HSC Critical Care Collection Guide
See also:
- HSC General Collection Guide for information that applies to both HSC Medicine and HSC ICU Data collection.
- Medicine Curriculum for information that applies to Medicine Data Collection at all sites
- ICU Curriculum for information that applies to ICU Data Collection at all sites
- Category: Health Sciences Center Office for unit specific information, eg MICU
Workload balancing
See HSC ICU locations and serial number sharing 2015-05-01.
Currently we have 3 laptops and 3 data collectors.The 3 collectors will be working in all of the HSC critical care units. We will use the transfer tracker and EPR as much as possible to coordinate times. Please send the emails to Joyce Peterson,Lori Lovell and Gail Hall.
Pharmacy
If patients are transferred to the wards the medication records may be in the nurses Mar binder or in a thinned chart. The ward clerks will help locate these thinned charts.
Labs
25% Albumin is often given and is often not on the intake and output sheet but will be found on the medication record. Cross reference the blood administration record.
Thinned Charts
This is a big problem at HSC. Patients are transferred to different areas often and the chart doesn't follow the patient in many cases. Notify the ward clerk of the unit the patient is located that part of the chart is missing. If it is still missing after the clerk has attempted to locate it then ask for the clerk to call medical records for any recent volumes. In some cases the chart has gone down to med records in error instead of following the patient. Patients transfered to RR5 get the whole chart sent to medical records to sorted and bound and then returned to that ward.If your patient gets transferred to RR5 you may have to wait until the bound volume returns.
Missing TISS forms
This appears to happen mainly in SICU. Collectors will try to make staff more aware of not sending the form to the wards. Trish has agreed to talk to the managers at one of the meetings.
Transfer times MICU/CCU
Template:Discussion is this relevant only to MICU/CCU, or to Med collectors or STB CCU collectors as well? Want to make sure it's in the right place. Ttenbergen 15:02, 2015 May 20 (CDT)
To determine transfer times the first set of vital signs is the guide. Medicine collectors at HSC can find the transfer time by looking at the first set of vital signs in MICU. Unless there is a clearly documented time elsewhere in the chart the ward transfer time is usually 10 minutes prior to first set of vitals. It is a rare occurrence that those vital signs are not done. Collectors do need to be careful as there can be many pages of flowsheets for one day.The old addendum sheets are not supposed to be used but I will also occasionally see an addendum sheet.
STB CCU is used as a bed borrow sometimes post angio and then patients are sent to HSC CCU. The only way to tell if it was a bed borrow or not is to look for a nursing transfer record or check our data base's transfer tracker.