STB MICU Collection Guide

This article contains collection information specific to the STB_MICU/SICU at St Boniface. STB MICU/SICU also called ICMS, this unit includes medical, surgical and cardiac patients.

Please make sure you document information at the most general level that is applicable, i.e. don't code something that affects all collection at StB in the program or unit level articles.

See the following for more general information:

• STB General Collection Guide
• STB Critical Care Collection Guide

Unit admission log book

• The admission/discharge log book is found at the main desk near where the ward clerk usually sits.

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.
• 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.
• Once all the paper components have been reviewed and the profiles updated with this information, the data collector can read the EPR information in the Data Office (N4069). EPR contains all physician orders, labs, DI results, MAR, Pt information like address, etc. and all progress notes.
• When reviewing patients that have left the ICU, we check the TISS against the MAR and other EPR information at this time. We also do all the lab counts and Pharmacy counts. We review all of the progress notes up to the time of patient leaving the ICU. After completing all of these patient profiles, the "complete" tab is selected.

Cardiology patients

STB Cardiology service patients are collected differently than other patients, see STB Cardiac Care patients for details.

Ward contacts

• see STB MICU#Contacts

Collector "base"

• Can use the extra desk space adjacent to Bed 1. You can also use individual desk space throughout the unit if there are any empty bed spots.
• I try to get a bedside table to accommodate my laptop for checking the individual patient flow sheets and tiss sheets and other parts of the paper chart. I can easily move to each individual bedside this way without utilizing the desk areas in the unit. Once I collect the information I need from the bedside paper charts then I read the rest of the charts in the office on EPR and enter this information utilizing Extended desktop external split screens.--LKolesar 18:03, 2015 August 18 (CDT)

Location of patient chart components

See STB Electronic Patient Record

The individual charts are kept at each specific bedside along with the tiss sheets. The current green sheets are kept on the rounds cart. The completed tiss and green sheets are kept in a marked binder at the main desk.

VAP / CLI worksheet

There is a sheet in the ICMS data collector's binder that has a record of VAP and line sepsis cases. This information is kept and is shared with the charge nurse and Lillian Kolley for ongoing quality control.

With the new instructions for Contacting Quality Officer and Manager for VAPs and CLIs, can we discontinue that sheet? We should not be retaining patient info once we are done dealing with it. Ttenbergen 10:26, 2017 September 18 (CDT) Basil Evan , QI officer, is asking that perhaps a worksheet be submitted to him regarding which criteria were met for either VAP for CLI when collector make determination from chart. Perhaps we could make a checklist in TMP instead in regards to which criteria are met for these two special projects instead of paper worksheets that are different at each collection site? Suggestions? --Trish Ostryzniuk 17:14, 2018 November 19 (CST) added to tmp was abandoned. Trish Ostryzniuk 18:46, 2019 February 4 (CST) Emailed Trish "What do you mean by was abandoned, the question or the project or the paperwork?" Ttenbergen 22:29, 2019 February 5 (CST)

• SMW

• Cargo

• Categories

Articles related uniquely to STB MICU

• STB Cardiac Care patients

Other STB ICU collection guide info

• STB ACCU Collection Guide
• STB CICU Collection Guide