GRA Medicine Collection Guide

This is a resource guide which documents collection processes for GRA MED site and serve as a reference for anyone who will pick up shifts at this site.

• Medicine Curriculum

Data Collection Office

• our office is located at the Dorothy Wood Building Rm. 210
• the Dorothy Wood Building is a separate building from the main hospital, but is accessible through the tunnel system; the building can be found north of the main hospital, and is adjacent to the north parking lot off Booth Drive
• our mail is usually redirected to 5 North by the mail room (no one knows why)
• our office number is 837-0151 or local 2151 when dialed from within the hospital
• the office houses all the Grace database staff i.e. Medicine & ICU
• each data collector has a drawer in the filing cabinet, and we have an in basket system where each collector has a space for mail, messages etc.
• we keep a "news" or communication book on the desk for internal messages and communications
• we share a USB printer cable that moves from laptop to laptop as needed
• we share LAN cables for internet access as we have only 3 cables for 4 laptops at present
• all staff rotate turns purchasing Kleenex and replacement water cooler refills
• we have a water cooler with a tiny fridge unit, a coffee maker, kettle, and toaster in the office; larger items that need to be refrigerated can be kept in the community fridge down the hall from the office in the floor kitchen
• we share the second floor with the Home Care Department, the Geriatric Nurse Practitioner, Leslie Dryburgh, the Program Director for Medicine, Eve Omar, the Medicine Program Executive Offices, Wanda Guenther from the Breast Clinic, Gail Pearson the Bed Utilization Coordinator, and the local union offices for the MNU & UFCW
• CONFIDENTIAL WASTE is collected in a box in the office and is sent to Materials Management on the last Wednesday of the month for shredding. We are currently looking for a way to have the Materials Management Dept. pick up our waste with the others on our floor as it is difficult to carry the box to their department

Grace Telephone Numbers

• Phone numbers at the Grace are different depending on if you are dialing from inside or outside the hospital; all numbers begin with the exchange 837 followed by 4 more digits. If accessing from outside the hospital the last 4 digits would begin with the digit 0, if accessed from within, the local would be the same last 3 digits but with a 2 at the beginning
• for example, our office # is 837-0151 if dialed from outside the hospital but our local is 2151 if dialed from within
• long distance code is 9280

Database Supply Cost Center

• The Cost center number for local office supplies only, is posted in the data collection office on a post it note on the window side of the printer
• Please check with Trish before you order high priced supplies other than a printer cartridge, paper, pens.
• the supply order catalog and requisitions are kept on top of the filing cabinet; we always check with the other collectors prior to ordering and try to order all we need at once
• supplies are delivered to our office or to 5 North
• returned invoices are kept in the 5 North drawer in the filing cabinet

Areas of Data Collection at the Grace

3 North (N3) CTU

• unit local 2312, fax 837-0572
• Unit Manager is Blair Stevenson local 2309 pager 931-4059
• is a Clinical Teaching Unit with 30 beds
• encompasses Room #s 301-310, & 337-340
• Margaret is the full-time unit clerk who maintains the admission/discharge book which is kept to the right of the computer monitor at the desk
• pts. are generally short stay, and turn over is rapid

5 North (N5) NTU

• unit local is 2241, fax 837-0567
• Unit Manager is Helen Cherwinski local 2344 pager 931-4073
• is attended by the GAP (Grace Attending Physicians)and also admits Oncology & Placement pts. with a total of 35 beds (up to 37 with 2 swing beds included)
• encompasses Room #s 501-505 (Unit 1) 506-511 (Unit 2) and 512-518 (Unit 3)
• Full-time clerk is Jessica, ward admission/discharge binder is kept with the binders to the far left of the ward clerk's station at the main desk
  • • PLEASE NOTE THAT EFFECTIVE JANUARY 12, 2011' 5 NORTH (N5) HAS PHYSICALLY MOVED TO 4 NORTH (N4) SO AS TO COMPLETE THE GRACE HOSPITAL TOWER RENOVATION PROJECT. THE PHONE NUMBERS WILL REMAIN THE SAME. THE COMPLETION DATE OF THE PROJECT IS UNDETERMINED. The Ward LOCATION will still be referred to as N5.

