STB CICU Collection Guide: Difference between revisions

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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 in~~ [[~~Swap Locations|~~Swing ~~bed~~]]s are not entered ===

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

~~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~~ [[~~Swap Locations|swing bed~~]]~~s is only an entry into the computer so as to allow the unit to access the patient's EPR information~~.

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

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

~~The only persons required to be notified of a VAP on any ICU are the Chair & Co~~-~~chair of the VAP Committee who will then send any further notifications~~

*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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*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

~~== 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]]

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 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 in [[Swap Locations|Swing bed]]s are not entered ===
+=== [[SBGH Swing Beds]]s are not entered ===
-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 [[Swap Locations|swing bed]]s is only an entry into the computer so as to allow the unit to access the patient's EPR information.
+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
+Tel: 204-258-1298 /204-237-2898
-The only persons required to be notified of a VAP on any ICU are the Chair & Co-chair of the VAP Committee who will then send any further notifications
+*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 33: / Line 35: @@
 *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
-== 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 50: / 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 61: / 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]]