Project ABO TEE: Difference between revisions

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{{Project

~~| Project = {{PAGENAME}}~~

|ProjectActive=active

| ProjectActive = active

|ProjectProgram=CC

| ProjectProgram = CC

|ProjectRequestor=Dr. R. Manji, Dr. A. Menkis

| 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.

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].

==Collection Instructions==

* Project '''A_T blood type'''

* Blood type would be collected for '''all patients in CICU''' ~~(no matter what type of procedure they had)~~ .... if there is a blood type in chart (which there would be), need to collect it.

* 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

**A

**B

Line 16:

**O

**z not available (starts with z to sort to end)

** 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.

* Project '''A_T LV fraction''' (LV ejection fraction from intra-op TEE (Transesophageal echocardiogram), ~~'''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 ):

**<20%

**20-29%

Line 24:

Line 25:

**z not available (starts with z to sort to end)

*Project '''A_T function''' (Right ventricular ~~function from intra-op TEE~~ '''before''' ~~cardiopulmonary~~ bypass:)

*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:

Line 32:

Line 33:

***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

== ~~Source used to obtain ventricular function~~ ==

=== Using Xcelera ===

*~~Lois has~~ password ~~to some Database~~ at STB ~~that only she has access to~~ & ~~a physician. Collectors covering do not.~~

*password can be found in the front of STB_CICU data collection binder or ask the other collectors in the office.

~~{{Discussion}}~~

*locate small black box on desk on right side of computer at STB in CICU.

*~~Lois, we need~~ to ~~look~~ at ~~this~~. ~~This does not allow for other doing coverage in cicu~~ to ~~get this info~~.~~[[User:TOstryzniuk|Trish Ostryzniuk]] 22:38, 2017 July 7 (CDT)~~

*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==

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Line 62:

Information will be provided by our [[statistician]] to physicians for further analysis.

*Dr. R. Manji

*Dr. A. Menkis

~~=={{CCMDB Data Integrity Checks}}==~~

* Each of the three projects must have one entry on the ITEM for patients with [[RecordStatus]] complete.

** Implemented as query ''s_tmp_ABO_TEE_checks''

* All the three projects must not have blanks on completion of record.

** automatic functionality, all tmp entries must have matching project/item entries

==SAS Program==

The SAS program to read the data can be found in X:\Julie\SAS_CFE\CFE_macros\CFE_ATBloodType.sas

The SAS program to read the data can be found in {{S:\MED\MED_CCMED}}Julie\SAS_CFE\CFE_macros\CFE_ATBloodType.sas

~~[[Category:All Projects ICU only]]~~

[[Category:Site Specific Collection Guide]]

@@ Line 1: / Line 1: @@
- {{Project
+{{Project
- | Project = {{PAGENAME}}
+|ProjectActive=active
- | ProjectActive = active
+|ProjectProgram=CC
- | ProjectProgram = CC
+|ProjectRequestor=Dr. R. Manji, Dr. A. Menkis
- | 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.
+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].
 ==Collection Instructions==
 * Project '''A_T blood type'''
-* Blood type would be collected for '''all patients in CICU''' (no matter what type of procedure they had) .... if there is a blood type in chart (which there would be), need to collect it.
+* 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
 **A
 **B
@@ Line 16: / Line 16: @@
 **O
 **z not available (starts with z to sort to end)
+** 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.
-* Project '''A_T LV fraction''' (LV ejection fraction from intra-op TEE (Transesophageal echocardiogram), '''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 ):
 **<20%
 **20-29%
@@ Line 24: / Line 25: @@
 **z not available (starts with z to sort to end)
-*Project '''A_T function''' (Right ventricular function from intra-op TEE '''before''' cardiopulmonary bypass:)
+*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:
@@ Line 32: / Line 33: @@
 ***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
-== Source used to obtain ventricular function  ==
+=== Using Xcelera ===
-*Lois has password to some Database at STB that only she has access to & a physician. Collectors covering do not.
+*password can be found in the front of STB_CICU data collection binder or ask the other collectors in the office.
-{{Discussion}}
+*locate small black box on desk on right side of computer at STB in CICU.
-*Lois, we need to look at this.   This does not allow for other doing coverage in cicu to get this info.[[User:TOstryzniuk|Trish Ostryzniuk]] 22:38, 2017 July 7 (CDT)
+*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==
@@ Line 46: / Line 62: @@
 Information will be provided by our [[statistician]] to physicians for further analysis.
 *Dr. R. Manji
-*Dr. A. Menkis
-=={{CCMDB Data Integrity Checks}}==
-* Each of the three projects must have one entry on the ITEM for patients with [[RecordStatus]] complete.
-** Implemented as query ''s_tmp_ABO_TEE_checks''
-* All the three projects must not have blanks on completion of record.
+{{Data Integrity Check List|}}
-** automatic functionality, all tmp entries must have matching project/item entries
 ==SAS Program==
-The SAS program to read the data can be found in X:\Julie\SAS_CFE\CFE_macros\CFE_ATBloodType.sas
+The SAS program to read the data can be found in {{S:\MED\MED_CCMED}}Julie\SAS_CFE\CFE_macros\CFE_ATBloodType.sas
-[[Category:All Projects ICU only]]
 [[Category:Site Specific Collection Guide]]