Pharmacy collection

these instructions are to come into effect 2012-01-01
please test as you get a chance!

• Collect pharmacy data for critical care patients admitted after midnight 2012-01-01 into the Pharmacy Flowsheet.
• Stop collecting pharmacy the old way at the same time.
• If a profile has some collected by the old method and some by the new method that is OK. They will be additive.
• For HSC where no manual collection was done prior, the new admissions starting Jan 1, 2012 will have manual pharmacy collection with the new pharm flowsheet.
• As of Jan 1, 2012 @ 0001 hrs, only the new flowsheet for pharmacy will be used.

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

Template:Discussion what does a new collector need to know to collect pharmacy correctly?Ttenbergen 19:13, 8 December 2011 (CST)

How to enter the data

In the Patient viewer, go to the Pharm_flow tab. Enter the number of days for which a drug was given (not collecting doses any longer).

You don't need to list entries for a given day, the lines are there only allow you to break down your work if a patient stays for a long time.

Hints

• double-click into a cell to up it by 1 (or in case of 0/1 drugs, to toggle between 0 and 1
• hover over a cell to get a popup with the drugs that are part of any of the groups we collect
• When reviewing the MAR for all drugs or flow sheets for infusions you may find it helpful to make a pencil mark after the drugs you have counted up to so that when you look at it again, the same drugs are not duplicate counted.
• The date automatically is put into the line when you enter a number under the specific drugs. This also helps to keep track of when you last counted drugs.
• For the blue colored drugs you only need to put a "1" in the box (or double-click the box) if it ever was used during the patient stay. If it is left blank it means it was not used. We do not need the number of days for these specific drugs.

Drugs Collected

see Drugs Collected

TISS / Pharm corellation

The following items on your pharmacy form should be confirmed against the corresponding items on the TISS:

• inotropes, heparin, antiarrythmic marked in you history notes and pharmacy form (Tiss items 67, 68& 69 )
• check that TISS # 76 or 77 is marked against the antibiotics on the MAR
• check that Tiss 71 is marked when pt had potassium via central line;
• check #70 is marked if patient is on Vasopressin.

discussion

Template:Discussion which of these are still relevant? pls. just remove ones that no longer are.Ttenbergen 19:02, 8 December 2011 (CST)

• What do we do if a person is on a IV PPI and an oral is a double count or a single? The same for any drug in the same category given the same day.
• We just need the number of days for a category regardless of which drugs were given. If they were on one PPI or two it doesn't matter, just count the days on any PPI.--LKolesar 15:40, 20 December 2011 (CST)
• Are we just counting IV antibiotics or both IV and oral? What about everything else IV and oral all collected?
• IV and oral are collected unless specifically indicated like IV infusion of opioids for example.--LKolesar 15:40, 20 December 2011 (CST)
  • If I enter my drug counts on a new line on a daily basis (rather than at the end of a patients stay), will the program add up the number of treatment days (like the lab sheets)..or do we have to add/total as we enter?? Could the date line have a "+/-" button so we can change the date to match our date of collection? Mlaporte 09:17, 20 December 2011 (CST)
  • I asked Tina and she said she didn't put the line to total(as in labs) because there is no space. However the lines will total. She will look into putting the + or- button when she returns from her vacation in January. Need to manually put in date till then. --LKolesar 15:40, 20 December 2011 (CST)
    • You do not need to change any prior entries for patients admitted prior to Jan 1, 2012, but stop collecting the old way on everyone after Jan 1. Any pharmacy collection after Jan 1 on all patients should be the new way. Some patients will end up having a portion of old entries (up to Jan 1) and new pharmacy entries after this. That is OK, the data will be cumulative. I hope this helps to clarify.--LKolesar 12:54, 23 December 2011 (CST)

temp note - delete after Dec 2011

Streptomycin was initially listed as to-be-collected for both aminoglycosides and anti-tb drugs; discussed with Dr. Garland and we will collect this only under anti-TB drugs. Ttenbergen 16:09, 9 December 2011 (CST)

Data Integrity Checks

None as of now, but I will add some as we get used to this. For example:

• each patient has to have at least one line of no entries

things to finish before go-live

• inform Pagasa of change in process, update Pharmacy Collection HSC
• inform HSC Pharmacy of change in process, update Pharmacy Collection HSC
  • ICU task group decided to delay this for the time being Ttenbergen 16:22, 14 December 2011 (CST)