HSC SICU Collection Guide: Difference between revisions
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* [[HSC General Collection Guide]] | * [[HSC General Collection Guide]] | ||
* [[HSC Critical Care Collection Guide]] | * [[HSC Critical Care Collection Guide]] | ||
== Ward contacts == | == Ward contacts == | ||
see [[HSC SICU#Contacts]] | see [[HSC SICU#Contacts]] | ||
== Work Space == | == Work Space == | ||
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* There is a larger space at the North Nursing Station which may be free. There are electrical outlets there. | * 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. | * If not being used, the X-ray viewing room may also be used by collectors. | ||
== Log Book == | == Log Book == | ||
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*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]]. | *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]]. | ||
*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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*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. | *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. | ||
The binder with completed TISS forms is kept at the South Nursing station as well. (The white test sheets are also kept in that binder, and they may be discarded in confidential waste after 5 days). | The binder with completed TISS forms is kept at the South Nursing station as well. (The white test sheets are also kept in that binder, and they may be discarded in confidential waste after 5 days). | ||
== Green Sheets == | == Green Sheets == | ||
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* At the North nursing station is an upright set of shelves which has a space for the TISS and Green sheets which the data collector keeps stocked. | * At the North nursing station is an upright set of shelves which has a space for the TISS and Green sheets which the data collector keeps stocked. | ||
==SICU overflow in PACU== | ==SICU overflow in PACU== | ||
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*For transfers to PACU who wait for transfer elsewhere, use the time they leave PACU as the discharge time. | *For transfers to PACU who wait for transfer elsewhere, use the time they leave PACU as the discharge time. | ||
*For patients who are temporarily moved to PACU during their admission, and then return back to SICU, use the [[Boarding Loc]] tmp file to capture all the moves. | *For patients who are temporarily moved to PACU during their admission, and then return back to SICU, use the [[Boarding Loc]] tmp file to capture all the moves. | ||
== Transfer Ready Date == | == Transfer Ready Date == | ||
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*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. | *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. On Wednesdays Rounds start an hour or 2 later. | Rounds start at 09:00, so charts may not be available at that time. On Wednesdays Rounds start an hour or 2 later. | ||
== APACHE == | == APACHE == | ||
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For [[Admit Type for APACHE II]], the surgery must be an E1 to qualify as Emergent, otherwise enter Elective. | For [[Admit Type for APACHE II]], the surgery must be an E1 to qualify as Emergent, otherwise enter Elective. | ||
*This info is found on the OR Record. | *This info is found on the OR Record. | ||
== Clipboards == | == Clipboards == | ||
These are kept at each bedside and have | These are kept at each bedside and have: | ||
* the current Flowsheet | *the current Flowsheet | ||
* possibly the Flowsheet for the day before for reference during Rounds | *possibly the Flowsheet for the day before for reference during Rounds | ||
* the MARs | *the MARs | ||
== Charts == | == Charts == | ||
The charts are kept at each bedside. Lab sheets are usually in the chart. | The current charts are kept at each bedside. Lab sheets are usually in the chart. | ||
Thinned charts and old charts are kept on the high shelf at the front desk. | |||
SICU does '''not''' save charts of patients who where discharged home or transferred to another facility for data collectors. They must be requested from MR. See [[HSC Medical Records requests]]. | |||
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 | |||
*SICU patients borrowing a bed in PACU | |||
*other valuable info | |||
== Other HSC site specific info == | == Other HSC site specific info == | ||