GRA ICU Collection Guide: Difference between revisions

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This page contains information specific to Grace Hospital '''ICU''' collection only. See [[GRA General Collection Guide]] for information related to all Grace Hospital collection, and see [[ICU Curriculum]] for information to all-site ICU data collection.  
This page contains information specific to Grace Hospital '''ICU''' collection only. See [[GRA General Collection Guide]] for information related to all Grace Hospital collection, and see [[ICU Curriculum]] for information to all-site ICU data collection. Also see [[2020_GRA_COVID_unit_transition#GRA_MICU]].


computer #GHDW210X5100R23  
computer #GHDW210X5100R23  


== ICU ATD log ==
==Grace ICU==
See also [[Identifying ICU admissions]]
For info about the unit, see [[GRA MICU]]


Grace MICU does not use the standard Admission/Transfer/Discharge Log.  Admissions/Discharges are logged into a Ledger book located to the side of the Ward Clerk's desk. Admit from location, patient name, age (not DOB), admit/transfer/discharge date and time, and MRN are manually entered into the ledger. This ledger is used to keep track of in-house Code Blues, ventilator hours etc..
== Charts ==
At the start of a new month, all patients still admitted in the ICU are carried forward in the ledger. Their names, date of admission, MRN, etc. are re-entered on the top of the first page of this new month. Carried over entries are assigned a letter in alphabetical order ( A., B., C, etc.). All new admissons are assigned a number, starting at one (1) for the first admission of each month.
*all admissions/transfers/discharges are also noted in the calendar notepad at the clerk's desk
 
== Charts, TISS and Green Sheets ==
TISS sheets are kept on the nurses' bedside clipboard. When the pt is discharged or when the TISS sheet is full it is placed in the front of the "TISS/Green sheet binder" located on the rounds cart.
*When patients are discharged the green sheets are placed in the front of the TISS/Green sheet binder.
*Thinned charts and old charts are kept on the lower shelf of the rounds cart.
*Thinned charts and old charts are kept on the lower shelf of the rounds cart.
*The patient's chart is kept in a chart holder at the foot of their bed.
*The patient's chart is usually kept on a bedside table with the bedside red binder


== Documentation change once Transfer Ready ==
== Documentation change once Transfer Ready ==
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Regularly scheduled medications are documented on the scheduled medication form.
Regularly scheduled medications are documented on the scheduled medication form.
Blood products are documented on the Blood product form, the ICU flowsheet or sometimes on the scheduled medication form if ordered regularly ie. HSA25% BID
Blood products are documented on the Blood product form, the ICU flowsheet or sometimes on the scheduled medication form if ordered regularly ie. HSA25% BID
==Lab Counts==
ABG/VBG are not entered in the EPR but are found on the ABG flowsheet found on the bedside clipboard
== Diagnostics ==
Ultrasounds are done on the bedside now, if patient is ventilated. So on the TISS, it's not counted as a trip with RN out of ICU anymore.
== GRA ICU Data Collector ==
Additionally:
* Other staff that can do shifts at Grace: [[p:Pamela Piche]], [[p:Allyson Alcudia]], [[p:Stephanie Cortilet]], [[p:Lisa Kaita]],[[p:Sherry Urbansk]], [[p:Mindy Crawley]]


== GRA_MICU Contacts ==
== GRA_MICU Contacts ==
[[GRA MICU]]
[[GRA MICU]]


== Related articles ==
{{Related Articles}}




Latest revision as of 14:24, 2021 December 15

This page contains information specific to Grace Hospital ICU collection only. See GRA General Collection Guide for information related to all Grace Hospital collection, and see ICU Curriculum for information to all-site ICU data collection. Also see 2020_GRA_COVID_unit_transition#GRA_MICU.

computer #GHDW210X5100R23

Grace ICU

For info about the unit, see GRA MICU

Charts

  • Thinned charts and old charts are kept on the lower shelf of the rounds cart.
  • The patient's chart is usually kept on a bedside table with the bedside red binder

Documentation change once Transfer Ready

Once the patient has been deemed medically stable ie. transfer ready, the ICU flowsheets are no longer used. Only the daily systems review sheet is used to document VS, activity, lines etc.

Medications

Continuous flow medications are documented on both the ICU flowsheet and the MAR. PRN medications are documented on the PRN (non-scheduled) medication form. Regularly scheduled medications are documented on the scheduled medication form. Blood products are documented on the Blood product form, the ICU flowsheet or sometimes on the scheduled medication form if ordered regularly ie. HSA25% BID

Lab Counts

ABG/VBG are not entered in the EPR but are found on the ABG flowsheet found on the bedside clipboard

Diagnostics

Ultrasounds are done on the bedside now, if patient is ventilated. So on the TISS, it's not counted as a trip with RN out of ICU anymore.

GRA ICU Data Collector

Additionally:

GRA_MICU Contacts

GRA MICU

Related articles

Related articles:
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