HSC MICU Collection Guide

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:

• HSC General Collection Guide
• HSC Critical Care Collection Guide

Ward contacts

see HSC_MICU#Contacts

see HSC MICU

Work Space

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

Log Book

How much of the following is still true with the patientfollow and covid methods we now follow?: There is a black log book for all MICU patients (kept at the front desk). Do not change the numbers as the unit keeps their own data on patients and the numbers collectors use are different. If any admissions are missed, collectors can find them by checking the EPR, and add them in the log book. Collectors sign off their patient admissions in the log book, by putting their serial number and initials on the left-hand side of the page. Due to the COVID outbreak, we are now printing out an MICU Admission Register and Transfer Register from EPR Reports and dividing the patients the same way, but in our office.

• SMW

• Cargo

• Categories

Overflows

See Boarding Loc

MICU is a closed unit, which means that only the MICU service is looking after the patients.

The following is outdated info, but I am not sure if there is anything special for MICU now, so leaving it. The up-to-date instructions for this are in Boarding Loc and Service tmp entry. Due to the COVID-19 outbreak, some SICU patients are now being treated in MICU, until they are proven to be negative. See COVID-19 (SARS-COV-2)under Cohorting in HSC ICUs. If they are under MICU service, enter them using HSC_MIC service location, and add SICU under MICU in the tmp file. See ICUotherService. Once they are transferred to SICU, make a new file with HSC_SIC service location. If for some reason the patient is in MICU under SICU service, enter them using HSC_SIC service location and treat it as a Boarding Loc.

• SMW

• Cargo

• Categories

Rounds

Rounds start at 09:00, so charts may not be available at that time.

APACHE

See Apache II General Collection Guidelines

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.

Clipboards

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

Charts

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.

CCFS

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)
• CAM
• 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.

Additional Info

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

see Category: Health Sciences Center Office

Related articles

Related articles:

HSC Critical Care Collection Guide ‎ (← links)