STB Critical Care Collection Guide

This article contains information specific to STB Critical Care Units, see the ICU Curriculum for general 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:

• STB CCU Collection Guide
• STB CICU Collection Guide
• STB MICU Collection Guide

Cardiac Type patients

As of October 1, 2010 CCU collectors do not collect data on CCU (Cardiology) pts that are located in MICU or ICCS. Instead these pts are put as MICU or CICU location with cardiac type. The MICU or CICU collector is responsible for these patient profiles. If the pt care is transferred to the MICU attending, the profile will be restarted and it will be a medical type, instead of cardiac type. . Must remember to start a new tiss if the patient is transferred to the MICU physician's care. The first profile is logged out to MICU and the new profile is logged into MICU even though in both cases the location is MICU. This scenario happens rarely as usually Cardiology service looks after their patients while they are in MICU or CICU.

Legacy cardiac info

• prior to October 1, 2010: MSICU and ICCS had CCU patients as CCU overflows. They would often be located in one of these areas if they require intubation and /or IABP. However, they were still attended by the CCU doctors and the CCU data collector entered them as a CCU patient. They usually remained under CCU unless further multi system issues exist that the CCU attending wished to transfer the care to the ICU. In this case the patient is discharged from CCU and admitted to the ICU and the ICU data collector then would start a profile and continue to follow this patient. The respective TISS sheet followed the patient as they are moved between units if they continued to be a CCU pt.) The overflow was marked in the variable 5 slot.

Labs

• Lab Collection Process

Remember to count cardiac MRI, echos and angiograms in the labs.

• With the STB Electronic Patient Record we do not count any labs or pharms until the patient is discharged from the unit, it is the last thing we do.--LKolesar

Code STEMI

Some heart attack patients are admitted straight to the heart cath lab without being admitted to the. See STEMI for collection instructions for such patients.

Cardiac Care patients

See STB Cardiac Care patients for information specific to the cardiac service care patients in the STB MICU/SICU unit.

Patient origins and types

Medical type patients are those under medical service and may have come from a medical ward or from ER or from outside of the hospital. The medical wards at STB include

• E5
• B5
• E6
• A6

The surgical type patients are those that are admitted directly from the OR, PARR or any surgical ward. The surgical wards in SBGH are:

• CR4 cardiac surgery ward
• 2B day surg
• 4B gyne
• 4A surg
• 7AS
• 7AW.

When a pt is admitted from CR5 (CICU) this pt is deemed a surgical type (not cardiac).

cost center

Our cost number for supply ordering is 6766