HSC Critical Care Collection Guide: Difference between revisions

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==HSC SICU Collection Guide==

===Discussion===

*{{Discussion}} - [[User: Jpeterson | Joyce Peterson]] to enter information here.

{{Discussion}} - [[User: Jpeterson | Joyce Peterson]] to enter information here.

**{{Discussion}}

The SICU log census book is kept at the South Nursing station. This is seen when first entering the unit. The log is in a shelf at the desk, next to the Unit Clerk. The binder with the completed TISS and Record of Special Treatment and Test sheets is in the same shelf. The test sheets are a good source for admission and discharge dates and times that may not have been put into the log book. Patients who were not entered into the log book may also show here her, especially after a weekend as they may have float clerks who will not know to do the entry.

*The SICU log census book is kept at the South Nursing station. This is seen when first entering the unit. The log is in a shelf at the desk, next to the Unit Clerk. The binder with the completed TISS and Record of Special Treatment and Test sheets is in the same shelf. The test sheets are a good source for admission and discharge dates and times that may not have been put into the log book. Patients who were not entered into the log book may also show here her, especially after a weekend as they may have float clerks who will not know to do the entry.

The Green sheets are in a binder on the Rounds Table. When not being used in rounds, it is usually kept in the side corridor which will leads to the new hotel. Completed Green Sheets are left in the binder after the patient is discharged.

*The Green sheets are in a binder on the Rounds Table. When not being used in rounds, it is usually kept in the side corridor which will leads to the new hotel. Completed Green Sheets are left in the binder after the patient is discharged.

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. There is a larger space at the North Nursing Station which may be free. it has electrical outlets and a computer which accesses KEA. Next to this desk is an upright set of shelves which has a space for the TISS and Green sheets which the data collector keeps stocked.

*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. There is a larger space at the North Nursing Station which may be free. it has electrical outlets and a computer which accesses KEA. Next to this desk is an upright set of shelves which has a space for the TISS and Green sheets which the data collector keeps stocked.

The numbering for SICU/IICU patients goes from 51-100, e.g. patient 14599 is followed by 14600, then 14651.

*The numbering for SICU/IICU patients goes from 51-100, e.g. patient 14599 is followed by 14600, then 14651.

REG/ADL/VAR:

*REG/ADL/VAR:

The admission time for a patient admitted from PACU may not be entered accurately in the log bookif 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 overflow in PACU.

*The admission time for a patient admitted from PACU may not be entered accurately in the log bookif 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 overflow in PACU.

A patient may be listed in the log book as admitted from HSC ER, but this must be checked since they may have originated from another hospital/nursing station and just passed through the HSC ER.

*A patient may be listed in the log book as admitted from HSC ER, but this must be checked since they may have originated from another hospital/nursing station and just passed through the HSC ER.

SICU/IICU 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/IICU 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.

Discharge date and time fror a patient who is an organ donor is not the time of death, but the time/date they leave the ICU to go to the OR.

*Discharge date and time fror a patient who is an organ donor is not the time of death, but the time/date they leave the ICU to go to the OR.

The patient type is always 'surgical' in SICU and 'medical' in IICU.

*The patient type is always 'surgical' in SICU and 'medical' in IICU.

The Filter section is relevant if a patient is on Long-Term Ventilation.

*The Filter section is relevant if a patient is on Long-Term Ventilation.

Variables:

*Variables:

All patients who suffer a cardiac arrest must have the BRR/XBR completed.

*All patients who suffer a cardiac arrest must have the BRR/XBR completed.

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.

*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.

If 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 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.

DIAGNOSES:

*DIAGNOSES:

If a patient is admitted from the OR, the first admit must be a surgery.

*If a patient is admitted from the OR, the first admit must be a surgery.

If the patient is a traum who goes to the OR, the diagnosis is found under TRAUMA, e.g. craniotomy to evacuate a traumatic SDH from an MVA, will be 'Subdural hematoma-POST-OP - MVA'.

*If the patient is a traum who goes to the OR, the diagnosis is found under TRAUMA, e.g. craniotomy to evacuate a traumatic SDH from an MVA, will be 'Subdural hematoma-POST-OP - MVA'.

If a patient has a diagnosis of septic shock, at present the Septic Shock Study requires that the Temp Studies must have a date and time of the first low bp and antibiotic related to the septic episode. This may have to be found in notes from another hospital or the Vital Signs record from the ward. If a patient has a VAP, only the date and the time needs to be entered.

*If a patient has a diagnosis of septic shock, at present the Septic Shock Study requires that the Temp Studies must have a date and time of the first low bp and antibiotic related to the septic episode. This may have to be found in notes from another hospital or the Vital Signs record from the ward. If a patient has a VAP, only the date and the time needs to be entered.

