STB MICU Collection Guide: Difference between revisions

Line 11:

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

* There may also 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 submitted by email at least 3-5 days prior to seeing the chart~~

*Patients that have been discharged will need to have their charts reviewed in Medical Records; see [[STB Medical Records requests]]

*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.

@@ Line 11: / Line 11: @@
 * see below for information on which items are in the paper chart.
 * There may also 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 submitted by email at least 3-5 days prior to seeing the chart
+*Patients that have been discharged will need to have their charts reviewed in Medical Records; see [[STB Medical Records requests]]
 *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.