HSC Medicine Collection Guide

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Revision as of 14:01, 6 October 2016 by Ttenbergen (talk | contribs) (HSC wards: link)
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HSC wards

Medicine Database for CCMDB is collected on the following medical wards at HSC including following any admissions in other areas/wards in the hospital that are under Medicine service attending physician's care.

We collect data on all patients admitted to these wards including teaching, non-teaching and off service. This includes (see also Definition_of_a_Medicine_Service_admission#Include Neuro and Nephrology patients

  • neuro medicine
  • renal patients under nephrology

Paper Worksheets used

  • optional preference of the data collector to have paper records
  • Notes can be left by double clicking on the note section, at the time of sending files delete the notes. You may need to leave notes that are relevant to that file for example a abnormally high wbc.

Go to: HSC_H4H_Serial_number_share_plan_guide for information about HOB patient serial numbers

Daily ward Admit/transfer/discharge ward Binder

  • The standard Admission / Transfer / Discharge ward Log Binder that is used and found at the main desk.Some wards write in the details other use a paper label stamped with the addressograph
  • The ward also has a scribbler that usually has the names of patients admitted,discharged,transferred and moved.
  • The data collector reviews the Admission Binder on each ward, assigns a serial number and enters the minimal data base for all new admissions.
  • The admission and discharge "times" are entered as per the Admission binder. Times are corrected once the chart is reviewed.

Information relevant to A4 data collection

  • If the Discharge Planning Screening Tool is not found in the chart for a new admission, it will usually be on a clip-board hanging by the door next to the med room (about half-way down the wall). This is done as a reminder for the ward clerk to fax consults on the new admissions first thing in the morning. Once faxed, the tool will be filed back into the chart.--CMarks 10:37, 2013 December 4 (CST)

Information relevant to patients admitted to B3

  • B3 is both a medicine, and surgical unit.There is no B medicine service. The unit is split into two, ten beds to medicine, the rest to day surgery.

There is a white board opposite the main desk and the inpatients (which are medicine) are written in Black. Cathy is the unit clerk and is more then willing to help any new comer out. Space is very limited on B3 log book is kept at the desk--PStein 12:07, 6 December 2010 (CST)

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