@@ Line 10: / Line 10: @@
 ==HSC SICU Collection Guide==
 ===Discussion===
-*{{Discussion}} - [[User: Jpeterson | Joyce Peterson]] to enter information here.
+{{Discussion}} - [[User: Jpeterson | Joyce Peterson]] to enter information here.
-**{{Discussion}}
+{{Discussion}}
-   The SICU log census book is kept at the South Nursing station.  This is seen when first entering the unit.  The log is in a shelf at the desk, next to the Unit Clerk.  The binder with the completed TISS and Record of Special Treatment and Test sheets is in the same shelf.  The test sheets are a good source for admission and discharge dates and times that may not have been put into the log book.  Patients who were not entered into the log book may also show here her, especially after a weekend as they may have float clerks who will not know to do the entry.
+*The SICU log census book is kept at the South Nursing station.  This is seen when first entering the unit.  The log is in a shelf at the desk, next to the Unit Clerk.  The binder with the completed TISS and Record of Special Treatment and Test sheets is in the same shelf.  The test sheets are a good source for admission and discharge dates and times that may not have been put into the log book.  Patients who were not entered into the log book may also show here her, especially after a weekend as they may have float clerks who will not know to do the entry.
-   The Green sheets are in a binder on the Rounds Table. When not being used in rounds, it is usually kept in the side corridor which will leads to the new hotel.  Completed Green Sheets are left in the binder after the patient is discharged.
+*The Green sheets are in a binder on the Rounds Table. When not being used in rounds, it is usually kept in the side corridor which will leads to the new hotel.  Completed Green Sheets are left in the binder after the patient is discharged.
-   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.  There is a larger space at the North Nursing Station which may be free.  it has electrical outlets and a computer which accesses KEA. Next to this desk is an upright set of shelves which has a space for the TISS and Green sheets which the data collector keeps stocked.
+*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.  There is a larger space at the North Nursing Station which may be free.  it has electrical outlets and a computer which accesses KEA. Next to this desk is an upright set of shelves which has a space for the TISS and Green sheets which the data collector keeps stocked.
-   The numbering for SICU/IICU patients goes from 51-100, e.g. patient 14599 is followed by 14600, then 14651.
+*The numbering for SICU/IICU patients goes from 51-100, e.g. patient 14599 is followed by 14600, then 14651.
-   REG/ADL/VAR:
+*REG/ADL/VAR:
-   The admission time for a patient admitted from PACU may not be entered accurately in the log bookif 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 overflow in PACU.
+*The admission time for a patient admitted from PACU may not be entered accurately in the log bookif 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 overflow in PACU.
-   A patient may be listed in the log book as admitted from HSC ER, but this must be checked since they may have originated from another hospital/nursing station and just passed through the HSC ER.
+*A patient may be listed in the log book as admitted from HSC ER, but this must be checked since they may have originated from another hospital/nursing station and just passed through the HSC ER.
-   SICU/IICU 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/IICU 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.
-   Discharge date and time fror a patient who is an organ donor is not the time of death, but the time/date they leave the ICU to go to the OR.
+*Discharge date and time fror a patient who is an organ donor is not the time of death, but the time/date they leave the ICU to go to the OR.
-   The patient type is always 'surgical' in SICU and 'medical' in IICU.
+*The patient type is always 'surgical' in SICU and 'medical' in IICU.
-   The Filter section is relevant if a patient is on Long-Term Ventilation.
+*The Filter section is relevant if a patient is on Long-Term Ventilation.
-   Variables:
+*Variables:
-   All patients who suffer a cardiac arrest must have the BRR/XBR completed.
+*All patients who suffer a cardiac arrest must have the BRR/XBR completed.
-   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.
+*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.
-   If 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 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.
-   DIAGNOSES:
+*DIAGNOSES:
-   If a patient is admitted from the OR, the first admit must be a surgery.
+*If a patient is admitted from the OR, the first admit must be a surgery.
-   If the patient is a traum who goes to the OR, the diagnosis is found under TRAUMA, e.g.  craniotomy to evacuate a traumatic SDH from an MVA, will be 'Subdural hematoma-POST-OP - MVA'.
+*If the patient is a traum who goes to the OR, the diagnosis is found under TRAUMA, e.g.  craniotomy to evacuate a traumatic SDH from an MVA, will be 'Subdural hematoma-POST-OP - MVA'.
-   If a patient has a diagnosis of septic shock, at present the Septic Shock Study requires that the Temp Studies must have a date and time of the first low bp and antibiotic related to the septic episode.  This may have to be found in notes from another hospital or the Vital Signs record from the ward.  If a patient has a VAP, only the date and the time needs to be entered.
+*If a patient has a diagnosis of septic shock, at present the Septic Shock Study requires that the Temp Studies must have a date and time of the first low bp and antibiotic related to the septic episode.  This may have to be found in notes from another hospital or the Vital Signs record from the ward.  If a patient has a VAP, only the date and the time needs to be entered.