Minutes Team Meeting December 1, 2010

Agenda for Team Meeting December 1, 2010

Laptop issues

• • No place to leave them when working on wards. Can't leave unattended. Many sites have no place to lock them because lack work space.
  • Suggestion: Lock to table or desk.Marie Laporte would like lock for Grace ICU site. Shirley Kiesman to check for unused lock at VIC, if can't find one will be ordered for Marie from main office.
• Laptop slow - Vic site - Shirley Kiesman- using first generation laptop. Will be first site to be replaced. Tina has 2 spare newer laptops and will look at replacing.
• Sheila Dowson - still has to scroll down DX list to find Tasks - Tina Tenbergen will check this laptop and find out what the problem is.

Restructuring DX codes in Access

• Codes will eventually be mapped to ICD10, but current codes would be easier to find if wording was reorganzied to make them easier to find in Access DX list.
  • Laura Kolesar and Lois Bilesky offered to work with Tina Tenbergen to do this. Approved by Trish Ostryzniuk
  • Tina reviewed the "FIND" function in Access. (someone can retype this if they can explain better). When in the DX list, make sure you are not in a specific DX category, click on EDIT tab, click on FIND. A window will pop up and it will allow you to type in the word you are looking for.
  • Tina did a demo about tabbing and navigating through laptop and how to use "FIND" in DX list.

Pathogen Follow up

• Some staff are following up all culture reports and email or phone Pagasa with "pathogen to plug in, others don't follow up culture reports if patient is discharged and they are ready to send in to main database. Some are waiting 5 days after discharge.
  • RULE: Follow up all culture reports up to 5 days after discharge from unit.
  • If a culture is sent and it comes back as a "contaminent" therfore, not pathogenic, then code culture as NEGATIVE.
  • Trish Ostryzniuk to ask Dr. Kumar is there is any value to include subcode of "contaminent".
  • Laura Kolesar pointed out an example of a Central Line Related Blood steam Infection being coded as an admitting code to a community Hospital. Community Hospital Marie Laporte had emailed STB site in regards to this because Community site physician note documenting Line Infection. Laura followed up with ID nurse at STB, who verified that Blood Stream infection was not central line related and was a contaminent.
  • Discussion about the CLR-BSI project that is going on across Canada in Critical Care [[CCVSM]. Central line related BSI are preventable and the goal is for ICU's to have none. Julie inputs this information (central line counts received from ICU each week and number of line infections from the database) into a Canada wide program that many ICU's in Canada are participating in.