HSC Critical Care Collection Guide: Difference between revisions

Line 10:

Currently we have 3 laptops and 3 data collectors.The 3 collectors will be working in all of the HSC critical care units. We will use the transfer tracker and EPR as much as possible to coordinate times.

Please send the emails to Joyce Peterson,Lori Lovell and Gail Hall.

==Admission times==

Collectors will make an effort to assess the accuracy of admission times ASAP so that those collectors that need to coordinate times from the sending unit can see the time on the transfer tracker.We will back up during the lunch break to try to make those times available.

== Pharmacy ==

Line 23:

Line 25:

== Transfer times MICU/CCU ==

== Transfer times MICU/CCU/SICU/IICU==

~~{{discussion}} is this relevant only~~ to ~~MICU/CCU, or~~ to ~~Med collectors or STB CCU collectors as well? Want~~ to make ~~sure it's in the right place~~. ~~Ttenbergen 15:02, 2015 May 20 (CDT)~~

Collectors will make an effort to assess the accuracy of admission times ASAP so that those collectors that need to coordinate times from the sending unit can see the time on the transfer tracker.We will back up during the lunch break to try to make those times available.

To determine transfer times the first set of vital signs is the guide. Medicine collectors at HSC can find the transfer time by looking at the first set of vital signs in MICU. Unless there is a clearly documented time elsewhere in the chart the ward transfer time is usually 10 minutes prior to first set of vitals. It is a rare occurrence that those vital signs are not done. Collectors do need to be careful as there can be many pages of flowsheets for one day.The old addendum sheets are not supposed to be used but I will also occasionally see an addendum sheet. The EPR can also be a guide but at HSC it isn't always accurate and in some cases the the time in the EPR is after the patient was clearly in the unit according to the vital signs record.

To determine transfer times the first set of vital signs is the guide. Medicine collectors at HSC can find the transfer time by looking at the first set of vital signs in MICU. Unless there is a clearly documented time elsewhere in the chart the ward transfer time is usually 10 minutes prior to first set of vitals. It is a rare occurrence that those vital signs are not done. Collectors do need to be careful as there can be many pages of flowsheets for one day.The old addendum sheets are not supposed to be used but I will also occasionally see an addendum sheet.

STB CCU is used as a bed borrow sometimes post angio and then patients are sent to HSC CCU. The only way to tell if it was a bed borrow or not is to look for a nursing transfer record or check our data base's transfer tracker.

@@ Line 10: / Line 10: @@
 Currently we have 3 laptops and 3 data collectors.The 3 collectors will be working in all of the HSC critical care units. We will use the transfer tracker and EPR as much as possible to coordinate times.
 Please send the emails to Joyce Peterson,Lori Lovell and Gail Hall.
+==Admission times==
+Collectors will make an effort to assess the accuracy of admission times ASAP so that those  collectors that need to coordinate times from the sending unit can see the time on the transfer tracker.We will back up during the lunch break to try to make those times available.
 == Pharmacy ==
@@ Line 23: / Line 25: @@
-== Transfer times MICU/CCU ==
+== Transfer times MICU/CCU/SICU/IICU==
-{{discussion}} is this relevant only to MICU/CCU, or to Med collectors or STB CCU collectors as well? Want to make sure it's in the right place. Ttenbergen 15:02, 2015 May 20 (CDT)
+Collectors will make an effort to assess the accuracy of admission times ASAP so that those  collectors that need to coordinate times from the sending unit can see the time on the transfer tracker.We will back up during the lunch break to try to make those times available.
+To determine transfer times the first set of vital signs is the guide. Medicine collectors at HSC can find the transfer time by looking at the first set of vital signs in MICU. Unless there is a clearly documented time elsewhere in the chart the ward transfer time is usually 10 minutes prior to first set of vitals. It is a rare occurrence that those vital signs are not done. Collectors do need to be careful as there can be many pages of flowsheets for one day.The old addendum sheets are not supposed to be used but I will also occasionally see an addendum sheet. The EPR can also be a guide but at HSC it isn't always accurate and in some cases the the time in the EPR is after the patient was clearly in the unit according to the vital signs record.
-To determine transfer times the first set of vital signs is the guide. Medicine collectors at HSC can find the transfer time by looking at the first set of vital signs in MICU. Unless there is a clearly documented time elsewhere in the chart the ward transfer time is usually 10 minutes prior to first set of vitals. It is a rare occurrence that those vital signs are not done. Collectors do need to be careful as there can be many pages of flowsheets for one day.The old addendum sheets are not supposed to be used but I will also occasionally see an addendum sheet.
 STB CCU is used as a bed borrow sometimes post angio and then patients are sent to HSC CCU. The only way to tell if it was a bed borrow or not is to look for a nursing transfer record or check our data base's transfer tracker.