Green sheet

The Green Sheet form is a bright green colored paper form that is used in Critical Care and on Medicine wards in the Region to obtain "required" participation in the Database Program from the attending physician for the following:

1. primary admitting diagnosis
2. complications (problems, procedures and surgery) that occur after unit admission (also referred to as "acquired diagnosis").
3. Comorbid conditions
4. Admit, Transfer and Discharge date and time
5. Discontinuation of Treatment

Data Collector Responsibility RE: Green sheets

• remind site attending physicians to complete these form.
• record SERIAL number on each form
• ensure addressograph info on each form

• collect and submit paper form to main database processing office for each patient that is discharge from unit
  • before submitting to office organize forms from lowest to highest serial number order
  • clip together and attach a TAG with the following information:

Site, Location, Program, batch sent number, initials: (Example: HSC D4 MED Batch 10 BB)

October 28.09

• • • Greensheet complicance tallying on the PDA stopped August 20.09. For those of you who are still entering greensheet data on your PDA or netbook please stop. ---TOstryzniuk 19:21, 28 October 2009 (CDT)
• Noted NMiller

Comments

• I think there is more to the greensheets issue than just if they are filled out and to what extent. The question is, how useful is this information. I think we should do an audit on greensheets for a certain time frame and see if the data collectors find the information on the green sheets of any value. Tina, perhaps this could be put in the temp. file? EXAMPLE: How useful was this green sheet information? Very helpful; Somewhat helpful; Not helpful . After this type of audit we could then evaluate if the green sheets are worth keeping. What does everyone think?--LKolesar 09:14, 7 April 2009 (CDT)
  • In all honesty, I do not rely on the green diagnoses forms as there are too many differences in our coding definitions vs. physician definiton i.e. ARF vs. ARI, Hyperkalemia etc. Even transfer ready date & time is not reliable. SCortilet 13:02, 7 April 2009 (CDT)
    • At the Vic ICU the green sheets are filled out very sporadically. We also may have a Doc write in an adm diagnosis of respiratory failure for example. This is not helpful & cannot be used. We have recently put the green sheets in front of the med orders which has only very marginally increased compliance with them being completed. Frankly after 10 years of this we no longer hound the Docs to fill them in. NMiller NMiller
      • At the Oak in ICU there is very poor compliance rate in completing these forms. Wendy Turner, 23, April, 2009 1400 hrs.

Legacy

• enter greensheet compliance information in TMP file L_Green table in HanDBase on the PDA for each patient (APPLICABLE to all Medicine wards and STB ICU's only)
  • Stopped August 20.09.--TOstryzniuk 19:23, 28 October 2009 (CDT)
    • If we are no longer keeping track of our green sheets do we have to continue to collect them --PStein 15:00, 2 November 2009 (CST)

November 3, 2009

• • • • Green sheet PAPER FORMS are still to be collected and handed as all sites S e have been doing.
• We are stopping the Green sheet Accounting on the “PDA” and Access for medicine wards and for STB ICU.
• The HSC_ICU, OAK_ICU, VIC_ICUand GRA_ICU never collected this info on their PDA.
• Please see attachment that shows what I am referring on PDA and Access that will stop
• Tina, for STB ICU, and all medicine wards (STB, HSC, GRA and VIC), will sending be interrupted if these medicine units stop greensheet accounting on PDA or in Access? Will Access require a page to be created in order to send or have you disabled this for these sites?
• Dr. Robert has made this part of the physician job description that they must participate by documenting on these forms. You can email me names and I will take it up with Dan.--TOstryzniuk 09:05, 3 November 2009 (CST)