Pharmacy Collection Other Sites

The Critical Care Data Collectors at STB, VIC, GRA, OAK, & CON hospitals, manually collect the total amounts of certain drugs dispensed to a patient during their ICU stay.

Go to S Drugs for a list of the drugs that are collected at sites other than HSC.

The drugs amounts that are collected in the ICU sites listed above are a subset of drugs that are collected at HSC.

• Go to: Pharmacy Collection HSC for information and a list of drugs collected at HSC.

• The Data Collector in the Medicine Program do not collect any pharmacy information.

Pharmacy Items Collected

• HSC - GO TO: Pharmacy Collection HSC
• All other sites go to: S Drugs

Data Integrity Rules

• check that there are not more drug days than LOS
• check that doses is not greater than s_drugs MaxDoses for a given drug
• run comparative checks to ensure drugs and priority unique for this patient

Discussion

• • Based upon the most sites, infusion drug doses are counted by the number of bags hung in the ICU, whether or not the whole bag was used up.

VIC ICU

• I just received a phonecall from Jan Kothuber (OAK ICU)about the IV drug calculations.
• I know I am on holidays but I just want to clarify what we have been doing at the VIC since we started data collecting. Norine does it the exact same way.

1. When an IV dug is mixed in a sage, or drip, ou use a vial, let's say amiodorone 300 to add to the bag. We would calcualte that as 1 dose for the one day (if they only hung one bag) If there were consecutive bags it would be 2 or 3 or however many bags over however many days. We were told in orientation it was was cost measures. So it didn't matter how much of the bag was used up , we still had used up the vial, it can't be used for anyone else............

• It's easier to figure out oral meds in a more exact mgs. The only exception was propofol where we had to figure out the exact amount of mgs.
• Anyway, this is what I had told Jan during her orientation. So just so you exactly how you told us a long, long, long time ago. Jackie W. (VIC ICU)

>>> Norine Miller 07/09/08 10:07 PM >>> I agree with the exception of the propofol when there is an infusion, bottles of 1000 mg are hung counted as one no matter how much is used as it was not reusable-exception are boluses (which we can choose in the dropdown menu) -I am looking at it right now...........Norine M (VIC ICU).

CON ICU

• I was trained to count bags, so that is what I have been doing here....exactly what Vic is doing. Re: meropenem...I have never counted this in the pharmacy section. Betty (CON ICU)

STB ICU

• At St. Boniface we count the number of bags/bottles used and not the amount in the bag used, as was previously pointed out by others, the unused portion is thrown away, and the cost is what is being calculated. That's how we do it here.DFriesen 15:57, 15 July 2008 (CDT) & Kym Wiebe

GRA ICU

• Hi Trish - I have access to it and have read the issue about syringe use - I'm in Mary-Lou's camp - counting mg's then converting into a syringe count of how much the patient actually received - I've been doing that for years. Christine Scoville - GRA ICU casual.

• Okay, Trish here, waiting to hear from STB. TOstryzniuk 20:48, 14 July 2008 (CDT)

OAKS MICU

My collection process @ The Oaks has been outlined by Jackie and MaryLOu. I was oriented to counting the # of bags and it was explained to me that it was the cost that we were reflecting in our count. I am glad this discussion came up as I would prefer that we collect the same way across the Region in whatever process is correct.Jan Kothuber

• so what is the end result of this discussion?JWinestock 16:43, 6 October 2008 (CDT)

Infusion Drug Counting

Template:Discussion-moved to here--TOstryzniuk 15:12, 22 June 2010 (CDT)

• I could not find a data collection guide for pharmacy on the wiki. My question to all data collectors is: When counting infusion drugs do you count them if they are infusing even if the bag was not hung in your unit or do you only count the number of bags hung? Hopefully I will get many to respond as we need a consistent policy on this. --LKolesar 11:18, 18 June 2010 (CDT)
  • I currently count all bags hung determined by the med sheet.--MWaschuk 10:57, 21 June 2010 (CDT)
    • I count only bags that were hung in ICU and signed on the med sheet. (I have on occasion had files with no Pharm; but on the Tiss had points for vasoactive meds that were hung in ER and then discontinued shortly after admission to ICU)--Mlaporte 15:30, 21 June 2010 (CDT)
      • I also only count bags hung in ICU per the med sheet. BDeVlaming 10:01, 22 June 2010 (CDT)
        • I would like to add that sometimes meds are not signed on the med sheet and then I add up the number of mls of the med infused in ICU. For example today a pt had 295 ml of Propofol infused over 2 days-none were signed on the med Kardex. The first bag hung in ICU was documented on the fluid sheet-so I calculated from that point forward. This can only apply to continuous infusions.Mlaporte 12:25, 25 June 2010 (CDT)

Heparin

• I seem to remember that some heparin is no longer included on the TISS. Does that affect these instructions? Ttenbergen 21:32, 4 June 2008 (CDT)
  • we no longer put subcutaneous heparin on the TISS (item 72 & 73). Only IVJWinestock 15:56, 10 July 2008 (CDT)**