STB MICU Collection Guide: Difference between revisions

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== Location of patient chart components ==

See [[STB Electronic Patient Record]]

The individual charts are kept at each specific bedside along with the tiss sheets. The current green sheets are kept on the rounds cart. The completed tiss and green sheets are kept in a marked binder at the main desk.

There is a sheet in the ICMS data collector's binder that has a record of VAP and line sepsis cases. This information is kept and is shared with the charge nurse and Lillian Kolley for ongoing quality control.

*As of January, 2013, all chart information is found in the Electronic Patient Record for MICU except: The nurses flow sheets, OR records, ER records, Echo Reports, Endoscopy reports, heart cath. reports, central line insertion sheets, blood product sheets. (These items are still part of the paper chart). --[[User:LKolesar|LKolesar]] 11:42, 2013 May 6 (EDT)

*As of September, 2017, the nurses operative report is in EPR under documents. The physicians OR notes have been in EPR for some time. Central line insertions are put in EPR under documents, endoscopy has a paper version and an EPR version. The heart cath has both paper and EPR versions of the report. ER is mostly all EPR now. The only exclusive paper reports are echo reports and the anesthesia record. Other paper elements include blood product sheets, nurses flow sheets, intake and output sheets, CRRT sheets & GCS sheets.--[[User:LKolesar|LKolesar]] 12:40, 2017 September 7 (CDT)

== Articles related uniquely to STB MICU ==

@@ Line 30: / Line 30: @@
 == Location of patient chart components ==
+See [[STB Electronic Patient Record]]
 The individual charts are kept at each specific bedside along with the tiss sheets.  The current green sheets are kept on the rounds cart.  The completed tiss and green sheets are kept in a marked binder at the main desk.
 There is a sheet in the ICMS data collector's binder that has a record of VAP and line sepsis cases.  This information is kept and is shared with the charge nurse and Lillian Kolley for ongoing quality control.
-*As of January, 2013, all chart information is found in the Electronic Patient Record for MICU except:  The nurses flow sheets, OR records, ER records, Echo Reports, Endoscopy reports, heart cath. reports, central line insertion sheets, blood product sheets.  (These items are still part of the paper chart).  --[[User:LKolesar|LKolesar]] 11:42, 2013 May 6 (EDT)
-*As of September, 2017, the nurses operative report is in EPR under documents.  The physicians OR notes have been in EPR for some time.  Central line insertions are put in EPR under documents, endoscopy has a paper version and an EPR version.  The heart cath has both paper and EPR versions of the report. ER is mostly all EPR now.  The only exclusive paper reports are echo reports and the anesthesia record.  Other paper elements include blood product sheets, nurses flow sheets, intake and output sheets, CRRT sheets & GCS sheets.--[[User:LKolesar|LKolesar]] 12:40, 2017 September 7 (CDT)
 == Articles related uniquely to STB MICU ==