STB Medicine Collection Guide
Template: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 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.
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),
- 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. 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.
Our office, Rm.N4065, is located on Tache, in the Education Building. The spare key is in Laura and Lois' office, Rm.N4036.ENagy 18:41, 30 November 2010 (CST)
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.TOstryzniuk 20:18, 21 October 2010 (CDT)
- 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