will be provided by our [[statistician]] to physicians for further analysis.
*Dr. R. Manji
 
 
{{Data Integrity Check List|}}
 
==SAS Program==
The SAS program to read the data can be found in {{S:\MED\MED_CCMED}}Julie\SAS_CFE\CFE_macros\CFE_ATBloodType.sas
 
 
[[Category:Site Specific Collection Guide]]