HSC SICU Collection Guide: Difference between revisions

Line 27:

==SICU patients in PACU==

* The admission time for a patient admitted from PACU may not be entered accurately in the log book if they have been held in PACU due to lack of space. Always check to ensure the time used for the database is accurate. The SICU physician will enter the admission to SICU on the order sheet ~~and that~~ is ~~considered~~ the ~~time of admission~~. Any extra time in PACU is ~~then~~ considered bed borrow in PACU.

* The admission time for a patient admitted from PACU may not be entered accurately in the log book if they have been held in PACU due to lack of space. Always check the chart to ensure the time used for the database is accurate. For SICU patients coming from PACU we use the time they are '''accepted by SICU''' as the admit time. The SICU physician will enter the admission to SICU on the order sheet or it is sometimes charted in the PACU record by the nurse. Any extra time in PACU is considered a bed borrow in PACU. See [[Boarding Loc]].

*~~For SICU patients coming from PACU we use the time they are accepted by SICU as the admit time.~~ For SICU patients transferred to PACU who are waiting to be transferred elsewhere we use the time they leave PACU as the discharge time. In both cases we enter this as bed borrows in the temp file.

* For SICU patients transferred to PACU who are waiting to be transferred elsewhere we use the time they leave PACU as the discharge time. In both cases we enter this as bed borrows in the temp file. See [[Boarding Loc]].

== Transfer Ready Date ==

SICU must have a 'transfer ready date/time; entered, unless they are transferring to another ICU bed (not including IICU). Transfer to IICU is treated like a transfer to a ward, but the data collection once there is treated like an ICU patient.

*SICU must have a 'transfer ready date/time entered, unless they are transferring to another ICU bed (not including IICU). Transfer to IICU is treated like a transfer to a ward, but the data collection once there is treated like an ICU patient. See [[Transfer Ready DtTm field]]

The preferred source for the Transfer Ready date and time is the ~~Green Sheet. If~~ that ~~is blank,~~ the ~~next source is the doctors' order sheet~~.

*The preferred source for the Transfer Ready date and time is EPR Reports or the white sheet from ER that indicates that the patient has been accepted.

== Overflow ==

{{Discuss | Is the following consistent with [[ICUotherService]] and how we do it now? Ttenbergen 16:55, 2020 April 9 (CDT)}}

If a patient '''overflows into another unit''', it is still called by its home unit in the location, and the number must be taken from the home unit log. The data is collected by the collector where the patient resides and put onto the home unit database. Return to the home unit is not a transfer.

If a patient '''overflows into another unit''', it is still called by its home unit in the location, and the number must be taken from the home unit log. The data is collected by the collector where the patient resides and put onto the home unit database. Return to the home unit is not a transfer. This is an example of a bed borrow.

If a patient is '''overflowed into PACU''', SICU follows them there. The PACU staff do not complete TISS sheets and transfers out may not get into the log book so must be followed up by the Data Collector.

@@ Line 27: / Line 27: @@
 ==SICU patients in PACU==
-* The admission time for a patient admitted from PACU may not be entered accurately in the log book if they have been held in PACU due to lack of space.  Always check to ensure the time used for the database is accurate.  The SICU physician will enter the admission to SICU on the order sheet and that is considered the time of admission. Any extra time in PACU is then considered bed borrow in PACU.
+* The admission time for a patient admitted from PACU may not be entered accurately in the log book if they have been held in PACU due to lack of space.  Always check the chart to ensure the time used for the database is accurate. For SICU patients coming from PACU we use the time they are '''accepted by SICU''' as the admit time. The SICU physician will enter the admission to SICU on the order sheet or it is sometimes charted in the PACU record by the nurse. Any extra time in PACU is considered a bed borrow in PACU. See [[Boarding Loc]].
-*For SICU patients coming from PACU we use the time they are accepted by SICU as the admit time. For SICU patients transferred to PACU who are waiting to be transferred elsewhere we use the time they leave PACU as the discharge time. In both cases we enter this as bed borrows in the temp file.
+* For SICU patients transferred to PACU who are waiting to be transferred elsewhere we use the time they leave PACU as the discharge time. In both cases we enter this as bed borrows in the temp file. See [[Boarding Loc]].
 == Transfer Ready Date ==
-SICU must have a 'transfer ready date/time; entered, unless they are transferring to another ICU bed (not including IICU).  Transfer to IICU is treated like a transfer to a ward, but the data collection once there is treated like an ICU patient.
+*SICU must have a 'transfer ready date/time entered, unless they are transferring to another ICU bed (not including IICU).  Transfer to IICU is treated like a transfer to a ward, but the data collection once there is treated like an ICU patient. See [[Transfer Ready DtTm field]]
-The preferred source for the Transfer Ready date and time is the Green Sheet.  If that is blank, the next source is the doctors' order sheet.
+*The preferred source for the Transfer Ready date and time is EPR Reports or the white sheet from ER that indicates that the patient has been accepted.
 == Overflow ==
 {{Discuss | Is the following consistent with [[ICUotherService]] and how we do it now? Ttenbergen 16:55, 2020 April 9 (CDT)}}
-If a patient '''overflows into another unit''', it is still called by its home unit in the location, and the number must be taken from the home unit log. The data is collected by the collector where the patient resides and put onto the home unit database.  Return to the home unit is not a transfer.
+If a patient '''overflows into another unit''', it is still called by its home unit in the location, and the number must be taken from the home unit log. The data is collected by the collector where the patient resides and put onto the home unit database.  Return to the home unit is not a transfer. This is an example of a bed borrow.
 If a patient is '''overflowed into PACU''', SICU follows them there. The PACU staff do not complete TISS sheets and transfers out may not get into the log book so must be followed up by the Data Collector.