3 South (W3) NTU

• our program refers to this area as 3 West or W3 as that is what it was called at program origin
• unit local is 2181 fax 837-0573
• is attended by the GAP Physicians and contains the METU or Medical Extended Treatment Unit which is a geriatric rehab unit
• encompasses Room #s 311-327
• ward admission/discharge book is kept under the counter to the right of the computer monitor
• Unit Manager is Terry Desautels local 2356 pager 932-7352
• full-time Unit Clerk is Zerline

Medicine Overflow

OVER

• patients are admitted into off-service beds throughout the hospital and are difficult to track.
• Patient Reg prints a daily record of Medicine attendings for N3, W3 & N5 which documents which pts are admitted under each physician and where those pts. are located.
• this list is printed daily, including weekends and is left for us to pick up 24/7 at the switchboard office across from registration; the first data collector in each morning is responsible for picking up the lists and distributing to the other collectors; we have decided the best place to leave the lists is in the ward admission/discharge binder on each ward
• pts. that are admitted into an overflow bed on an off-service unit and stay in that bed for their entire length of stay will be assigned a pt location of GRA_OVER; pts. that are moved from or to the normally followed medicine unit will use that unit as their pt. location

Who collector "OVERs"

Each collector will collect for any patients admitted under their ward physician i.e. If a Medicine patient is admitted under the GAP Physician who is currently admitting to N5 ward and there is no bed available on ward N5 then the patient will show up on the Physician census generated daily by EHealth/Patient Registry for N5, and the N5 collector will collect the data.

Med Var 5 OVZ

Patient that are OVER's will have the code OVZ entered into Med Var 5

EMIP start date

• November, 2010
• for definition go to EMIP article.
• the EMIP census will also be distributed daily and included with the census sheets held at the Switchboard.
• we keep an EMIP tracking record on the office bulletin board. The EMIP patient names are listed after being found on the daily list from Patient Registry and then crossed off once they have been located on one of our other census lists.
• tracking and data collection is done by N3 collector.
• separate log book is kept.
• data for EMIP's is entered into N3 laptop and files sent with N3 files.
• Site and location is entered as: GRA_EMIP.

Other Grace Hospital Wards

• 1 North (N1) Psychiatry, located in a separate building accessible by tunnel system
• 2 South (S2) Orthopaedic Surgery: ward clerk is Donna
• 4 East (E4) Geriatric Rehab
• 4 South (S4) General Surgery

Medicine Physicians

• all Medicine areas rotate Physician coverage which changes bi-weekly
• the CTU on N3 is attended by Drs. B. Johnson, E. Cowden (Medicine Program Director), M. Kramer, M. Selamon, D. Meyrowitz, W. Li, N. Matthews and Hawkins
• N5 and W3(S3) are attended by the GMU Attending Physicians commonly referred to as GAP: Drs. G. Borrett, R. Macek, D. Martin, J. Joshua, and R. George

Medicine Admission Date & Time is found on the pink Admission Summary sheet at the beginning of the chart and is recorded by Patient Registration on notification by Emergency that the patient has been accepted for admission by the Medicien physician on call

Responsibilities of Medicine Data Collectors

the areas of responsibility of each Medicine Data Collector is flexible and is determined by the workload of the wards when considered as a whole.

1. currently one collector is responsible for collecting on 3 North (N3),CTU, & EMIP:
   • Sheila Dowson
2. second collector is responsible for collecting on 5 North (N5) and 3 South referred to as (W3):
   • Stephanie Cortilet

• We communicate regularly and attempt to even out the workload by the less burdened collector completing collection on discharged pts from the busier areas, +/or entering the already collected data for the busier units on the laptop while the other collector continues to collect

Medicine Database Friends

• Medicine Clinical Instructor is Rianna Arsenault local 2856 pager 932-0689
• Health Records Guru is Maureen local 2166
• Computer Help Desk Lynn Rhoda local 2810
• Patient Registration Supervisor is Marusia Aime local 2118
• Telephone Problems including voice mail password issues and repair services is Gail local 2118
• Security local 2366 for those of us who lock ourselves out of the office on a regular basis
• EHealth 940-8500
• Rose Tanner local 2460 manages furniture supplies
• Housekeeping local 2198
• Brenda Tyre the Medicine Program Executive Assistant, who kindly lets us use her photocopier or fax machine when required (best neighbor award)