HSC SICU Collection Guide: Difference between revisions

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== Log Book ==

*The SICU log census book is kept at the South Nursing station.

The SICU log census book is kept at the South Nursing station.

*All admissions in the binder are numbered with the 1-11 sequence to divide workload between the 3 ICU collectors. See [[HSC ICU locations and serial number sharing]].

*If any admissions are missed, collectors can find them by checking the TISS forms and EPR, and add them in the log book.

*Collectors sign off their patient admissions in the log book, by putting their serial number and initials on the left-hand side of the page.

Due to the COVID outbreak, we are now printing out an SICU Admission Register and Transfer Register from EPR Reports and dividing the patients the same way, but in our office.

== TISS sheets ==

See [[TISS General Info]]

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As of February 4, 2020, SICU keeps TISS forms of patients still in the unit on a clip board at the front desk (same as MICU).

*Label these with SICA-SICB-SICD to help keep track and avoid any missing forms.

*Ensure that TISS forms for MICU patients borrowing a bed in SICU are labelled MICA-MICB-MICD.

*If any are not on this clipboard, check the patient's bedside table, as some staff are still getting used to the new system of keeping TISS forms all together at the desk.

The binder with completed TISS forms is kept at the South Nursing station as well. (The white test sheets are also kept in that binder, and they may be discarded in confidential waste after 5 days).

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== Green Sheets ==

The [[Green sheets]] are in a binder on the Rounds Table, which is located in the side corridor to the left of the entrance into the unit. Completed Green Sheets (of discharged patients) are kept on the inside front cover of this binder, and may be retrieved before the start of rounds at 9 am.

The [[Green sheets]] are in a binder on the Rounds Table, which is located in the side corridor to the left of the entrance into the unit. Completed Green Sheets (of discharged patients) are kept on the inside front cover of this binder, and may be retrieved before the start of rounds at 9 am or in the afternoon after rounds.

* At the North nursing station is an upright set of shelves which has a space for the TISS and Green sheets which the data collector keeps stocked.

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==SICU overflow in PACU==

SICU patients often overflow into PACU, which is captured in the tmp file using [[Boarding Loc]].

*For admissions from PACU, use the time they are '''accepted by SICU''' as the admit time. The SICU physician will enter the admission to SICU on the order sheet or it is sometimes charted in the PACU ~~record~~ by the nurse. TISS starts when the patient is accepted by SICU.

*For admissions from PACU, use the time they are '''accepted by SICU''' as the admit time. The SICU physician will enter the admission to SICU on the order sheet or it is sometimes charted in the PACU Record by the nurse. TISS starts when the patient is accepted by SICU.

**The SICU log book may not reflect the accurate time of admission from PACU. Always check the chart to ensure the '''accepted by SICU''' date/time is used.

*For transfers to PACU who wait for transfer elsewhere, use the time they leave PACU as the discharge time.

*For patients who are temporarily moved to PACU during their admission, and then return back to SICU, use the [[Boarding Loc]] tmp file to capture all the moves.

**Make sure to check the SICU log book, as these patients are often written in there as a second admission, when in fact this is a bed borrow scenario.

*Occasionally a code blue patient from a ward is admitted to PACU under SICU or MICU service, due to lack of beds in either unit.

**The previous location should be the ward that the patient came from.

**Service location should be either MICU or SICU and the TISS should be labelled accordingly.

**Ensure that the appropriate tmp file [[Boarding Loc]] information is entered, as this is also an example of a bed borrow in PACU.

@@ Line 18: / Line 18: @@
 == Log Book ==
-*The SICU log census book is kept at the South Nursing station.
+The SICU log census book is kept at the South Nursing station.
 *All admissions in the binder are numbered with the 1-11 sequence to divide workload between the 3 ICU collectors. See [[HSC ICU locations and serial number sharing]].
 *If any admissions are missed, collectors can find them by checking the TISS forms and EPR, and add them in the log book.
+*Collectors sign off their patient admissions in the log book, by putting their serial number and initials on the left-hand side of the page.
+Due to the COVID outbreak, we are now printing out an SICU Admission Register and Transfer Register from EPR Reports and dividing the patients the same way, but in our office.
 == TISS sheets ==
 See [[TISS General Info]]
@@ Line 28: / Line 30: @@
 As of February 4, 2020, SICU keeps TISS forms of patients still in the unit on a clip board at the front desk (same as MICU).
 *Label these with SICA-SICB-SICD to help keep track and avoid any missing forms.
+*Ensure that TISS forms for MICU patients borrowing a bed in SICU are labelled MICA-MICB-MICD.
 *If any are not on this clipboard, check the patient's bedside table, as some staff are still getting used to the new system of keeping TISS forms all together at the desk.
 The binder with completed TISS forms is kept at the South Nursing station as well. (The white test sheets are also kept in that binder, and they may be discarded in confidential waste after 5 days).
@@ Line 33: / Line 36: @@
 == Green Sheets ==
-The [[Green sheets]] are in a binder on the Rounds Table, which is located in the side corridor to the left of the entrance into the unit.  Completed Green Sheets (of discharged patients) are kept on the inside front cover of this binder, and may be retrieved before the start of rounds at 9 am.
+The [[Green sheets]] are in a binder on the Rounds Table, which is located in the side corridor to the left of the entrance into the unit.  Completed Green Sheets (of discharged patients) are kept on the inside front cover of this binder, and may be retrieved before the start of rounds at 9 am or in the afternoon after rounds.
 * At the North nursing station is an upright set of shelves which has a space for the TISS and Green sheets which the data collector keeps stocked.
@@ Line 40: / Line 43: @@
 ==SICU overflow in PACU==
 SICU patients often overflow into PACU, which is captured in the tmp file using [[Boarding Loc]].
-*For admissions from PACU, use the time they are '''accepted by SICU''' as the admit time. The SICU physician will enter the admission to SICU on the order sheet or it is sometimes charted in the PACU record by the nurse. TISS starts when the patient is accepted by SICU.
+*For admissions from PACU, use the time they are '''accepted by SICU''' as the admit time. The SICU physician will enter the admission to SICU on the order sheet or it is sometimes charted in the PACU Record by the nurse. TISS starts when the patient is accepted by SICU.
 **The SICU log book may not reflect the accurate time of admission from PACU. Always check the chart to ensure the '''accepted by SICU''' date/time is used.
 *For transfers to PACU who wait for transfer elsewhere, use the time they leave PACU as the discharge time.
 *For patients who are temporarily moved to PACU during their admission, and then return back to SICU, use the [[Boarding Loc]] tmp file to capture all the moves.
+**Make sure to check the SICU log book, as these patients are often written in there as a second admission, when in fact this is a bed borrow scenario.
+*Occasionally a code blue patient from a ward is admitted to PACU under SICU or MICU service, due to lack of beds in either unit.
+**The previous location should be the ward that the patient came from.
+**Service location should be either MICU or SICU and the TISS should be labelled accordingly.
+**Ensure that the appropriate tmp file [[Boarding Loc]] information is entered, as this is also an example of a bed borrow in PACU.