STB CICU Collection Guide: Difference between revisions

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This article contains collection information specific to the CICU (cardiac sciences) at St Boniface.
This article contains collection information specific to the [[STB CICU]] (cardiac sciences) at St Boniface. The name that is used for this unit at STB is ICCS (Intensive Care Cardiac Surgery) or CR5 which is on the fifth floor of the Asper Building. 


{{Discussion}} - needs input to include any information that would be helpful as a guide for anyone who picks up shift in STB CICU unit.
''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:
* [[STB General Collection Guide]]
* [[STB Critical Care Collection Guide]]


[[Category:St Boniface Hospital Office (Critical Care)]]
==Unit admission log book and white board==
[[Category: Site Specific Collection Guide]]
The log book is no longer used to track admissions, see [[Using Cognos2 to keep track of patients]].
[[Category: Data Collection Guide]]
 
=== Entering of patients before they are accepted ===
''see also [[STB_CICU Admissions start at Arrive_DtTm]]
 
ICCS pts can be entered before they are actually in the unit as most are elective surgeries, & you can tell via EPR when they have gone to the OR, and then assume they will be coming post-op.  Very occasionally, if the pt. expires in the OR or is sent to another unit post-op, and is therefore not admitted to ICCS, and if you have done a news & backup +/or sent files with this profile, you will have to delete the profile on the laptop and notify the [[Data Processor]] that this has occurred.
 
=== [[SBGH Swing Beds]]s are not entered ===
See [[SBGH Swing Beds]] for details.
 
==CR4 (Cardiac Surgery Inpatient Unit)==
Most patients that leave CICU go to this ward.  When you are going there to retrieve chart data you will find that the last CICU flow sheet is usually found on the door of the patient's room.  The charts are found at the desk. 
 
== CICU contacts ==
*Unit Manager is Sara Unrau R.N.
email:  SUNRAU@sbgh.mb.ca
Tel: 204-258-1298 /204-237-2898
*Nursing Educator is Belinda Landry R.N.
email:  blandry@sbgh.mb.ca
Tel:  204-237-2183/204-237-2360/204-258-1310


== 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.


'
== Location of patient chart components ==
''CICU at St. Boniface Special Collection Guideline
*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


The admit book is kept at the desk and a binder to keep the completed TISS and green sheets as well.
==Project ABO TEE==
THe EPR (electronic patient record) is used to collect the labratory and pharmacy data. As well it records admit and discharge times under patient registration.
See [[Project ABO TEE]] for details


Specific to CICU
== Special Situations ==
* [[Transcatheter aortic valve implantation (TAVI) | Transcatheter aortic valve implantation (TAVI?TAVR)]]
* [[Bentall Procedure]]
* [[Thoracic endovascular aneurysm repair (TEVAR)]]


Fast track-- These are cardiac surgery patients expected to be transferred within approximately 24 hours. This is marked on the bottom of the back page of the post cardiac surgery prodedure sheet in the IPN section of the chart. This is recorded on the registration paqe varisble 6 box.
==Other STB ICU collection guide info ==
*[[STB ACCU Collection Guide]]
*[[STB MICU Collection Guide]]


Euroscore-- this is a risk stratification system used by the Doctors for cardiac patients. The score is found on the perfusionists sheet, written around the edges of the sheet somewhere, in the OR section of the chart.( Not always done ). It is recorded in the temporary project section, under project euroscore in the first box, euroscore in the second box and the actual score is put in the last box.
== Related articles ==
{{Related Articles}}


Cardiac patients in the CICU are followed by the CICU data collecter. Mark the patient type cardiac.
[[Category:St Boniface Hospital Office (Critical Care)]]
[[Category:Site Specific Collection Guide]]