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HSC MICU Collection Guide: Difference between revisions

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m Text replacement - "HSC ICU locations and serial number sharing" to "HSC ICU workload splitting"
m →Transfer Ready Date: moved this info to HSC Critical Care Collection Guide since it's basically the same relevant info for all HSC CC collection, not unit specific. Also, cleaning out some TISS info that is no longer relevant now that it's not on forms any more.
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This article contains collection information specific to the MICU at HSC.
This article contains collection information specific to the [[HSC_MICU]].


''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 HSC in the program or unit level articles. ''
''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 HSC in the program or unit level articles. ''
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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 ==
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*Collectors sign off their patient admissions in the log book, by putting their serial number and initials on the left-hand side of the page.
*Collectors sign off their patient admissions in the log book, by putting their serial number and initials on the left-hand side of the page.
***Due to the COVID outbreak, we are now printing out an MICU Admission Register and Transfer Register from EPR Reports and dividing the patients the same way, but in our office.
***Due to the COVID outbreak, we are now printing out an MICU Admission Register and Transfer Register from EPR Reports and dividing the patients the same way, but in our office.
== TISS Sheets ==
See [[TISS General Info]]
The TISS sheets of patients still in the unit are on a clipboard at the front and back desk.
*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.




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After your pt file is complete the [[Green sheets]] can be discarded into confidential waste. We no longer hand these in to the main office.
After your pt file is complete the [[Green sheets]] can be discarded into confidential waste. We no longer hand these in to the main office.


The ward clerks will order the TISS and [[Green sheet]]s if you ask them. Monitor to see if they are getting low.  Contact [[p:Pagasa Torres]] in advance before stock is low and she sends order to print shop.  (there is a 1 week turn around time).  We do keep stock in main office so that if units need, turn around time can be quicker.
The ward clerks will order [[Green sheet]]s if you ask them. Monitor to see if they are getting low.  Contact [[p:Pagasa Torres]] in advance before stock is low and she sends order to print shop.  (there is a 1 week turn around time).  We do keep stock in main office so that if units need, turn around time can be quicker.
 
{{Discuss|
* I have spoken to the clerks in MICU and they '''''do''''' order their own TISS forms and [[Green sheet]]s. Is it not possible to have SICU and IICU order their own as well? --[[User:Jvelasco|Jvelasco]] 11:57, 2020 February 28 (CST)
**will check this out with Pagasa and printshop. If we made changes to the form then unit would not get most current. [[User:TOstryzniuk|Trish Ostryzniuk]] 14:44, 2020 February 28 (CST)
** Which Cost Center they are charging to?
*** I do not know. --[[User:Jvelasco|Jvelasco]] 15:14, 2020 April 7 (CDT)}}
 
{{Discuss|Another question: Since we are not to go to the units during the COVID outbreak, how do we supply the ICU's with TISSs and [[Green sheet]]s? For sure SICU and IICU will need to be restocked. MICU seems to restock their own according to the ward clerks, but that does not seem to be verified so far...--[[User:Jvelasco|Jvelasco]] 15:14, 2020 April 7 (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. Or we email Pagasa when the supply is running low in our office, she brings them here and we then deliver some to both units. --[[User:Jvelasco|Jvelasco]] 13:26, 2020 April 17 (CDT)}}




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MICU is a closed unit, which means that only the MICU service is looking after the patients.
MICU is a closed unit, which means that only the MICU service is looking after the patients.
*All files are entered using '''HSC_MIC''' service location.
Due to the COVID-19 outbreak, some SICU patients are now being treated in MICU, until they are proven to be negative. See [[COVID-19 (SARS-COV-2)]]under '''Cohorting in HSC ICUs'''.
*If they are under MICU service, enter them using '''HSC_MIC''' service location, and add '''SICU under MICU''' in the tmp file. See [[ICUotherService]].
**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]].
**Make sure the TISS is labelled as SICU in this scenario.
== 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.  
{{Discuss |
* The following is outdated info, but I am not sure if there is anything special for MICU now, so leaving it. The up-to-date instructions for this are in [[Boarding Loc]] and [[Service tmp entry]].
::Due to the COVID-19 outbreak, some SICU patients are now being treated in MICU, until they are proven to be negative. See [[COVID-19 (SARS-COV-2)]]under '''Cohorting in HSC ICUs'''.
::*If they are under MICU service, enter them using '''HSC_MIC''' service location, and add '''SICU under MICU''' in the tmp file. See [[ICUotherService]].
::**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]].
}}




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