Notes field: Difference between revisions

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===Guidelines===

*Please do not write copious history notes from charts into this note section. This is only for reminders or points needed to do your work, dates where you left off at or any follow up of info, test etc., that need to be done by yourself or for others who help collect on your laptop. Notes have to be clear to others.

=== Patients being sent ===

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* Extreme data that was confirmed as correct:

** extreme physiological APACHE values, eg Sys BP of 50 valid , see [[APACHE_Scoring_table]] and [[APACHE_physiological_variable_collection#Exceptionally_high_or_low_values]]

** ~~tasks~~ for ~~renal transplant patients~~ that do not ~~follow~~ the ~~norm~~

** to verify imaging counts ie. 2 day LOS and 12 CXR's done, you may want to write a short note that the imaging counts are correct or have been double checked

** Some are using this for VAP adjudication criteria, these notes can stay in case there are future questions re. VAP

*Upon review of the Notes field, and prior to sending, please delete any data that would not be used to clarify extreme data or outliers. The main office will use this to clarify extreme data, so deleting excess data in this field will help streamline this process for the main office.

==== Up-to where/when collection is complete ====

* STB - where we have left off reading in the EPR notes by entering the date/time last read

*HSC- where we have left off checking orders, pharm, counting EPR labs, reading notes by entering the date/time last read.

==== Diagnoses or other data that needs to be reviewed or checked ====

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==== Supplemental data ====

~~{{Discuss |* track all lab and pharmacy manually, the notes save time in that it eliminates the need to go back & recount.~~

** would you not just enter a new line for these, and the date of the new line would tell you how far you got? Ttenbergen 14:24, 2014 September 19 (CDT)}}

* to clearly define some admit diagnoses-the ones that come up as other problems, other problems when you enter them.

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[[Category: Data Collection Guide]]

[[Category:Data Collection Guide]]

[[Category: CCMDB.accdb]]

[[Category:CCMDB.accdb]]

@@ Line 17: / Line 17: @@
 ===Guidelines===
 *Please do not write copious history notes from charts into this note section. This is only for reminders or points needed to do your work, dates where you left off at or any follow up of info, test etc., that need to be done by yourself or for others who help collect on your laptop. Notes have to be clear to others.
 === Patients being sent ===
@@ Line 23: / Line 23: @@
 * Extreme data that was confirmed as correct:
 ** extreme physiological APACHE values, eg Sys BP of 50 valid , see [[APACHE_Scoring_table]] and [[APACHE_physiological_variable_collection#Exceptionally_high_or_low_values]]
-** tasks for renal transplant patients that do not follow the norm
+** to verify imaging counts ie. 2 day LOS and 12 CXR's done, you may want to write a short note that the imaging counts are correct or have been double checked
+** Some are using this for VAP adjudication criteria, these notes can stay in case there are future questions re. VAP
+*Upon review of the Notes field, and prior to sending, please delete any data that would not be used to clarify extreme data or outliers.  The main office will use this to clarify extreme data, so deleting excess data in this field will help streamline this process for the main office.
 ==== Up-to where/when collection is complete ====
 * STB - where we have left off reading in the EPR notes by entering the date/time last read
+*HSC- where we have left off checking orders, pharm, counting EPR labs, reading notes by entering the date/time last read.
 ==== Diagnoses or other data that needs to be reviewed or checked ====
@@ Line 32: / Line 34: @@
 ==== Supplemental data ====
-{{Discuss |* track all lab and pharmacy manually, the notes save time in that it eliminates the need to go back & recount.
-** would you not just enter a new line for these, and the date of the new line would tell you how far you got? Ttenbergen 14:24, 2014 September 19 (CDT)}}
 * to clearly define some admit diagnoses-the ones that come up as other problems, other problems when you enter them.
@@ Line 67: / Line 67: @@
 {{Related Articles}}
-[[Category: Data Collection Guide]]
+[[Category:Data Collection Guide]]
-[[Category: CCMDB.accdb]]
+[[Category:CCMDB.accdb]]