DeviceUse Study: Difference between revisions

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==Instructions for collecting==

* The focus is to '''determine number of days with each device while in the unit'''

* For each of the following devices, enter an in and out record for each device present:

* For each of the following devices, enter an in and out record or start and stop record for each device present:

** on "in" record, tick off "present on admission" instead of entering a date if the device is present on admission

** on "in" or "start" record, tick off "present on admission" instead of entering a date if the device is present on admission

** on "out" record, tick off "present on discharge" instead of entering a date if the device is present on discharge

** on "out" or "stop" record, tick off "present on discharge" instead of entering a date if the device is present on discharge

** devices:

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**** doesn't matter how many central lines a patient has at the same time (hint: if helps to keep track by writing in the note section which line it is for your own benefit.)

*** PICC line

***ETT & vent in, use this option if both are simultaneous (if not use individual options which have a "Z" in front)

***ETT in & vent start, use this option if both are simultaneous (if not use individual options which have a "Z" in front)

***ETT & vent ~~out~~, use this option if both are simultaneous (if not use individual options which have a "Z" in front)

***ETT out & vent stop, use this option if both are simultaneous (if not use individual options which have a "Z" in front)

*** ETT

*** zETT in and out is used if done independently of vent.

**** If an '''unplanned extubation''' occurs enter a record for this in addition to documenting the ETT ~~in and~~ out records

***zVent stop and start is used if done independently of ETT in and out.

**** if patient is re-intubated then the ETT out will not be completed at the same date and time because the ETT days will continue.

**** If an '''unplanned extubation''' occurs enter a record for this in addition to documenting the ETT out/vent stop records

**** if patient is re-intubated within the same day, then the ETT out/vent stop will not be completed at the same date and time because the ETT /vent days will continue.

*** Trach

*** Vent

**** Out will be defined as OFF the ventilator for >=48 hrs

*** BIPAP/CPAP start and stop

*** BIPAP/CPAP

Bipap is only used in non-ventilated, extubated patients.

**** DC BIPAP will be defined as OFF bipap for >=24 hrs

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* If the device is '''removed or stopped for a few days''' and then a new device is used, a new set of entries is required to get an accurate duration for the device.

*Each item must have a partner: ~~for~~ example if ~~ETT & Vent is used~~ "in"~~, then you must have~~ an ~~ETT & Vent "out". If any Z~~ option ~~is chosen~~, then ~~it's~~ "~~partner~~" must be entered. ~~ie if Z option ETT~~ in is ~~used,~~ the ~~you will need Z~~ option ~~ETT~~ out. When you send, if the paired items are not entered for your completed pts, you will get a list of errors when you check your pre-send checker.

*Each item must have a partner: For example if central line "in" is an option, then central line "out" must be entered. If it remains in after discharge then the box is ticked in the "out" option. "Start" items must be paired with "stop" items and "in" items must be paired with "out" items. When you send, if the paired items are not entered for your completed pts, you will get a list of errors when you check your pre-send checker.

*Call me if you are unclear about these rules and I will try to clarify. You can always Page me and I will respond ASAP. Pager 932-0653 if you need help on the spot with this. --[[User:LKolesar|LKolesar]] 07:06, 20 October 2011 (CDT)

@@ Line 21: / Line 21: @@
 ==Instructions for collecting==
 * The focus is to '''determine number of days with each device while in the unit'''
-* For each of the following devices, enter an in and out record for each device present:
+* For each of the following devices, enter an in and out record or start and stop record for each device present:
-** on "in" record, tick off "present on admission" instead of entering a date if the device is present on admission
+** on "in" or "start" record, tick off "present on admission" instead of entering a date if the device is present on admission
-** on "out" record, tick off "present on discharge" instead of entering a date if the device is present on discharge
+** on "out" or "stop" record, tick off "present on discharge" instead of entering a date if the device is present on discharge
 ** devices:
@@ Line 29: / Line 29: @@
 **** doesn't matter how many central lines a patient has at the same time (hint: if helps to keep track by writing in the note section which line it is for your own benefit.)
 *** PICC line
-***ETT & vent in, use this option if both are simultaneous (if not use individual options which have a "Z" in front)
+***ETT in & vent start, use this option if both are simultaneous (if not use individual options which have a "Z" in front)
-***ETT & vent out, use this option if both are simultaneous (if not use individual options which have a "Z" in front)
+***ETT out & vent stop, use this option if both are simultaneous (if not use individual options which have a "Z" in front)
-*** ETT
+*** zETT in and out is used if done independently of vent.
-**** If an '''unplanned extubation''' occurs enter a record for this in addition to documenting the ETT in and out records
+***zVent stop and start is used if done independently of ETT in and out.
-**** if patient is re-intubated then the ETT out will not be completed at the same date and time because the  ETT days will continue.
+**** If an '''unplanned extubation''' occurs enter a record for this in addition to documenting the ETT out/vent stop records
+**** if patient is re-intubated within the same day, then the ETT out/vent stop will not be completed at the same date and time because the  ETT /vent days will continue.
 *** Trach
-*** Vent
-**** Out will be defined as OFF the ventilator for >=48 hrs
+*** BIPAP/CPAP start and stop
-*** BIPAP/CPAP
 Bipap is only used in non-ventilated, extubated patients.
 **** DC BIPAP will be defined as OFF bipap for >=24 hrs
@@ Line 43: / Line 43: @@
 * If the device is '''removed or stopped for a few days''' and then a new device is used, a new set of entries is required to get an accurate duration for the device.
-*Each item must have a partner:  for example if ETT & Vent is used "in", then you must have an ETT & Vent "out".  If any Z option is chosen, then it's "partner" must be entered.  ie if Z option ETT in is used, the you will need Z option ETT out.  When you send, if the paired items are not entered for your completed pts, you will get a list of errors when you check your pre-send checker.
+*Each item must have a partner:  For example if central line "in" is an option, then central line "out" must be entered.  If it remains in after discharge then the box is ticked in the "out" option.  "Start" items must be paired with "stop" items and "in" items must be paired with "out" items.   When you send, if the paired items are not entered for your completed pts, you will get a list of errors when you check your pre-send checker.
 *Call me if you are unclear about these rules and I will try to clarify.  You can always Page me and I will respond ASAP.  Pager 932-0653 if you need help on the spot with this.  --[[User:LKolesar|LKolesar]] 07:06, 20 October 2011 (CDT)