STB CICU Collection Guide: Difference between revisions

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This article contains collection information specific to the [[STB 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.

''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 Collection Guide]]

* [[STB General Collection Guide]]

* [[STB Critical Care Collection Guide]]

==Unit admission log book==

==Unit admission log book and white board==

The ~~unit admission~~ log book is ~~kept at the main desk in front of where the ward clerk sits along with a binder~~ to keep ~~the completed TISS and green sheets as well~~.

The log book is no longer used to track admissions, see [[Using Cognos2 to keep track of patients]].

== ~~Ward contacts~~ ==

=== Entering of patients before they are accepted ===

If you have ~~questions ask~~ the ward ~~clerk or charge nurse~~.

''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.

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 ==

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

==Project ABO TEE==

See [[Project ABO TEE]] for details

~~==[[Project ABO TEE]]==~~

In this file I enter blood type and pre-CBP(pre coronary bypass) RV and LV function. You will find the TEE report in the operation section of the chart,usually at the back. If it is not there mark unavailable in the drop down list.

*Question: if there is no TEE done pre-CPB (cardiopulmonary bypass), then can you use a pre-op standard Echo-cardiogram for this?--[[User:LKolesar|LKolesar]] 13:19, 2015 September 16 (CDT)

== Special Situations ==

* [[Transcatheter aortic valve implantation (TAVI) | Transcatheter aortic valve implantation (TAVI?TAVR)]]

~~===TEVAR - Thoracic Endovascular aortic repair===~~

* [[Bentall Procedure]]

~~I use the appropriate~~ [[~~aneurysm]] repair code and then code peripheral angiogram to indicate this was done in the angio suite percutaneously and not in the OR through a sternotomy. Still code as coming from OR.~~(~~Need to change this to actual place coming from see below~~):

* [[Thoracic endovascular aneurysm repair (TEVAR)]]

*Do you put the pt as coming from Interventional Radiology or Heart Cath Lab??--[[User:LKolesar|~~LKolesar]] 14:32, 2017 July 14 (CDT)~~

~~===TAVI -~~ Transcatheter aortic valve implantation~~===~~

~~Minimally invasive, done through large vessel or small incision in chest. I code [[AVR Repair/Replace~~]] ~~then either peripheral [[:Category:Angiogram|angiogram]] or thoracotomy depending which approach they use. Then code [[Aortic Stenosis]] or [[Aortic Insufficiency]].~~

*~~Question: What code do you use for a "peripheral angiogram" in TEVAR and TAVI? Is this a coronary angiogram? Also, do you count the angiogram in the lab counts?--~~[[~~User:LKolesar|LKolesar~~]] ~~13:15, 2015 September 16 (CDT)~~

** They do not do a coronary angiogram, they approach the valve through a femoral artery cutdown doing a peripheral angiogram to access the artery and aorta. I started coding both AVR and angiogram to indicate the AVR was not done the usual way through a sternotomy. --[[~~User:LBilesky|LBilesky]] 14:22, 2017 May 25~~ (~~CDT~~)

~~{{discussion}}~~

* There is a whole different discussion going on under [[Valvuloplasty]] related to this. Should these be coded as [[Valvuloplasty]] or [[AVR Repair/Replace]]? The answer eventually might better live in those articles, since they are really more relevant to the dx than to how to code at STB, right? Ttenbergen 17:10, 2017 May 18 (CDT)

~~===Bentall Procedure===~~

~~This is a combination of aortic valve and or aortic root replacement and ascending aorta replacement. If they replace the root they will reimplant the coronary buttons. I code AVR and TAA for this.~~

~~===Vasoplegia (vasoplegic syndrome)===~~

This is a combination of low SVR and high CO post surgery requiring cardiac bypass and hypothermia. Some of the cardiac patients develop this post op and require volume and or inotropes usually vasopressin.

