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| {{Discussion}}
| | '''''See also: |
| HSC collector, please document collection data guidelines for related to HSC med wards here. If there are any collection details that are specific to your ward, they should be documented here also. | | *''''' [[HSC General Collection Guide]] for information that applies to both HSC Medicine and HSC ICU Data collection. |
| This will serve as a reference for any collector who is assigned or choices to pick up extra hours during sick or vacation at this site.
| | *''''' [[Medicine Curriculum]] for information that applies to Medicine Data Collection at all sites |
| | *''''' [[ICU Curriculum]] for information that applies to ICU Data Collection at all sites |
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| If you want to see current guideline for sites go to: [[Medicine Curriculum]] or [[ICU Curriculum]] and look at top of this article to find link to hosp/unit specific guideline in progress.--Thanks everyone.[[User:TOstryzniuk|TOstryzniuk]] 20:18, 21 October 2010 (CDT)
| | == Related articles == |
| *[[Medicine Curriculum]]
| | {{Related Articles}} |
| ==wards== | |
| Medicine Database for CCMDB is collected on Seven Medical wards at HSC:
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| #A4
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| #B3
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| #D4
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| #D5
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| #H4
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| #H4H - HOBS - High observation Unit labeled by cubicles
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| We collect data on '''all patients''' admitted to these wards including teaching,non-teaching and off service. '''For example neuro medicine patients are included.'''Another example renal patients under nephrology are included.
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| ==[[HSC Med nonteaching contingency beds]]==
| | [[Category: Health Sciences Center Office]] |
| *the information below relates to the [[HSC Med nonteaching contingency beds]].
| | [[Category: Site Specific Collection Guide]] |
| *H733-1 to 6 are the non teaching beds that are intermittently open for high bed occupancy periods.
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| *The patients will be given a number 733-1 to 733-6
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| *Depending on the isolation needs the location of the patients on the 7th floor unit may vary.
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| *Cubicle 1 and 8 are isolation rooms with negative pressure and positive pressure capability.They could be used for both teaching and non-teaching patients.
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| *If patients belong to A,D,H or Pat Stein was following the data collector responsible for the service will collect on the non-teaching side. If the patients are under other services '''(ie.''neuro'',oncology,rehab,etc) we DO NOT collect data on them unless they get transferred to A,D,B or H medicine ward were data is being collected?'''.
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| *Here is an example of how to code-Pt originally admitted to D4, transferred to H4H and remained under D med. Now made non-teaching and transferred to H733 under a D service doctor. This pt should be admitted to D4(location) with a new log number.The move will be to H7N with the same time and date as the admit time. In the comment section of the TMP put H733. If the same patient went to a non-teaching bed on H4 the location would say D4, the move would say H7N and in the comment section put H4.
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| ==Discussion==
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| {{Discussion}}
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| *HSC medicine data collectors, can you please clarify. You indicated that collect all teaching and non teaching patient to medicine wards and include neurology patient, yet for H733, you exclude neurolgy patients? I highlighed in bold discrepancy above--[[User:TOstryzniuk|TOstryzniuk]] 16:44, 17 January 2011 (CST)
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| *once sorted out, I will move above contingency bed information to HSC contingency bed article. thanks--[[User:TOstryzniuk|TOstryzniuk]] 19:11, 17 January 2011 (CST)
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| ==Paper Worksheets used==
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| *optional preference of the data collector to have paper records
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| *[[Notes field | Notes]] can be left by double clicking on the note section, at the time of sending files delete the notes. You may need to leave notes that are relevant to that file for example a abnormally high wbc.
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| ==Go to: [http://ltc.umanitoba.ca/wikis/ccmdb/index.php/Serial_number#HSC_H4H_Serial_number_share_plan_guide HSC_H4H serial number share plan] for HOB patients only==
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| ==Daily ward Admit/transfer/discharge ward Binder==
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| *The standard Admission / Transfer / Discharge ward Log Binder that is used and found at the main desk.Some wards write in the details other use a paper label stamped with the addressograph
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| *The ward also has a scribbler that usually has the names of patients admitted,discharged,transferred and moved.
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| *The data collector reviews the Admission Binder on each ward, assigns a serial number and enters the minimal data base for all new admissions.
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| *The admission and discharge "times" are entered as per the Admission binder. Times are corrected once the chart is reviewed.
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| ==Information relevant to patients admitted to D4==
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| *D4 is a ward that accepts both medical and surgical patients.
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| Area specific data collection practices exist that will be written in the near future by Fran Lindell
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| *D4 admits Renal Transplants and Renal Donors. These pts are marked surgical. Renal Tx's are usually admitted from home.The admit time is that registered on the admission sheet.
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| They're admit Dx is pre-op optimization. Their first comp is Renal Tx ( choose living or cadaveric) If the pt was on HD dialysis, they may or maynot have have a HD prior to surgery. Mark task, no HD or chronic HD, as it applies. If they require HD after their renal Tx, this becomes acute HD task. Because chronic task & acute task cannot be marked at the same time, it is more important to capture the acute HD task. Peritoneal dialysis pt's always have dialsate instilled night before and drained prior to Sx. Same rule applies, capture chronic PD task, unless pt required acute PD post renal Tx.
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| N.B. Since CRF is in co-morb, ARF will not be accepted in comp Dx when file is completed and sent. The complication is either ATN or Renal Tx problem (ie in case of delayed graft function)
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| Renal donors are admitted from HSC Recovery.Admit Dx is Nephrectomy - donor. Sometimes surgeon chooses to do renal Bx at same time. Initial VS are taken from last entry on PACU record.
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| The tasks for both pts are how independent they were prior to hospitalization.--[[User:FLindell|FLindell]] 16:16, 17 December 2010 (CST)
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| ==Information relevant to patients admitted to B3==
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| * B3 is both a medicine, and surgical unit. The unit is split into two, ten beds to medicine, the rest to day surgery.
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| There is a white board opposite the main desk and the inpatients (which are medicine) are written in Black. Cathy is the
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| unit clerk and is more then willing to help any new comer out. Space is very limited on B3 log book is kept at the desk--[[User:PStein|PStein]] 12:07, 6 December 2010 (CST)
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| ==Medical Records==
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| *requests are written then may be faxed to Lorna at 75002,it could take a few days to receive or a print out of the MR list can be hand delivered to Lorna and placed in her incoming mailbox.
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| *charts requested before 1400 hrs will be pulled by MR staff overnight and be available next day is the general rule of thumb.
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| ==[[Technical Support]]==
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| * If you are having problems with the laptops you need to call the [[Technical Support]].
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| [[Category:Health Sciences Center Office]] | |
| [[Category:Site Specific Collection Guide]] | |
| [[Category: Data Collection Guide]] | | [[Category: Data Collection Guide]] |
| | [[Category: Overflow]] |