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| '''''See also: | | '''''See also: |
| *''''' [[HSC General Collection Guide]] for information that applies to both HSC Medicine and HSC ICU Data collection. | | *''''' [[HSC General Collection Guide]] for information that applies to both HSC Medicine and HSC ICU Data collection. |
| *''''' [[Medicine Curriculum]] for information that applies to Medicine Data Collection at all sites
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| *''''' [[ICU Curriculum]] for information that applies to ICU Data Collection at all sites | | *''''' [[ICU Curriculum]] for information that applies to ICU Data Collection at all sites |
| *''''' [[:Category: Health Sciences Center Office]] for unit specific information, eg MICU | | |
| | == HSC Critical Care Wards == |
| | *''''' [[HSC MICU Collection Guide]] |
| | *''''' [[HSC SICU Collection Guide]] |
| | *''''' [[HSC IICU Collection Guide]] |
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| == Workload balancing == | | == Workload balancing == |
| See [[HSC ICU locations and serial number sharing]]. | | See |
| | | * [[PatientFollow Project]]. |
| We will use the [[Transfer_Tracker.mdb]] and [[EPR]] as much as possible to coordinate times.
| | * [["Show PatientFollow allocation" button]] - see that button for actual allocations |
| | | * [[HSC_IICU_Collection_Guide#Workload_Sharing_for_HSC_IICU]] is done differently, see there. |
| ==Label forms==
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| TISS and green sheets should be labelled a, b or d according to [[HSC ICU locations and serial number sharing]]. Collectors need to be aware of which patient belongs to which collector to avoid missing patients. Go ahead and label other collectors patients on the day you are working. This avoids confusion about which patient belongs to which collector.
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| == Early entry of [[Arrive_DtTm]] and [[Accept_DtTm]] to coordinate with sending unit ==
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| See also [[Identifying ICU admissions]]
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| Collectors will make an effort to assess the accuracy of admission times ASAP so that those collectors that need to coordinate times from the sending unit can see the time on the [[Transfer Tracker.mdb]]. We will back up during the lunch break to try to make those times available.
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| To determine transfer times the first set of vital signs is the guide.
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| {{discussion}} Is this really about [[Arrive_DtTm]]? Is this different from other places? If not it should be discussed in the main article about the topic. As much as possible this should be done the same way everywhere. Ttenbergen 10:14, 2017 March 15 (CDT)
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| Medicine collectors at HSC can find the transfer time by looking at the first set of vital signs in MICU.
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| {{discussion}} Again, this is about [[Arrive_DtTm]], correct? If so it should be discussed there. Medicine collectors have no reason to be looking at this article, so putting it here is not helpful to them.
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| Unless there is a clearly documented time elsewhere in the chart the ward transfer time {{discussion}} ''again, do you mean [[Arrive_DtTm]]?'' is usually 10 minutes prior to first set of vitals. It is a rare occurrence that those vital signs are not done. Collectors do need to be careful as there can be many pages of flowsheets for one day. The old addendum sheets are not supposed to be used but I will also occasionally see an addendum sheet. The [[EPR]] can also be a guide but at HSC it isn't always accurate and in some cases the the time in the EPR is after the patient was clearly in the unit according to the vital signs record.
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| {{discussion}}
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| * [[Transfer Tracker.mdb]] is broken, so this must be done differently now. How? Ttenbergen 12:44, 2016 November 9 (CST) Ttenbergen 10:14, 2017 March 15 (CDT) | |
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| == Pharmacy ==
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| If patients are transferred to the wards the medication records may be in the nurses Mar binder or in a thinned chart. The ward clerks will help locate these thinned charts.
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| ==Labs==
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| [[Albumin 25pct | 25% Albumin]] is often given and is often not on the intake and output sheet but will be found on the medication record. Cross reference the blood administration record.
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| ==Thinned Charts==
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| This is a big problem at HSC. Patients are transferred to different areas often and the chart doesn't follow the patient in many cases. Notify the ward clerk of the unit the patient is located that part of the chart is missing. If it is still missing after the clerk has attempted to locate it then ask for the clerk to call medical records for any recent volumes. In some cases the chart has gone down to med records in error instead of following the patient.
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| Patients transferred to RR5 get the whole chart sent to medical records to sorted and bound and then returned to that ward. If your patient gets transferred to RR5 you may have to wait until the bound volume returns.
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| ==TISS forms==
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| see [[Sending TISS forms]] | |
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| ===Missing TISS forms===
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| This appears to happen mainly in SICU. Collectors will try to make staff more aware of not sending the form to the wards. Trish has agreed to talk to the managers at one of the meetings.
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| ==[[Green sheet]]s==
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| Green sheets are filled out fairly well at HSC. Collectors should always read them and enter data as necessary then place them in the confidential waste once the file is complete.The file should not be marked complete unless the collector has read to green sheet and entered any additional data.Green sheets should be labeled and the ones for discharged patients should be collected each day that the collector works.
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| ==Off-ward medicine locations==
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| Make sure that patients admitted from off-ward locations for wards we collect are coded as admit-from the ward where we actually collect.
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| See [[OVER#HSC_over_wards]] for more information regarding which locations this applies to.
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| ==STB ACCU transfers==
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| [[STB ACCU]] is used as a bed borrow sometimes post angio and then patients are sent to [[HSC CCU]]. The only way to tell if it was a bed borrow or not is to look for a nursing transfer record or check [[Transfer Tracker.mdb]].
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| {{discussion}}
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| * [[Transfer Tracker.mdb]] is broken, so how is this done now? Ttenbergen 12:45, 2016 November 9 (CST)
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| ==SICU patients in PACU==
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| For SICU patients coming from PACU we use the time they are accepted by SICU as the admit time. For SICU patients transferred to PACU who are waiting to be transferred elsewhere we use the time they leave PACU as the discharge time. In both cases we use the overflow variable for SICU Pt in PACU.
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| | == Related articles == |
| | {{Related Articles}} |
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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]] |