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]]
* [[GRA ER use as borrow location]]


'''PROCESS'''
== Charts  ==
-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.; therefore,  when a new page is started all patients in the ICU at that time are carried forward.
*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


Please refer to the Grace Medicine Collection Guidelines for contacts and telephone numbers.
== 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:
* 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]]
== GRA_MICU Contacts ==
[[GRA MICU]]
== Related articles ==
{{Related Articles}}




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