STB Medicine Collection Guide
This article contains information specific to STB Medicine, see the Medicine Curriculum for general information, and STB General 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:
IMPORTANT INFORMATION DURING COVID PANDEMIC
see STB General Collection Guide#IMPORTANT UPDATE DURING CORONAVIRUS PANDEMIC for general info
- STB Med Data Collectors will be working from home until recalled or redeployed; we are monitoring our emails
![]() |
will any med collectors be on site at intervals like STB_Critical_Care_Collection_Guide#IMPORTANT_INFORMATION_DURING_COVID_PANDEMIC? |
Location of information
STB EPR lists are used for unit admissions and discharges. The "transfer register" EPR report is used only to track intrafacility transfers, EMIPs, and Overs as this report is a fixed list and can be lengthy. Any queries have to be individually searched on STB EPR to vet: ie. rule in, rule out, and for determination of false negatives and false positives prior to entering a profile onto the data collection log and into the database.
Accept DtTm for admissions is located in the order set in STB EPR lists.
Arrive DtTm is found in location history in STB EPR lists.
Visit Admit DtTm field is found in location history in STB EPR lists.
Dispo_DtTm is found under the patient info tab, then clicking Demographics/Visit Data on the left in STB EPR lists. The discharge information will be on the bottom right of the page. Visit Admit DtTm field is also included on this page.
Boarding Loc
Full-time Boarding Loc ward patients are tracked by both E5 and E6 collectors and divided as follows:
- 1-15th of the month is monitored by the S5 (E6) collector
- 16th-end of month is monitored by the E5 collector
![]() |
|
Workload distribution
See STB Medicine Workload splitting
Vacation Coverage
- Vacation and staff shortage collection priorities? Should it be? Ttenbergen 18:35, 2016 November 10 (CST)
For those collectors who are doing vacation relief for the regular collectors who are away, catch up from time off can be expedited for the returning collector if the following things are prioritized.
- ADL's can be found on the STB Electronic Patient Record. They are in "initial assessment" form under the documents tab. Everything needed for minimal data will be included.
- medicine apache score. The SBGH ER unit is online with their vital signs and neuro assessment. This means that the vital signs and gcs required for the apache score can now be found under the flow sheets tab. To access neuro check, click on flow sheets, then care and assessment, then neuro. The only exception to this is for patients admitted to the unit from STB_MICU. STB_MICU does not use EPR (electronic patient record) for vital signs, and hence apache for these patients still need to be obtained from the paper flow sheet in the chart.
items not yet on electronic chart
APACHE tab
To collect the Medicine items on the Apache tab
- for patient who come from MICU, look on the the MICU flow sheet
- for all other patient use EPR vital signs
Office and staff
see Category:St Boniface Hospital Office (Medicine)
Related articles
Related articles: |