STB Critical Care Collection Guide

This article contains information specific to STB Critical Care Units. 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 STB General Collection Guide for general STB information such as: links to EPR, Mail room, medical records. Information also in regards to obtaining hand sanitizer, wipes, printer paper for collection offices.
• See ICU Curriculum for general critical care info.
• Unit/Service Specific info:
  • STB ACCU Collection Guide
  • STB CICU Collection Guide
  • STB MICU Collection Guide

Checklist for bedside data collection in STB ICUs

Due to incomplete implementation of the STB Electronic Patient Record some data is not yet available electronically and must be collected on the units. If this list changes, review STB Electronic Patient Record#Implementation Status and make sure they are consistent.

• There is a specific list of items to obtain from the paper chart, the rest is obtained from EPR.
• The bedside checklist is (Some of these only apply to some ICUs):
  • 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.
  • Pre-CPB echo results can be found in the EPR.
  • Project ABO TEE: Get blood type from blood product information on chart

Relevant articles specific to STB Critical Care patients

• STB Critical Care has a resource website maintained by our ICU Educators

CCI/TISS

• cardiac MRI, echos and angiograms can be found in the CCI picklist
• With the STB Electronic Patient Record we collect/count CCI/TISS entries as we are able when we review the record. Confirmation of entries is done on final review of the chart.

Pharmacy

Pharmacy is completed after final review of the chart.

Code STEMI

Some heart attack patients go straight to the heart cath lab directly from EMS. See STEMI for collection instructions for such patients.

Cardiac Care patients

See STB Cardiac Care patients for information specific to the cardiac service care patients in the STB MICU/SICU unit.

STB Swing Beds

• STB Swing Bed entries are "bed" records within a "unit" in EPR/Cognos. They are not beds or locations but conceptual service location and time entries used for patient moves. This data causes a patient record to show up in Cognos/CUS as having arrived on a unit even when the pt has not actually arrived, and it isn't visible in our listings whether the record is for a swing or real bed.
• Any ICU pt. may be placed into a swing bed, but the majority of swing beds are used for the ICCS pt's. The pt. is placed in a swing bed while in the OR, and then moved into a real bed post op when they arrive in the CICU. Their stay in a swing bed may be any length of time. The true arrive Dt/Tm is taken from the ICU flow sheets.

if a pt. was placed into an ICU swing bed but was never admitted to the ICU, the pt. entries are manually excluded from Cognos when reviewed

cost center

Our cost number for supply ordering is 6766

Outreach efforts

St Boniface critical care collectors attend the STB VAP Committee when requested by the chair/co-chair. There is no longer any need to email the committee regarding a potential or confirmed VAP