STB Medicine Collection Guide: Difference between revisions

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This article contains information specific to STB Medicine, see the [[Medicine Curriculum]] for general information, and [[STB Collection Guide]] for St Boniface specific information.  
This article contains information specific to STB Medicine.
*See '''[[STB General Collection Guide]]''' for general STB information such as: links to EPR, Mail room, medical records. Information also in regards to obtaining hand sanitizer, wipes, printer paper for collection offices.
*See '''[[Medicine Curriculum]]''' for general information,  
* Jan 17, 2025 the total number of medicine beds is 121, this will increase by 5 in the coming months.
''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 StB in the program or unit level articles. ''
 
* The Respiratory service admits patients to B5 under the SBGH Internal Med / Respiratory service. The number of beds that are occupied by these patients can fluctuate from day to day and as such so will the census for medicine patients that are admitted to B5. We do NOT collect data on the patients admitted under the respiratory service.
*When a patient is discharged to B5 under the respiratory service the [[Dispo field]] should be STB_Ward, similarly if you admit a patient from B5 that was under the respiratory service the [[Admit from]] should be STB_ward
*We do collect nephrology patients that are admitted to B5.
 


''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 StB in the program or unit level articles. ''


See also:  
See also:  
* [[STB 5B Collection Guide]]
* [[STB B5]]
* [[STB E6 Collection Guide]]
* [[STB_E6_B]]
* [[STB E5]]
* [[STB EMIP]]
* [[STB A6ME]]
== STB Swing Beds ==
*STB Swing Bed entries are "bed" records within a "unit" in EPR/Cognos. They are not beds or locations but conceptual service location and time entries used for patient moves. This data causes a patient record to show up in Cognos/CUS as having arrived on a unit even when the pt has not actually arrived, and it isn't visible in our listings whether the record is for a swing or real bed.
*Since any CUS entry at STB may be either a swing bed or a real bed, service locations and times need review.
For Medicine, the swing bed entries will often be obvious as the unit stays will be a matter of minutes
If a CUS entry is for a swing bed, manually exclude using the "exclude" button
 
== Location of information ==
== Location of information ==
Until [[STB Electronic Patient Record]] access/orientation completed, use the Wards' daily admit/transfer/discharge binder for the Ward date/time of event. If no time marked in, refer to the nurses notes in the charts Integrated Progress Notes.
* {{discussion}} is this still valid? Ttenbergen 18:13, 2013 August 8 (CDT)Ttenbergen 16:07, 2013 December 16 (CST)


== vacation coverage ==
* [[Cognos2]] is used for collection of Admit/Transfer/Discharge (A/D/T) dates/times
For those collectors who are doing vacation relief for the regular collectors who are away, catch up from time off can be expedited for the returning collector if the following things are prioritized.
**See [[Using Cognos2 to keep track of patients]] for further information
#do opp and color generation. (ADL's are a component of the opp and can be found on the [[STB Electronic Patient Record]]. They are in "initial assessment" form under the documents tab.) Everything needed for minimal data will be included if the opp is done.
 
#medicine apache score. This can only be found in the regular paper chart, as the ER nurses notes and the MICU flow sheet are still paper.
* The [[STB Electronic Patient Record]] is used to review documentation as needed and to complete collection for patient discharges
 
 
See [[Visit Admit DtTm field]] for further information
 
== Boarding Loc ==
see [[STB_Medicine_workload_splitting#Boarding_Locs]]


The only things that need to be taken from the paper chart are the dpst info and the apache score info. If the opp is kept current and up to date then charts would not have to be pulled from medical records by the person returning from vacation. This would help tremendously in catching up from time off for the returning collector.[[User:DPageNewton|DPageNewton]] 14:40, 2013 February 20 (EST)
== STB Medicine workload splitting ==
[[Category:Vacation]]


== [[Overstay Predictor Project Collection Instructions|Overstay Project]] ==
=== STB Medical Records requests ===
SBGH has now gone to paperless charting or [[STB Electronic Patient Record]]. This means that we can now review almost the entire chart on the computer. The exceptions to this are:
* Not needed for STB Medicine Program collection
#the DPST Form. The information found on this form is one part of the information we need for the overstay predictor project (opp).
#the medicine apache score. These elements are usually found in the ER nurses notes, or the MICU flowsheet (for those patients transferred to medicine from MICU). Both of these forms are still paper.


== Lab results ==  
== APACHE tab ==
Hard copies of the Lab results will be on the chart within 24 hours of admission, if not much sooner.
Use EPR vital signs to collect the Medicine items for Apache
* why or how is this relevant? is it different from elsewhere? How does this relate to the [[STB Electronic Patient Record]]? Ttenbergen 18:33, 2012 October 31 (EDT) {{discussion}}


== Office and staff ==
== Office and staff ==
see [[:Category:St Boniface Hospital Office (Medicine)]]
see [[:Category:St Boniface Hospital Office (Medicine)]]


== Related articles ==
{{Related Articles}}


[[Category:St Boniface Hospital Office (Medicine)]]
[[Category:St Boniface Hospital Office (Medicine)]]
[[Category:Site Specific Collection Guide]]
[[Category:Site Specific Collection Guide]]
[[Category: Data Collection Guide]]
[[Category:Data Collection Guide]]
[[Category:Overflow]]

Latest revision as of 11:59, 30 July 2025

This article contains information specific to STB Medicine.

  • See STB General Collection Guide for general STB information such as: links to EPR, Mail room, medical records. Information also in regards to obtaining hand sanitizer, wipes, printer paper for collection offices.
  • See Medicine Curriculum for general information,
  • Jan 17, 2025 the total number of medicine beds is 121, this will increase by 5 in the coming months.

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 StB in the program or unit level articles.

  • The Respiratory service admits patients to B5 under the SBGH Internal Med / Respiratory service. The number of beds that are occupied by these patients can fluctuate from day to day and as such so will the census for medicine patients that are admitted to B5. We do NOT collect data on the patients admitted under the respiratory service.
  • When a patient is discharged to B5 under the respiratory service the Dispo field should be STB_Ward, similarly if you admit a patient from B5 that was under the respiratory service the Admit from should be STB_ward
  • We do collect nephrology patients that are admitted to B5.


See also:

STB Swing Beds

  • STB Swing Bed entries are "bed" records within a "unit" in EPR/Cognos. They are not beds or locations but conceptual service location and time entries used for patient moves. This data causes a patient record to show up in Cognos/CUS as having arrived on a unit even when the pt has not actually arrived, and it isn't visible in our listings whether the record is for a swing or real bed.
  • Since any CUS entry at STB may be either a swing bed or a real bed, service locations and times need review.

For Medicine, the swing bed entries will often be obvious as the unit stays will be a matter of minutes If a CUS entry is for a swing bed, manually exclude using the "exclude" button

Location of information


See Visit Admit DtTm field for further information

Boarding Loc

see STB_Medicine_workload_splitting#Boarding_Locs

STB Medicine workload splitting

STB Medical Records requests

  • Not needed for STB Medicine Program collection

APACHE tab

Use EPR vital signs to collect the Medicine items for Apache

Office and staff

see Category:St Boniface Hospital Office (Medicine)

Related articles

Related articles:
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