HSC SICU Collection Guide: Difference between revisions

The SICU log census book and the binder with completed TISS forms are kept at the South Nursing station. The white test sheets are also kept in that binder, and they may be discarded in confidential waste after 5 days. Patients who were not entered into the log book may be found by looking at the TISS sheets and on EPR. All admissions in the binder are numbered with the 1-11 sequence to divide workload between the 3 ICU collectors. See [[HSC ICU locations and serial number sharing]].

As of February 4, 2020, SICU keeps TISS forms of patients still in the unit on a clip board at the front desk (same as MICU). Label these with SICA-SICB-SICD to help keep track and avoid any missing forms. If any are not on this clipboard, check the patient's bedside table, as some staff are still getting used to the new system of keeping TISS forms all together at the desk.

== Work Space ==

* There is a desk space next to the FAX machine at the South desk that may be vacant for a workspace, but there is no electrical outlet available and it is often used by the CRNs.

* There is a larger space at the North Nursing Station which may be free. There are electrical outlets there.

* If not being used, the X-ray viewing room may also be used by collectors.

==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 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 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]].

*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)}}

 

Rounds start at 09:00 so the chart may not be available at that time. On Wednesdays Rounds start an hour or 2 later.

*These numbers are collected from the ICU Addendum Sheet/s and the flowsheets. If the patient comes from PACU, they do not use the ICU Addendum sheets.  Under [[Admit Type for APACHE II]], the surgery must be an E1 to qualify as Emergent.  This info is found on the white typed OR sheet which indicated the start and end times, procedure, etc. (Not the Anesthetic Record).

*The best source for the GCS is the admitting RN's notes.  Patients are often initally on Propofol and this is shortly DC'd which then allows a proper assessment.  The neuro patients or head trauma patients may be sedated for long periods of time and the admission GCS may need to be used.  Those patients will generally have a very poor neuro status even without Propofol.