CON ICU Collection Guide
See also:
The ICU is located on the main floor of the hospital. Concordia has a 7 bed Surgical/Medical/Cardiac
Keys are obtained from Security.
Concordia Contacts
see Concordia Hospital Contacts
Concordia Collection Guide
See also Identifying ICU admissions
The log book is kept on the desk in ICU near the clerk. The clerk is responsible for filling it out. It contains enough to fill in the minimal required data set.
The "TISS" binder is kept on the rounds cart. It has all the current green sheets for the Dr's to fill out. As well, the clerks will put all the TISS sheets for discharged patients in this binder for the collector to retrieve. Extra TISS and green sheets are kept in the filing cabinet shared by PACU and MICU.
Medical records is located on the ground floor. Rhonda at the main desk will retrieve charts at the time that they are requested by providing the name of the patient, their MRN and their date of discharge from the hospital/ICU. Charts must be signed out in the Medical Records log book located on the main counter. In the Log book one enters the date, MRN of chart reviewed, name of data collector, Dept. or reason for review and then dates and initials when the chart is returned. Charts can not be taken out of the department. There are three cubicles in Medical Records which data collectors may use to review charts. Two of the cubicles have computers for accessing labs and diagnostic imaging on EPR gateway. Unassembled charts are returned to Sandra Lopez's desk which is adjacent to the three cubcles. Assembled charts are returned to the cart at the entrance of Medical Records. Death charts are returned to Kim at the death desk behind Rhonda's desk.
Chart thinnings
ICU has binders of thinnings for long stay patients. They are kept on the rounds cart in ICU. Old charts are kept on the rounds cart. The surgical floor generally leave ICU charting/forms in the charts. The medical floors will often thin out the ICU flow sheets. They are kept in drawers on the medical floors...just ask the clerk for them.Occasionally chart thinnings are sent to medical records even though the patient is still an inpatient. They are not sent back up to the wards and in that case you may need to look at the thinnings in medical records.
Special Instruction on VAP reporting-site specific
When you code a patient with a VAP - Ventilator Associated Pneumonia/QA_Infection#A._VAP in the Concordia ICU, the site leadership team is requires you to call by phone:
- Sarah Gilchrist, CON ICU manager, Phone: 661-7287
Leave the following info on voice message:
- Patient name
- VAP date
Template:Discussion Would Sarah Gilchrist be OK if we just emailed her the same way we email Basil here, or rather just CC her on the email? Fewer steps and less time for collectors... Ttenbergen 16:49, 2017 September 6 (CDT)
I've never emailed Basil, I call him. Also where does it say we have call Basil for all sites on wiki?
Green sheets and Tiss sheets
Extra green sheets and TISS sheets are kept in the shared file cabinet between ICU and PACU
Transfers to and from the Conc wards
There are no internal medicine wards at this site, so we don't data collect on the wards at the Conc. You don't need to specify which ward the patient came from or went to, just put "Con Ward".
Transfers from the wards via ER
See also Parked in ER patients are transfered to ER for assessment and treatment from the ward,they are there until the ICU bed is available. This is happening often lately.There usually isn't a way to tell if ICU has accepted the patient,nor is the charting in emergency reflecting that they are accepted to ICU. I use the time they arrive in the ICU as the admit time, previous location is Con_ER, previous inpatient institution is Con_W.Admission orders are written after the patient arrives the accept DtTm=Arrive DtTm.
WiFi connection
see also Wireless networking Laptop connects to wireless network in all areas except medical records. Hard drive computers are always available in medical records to the data collector in that area for easy access to epr and email etc.