CON ICU Collection Guide: Difference between revisions

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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.

The '''"TISS" binder''' is kept on the main desk by the ward clerk. 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.

@@ Line 17: / Line 17: @@
 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.
+The '''"TISS" binder''' is kept on the main desk by the ward clerk.  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.