STB CICU Collection Guide: Difference between revisions

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See the following for more general information:

* [[STB Collection Guide]]

* [[STB General Collection Guide]]

* [[STB Critical Care Collection Guide]]

==Unit admission log book and white board==

*The ~~unit admission~~ log book is ~~kept at the main desk in front of where the ward clerk sits along with a binder~~ to ~~keep the completed TISS~~

The log book is no longer used to track admissions, see [[Using Cognos2 to keep track of patients]].

*enter the pt serial number in the [[~~Data collection log form~~]]

* Check the white board every day for those patients who will likely be transferred out to the ward that day. If they are on the transfer list you may want to pull the tiss sheet before they get transferred.

=== Entering of patients before they are accepted ===

''see also [[STB_CICU Admissions start at Arrive_DtTm]]

ICCS pts can be entered before they are actually in the unit as most are elective surgeries, & you can tell via EPR when they have gone to the OR, and then assume they will be coming post-op. Very occasionally, if the pt. expires in the OR or is sent to another unit post-op, and is therefore not admitted to ICCS, and if you have done a news & backup +/or sent files with this profile, you will have to delete the profile on the laptop and notify the [[Data Processor]] that this has occurred.

**pts entered into ICCS swing beds are not entered ~~into the database as this is only a temporary location, and is not an accurate reflection of whether or not the pt is coming to ICCS~~. ~~The use of swing beds is only an entry into the computer so as to allow the unit to access the patient's EPR information~~

=== [[SBGH Swing Beds]]s are not entered ===

See [[SBGH Swing Beds]] for details.

==CR4 (Cardiac Surgery Inpatient Unit)==

Most patients that leave CICU go to this ward. When you are going there to retrieve chart data you will find that the last CICU flow sheet is usually found on the door of the patient's room. The charts are found at the desk. ~~Pink TISS sheets that have not been removed from the chart upon discharge from ICCS will remain on the chart on CR4.~~

Most patients that leave CICU go to this ward. When you are going there to retrieve chart data you will find that the last CICU flow sheet is usually found on the door of the patient's room. The charts are found at the desk.

== CICU contacts ==

~~If you have questions ask the ward clerk or charge nurse~~.

*Unit Manager is Sara Unrau R.N.

~~== VAP contacts ==~~

email: SUNRAU@sbgh.mb.ca

Belinda ~~Landy, Nurse Educator, Geri Henry, CRN, Teresa Rostek, CRN & Rob Ariano, Pharmacist~~

Tel: 204-258-1298 /204-237-2898

*Nursing Educator is Belinda Landry R.N.

email: blandry@sbgh.mb.ca

Tel: 204-237-2183/204-237-2360/204-258-1310

== Collector "base" ==

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== Location of patient chart components ==

Patient charts and clipboards are in front of the individual cubicles.

*Patient charts and clipboards are in front of the individual cubicles.

**thinned &/or old charts are kept at the main nursing desk in the slots near the XCelera computer corner

*thinned &/or old charts are kept at the main nursing desk in the slots near the XCelera computer corner

~~== Checklist for bedside data collection in CICU==~~

*There is a specific list of items to obtain from the paper chart in CICU, the rest is obtained from EPR. The bedside checklist is:

**Time and date of admission from flow sheet (the EPR time is not always correct)

**Apache vital signs, GCS, ARF urine and elective vs emergent surgery.

**Infusion drugs from flowsheets

**CCI items that may be immediately evident like IABP, ECMO, Impella/VAD, swan ganz, scopes, return to OR for bleeding, etc.

**Acquired complications that are immediately evident and get the date. ie. bleeding, shock, cva, arrhythmias, etc.

**Review all blood product sheets and mark which products were given in the OR (these are not counted in our CCI). The rest of the blood products are counted and once put into CCI, please put a pencil mark to indicate which have been counted.

**Check for Pre-CPB echo results on chart and mark these results in the tmp file. If not found on the chart, then check Excelera computer program for this information for user name and password go to: [[p:Stephanie Cortilet]].

**Get blood type from blood product information on chart. For these last 2 entries refer to [[Project ABO TEE]]

**Review and correct [[TISS]] sheets against the paper flow sheets and mark in the notes section time and date last checked.

