STB Critical Care Collection Guide

This article contains information specific to STB Critical Care Units, see the ICU Curriculum for general information.

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 StB in the program or unit level articles.

See also:

• STB CCU Collection Guide
• STB CICU Collection Guide
• STB MICU Collection Guide

Overflows

As of October 1, 2010 CCU collectors do not collect data on CCU pts that are located in MICU or ICCS. Instead these pts are put as MICU or CICU location with cardiac type. If the pt care is transferred to the MICU attending, the profile will be restarted and it will be a medical type, instead of cardiac type. This is done by the MICU or CICU data collectors. Legacy prior to October 1, 2010: MSICU and ICCS can also have CCU patients as CCU overflows. They will often be located in one of these areas if they require intubation and /or IABP. However, they are still attended by the CCU doctors and the CCU data collector must enter them as a CCU patient. They usually remain under CCU unless further multi system issues exist that the CCU attending wishes to transfer the care to the ICU. In this case the patient is discharged from CCU and admitted to the ICU and the ICU data collector will then start a profile and continue to follow this patient. (insure that the respective TISS sheet follows the patient as they are moved between units if they continue to be a CCU pt.) Make sure the overflow is marked in the variable 5 slot. Template:Discussion

• pulled this from the CCU article; is there anything related for the other units that needs to go here? Ttenbergen 16:18, 2012 October 31 (EDT)

Labs

• Lab Collection Process

Remember to count cardiac MRI, echos and angiograms in the labs.

• With the EPR we do not count any labs or pharms until the patient is discharged from the unit, it is the last thing we do.--LKolesar

Code STEMI

Some heart attack patients are admitted straight to the heart cath lab without being admitted to the. See STEMI for collection instructions for such patients.

Cardiac Care patients

See STB Cardiac Care patients for information specific to the cardiac service care patients in the STB MICU/SICU unit.

Patient origins and types

Medical type patients are those under medical service and may have come from a medical ward or from ER or from outside of the hospital. The medical wards at STB include E5, B5, E6, A6. The surgical type patients are those that are admitted directly from the OR, PARR or any surgical ward. The surgical wards in SBGH are: CR4 cardiac surgery ward, 2B day surg, 4B gyne, 4A surg, 7AS & 7AW.

When a pt is admitted from CR5 (CICU) this pt is deemed a surgical type (not cardiac).

cost center

Our cost number for supply ordering is 6766

• Please move this back to STB MICU Collection Guide if this is unit specific information, or to STB Collection Guide if it applies to all collectors at StB. If it's int he right place, please delete this. Template:Discussion