This article contains collection information specific to the HSC_MICU.
Please make sure you document information at the most general level that is applicable, i.e. don't code something that affects all collection at HSC in the program or unit level articles.
See the following for more general information:
MICU service Attendings
There is an "A', "B" and "C or outreach physician" The outreach physician is responsible for rounding on JJ3 patients and new consults are seen by A, B, C or housestaff depending on how busy the unit is. As per Bojan for those that are ECIP: If the patient was to be admitted to initial site ICU but there was a lack of bed capacity then I would consider that an admission that then was transferred however if there was no intention to admit to site unit because patient needed services at another site ICU then I would not consider them an admit
see HSC MICU
Collectors can find a space to work in the nook behind the main desk, between cubicle 1 and 2.
The unit is divided into 2 sections:
- front: beds 1-10
- back: beds 11-20
See Boarding Loc
MICU is a closed unit, which means that only the MICU service is looking after the patients.
Rounds start at 09:00, so charts may not be available at that time.
These numbers are collected from the MICU CCFS.
GCS data is obtained from the IPN, or from the Neurological Assessment Record.
- The best source for the GCS is the admitting RN's notes.
For Admit Type for APACHE II, enter Medical.
These are kept at each bedside and have:
- the current Flowsheet
- possibly the Flowsheet for the day before for reference during Rounds
- the MARs
- Lab sheet
The current charts are kept at each bedside.
Thinned charts and old charts are kept on wire racks at both desks.
MICU saves charts of patients who where discharged home or transferred to another facility for data collectors. They are kept in the black bins at the front and back desks.
Charts of deceased patients are not kept in the Unit for data collectors. As is true for all deceased patients' charts, they are at the HSC Death Registry.
The flow sheets contain various data points that we collect, but they are not always complete. They must be used in conjunction with the chart to ensure that data is not missed. Some of the information found in the CCFS includes:
- VS (first vitals = arrive time)
- Medication infusions (these must be confirmed with MAR Sheets)
- IV medications, including regularly scheduled and STAT (these must be confirmed with MAR Sheets)
- Daily fluid intake
- Blood products (must be confirmed with the Blood Administration Record)
- Dressing changes (also check IPN)
- Respiratory information, including modes of ventilation, presence of ETT/trach, extubations, etc.
- Various interventions including ICP, drainage tubes, lines, TF, TPN, HD, CRRT, CT's, MRI's, EEG, ECHO, scopes, etc.
A white board by the front desk lists the patients. It also lists:
- patients on the transfer list
- MICU patients borrowing a bed in SICU
- other valuable info
Other HSC site specific info