HSC IICU Collection Guide

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

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.

See the following for more general information:

• HSC General Collection Guide
• HSC Critical Care Collection Guide

Ward contacts

See HSC IICU

Workload Sharing for HSC_IICU

• Due to the long-stay nature of IICU patients, the patients are divided amongst all HSC laptops and does not follow the PatientFollow Project
• Each new IICU patient will be on the CSS of each HSC laptop. An IICU census list is posted in the office with the collector name and laptop assigned to each patient. When a patient is discharged from a laptop, the next admission will belong to that laptop/collector.

Process

• Beginning the end of May 2022 we have started to use the Using Cognos2 to keep track of patients
• Each of the laptops at HSC will have all IICU admissions appear on their Cognos2 Service Starter Enter patients that belong to your laptop using Cognos2 Service Starter. Profiles that do not belong to that laptop can be excluded from the Cognos2 Service Starter
• The Cognos2 Ender will identify discharged patient(s), the collector following the discharged patient(s) will admit a new one, H7 and H9 will alternate taking the 4th patient.

Work Space

Work space in IICU is limited.

Collectors may use the small computer desk or one of the side desks used by nurses, if available.

• Rounds takes place in the morning, so the best time to work in IICU is in the afternoons.
• Collectors may take the large black binders (containing thinned charts and CCFS) to their office for review and to check TISS sheets, but make sure to let the CRN or the bedside nurse know. This was confirmed by the manager and CRN in IICU.

Coding in IICU

• For a typical IICU patient, use the following codes if applicable:
  • Respiratory failure (insufficiency), chronic in admit codes. (If the patient came from another unit (ex.MICU) this code would be an acquired diagnosis in that profile).
  • Code the underlying cause for the respiratory failure (ex. GBS, C-spine injury, etc).
  • Muscle, wasting/atrophy NOS
  • Tracheostomy, has one

Additional Info

All IICU patients are entered as "medical" under Admit Type for APACHE II, even if they are admitted from SICU.

Other HSC site specific info

see Category: Health Sciences Center Office