HSC MICU Collection Guide: Difference between revisions

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

This article contains collection information specific to the [[HSC_MICU]].

''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. ''

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* [[HSC General Collection Guide]]

* [[HSC Critical Care Collection Guide]]

==MICU service Attendings==

*There is an "A", "B" and "C or outreach physician"

*The outreach physician is responsible for rounding on JJ3 patients and new consults are seen by A, B, C or housestaff depending on how busy the unit is.

*As per Bojan for those that are ECIP:

*If the patient was to be admitted to initial site ICU but there was a lack of bed capacity then I would consider that an admission that then was transferred

*however if there was no intention to admit to site unit because patient needed services at another site ICU then I would not consider them an admit

== Ward contacts ==

see [[HSC_MICU#Contacts]]

== ~~Collector "base"~~ ==

see [[HSC MICU]]

Collectors ~~seem~~ to ~~usually hang out~~ in ~~a little~~ nook behind the main desk.

== Work Space ==

Collectors can find a space to work in the nook behind the main desk, between cubicle 1 and 2.

The unit is divided into 2 sections:

*front: beds 1-10

*back: beds 11-20

== Overflows ==

See [[Boarding Loc]]

MICU is a closed unit, which means that only the MICU service is looking after the patients.

== Rounds ==

Rounds start at 09:00, so charts may not be available at that time.

== APACHE ==

See [[Apache II General Collection Guidelines]]

~~== Location of patient chart components ==~~

These numbers are collected from the MICU CCFS.

~~The unit is divided into three sections:~~

*front 1-10

*back 11-15 and 19-20

*CCU 16,17,18

~~There~~ are two main desk front and back. The filled in TISS sheets green sheets and test information will be kept in a white binder at each desk. The TISS sheets still in progress will be on a clip board at each desk. Test information is kept for 5 days and then the ~~collector can discard into confidential waste~~.

~~There~~ is ~~a Black log book for all MICU patients kept at~~ the ~~front desk~~. ~~Do not change~~ the ~~numbers as~~ the ~~unit keeps their own data on patients and the numbers collectors use are different~~.

GCS data is obtained from the IPN, or from the Neurological Assessment Record.

*The best source for the GCS is the admitting RN's notes.

For [[Admit Type for APACHE II]], enter Medical.

The green log book for CCU is kept at the back desk.CCU patients are identified by green marker over the serial number on the collector's data collection log and by writing CCU in the index beside the log number.On May 1,2015 we discontinued the shared number system. Numbers are sequential for patients logs.

~~A white board by~~ the ~~front desk lists~~ the ~~patients. It also lists who is on~~ the ~~transfer list and other valuable info.~~

== Clipboards ==

These are kept at each bedside and have:

*the current Flowsheet

*possibly the Flowsheet for the day before for reference during Rounds

*the MARs

*Lab sheet

~~Echo dates need to be obtained from the chart and are often done in this unit.~~

~~Green Sheets~~ are kept ~~on the rounds table. Collectors should check daily to make sure~~ each patient has one stamped up. The clerks are very good at this but occasionally one gets missed. After your pt file is complete the green sheets can be discarded into confidential waste. We no longer hand these in to the main office.

== Charts ==

The current charts are kept at each bedside.

~~The ward clerks will order~~ the ~~TISS~~ and ~~green~~ sheets ~~if you ask them~~.~~Monitor~~ to ~~see if they are getting low~~.

Thinned charts and old charts are kept on wire racks at both desks.

MICU saves charts of patients who where discharged home or transferred to another facility for data collectors. They are kept in the black bins at the front and back desks.

Charts of deceased patients are '''not''' kept in the Unit for data collectors. As is true for all deceased patients' charts, they are at the [[HSC Death Registry]].

== CCFS ==

The flow sheets contain various data points that we collect, but they are not always complete. They must be used in conjunction with the chart to ensure that data is not missed. Some of the information found in the CCFS includes:

*VS (first vitals = arrive time)

*Medication infusions (these must be confirmed with MAR Sheets)

*IV medications, including regularly scheduled and STAT (these must be confirmed with MAR Sheets)

*Daily fluid intake

*Blood products (must be confirmed with the Blood Administration Record)

*Dressing changes (also check IPN)

*CAM

*Respiratory information, including modes of ventilation, presence of ETT/trach, extubations, etc.

*Various interventions including ICP, drainage tubes, lines, TF, TPN, HD, CRRT, CT's, MRI's, EEG, ECHO, scopes, etc.