~~===ECMO Patient Type===~~

~~I put the VA ECMO patients down as surgical because they are admitted under a Surgeon in my unit. Lois~~

==Other STB ICU collection guide info ==

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*[[STB MICU Collection Guide]]

[[Category: St Boniface Hospital Office (Critical Care)]]

== Related articles ==

[[Category: Site Specific Collection Guide]]

[[Category:St Boniface Hospital Office (Critical Care)]]

[[Category:Site Specific Collection Guide]]

@@ Line 1: / Line 1: @@
-This article contains collection information specific to the [[STB 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.
 ''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 Collection Guide]]
+* [[STB General Collection Guide]]
 * [[STB Critical Care Collection Guide]]
-==Unit admission log book==
+==Unit admission log book and white board==
-The unit admission log book is kept at the main desk in front of where the ward clerk sits along with a binder to keep the completed TISS and green sheets as well.
+The log book is no longer used to track admissions, see [[Using Cognos2 to keep track of patients]].
-== Ward contacts ==
+=== Entering of patients before they are accepted ===
-If you have questions ask the ward clerk or charge nurse.
+''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.
+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 ==
-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
+==Project ABO TEE==
+See [[Project ABO TEE]] for details
-==[[Project ABO TEE]]==
-In this file I enter blood type and pre-CBP(pre coronary bypass) RV and LV function. You will find the TEE report in the operation section of the chart,usually at the back. If it is not there mark unavailable in the drop down list.
-*Question:  if there is no TEE done pre-CPB (cardiopulmonary bypass), then can you use a pre-op standard Echo-cardiogram for this?--[[User:LKolesar|LKolesar]] 13:19, 2015 September 16 (CDT)
 == Special Situations ==
+* [[Transcatheter aortic valve implantation (TAVI) | Transcatheter aortic valve implantation (TAVI?TAVR)]]
-===TEVAR - Thoracic Endovascular aortic repair===
+* [[Bentall Procedure]]
-I use the appropriate [[aneurysm]] repair code and then code peripheral angiogram to indicate this was done in the angio suite percutaneously and not in the OR through a sternotomy. Still code as coming from OR.(Need to change this to actual place coming from see below):
+* [[Thoracic endovascular aneurysm repair (TEVAR)]]
-*Do you put the pt as coming from Interventional Radiology or Heart Cath Lab??--[[User:LKolesar|LKolesar]] 14:32, 2017 July 14 (CDT)
-===TAVI - Transcatheter aortic valve implantation===
-Minimally invasive, done through large vessel or small incision in chest. I code [[AVR Repair/Replace]] then either peripheral [[:Category:Angiogram|angiogram]] or thoracotomy depending which approach they use. Then code [[Aortic Stenosis]] or [[Aortic Insufficiency]].
-*Question:  What code do you use for a "peripheral angiogram" in TEVAR and TAVI?  Is this a coronary angiogram?   Also, do you count the angiogram in the lab counts?--[[User:LKolesar|LKolesar]] 13:15, 2015 September 16 (CDT)
-** They do not do a coronary angiogram, they approach the valve through a femoral artery cutdown doing a peripheral angiogram to access the artery and aorta. I started coding both AVR and angiogram to indicate the AVR was not done the usual way through a sternotomy. --[[User:LBilesky|LBilesky]] 14:22, 2017 May 25 (CDT)
-{{discussion}}
-* There is a whole different discussion going on under [[Valvuloplasty]] related to this. Should these be coded as [[Valvuloplasty]] or [[AVR Repair/Replace]]? The answer eventually might better live in those articles, since they are really more relevant to the dx than to how to code at STB, right? Ttenbergen 17:10, 2017 May 18 (CDT)
-===Bentall Procedure===
-This is a combination of aortic valve and or aortic root replacement and ascending aorta replacement. If they replace the root they will reimplant the coronary buttons. I code AVR and TAA for this.
-===Vasoplegia (vasoplegic syndrome)===
-This is a combination of low SVR and high CO post surgery requiring cardiac bypass and hypothermia. Some of the cardiac patients develop this post op and require volume and or inotropes usually vasopressin.
-===ECMO Patient Type===
-I put the VA ECMO patients down as surgical because they are admitted under a Surgeon in my unit. Lois
 ==Other STB ICU collection guide info ==
@@ Line 46: / Line 48: @@
 *[[STB MICU Collection Guide]]
-[[Category: St Boniface Hospital Office (Critical Care)]]
+== Related articles ==
-[[Category: Site Specific Collection Guide]]
+{{Related Articles}}
+[[Category:St Boniface Hospital Office (Critical Care)]]
+[[Category:Site Specific Collection Guide]]