HSC Critical Care Collection Guide

See also:

• HSC General Collection Guide for information that applies to both HSC Medicine and HSC ICU Data collection.
• ICU Curriculum for information that applies to ICU Data Collection at all sites

HSC Critical Care Wards

• HSC MICU Collection Guide
• HSC SICU Collection Guide
• HSC IICU Collection Guide

Workload balancing

See

• PatientFollow Project.
• "Show PatientFollow allocation" button
  • Patients are split between the 3 ICU collectors by the last 2 digits of the chart number:
    • H7 - 0-36
    • H8 - 37-63
    • H9 - 64-99

Label forms

• TISS and green sheets from MICU and SICU should be labelled with Laptop identifier H7, H8 and H9, as well as HSC CC in the unit box on top of the TISS.
• TISS and green sheets from IICU should be labelled with H7, H8 and H9, as well as IICU in the unit box on top of the TISS. IICU is not part of the

PatientFollow Project, so a new record is started for all patients admitted to IICU.

Pharmacy

Make sure you consider the yellow stat sheets for counting Antibiotics in Pharmacy collection.

If patients are transferred to the wards the medication records may be in the nurses Mar binder or in a thinned chart. The ward clerks will help locate these thinned charts.

Labs

Blood Products given in ICU might be documented in several parts of the chart, including the intake and output section of the CCFS, the medication record, the order sheets and the blood administration record. Compare these to get the most accurate data.

see Blood Product Data.

Thinned Charts

This is a big problem at HSC. Patients are transferred to different areas often and the chart doesn't follow the patient in many cases. Notify the ward clerk of the unit the patient is located that part of the chart is missing. If it is still missing after the clerk has attempted to locate it then ask for the clerk to call medical records for any recent volumes. In some cases the chart has gone down to med records in error instead of following the patient. Patients transferred to RR5 get the whole chart sent to medical records to be assembled and then returned to that ward. If your patient gets transferred to RR5 you may have to wait until the bound volume returns.

Transfer Ready DtTm tmp entry

Before considering the following, review the actual instructions and definition of Transfer Ready DtTm tmp entry and only consider the following in that context.

• HSC_MICU and HSC_SICU must have a Transfer Ready DtTm tmp entry, unless they are transferring to another ICU bed (not including HSC_IICU). Transfer to IICU is treated like a transfer to a ward, but the data collection once there is treated like an ICU patient. See Transfer Ready DtTm tmp entry

• The preferred source for the Transfer Ready DtTm tmp entry is the order sheet, and for HSC_IICU it is the date/time on the Consult Sheet.

Green sheets

Green sheets are filled out by bedside physician in ICU. Collectors should always read them and enter data as necessary then place them in the confidential waste once the file is complete. The file should not be marked complete unless the collector has read to green sheet and entered any additional data. Green sheets should be labeled and the ones for discharged patients should be collected each day that the collector works.

Off-ward medicine locations

Make sure that patients admitted from off-ward locations for wards we collect are coded as admit-from the ward where we actually collect.

See HSC Boarding Locations for more information regarding which locations this applies to.