GRA ICU Collection Guide: Difference between revisions

From CCMDB Wiki
Jump to navigation Jump to search
TOstryzniuk (talk | contribs)
m No more green sheets
Line 6: Line 6:
For info about the unit, see [[GRA MICU]]
For info about the unit, see [[GRA MICU]]


== Charts, TISS and Green Sheets ==
== Charts and TISS Sheets ==
TISS sheets are kept on the nurses' bedside clipboard.
TISS sheets are kept on the nurses' bedside clipboard.
*When patients are discharged or when the TISS sheet is full, the green sheets and TISS are placed in the front of the TISS/Green sheet binder, located on the rounds cart.
*When patients are discharged or when the TISS sheet is full, the TISS are placed in the front of the TISS sheet binder, located on the rounds cart.
*Thinned charts and old charts are kept on the lower shelf of the rounds cart.
*Thinned charts and old charts are kept on the lower shelf of the rounds cart.
*The patient's chart is usually kept on a bedside table with the bedside red binder
*The patient's chart is usually kept on a bedside table with the bedside red binder

Revision as of 09:16, 2021 March 24

This page contains information specific to Grace Hospital ICU collection only. See GRA General Collection Guide for information related to all Grace Hospital collection, and see ICU Curriculum for information to all-site ICU data collection. Also see 2020_GRA_COVID_unit_transition#GRA_MICU.

computer #GHDW210X5100R23

Grace ICU

For info about the unit, see GRA MICU

Charts and TISS Sheets

TISS sheets are kept on the nurses' bedside clipboard.

  • When patients are discharged or when the TISS sheet is full, the TISS are placed in the front of the TISS sheet binder, located on the rounds cart.
  • Thinned charts and old charts are kept on the lower shelf of the rounds cart.
  • The patient's chart is usually kept on a bedside table with the bedside red binder

Documentation change once Transfer Ready

Once the patient has been deemed medically stable ie. transfer ready, the ICU flowsheets are no longer used. Only the daily systems review sheet is used to document VS, activity, lines etc.

Medications

Continuous flow medications are documented on both the ICU flowsheet and the MAR. PRN medications are documented on the PRN (non-scheduled) medication form. Regularly scheduled medications are documented on the scheduled medication form. Blood products are documented on the Blood product form, the ICU flowsheet or sometimes on the scheduled medication form if ordered regularly ie. HSA25% BID

Lab Counts

ABG/VBG are not entered in the EPR but are found on the ABG flowsheet found on the bedside clipboard

Diagnostics

Ultrasounds are done on the bedside now, if patient is ventilated. So on the TISS, it's not counted as a trip with RN out of ICU anymore.

GRA ICU Data Collector

 Collection Collector
GH-MICU
GH-Recovery Room

Additionally:

GRA_MICU Contacts

GRA MICU

Related articles

Related articles: