HSC MICU Collection Guide: Difference between revisions
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== Ward contacts == | == Ward contacts == | ||
see [[HSC_MICU#Contacts]] | see [[HSC_MICU#Contacts]] | ||
== Work Space == | == Work Space == | ||
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*front: beds 1-10 | *front: beds 1-10 | ||
*back: beds 11-20 | *back: beds 11-20 | ||
== Log Book == | == Log Book == | ||
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*The admissions in this log book are numbered by collectors with the 1-11 sequence to divide the workload. See [[HSC ICU locations and serial number sharing]]. | *The admissions in this log book are numbered by collectors with the 1-11 sequence to divide the workload. See [[HSC ICU locations and serial number sharing]]. | ||
*If any admissions are missed, collectors can find them by checking the TISS forms and EPR, and add them in the log book. | *If any admissions are missed, collectors can find them by checking the TISS forms and EPR, and add them in the log book. | ||
== TISS Sheets == | == TISS Sheets == | ||
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*Label these with MICA-MICB-MICD, to help keep track and avoid any missing forms. | *Label these with MICA-MICB-MICD, to help keep track and avoid any missing forms. | ||
The completed TISS sheets and [[Green sheet]]s are kept in a white binder at each desk. White test information sheets are kept for 5 days and then the collectors can discard them into confidential waste. | The completed TISS sheets and [[Green sheet]]s are kept in a white binder at each desk. White test information sheets are kept for 5 days and then the collectors can discard them into confidential waste. | ||
== Green Sheets == | == Green Sheets == | ||
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*when was the last time you request TISS form for SICU or IICU guys? Pagasa say HSC has not requested any for long time since Oct 2019 actually. [[User:TOstryzniuk|Trish Ostryzniuk]] 17:19, 2020 April 15 (CDT) | *when was the last time you request TISS form for SICU or IICU guys? Pagasa say HSC has not requested any for long time since Oct 2019 actually. [[User:TOstryzniuk|Trish Ostryzniuk]] 17:19, 2020 April 15 (CDT) | ||
**We do not request TISS forms/Green sheets for SICU or IICU. We go to your office and Pagasa gives us a stack of both. We then deliver some to both units. --[[User:Jvelasco|Jvelasco]] 13:26, 2020 April 17 (CDT)}} | **We do not request TISS forms/Green sheets for SICU or IICU. We go to your office and Pagasa gives us a stack of both. We then deliver some to both units. --[[User:Jvelasco|Jvelasco]] 13:26, 2020 April 17 (CDT)}} | ||
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**Once they are transferred to SICU, make a new file with '''HSC_SIC''' service location. | **Once they are transferred to SICU, make a new file with '''HSC_SIC''' service location. | ||
*If for some reason the patient is in MICU under SICU service, enter them using '''HSC_SIC''' service location and treat it as a [[Boarding Loc]]. | *If for some reason the patient is in MICU under SICU service, enter them using '''HSC_SIC''' service location and treat it as a [[Boarding Loc]]. | ||
== Transfer Ready Date == | |||
*MICU 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 order sheet, and for IICU it is the date/time on the Consult Sheet. | |||
== Rounds == | == Rounds == | ||
Rounds start at 09:00, so charts may not be available at that time. | Rounds start at 09:00, so charts may not be available at that time. | ||
== APACHE == | == APACHE == | ||
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*The best source for the GCS is the admitting RN's notes. | *The best source for the GCS is the admitting RN's notes. | ||
For [[Admit Type for APACHE II]], enter Medical. | For [[Admit Type for APACHE II]], enter Medical. | ||
== 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 | |||
== Charts == | |||
The current charts are kept at each bedside. | |||
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 | |||
==Other HSC site specific info== | ==Other HSC site specific info== | ||