HSC IICU Collection Guide: Difference between revisions

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See [[HSC IICU]]
See [[HSC IICU]]


== Workload Sharing for [[HSC_IICU]] ==
* Due to the long-stay nature of IICU patients, the patients are divided amongst all HSC laptops and does not follow the [[PatientFollow Project]]
* Each new IICU patient will be on the [[CSS]] of each HSC laptop.  An IICU census list is posted in the office with the collector name and laptop assigned to each patient.  When a patient is discharged from a laptop, the next admission will belong to that laptop/collector. 


== Unit admission log book and other paperwork ==
=== Process ===
The admission log book is located on the shelf behind the main desk.
* Beginning the end of May 2022 we have started to use the [[Using Cognos2 to keep track of patients]]
 
* Each of the laptops at HSC will have all IICU admissions appear on their [[Cognos2 Service Starter]]  Enter patients that belong to your laptop using  [[Cognos2 Service Starter]]. Profiles that do not belong to that laptop can be excluded from the [[Cognos2 Service Starter]]
Completed TISS and green sheets are kept in a white test binder on the shelf behind the main desk.
* The [[Cognos2 Ender]] will identify discharged patient(s), the collector following the discharged patient(s) will admit a new one, H7 and H9 will alternate taking the 4th patient.
 
TISS sheets of patients still in the unit are kept on the clipboards at the bedside.
*Make sure they are numbered and dated correctly, as this often gets mixed up on these long-stay patients.
 
Thinned charts and CCFS are kept in large black binders on the shelf behind the main desk.
 
== Workload Sharing for HSC_IICU ==
*Since the IICU census has increased to 8 beds, we are dividing the workload as follows:
**laptops ICUA and ICUD take 3 patients.
**laptop ICUB takes 2 patients.
***Once a patient is discharged from IICU, the collector following that patient will admit a new one.
***This is different than described in [[HSC ICU workload splitting]] due to the long-stay nature of IICU patients.


== Work Space ==
== Work Space ==
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*Collectors may take the large black binders (containing thinned charts and CCFS) to their office for review and to check TISS sheets, but make sure to let the CRN or the bedside nurse know. This was confirmed by the manager and CRN in IICU.
*Collectors may take the large black binders (containing thinned charts and CCFS) to their office for review and to check TISS sheets, but make sure to let the CRN or the bedside nurse know. This was confirmed by the manager and CRN in IICU.


== Coding in IICU ==
*For a typical '''IICU''' patient, use the following codes if applicable:
**[[Respiratory failure (insufficiency), chronic]] in admit codes. (If the patient came from another unit (ex.MICU) this code would be an acquired diagnosis in that profile).
**Code the underlying cause for the respiratory failure (ex. GBS, C-spine injury, etc).
**[[Muscle, wasting/atrophy NOS]]
**[[Tracheostomy, has one]]


== Additional Info ==
== Additional Info ==
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[[Category: Health Sciences Center Office]]
[[Category:Health Sciences Center Office]]
[[Category: Site Specific Collection Guide]]
[[Category:Site Specific Collection Guide]]
[[Category: Data Collection Guide]]
[[Category:Data Collection Guide]]
[[Category:Workload Splitting Instructions]]
[[Category:Workload Splitting Instructions]]

Latest revision as of 11:34, 30 July 2025

This article contains collection information specific to the IICU at HSC.

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 HSC in the program or unit level articles.

See the following for more general information:

Ward contacts

See HSC IICU

Workload Sharing for HSC_IICU

  • Due to the long-stay nature of IICU patients, the patients are divided amongst all HSC laptops and does not follow the PatientFollow Project
  • Each new IICU patient will be on the CSS of each HSC laptop. An IICU census list is posted in the office with the collector name and laptop assigned to each patient. When a patient is discharged from a laptop, the next admission will belong to that laptop/collector.

Process

Work Space

Work space in IICU is limited.

Collectors may use the small computer desk or one of the side desks used by nurses, if available.

  • Rounds takes place in the morning, so the best time to work in IICU is in the afternoons.
  • Collectors may take the large black binders (containing thinned charts and CCFS) to their office for review and to check TISS sheets, but make sure to let the CRN or the bedside nurse know. This was confirmed by the manager and CRN in IICU.

Coding in IICU

Additional Info

All IICU patients are entered as "medical" under Admit Type for APACHE II, even if they are admitted from SICU.


Other HSC site specific info

see Category: Health Sciences Center Office


Related articles

Related articles: