STB CICU Collection Guide: Difference between revisions

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== CICU contacts ==
== CICU contacts ==
If you have questions ask the ward clerk or charge nurse.
*Unit Manager is Sara Unrau R.N.
 
email:  SUNRAU@sbgh.mb.ca
== VAP notification ==
Tel: 204-258-1298 /204-237-2898
See [[STB Critical Care Collection Guide#VAP notification]]
*Nursing Educator is Belinda Landry R.N.
email:  blandry@sbgh.mb.ca
Tel:  204-237-2183/204-237-2360/204-258-1310


== Collector "base" ==
== Collector "base" ==
You can sit at the main desk behind the ward clerk to read charts or at the individual patient desks if the nurse is away. Now that collection is being done retrospectively, most collection will occur on the CSIU, CR4.  There is a small spot at the left hand side of the charting area that is ideal as there is no computer at this spot, so you will not have to compete with unit nurses for space.  This spot is also directly opposite the chart rack for easy access. There is also a second station down the hall to the left from the main desk that is often deserted so is ideal for spreading out for longer stay patients.
You can sit at the main desk behind the ward clerk to read charts or at the individual patient desks if the nurse is away. Now that collection is being done retrospectively, most collection will occur on the CSIU, CR4.  There is a small spot at the left hand side of the charting area that is ideal as there is no computer at this spot, so you will not have to compete with unit nurses for space.  This spot is also directly opposite the chart rack for easy access.


== Location of patient chart components ==
== Location of patient chart components ==
*Patient charts and clipboards are in front of the individual cubicles.
*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
*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==
==Project ABO TEE==
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== Special Situations ==  
== Special Situations ==  
* [[Transcatheter aortic valve implantation (TAVI)]]
* [[Transcatheter aortic valve implantation (TAVI) | Transcatheter aortic valve implantation (TAVI?TAVR)]]
* [[Bentall Procedure]]
* [[Bentall Procedure]]
* [[Thoracic endovascular aneurysm repair (TEVAR)]]
* [[Thoracic endovascular aneurysm repair (TEVAR)]]
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{{Related Articles}}
{{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]]