HSC MICU Collection Guide: Difference between revisions

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This article contains collection information specific to the ~~IICU at HSC~~.

This article contains collection information specific to the [[HSC_MICU]].

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

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* [[HSC General Collection Guide]]

* [[HSC Critical Care Collection Guide]]

==MICU service Attendings==

*There is an "A", "B" and "C or outreach physician"

*The outreach physician is responsible for rounding on JJ3 patients and new consults are seen by A, B, C or housestaff depending on how busy the unit is.

*As per Bojan for those that are ECIP:

*If the patient was to be admitted to initial site ICU but there was a lack of bed capacity then I would consider that an admission that then was transferred

*however if there was no intention to admit to site unit because patient needed services at another site ICU then I would not consider them an admit

== Ward contacts ==

see [[HSC_MICU#Contacts]]

see [[HSC MICU]]

== Work Space ==

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*front: beds 1-10

*back: beds 11-20

~~== Log Book ==~~

*There is a black log book for all MICU patients (kept at the front desk). Do not change the numbers as the unit keeps their own data on patients and the numbers collectors use are different.

*The admissions in this log book are numbered by collectors with the 1-11 sequence to divide the workload. See [[HSC ICU locations and serial number sharing]].

*If any admissions are missed, collectors can find them by checking the TISS forms and EPR, and add them in the log book.

~~== TISS Sheets ==~~

~~See [[TISS General Info]]~~

~~The TISS sheets of patients still in the unit are on a clipboard at each desk.~~

*Label these with MICA-MICB-MICD, to help keep track and avoid any missing forms.

The completed TISS sheets and [[Green sheet]]s are kept in a white binder at each desk. White test information sheets are kept for 5 days and then the collectors can discard them into confidential waste.

~~== Green Sheets ==~~

~~The [[Green sheets]] for patients currently in the unit are kept on the rounds table. The clerks stamp them for all new patients, but occasionally one gets missed.~~

~~After your pt file is complete the [[Green sheets]] can be discarded into confidential waste. We no longer hand these in to the main office.~~

The ward clerks will order the TISS and [[Green sheet]]s if you ask them. Monitor to see if they are getting low. Contact [[p:Pagasa Torres]] in advance before stock is low and she sends order to print shop. (there is a 1 week turn around time). We do keep stock in main office so that if units need, turn around time can be quicker.

~~{{Discuss|~~

* I have spoken to the clerks in MICU and they '''''do''''' order their own TISS forms and [[Green sheet]]s. Is it not possible to have SICU and IICU order their own as well? --[[User:Jvelasco|Jvelasco]] 11:57, 2020 February 28 (CST)

**will check this out with Pagasa and printshop. If we made changes to the form then unit would not get most current. [[User:TOstryzniuk|Trish Ostryzniuk]] 14:44, 2020 February 28 (CST)

** Which Cost Center they are charging to?

*** I do not know. --[[User:Jvelasco|Jvelasco]] 15:14, 2020 April 7 (CDT)}}

{{Discuss|Another question: Since we are not to go to the units during the COVID outbreak, how do we supply the ICU's with TISSs and [[Green sheet]]s? For sure SICU and IICU will need to be restocked. MICU seems to restock their own according to the ward clerks, but that does not seem to be verified so far...--[[User:Jvelasco|Jvelasco]] 15:14, 2020 April 7 (CDT)

*when was the last time you request TISS form for SICU or IICU guys? Pagasa say HSC has not requested any for long time since Oct 2019 actually. [[User:TOstryzniuk|Trish Ostryzniuk]] 17:19, 2020 April 15 (CDT)

**We do not request TISS forms/Green sheets for SICU or IICU. We go to your office and Pagasa gives us a stack of both. We then deliver some to both units. --[[User:Jvelasco|Jvelasco]] 13:26, 2020 April 17 (CDT)}}

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MICU is a closed unit, which means that only the MICU service is looking after the patients.

*All files are entered using '''HSC_MIC''' service location.

~~Due to the COVID-19 outbreak, some SICU patients are now being treated in MICU, until they are proven to be negative. See [[COVID-19 (SARS-COV-2)]]under '''Cohorting in HSC ICUs'''.~~

*If they are under MICU service, enter them using '''HSC_MIC''' service location, and add '''SICU under MICU''' in the tmp file. See [[ICUotherService]].

**Once they are transferred to SICU, make a new file with '''HSC_SIC''' service location.

*If for some reason the patient is in MICU under SICU service, enter them using '''HSC_SIC''' service location and treat it as a [[Boarding Loc]].

~~== Transfer Ready Date ==~~

*MICU must have a 'transfer ready date/time entered, unless they are transferring to another ICU bed (not including IICU). Transfer to IICU is treated like a transfer to a ward, but the data collection once there is treated like an ICU patient. See [[Transfer Ready DtTm field]]

*The preferred source for the Transfer Ready date and time is the order sheet, and for IICU it is the date/time on the Consult Sheet.