== Additional Info ==

A white board by the front desk lists the patients. It also lists:

*patients on the transfer list

*MICU patients borrowing a bed in SICU

*other valuable info

~~== Overflows ==~~

~~If a MICU patient overflows into another unit, it is still MICU patient in the location on the laptop. Return to the MICU is not a transfer.~~

==Other HSC site specific info==

see [[:Category: Health Sciences Center Office]]

== Related articles ==

[[Category: Health Sciences Center Office]]

[[Category:Health Sciences Center Office]]

[[Category: Site Specific Collection Guide]]

[[Category:Site Specific Collection Guide]]

[[Category: Data Collection Guide]]

[[Category:Data Collection Guide]]

@@ Line 1: / Line 1: @@
-This article contains collection information specific to the IICU at HSC.
+This article contains collection information specific to the [[HSC_MICU]].
 ''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. ''
@@ Line 6: / Line 6: @@
 * [[HSC General Collection Guide]]
 * [[HSC Critical Care Collection Guide]]
+==MICU service Attendings==
+*There is an "A", "B" and "C or outreach physician"
+*The outreach physician is responsible for rounding on JJ3 patients and new consults are seen by A, B, C or housestaff depending on how busy the unit is.
+*As per Bojan for those that are ECIP:
+*If the patient was to be admitted to initial site ICU but there was a lack of bed capacity then I would consider that an admission that then was transferred
+*however if there was no intention to admit to site unit because patient needed services at another site ICU then I would not consider them an admit
 == Ward contacts ==
 see [[HSC_MICU#Contacts]]
-== Collector "base" ==
+see [[HSC MICU]]
-Collectors seem to usually hang out in a little nook behind the main desk.
+== Work Space ==
+Collectors can find a space to work in the nook behind the main desk, between cubicle 1 and 2.
+The unit is divided into 2 sections:
+*front: beds 1-10
+*back: beds 11-20
+== Overflows ==
+See [[Boarding Loc]]
+MICU is a closed unit, which means that only the MICU service is looking after the patients.
+== Rounds ==
+Rounds start at 09:00, so charts may not be available at that time.
+== APACHE ==
+See [[Apache II General Collection Guidelines]]
-== Location of patient chart components ==
+These numbers are collected from the MICU CCFS.
-The unit is divided into three sections:
-*front 1-10
-*back  11-15 and 19-20
-*CCU   16,17,18
-There are two main desk front and back. The filled in TISS sheets green sheets and test information will be kept in a white binder at each desk. The TISS sheets still in progress will be on a clip board at each desk. Test information is kept for 5 days and then the collector can discard into confidential waste.
-There is a Black log book for all MICU patients kept at the front desk. Do not change the numbers as the unit keeps their own data on patients and the numbers collectors use are different.
+GCS data is obtained from the IPN, or from the Neurological Assessment Record.
+*The best source for the GCS is the admitting RN's notes.
+For [[Admit Type for APACHE II]], enter Medical.
-The green log book for CCU is kept at the back desk.CCU patients are identified by green marker over the serial number on the collector's data collection log and by writing CCU in the index beside the log number.On May 1,2015 we discontinued the shared number system. Numbers are sequential for patients logs.
-A white board by the front desk lists the patients. It also lists who is on the transfer list and other valuable info.
+== Clipboards ==
+These are kept at each bedside and have:
+*the current Flowsheet
+*possibly the Flowsheet for the day before for reference during Rounds
+*the MARs
+*Lab sheet
-Echo dates need to be obtained from the chart and are often done in this unit.
-Green Sheets are kept on the rounds table. Collectors should check daily to make sure each patient has one stamped up. The clerks are very good at this but occasionally one gets missed. After your pt file is complete the green sheets can be discarded into confidential waste. We no longer hand these in to the main office.
+== Charts ==
+The current charts are kept at each bedside.
-The ward clerks will order the TISS and green sheets if you ask them.Monitor to see if they are getting low.
+Thinned charts and old charts are kept on wire racks at both desks.
+MICU saves charts of patients who where discharged home or transferred to another facility for data collectors. They are kept in the black bins at the front and back desks.
+Charts of deceased patients are '''not''' kept in the Unit for data collectors. As is true for all deceased patients' charts, they are at the [[HSC Death Registry]].
+== CCFS ==
+The flow sheets contain various data points that we collect, but they are not always complete. They must be used in conjunction with the chart to ensure that data is not missed. Some of the information found in the CCFS includes:
+*VS (first vitals = arrive time)
+*Medication infusions (these must be confirmed with MAR Sheets)
+*IV medications, including regularly scheduled and STAT (these must be confirmed with MAR Sheets)
+*Daily fluid intake
+*Blood products (must be confirmed with the Blood Administration Record)
+*Dressing changes (also check IPN)
+*CAM
+*Respiratory information, including modes of ventilation, presence of ETT/trach, extubations, etc.
+*Various interventions including ICP, drainage tubes, lines, TF, TPN, HD, CRRT, CT's, MRI's, EEG, ECHO, scopes, etc.
+== Additional Info ==
+A white board by the front desk lists the patients. It also lists:
+*patients on the transfer list
+*MICU patients borrowing a bed in SICU
+*other valuable info
-== Overflows ==
-If a MICU patient overflows into another unit, it is still MICU patient in the location on the laptop. Return to the MICU is not a transfer.
 ==Other HSC site specific info==
 see [[:Category: Health Sciences Center Office]]
+== Related articles ==
+{{Related Articles}}
-[[Category: Health Sciences Center Office]]
+[[Category:Health Sciences Center Office]]
-[[Category: Site Specific Collection Guide]]
+[[Category:Site Specific Collection Guide]]
-[[Category: Data Collection Guide]]
+[[Category:Data Collection Guide]]