==Project ABO TEE==

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== Special Situations ==

* [[Transcatheter aortic valve implantation (TAVI)]]

* [[Transcatheter aortic valve implantation (TAVI) | Transcatheter aortic valve implantation (TAVI?TAVR)]]

* [[Bentall Procedure]]

* [[Thoracic endovascular aneurysm repair (TEVAR)]]

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[[Category: St Boniface Hospital Office (Critical Care)]]

[[Category:St Boniface Hospital Office (Critical Care)]]

[[Category: Site Specific Collection Guide]]

[[Category:Site Specific Collection Guide]]

@@ Line 4: / Line 4: @@
 See the following for more general information:
-* [[STB Collection Guide]]
+* [[STB General Collection Guide]]
 * [[STB Critical Care Collection Guide]]
 ==Unit admission log book and white board==
-*The unit admission log book is kept at the main desk in front of where the ward clerk sits along with a binder to keep the completed TISS
+The log book is no longer used to track admissions, see [[Using Cognos2 to keep track of patients]].
-*enter the pt serial number in the [[Data collection log form]]
-* Check the white board every day for those patients who will likely be transferred out to the ward that day.  If they are on the transfer list you may want to pull the tiss sheet before they get transferred.
 === Entering of patients before they are accepted ===
+''see also [[STB_CICU Admissions start at Arrive_DtTm]]
 ICCS pts can be entered before they are actually in the unit as most are elective surgeries, & you can tell via EPR when they have gone to the OR, and then assume they will be coming post-op.  Very occasionally, if the pt. expires in the OR or is sent to another unit post-op, and is therefore not admitted to ICCS, and if you have done a news & backup +/or sent files with this profile, you will have to delete the profile on the laptop and notify the [[Data Processor]] that this has occurred.
-**pts entered into ICCS swing beds are not entered into the database as this is only a temporary location, and is not an accurate reflection of whether or not the pt is coming to ICCS. The use of swing beds is only an entry into the computer so as to allow the unit to access the patient's EPR information
+=== [[SBGH Swing Beds]]s are not entered ===
+See [[SBGH Swing Beds]] for details.
 ==CR4 (Cardiac Surgery Inpatient Unit)==
-Most patients that leave CICU go to this ward.  When you are going there to retrieve chart data you will find that the last CICU flow sheet is usually found on the door of the patient's room.  The charts are found at the desk.  Pink TISS sheets that have not been removed from the chart upon discharge from ICCS will remain on the chart on CR4.
+Most patients that leave CICU go to this ward.  When you are going there to retrieve chart data you will find that the last CICU flow sheet is usually found on the door of the patient's room.  The charts are found at the desk.
 == CICU contacts ==
-If you have questions ask the ward clerk or charge nurse.
+*Unit Manager is Sara Unrau R.N.
-== VAP contacts ==
+email:  SUNRAU@sbgh.mb.ca
-Belinda Landy, Nurse Educator, Geri Henry, CRN, Teresa Rostek, CRN & Rob Ariano, Pharmacist
+Tel: 204-258-1298 /204-237-2898
+*Nursing Educator is Belinda Landry R.N.
+email:  blandry@sbgh.mb.ca
+Tel:  204-237-2183/204-237-2360/204-258-1310
 == Collector "base" ==
@@ Line 29: / Line 33: @@
 == Location of patient chart components ==
-Patient charts and clipboards are in front of the individual cubicles.
+*Patient charts and clipboards are in front of the individual cubicles.
-**thinned &/or old charts are kept at the main nursing desk in the slots near the XCelera computer corner
+*thinned &/or old charts are kept at the main nursing desk in the slots near the XCelera computer corner
-== Checklist for bedside data collection in CICU==
-*There is a specific list of items to obtain from the paper chart in CICU, the rest is obtained from EPR.  The bedside checklist is:
-**Time and date of admission from flow sheet (the EPR time is not always correct)
-**Apache vital signs, GCS, ARF urine and elective vs emergent surgery.
-**Infusion drugs from flowsheets
-**CCI items that may be immediately evident like IABP, ECMO, Impella/VAD, swan ganz, scopes, return to OR for bleeding, etc.
-**Acquired complications that are immediately evident and get the date. ie. bleeding, shock, cva, arrhythmias, etc.
-**Review all blood product sheets and mark which products were given in the OR (these are not counted in our CCI).  The rest of the blood products are counted and once put into CCI, please put a pencil mark to indicate which have been counted.
-**Check for Pre-CPB echo results on chart and mark these results in the tmp file.  If not found on the chart, then check Excelera computer program for this information for user name and password go to: [[p:Stephanie Cortilet]].
-**Get blood type from blood product information on chart.  For these last 2 entries refer to [[Project ABO TEE]]
-**Review and correct [[TISS]] sheets against the paper flow sheets and mark in the notes section time and date last checked.
 ==Project ABO TEE==
@@ Line 48: / Line 40: @@
 == Special Situations ==
-* [[Transcatheter aortic valve implantation (TAVI)]]
+* [[Transcatheter aortic valve implantation (TAVI) | Transcatheter aortic valve implantation (TAVI?TAVR)]]
 * [[Bentall Procedure]]
 * [[Thoracic endovascular aneurysm repair (TEVAR)]]
@@ Line 59: / Line 51: @@
 {{Related Articles}}
-[[Category: St Boniface Hospital Office (Critical Care)]]
+[[Category:St Boniface Hospital Office (Critical Care)]]
-[[Category: Site Specific Collection Guide]]
+[[Category:Site Specific Collection Guide]]