== Rounds ==

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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]]

@@ Line 1: / Line 1: @@
-This article contains collection information specific to the IICU at HSC.
+This article contains collection information specific to the [[HSC_MICU]].
 ''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 HSC in the program or unit level articles. ''
@@ Line 6: / Line 6: @@
 * [[HSC General Collection Guide]]
 * [[HSC Critical Care Collection Guide]]
+==MICU service Attendings==
+*There is an "A", "B" and "C or outreach physician"
+*The outreach physician is responsible for rounding on JJ3 patients and new consults are seen by A, B, C or housestaff depending on how busy the unit is.
+*As per Bojan for those that are ECIP:
+*If the patient was to be admitted to initial site ICU but there was a lack of bed capacity then I would consider that an admission that then was transferred
+*however if there was no intention to admit to site unit because patient needed services at another site ICU then I would not consider them an admit
 == Ward contacts ==
 see [[HSC_MICU#Contacts]]
+see [[HSC MICU]]
 == Work Space ==
@@ Line 17: / Line 25: @@
 *front: beds 1-10
 *back: beds 11-20
-== Log Book ==
-*There is a black log book for all MICU patients (kept at the front desk). Do not change the numbers as the unit keeps their own data on patients and the numbers collectors use are different.
-*The admissions in this log book are numbered by collectors with the 1-11 sequence to divide the workload. See [[HSC ICU locations and serial number sharing]].
-*If any admissions are missed, collectors can find them by checking the TISS forms and EPR, and add them in the log book.
-== TISS Sheets ==
-See [[TISS General Info]]
-The TISS sheets of patients still in the unit are on a clipboard at each desk.
-*Label these with MICA-MICB-MICD, to help keep track and avoid any missing forms.
-The completed TISS sheets and [[Green sheet]]s are kept in a white binder at each desk. White test information sheets are kept for 5 days and then the collectors can discard them into confidential waste.
-== Green Sheets ==
-The [[Green sheets]] for patients currently in the unit are kept on the rounds table. The clerks stamp them for all new patients, but occasionally one gets missed.
-After your pt file is complete the [[Green sheets]] can be discarded into confidential waste. We no longer hand these in to the main office.
-The ward clerks will order the TISS and [[Green sheet]]s if you ask them. Monitor to see if they are getting low.  Contact [[p:Pagasa Torres]] in advance before stock is low and she sends order to print shop.  (there is a 1 week turn around time).  We do keep stock in main office so that if units need, turn around time can be quicker.
-{{Discuss|
-* I have spoken to the clerks in MICU and they '''''do''''' order their own TISS forms and [[Green sheet]]s. Is it not possible to have SICU and IICU order their own as well? --[[User:Jvelasco|Jvelasco]] 11:57, 2020 February 28 (CST)
-**will check this out with Pagasa and printshop. If we made changes to the form then unit would not get most current. [[User:TOstryzniuk|Trish Ostryzniuk]] 14:44, 2020 February 28 (CST)
-** Which Cost Center they are charging to?
-*** I do not know. --[[User:Jvelasco|Jvelasco]] 15:14, 2020 April 7 (CDT)}}
-{{Discuss|Another question: Since we are not to go to the units during the COVID outbreak, how do we supply the ICU's with TISSs and [[Green sheet]]s? For sure SICU and IICU will need to be restocked. MICU seems to restock their own according to the ward clerks, but that does not seem to be verified so far...--[[User:Jvelasco|Jvelasco]] 15:14, 2020 April 7 (CDT)
-*when was the last time you request TISS form for SICU or IICU guys?  Pagasa say HSC has not requested any for long time since Oct 2019 actually. [[User:TOstryzniuk|Trish Ostryzniuk]] 17:19, 2020 April 15 (CDT)
-**We do not request TISS forms/Green sheets for SICU or IICU. We go to your office and Pagasa gives us a stack of both. We then deliver some to both units. --[[User:Jvelasco|Jvelasco]] 13:26, 2020 April 17 (CDT)}}
@@ Line 55: / Line 31: @@
 MICU is a closed unit, which means that only the MICU service is looking after the patients.
-*All files are entered using '''HSC_MIC''' service location.
-Due to the COVID-19 outbreak, some SICU patients are now being treated in MICU, until they are proven to be negative. See [[COVID-19 (SARS-COV-2)]]under '''Cohorting in HSC ICUs'''.
-*If they are under MICU service, enter them using '''HSC_MIC''' service location, and add '''SICU under MICU''' in the tmp file. See [[ICUotherService]].
-**Once they are transferred to SICU, make a new file with '''HSC_SIC''' service location.
-*If for some reason the patient is in MICU under SICU service, enter them using '''HSC_SIC''' service location and treat it as a [[Boarding Loc]].
-== Transfer Ready Date ==
-*MICU must have a 'transfer ready date/time entered, unless they are transferring to another ICU bed (not including IICU).  Transfer to IICU is treated like a transfer to a ward, but the data collection once there is treated like an ICU patient. See [[Transfer Ready DtTm field]]
-*The preferred source for the Transfer Ready date and time is the order sheet, and for IICU it is the date/time on the Consult Sheet.
 == Rounds ==
@@ Line 128: / Line 91: @@
 {{Related Articles}}
-[[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]]