STB Medicine Collection Guide: Difference between revisions

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{{Discussion}} STB medicine collectors, please document collection data guidelines for related to STB med wards here.  If there are any collection details that are specific to your ward, they should be documented here also. 
This article contains information specific to STB Medicine, see the [[Medicine Curriculum]] for general information, and [[STB Collection Guide]] for St Boniface specific information.  
This will serve as a reference for any collector who is assigned or choices to pick up extra hours during sick or vacation at this site.
*We are currently in phase 2 of electronic patient record [[EPR]] implementation. All patient log data, location information, lab, and diagnosis imaging results, tests, physicians' orders and pharmacy are obtained electronically.


Contact Trish for information re: application/security clearance forms and orientation to [[EPR]].
''Please make sure you document information at the most general level that is applicable, i.e. don't code something that affects all collection at StB in the program or unit level articles. ''


See also:
* [[STB 5B Collection Guide]]
* [[STB E6 Collection Guide]]
== Location of information ==
Until [[EPR]] access/orientation completed, use the Wards' daily admit/transfer/discharge binder for the Ward date/time of event. If no time marked in, refer to the nurses notes in the charts Integrated Progress Notes. The admit/transfer/discharge binders are located at the main desk on the wards. On E6, the binder is kept between the CRN (Clinical Resource Nurse) and the Ward Clerk. On 5B, it is on top of the desk ledge, to the left of the CRN.
Until [[EPR]] access/orientation completed, use the Wards' daily admit/transfer/discharge binder for the Ward date/time of event. If no time marked in, refer to the nurses notes in the charts Integrated Progress Notes. The admit/transfer/discharge binders are located at the main desk on the wards. On E6, the binder is kept between the CRN (Clinical Resource Nurse) and the Ward Clerk. On 5B, it is on top of the desk ledge, to the left of the CRN.


For accepted to Medicine date/time (i.e. the admit date and time),
== Lab results == 
*FOR THOSE PATIENTS ADMITTED FROM E.R: use the date and time from the "accepted to service" on the [[EPR]] orders. i.e. in the epr, click on orders, then highlight the order that says "admit to inpatient-medicine-medical service". Right click on that order. Scroll down to view, then across to history, then across to status. Click on status. Use the date and time as listed in the top "new" order. This is the date and time the patient is accepted to medical service.
*FOR THOSE PATIENTS ADMITTED FROM ANOTHER WARD: use the date and time plus five minutes from the discharge date and time of the sending ward. [[User:DPageNewton|DPageNewton]] 15:17, 20 June 2011 (CDT)
   
Hard copies of the Lab results will be on the chart within 24 hours of admission, if not much sooner.
Hard copies of the Lab results will be on the chart within 24 hours of admission, if not much sooner.
* why or how is this relevant? is it different from elsewhere? How does this relate to the [[EPR]]? Ttenbergen 18:33, 2012 October 31 (EDT) {{discussion}}


Our office, Rm.N4065, is located on Tache, in the Education Building. The spare key is in Laura and Lois' office, Rm.N4036.[[User:ENagy|ENagy]] 18:41, 30 November 2010 (CST)
== Office and staff ==
 
see [[:Category:St Boniface Hospital Office (Medicine)]]
If you want to see current guideline for sites go to:  [[Medicine Curriculum]] or [[ICU Curriculum]] and look at top of this article to find link to hosp/unit specific guideline in progress.--Thanks everyone.[[User:TOstryzniuk|TOstryzniuk]] 20:18, 21 October 2010 (CDT)


*[http://ltc.umanitoba.ca/wikis/ccmdb/index.php/Category:St_Boniface_Hospital_Office_%28Medicine%29 STB Medicine Data Collection Staff]
==[[Serial_number#Serial_number_share_plan_for_STB-5B | Serial number share plan for STB-5B]]==
*[[Medicine Curriculum]]
==[http://ltc.umanitoba.ca/wikis/ccmdb/index.php/Serial_number#Serial_number_share_plan_for_STB-5B Serial number share plan for STB-5B]==


*Elaine has been assigned to E6&5B and Deb to E5. Workload distribution plan: Deb will pick up the FIRST THREE NEW admissions to 5B every month.
*Elaine has been assigned to E6&5B and Deb to E5. Workload distribution plan: Deb will pick up the FIRST THREE NEW admissions to 5B every month.

Revision as of 17:33, 31 October 2012

This article contains information specific to STB Medicine, see the Medicine Curriculum for general information, and STB Collection Guide for St Boniface specific information.

Please make sure you document information at the most general level that is applicable, i.e. don't code something that affects all collection at StB in the program or unit level articles.

See also:

Location of information

Until EPR access/orientation completed, use the Wards' daily admit/transfer/discharge binder for the Ward date/time of event. If no time marked in, refer to the nurses notes in the charts Integrated Progress Notes. The admit/transfer/discharge binders are located at the main desk on the wards. On E6, the binder is kept between the CRN (Clinical Resource Nurse) and the Ward Clerk. On 5B, it is on top of the desk ledge, to the left of the CRN.

Lab results

Hard copies of the Lab results will be on the chart within 24 hours of admission, if not much sooner.

  • why or how is this relevant? is it different from elsewhere? How does this relate to the EPR? Ttenbergen 18:33, 2012 October 31 (EDT) Template:Discussion

Office and staff

see Category:St Boniface Hospital Office (Medicine)

Serial number share plan for STB-5B

  • Elaine has been assigned to E6&5B and Deb to E5. Workload distribution plan: Deb will pick up the FIRST THREE NEW admissions to 5B every month.
  • Start at: 5B Serial number 2037
  • from every group of 10, Deb will use numbers ending with 1,2,3 and Elaine will use numbers ending with 4,5,6,7,8,0.
  • example:
    • Elaine: 2034-2040, Deb: 2041-2043
    • Elaine: 2044-2050, Deb: 2051-2053
    • Elaine: 2054-2060, Deb: 2061-2063 etc.........

Start Date

Started: June 1, 2010

Purpose

  • assignment changes with workload redistribution

Stop Date

none - current

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