CON ICU Collection Guide

See also:

• ICU Curriculum
• Concordia Hospital Office Information
• Concordia Electronic Patient Record

The ICU is located on the main floor of the hospital. Concordia has a 7 bed Surgical/Medical/Cardiac

Keys are obtained from Security.

Concordia Contacts

see Concordia Hospital Contacts

Concordia Collection Guide

The log book is kept on the desk in ICU near the clerk. The clerk is responsible for filling it out. It contains enough to fill in the minimal required data set.

The "TISS" binder is kept on the rounds cart. It has all the current green sheets for the Dr's to fill out. As well, the clerks will put all the TISS sheets for discharged patients in this binder for the collector to retrieve. Extra TISS and green sheets are kept in the filing cabinet shared by PACU and MICU.

Medical records is located on the ground floor. Rhonda at the main desk will retrieve charts at the time that they are requested by providing the name of the patient, their MRN and their date of discharge from the hospital/ICU. Charts must be signed out in the Medical Records log book located on the main counter. In the Log book one enters the date, MRN of chart reviewed, name of data collector, Dept. or reason for review and then dates and initials when the chart is returned. Charts can not be taken out of the department. There are three cubicles in Medical Records which data collectors may use to review charts. Two of the cubicles have computers for accessing labs and diagnostic imaging on EPR gateway. Unassembled charts are returned to Sandra Lopez's desk which is adjacent to the three cubcles. Assembled charts are returned to the cart at the entrance of Medical Records. Death charts are returned to Kim at the death desk behind Rhonda's desk.

Chart thinnings

ICU has binders of thinnings for long stay patients. They are kept on the rounds cart in ICU. Old charts are kept on the rounds cart. The surgical floor generally leave ICU charting/forms in the charts. The medical floors will often thin out the ICU flow sheets. They are kept in drawers on the medical floors...just ask the clerk for them.

Special Instructions for Concordia Ortho patients

Please see When_to_code_a_patient_as_post-op#Special Instructions for Concordia Ortho patients

Template:Discussion The link above are not specific to the Concordia data collection. I need to look into this but I believe there are site specific coding instructions for orthopaedic patients at this site that are not addressed in the above link. I will look into it.GHall 14:33, 2016 April 7 (CDT)

Special Instruction on VAP reporting-site specific

When you code a patient with a VAP - Ventilator Associated Pneumonia/QA_Infection#A._VAP in the Concordia ICU, the site leadership team is requires you to call by phone:

• Sarah Gilchrist, CON ICU manager, Phone: 661-7287

Leave the following info on voice message:

• Patient name
• VAP date

Green sheets and Tiss sheets

Extra green sheets and TISS sheets are kept in the shared file cabinet between ICU and PACU

Transfers to and from the Conc wards

We don't data collect on the wards at the Conc. You don't need to specify which ward the patient came from or went to. Just put CW. In the temp file that has the service to question the collectors need to be aware that the Concordia hospital has 4 family medicine wards. There are no internal medicine wards at this site.

WiFi connection

see also Wireless networking Laptop connects to wireless network in all areas except medical records. Hard drive computers are always available in medical records to the data collector in that area for easy access to epr and email etc.