STB MICU Collection Guide: Difference between revisions

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== Process of data collection==

* Each day the data collector must go to each bedside to obtain data from the nurses' flow sheets which are still in paper format. At this time the tiss sheets which are kept on the bedside chart can be checked to ensure accuracy. Apache vital signs must be obtained from the paper flow sheets. The main paper charts are kept at the individual bedsides as well. ~~It is helpful to view the operative records, angiogram records, endoscopy reports, code blue records, notes sent from other hospitals, etc. at this time.~~

* Each day the data collector must go to each bedside to obtain data from the nurses' flow sheets which are still in paper format. At this time the tiss sheets which are kept on the bedside chart can be checked to ensure accuracy. Apache vital signs must be obtained from the paper flow sheets. The main paper charts are kept at the individual bedsides as well.

* ~~As of September 2017, the nurses' operative report is in EPR under documents. The doctor's operative reports have been~~ on ~~EPR for some time already. The anesthesia record is still~~ in the paper chart.~~--[[User:LKolesar|LKolesar]] 12:25, 2017 September 7 (CDT)~~

* see below for information on which items are in the paper chart.

*Once the bedside chart information has been collected and entered on the laptop, there may be ward follow ups. Patients from MICU can be transferred to almost any ward in the hospital (surgical wards are 4AS and 4ASstepdown; 7AS and 7AW, 2B); (acute medical wards are E5, E6); (chronic medicine wards are B5, A6S, E4); (Gyne is A6W); (Cardiology ward is A5S); (Palliative ward is A8W); (Psychiatry is McEwen). (Obstetrics is on the 3rd floor includes L&D, postpartum and LDRP); (CR4 is the cardiac surgery inpatient unit in Asper building).

*Patients that have been discharged will need to have their charts reviewed in Medical Records so this list must be put down and it usually takes 2 days or so to obtain the charts if they are available.

@@ Line 11: / Line 11: @@
 == Process of data collection==
-* Each day the data collector must go to each bedside to obtain data from the nurses' flow sheets which are still in paper format. At this time the tiss sheets which are kept on the bedside chart can be checked to ensure accuracy. Apache vital signs must be obtained from the paper flow sheets.   The main paper charts are kept at the individual bedsides as well.  It is helpful to view the operative records, angiogram records, endoscopy reports, code blue records, notes sent from other hospitals, etc.  at this time.
+* Each day the data collector must go to each bedside to obtain data from the nurses' flow sheets which are still in paper format. At this time the tiss sheets which are kept on the bedside chart can be checked to ensure accuracy. Apache vital signs must be obtained from the paper flow sheets.   The main paper charts are kept at the individual bedsides as well.
-* As of September 2017, the nurses' operative report is in EPR under documents. The doctor's operative reports have been on EPR for some time already.  The anesthesia record is still in the paper chart.--[[User:LKolesar|LKolesar]] 12:25, 2017 September 7 (CDT)
+* see below for information on which items are in the paper chart.
 *Once the bedside chart information has been collected and entered on the laptop, there may be ward follow ups.  Patients from MICU can be transferred to almost any ward in the hospital (surgical wards are 4AS and 4ASstepdown; 7AS and 7AW, 2B);  (acute medical wards are E5, E6); (chronic medicine wards are B5, A6S, E4); (Gyne is A6W); (Cardiology ward is A5S); (Palliative ward is A8W); (Psychiatry is McEwen). (Obstetrics is on the 3rd floor includes L&D, postpartum and LDRP); (CR4 is the cardiac surgery inpatient unit in Asper building).
 *Patients that have been discharged will need to have their charts reviewed in Medical Records so this list must be put down and it usually takes 2 days or so to obtain the charts if they are available.