CCU Service Tracking

for tracking which service sent to an ICU, see Service Sending to ICU instead

Purpose

We want to know how much of the load of the STB MICU is due to which service.

Data Collection Instructions

For patients occupying a STB MICU bed, that during their stay in MICU have been under Cardiology Service at any time, enter the service they are admitted under. If the service changes during the stay, enter a new tmp entry for the new service as well.

If a patient occupying a STB MICU bed remains under MICU coverage their entire stay, there is no need to make a tmp entry for CCU Service at all.

Use tmp fields:

• Project: CCU_Service
• Item: CCU or MICU
• start_dt: date of service change
• start_tm: time of service change
  • If the pt arrives under Cardiology (CCU) service the date and time for this tmp entry will be the same as the admission date and time to MICU.

should this be available for collection for CCU as well

• Received request from Julie/Laura to add ability to collect this to CCU laptop. Waiting for clarification because I thought all of CCU was cardiology, so there would be no need to collect this. Ttenbergen 18:50, 2016 March 25 (CDT)
  • CICU was the request (not CCU). CICU is the Surgical ICU for Cardiac Surgery. Pt type usually in this unit is "surgery". We need the option of using CCU tracking in this unit because, at times, this is where they are put when MICU is full. CCU currently cannot take patients that have IABP's or are intubated so, when this happens, they have to be located in one of the ICU's at STB (either MICU or CICU). FYI: a new CCU is being built that will accommodate these types of patients. (The estimated time of this unit opening is June 2016).--LKolesar 09:23, 2016 March 29 (CDT)
    • Sorry, I meant CICU, not CCU. I thought all CICU patients are cardiology as far as sending service is concerned. Not so? See further up, "If a patient occupying a STB MICU bed remains under MICU coverage their entire stay, there is no need to make a tmp entry for CCU Service at all. " Or is that one actually talking CCU? Is that where I am getting confused, is that acronym used in multiple ways? - Ttenbergen 10:17, 2016 March 31 (CDT)
    • What we need is an ability to designate "CCU service" when a patient covered by Cardiology is located in CICU. Please add to the CICU laptop as Julie has already indicated. --LKolesar 11:02, 2016 March 31 (CDT)

Start/End Dates

• Start: 2015-Jun-01
  • added data back from Oct 1, 2010
• End: there is no planned end date

pre-start data

• Julie will go back to October 2010 to make all the profiles reflect the new method of tracking CCU service (previously had made another profile when the service changed, (ie start under cardiology then another profile if MICU took over care). This will be fixed for the sake of consistency of data.--LKolesar 13:37, 2015 August 11 (CDT)
  • Done (07Aug2015) and all the patients under Cardiology service with admit dates from Oct 1, 2010 to May 31, 2015 are appended in L_TmpV2 table of CFE. Included are those with whole stay at MICU under Cardiology service (N=586) and the 13 cases found with partial stay under Cardiology service (i.e. they have 2 records in L_TmpV where the first one denotes the CCU service and the second one is the change to MICU service). JMojica 17:00, 2015 August 11 (CDT)

Template:CCMDB Data Integrity Checks

• query s_tmp_CCU_Service_shouldntve - no pt not STB_MICU can have any
• query s_tmp_CCU_Service_twins - can't have two entries that are the same (ie same service and time)
• added code to check that same service in consecutive sequence is not allowed

SAS Program

• The data is saved in table L_TmpV2 under project 'CCU Service' of the centralized_data.mdb
• The SAS program that reads the data is in X:\Julie\SAS_CFE\CFE_macros\CFE_CCUServiceTracking.sas

See also

STB/MICU Location changing "PtType" from Medical to Cardiac.

We had 7 patients edited manually**

• Serial#STB_MICU-28043
• Serial#STB_MICU-28205
• Serial#STB_MICU-28233
• Serial#STB_MICU-28330
• Serial#STB_MICU-28629
• Serial#STB_MICU-28727
• Serial#STB_MICU-28884

PTorres 10:02, 2015 October 2 (CDT)

• No new process needed these was old edit and only put now so we have record.

see also STB Cardiac Care patients