STB MICU Collection Guide: Difference between revisions
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Ttenbergen (talk | contribs) m removed some info that should be dealt with centrally on STB Medical Records requests, moving it there for reconciliation. |
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* [[STB General Collection Guide]] | * [[STB General Collection Guide]] | ||
* [[STB Critical Care Collection Guide]] | * [[STB Critical Care Collection Guide]] | ||
== Process of data collection== | == Process of data collection== | ||
* | * The main paper charts are kept at the individual bedsides as well. | ||
* see below for information on which items are in the paper chart. | * see below for information on which items are in the paper chart. | ||
* | * There may also be ward follow ups. Patients from MICU can be transferred to almost any ward in the hospital (surgical wards are 4AS and 4ASstepdown; 7AS and 7AW, 2B); (acute medical wards are E5, E6); (chronic medicine wards are B5, A6S, E4); (Gyne is A6W); (Cardiology ward is A5S); (Palliative ward is A8W); (Psychiatry is McEwen). (Obstetrics is on the 3rd floor includes L&D, postpartum and LDRP); (CR4 is the cardiac surgery inpatient unit in Asper building). | ||
*Patients that have been discharged will need to have their charts reviewed in Medical Records | *Patients that have been discharged will need to have their charts reviewed in Medical Records; see [[STB Medical Records requests]] | ||
*Once all the paper components have been reviewed and the profiles updated with this information, the data collector can read the EPR information in the Data Office (N4069). EPR contains all physician orders, labs, DI results, MAR, Pt information like address, etc. and all progress notes. | *Once all the paper components have been reviewed and the profiles updated with this information, the data collector can read the EPR information in the Data Office (N4069). EPR contains all physician orders, labs, DI results, MAR, Pt information like address, etc. and all progress notes. | ||
*When reviewing patients that have left the ICU, we check the TISS against the MAR and other EPR information at this time. We also do all the lab counts and Pharmacy counts. We review all of the progress notes up to the time of patient leaving the ICU. After completing all of these patient profiles, the "complete" tab is selected. | *When reviewing patients that have left the ICU, we check the TISS against the MAR and other EPR information at this time. We also do all the lab counts and Pharmacy counts. We review all of the progress notes up to the time of patient leaving the ICU. After completing all of these patient profiles, the "complete" tab is selected. | ||
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== Collector "base" == | == Collector "base" == | ||
*Can use the extra desk space adjacent to Bed 1. You can also use individual desk space throughout the unit if there are any empty bed spots. | *Can use the extra desk space adjacent to Bed 1. You can also use individual desk space throughout the unit if there are any empty bed spots. | ||
== Location of patient chart components == | == Location of patient chart components == | ||
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The individual charts are kept at each specific bedside along with the tiss sheets. The current green sheets are kept on the rounds cart. The completed tiss and green sheets are kept in a marked binder at the main desk. | The individual charts are kept at each specific bedside along with the tiss sheets. The current green sheets are kept on the rounds cart. The completed tiss and green sheets are kept in a marked binder at the main desk. | ||
== Articles related uniquely to STB MICU == | == Articles related uniquely to STB MICU == | ||
Latest revision as of 10:52, 2023 July 12
This article contains collection information specific to the STB_MICU/SICU at St Boniface. STB MICU/SICU also called ICMS, this unit includes medical, surgical and cardiac patients.
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 the following for more general information:
Process of data collection
- The main paper charts are kept at the individual bedsides as well.
- see below for information on which items are in the paper chart.
- There may also be ward follow ups. Patients from MICU can be transferred to almost any ward in the hospital (surgical wards are 4AS and 4ASstepdown; 7AS and 7AW, 2B); (acute medical wards are E5, E6); (chronic medicine wards are B5, A6S, E4); (Gyne is A6W); (Cardiology ward is A5S); (Palliative ward is A8W); (Psychiatry is McEwen). (Obstetrics is on the 3rd floor includes L&D, postpartum and LDRP); (CR4 is the cardiac surgery inpatient unit in Asper building).
- Patients that have been discharged will need to have their charts reviewed in Medical Records; see STB Medical Records requests
- Once all the paper components have been reviewed and the profiles updated with this information, the data collector can read the EPR information in the Data Office (N4069). EPR contains all physician orders, labs, DI results, MAR, Pt information like address, etc. and all progress notes.
- When reviewing patients that have left the ICU, we check the TISS against the MAR and other EPR information at this time. We also do all the lab counts and Pharmacy counts. We review all of the progress notes up to the time of patient leaving the ICU. After completing all of these patient profiles, the "complete" tab is selected.
Cardiology patients
STB Cardiology service patients are collected differently than other patients, see STB Cardiac Care patients for details.
Ward contacts
Collector "base"
- Can use the extra desk space adjacent to Bed 1. You can also use individual desk space throughout the unit if there are any empty bed spots.
Location of patient chart components
See STB Electronic Patient Record
The individual charts are kept at each specific bedside along with the tiss sheets. The current green sheets are kept on the rounds cart. The completed tiss and green sheets are kept in a marked binder at the main desk.
Other STB ICU collection guide info
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