HSC Medicine Collection Guide

• 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.

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.

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.TOstryzniuk 20:18, 21 October 2010 (CDT)

• Medicine Curriculum

wards

Medicine Database for CCMDB is collected on Seven Medical wards at HSC:

1. A4
2. B3
3. D4
4. D5
5. H4
6. H4H -High observation Unit labeled by cubicles
7. H7-non-Teaching(see below)labeled by 733 1-6

We collect data on all patients admitted to these wards including teaching,non-teaching and off service.For example neuro medicine patients are included.

one Exception to the rule for H733 -1-6(non-teaching):

• H733-1 to 6 is the non teaching unit that is intermittently open for high bed occupancy periods.
• The patients will be given a number 733-1 to 733-6
• Depending on the isolation needs the location of the patients on the 7th floor unit may vary.
• High observation patients are called H7 unit cubicle 1,2-A,2-B,3-A,3-B etc.
• Cubicle 1 and 8 are isolation rooms with negative pressure and positive pressure capability.They could be used for both types of patients.

• If patients belong to A,B,D or H 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.

((Discussion}}

Paper Worksheets used

• optional preference of the data collector to have paper records
• 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.

HSC_H4H serial number share plan

Start Date

• June 1.10

Purpose: workload distribution

H4H is divided up amongst the data collectors.

• B3/D5 (Pat) - 3 charts/month on H4H
• D4 (Fran) - 6 charts/month on H4H
• A4 (Con) - 6 charts/month on H4H
• H4 (Gail)- 15 or more depending on number of admissions on H4H

For every 100 numbers:

• 1-10 belongs to the B3/D5 Data Collector-takes 3 patients a month
• 11-30 belongs to the D4 Data Collector-takes 6 patients a month
• 31-50 belongs to the A4 Data Collector-takes 6 patients a month
• 51-100 belongs to the H4 Data Collector-takes the balance of the monthly admissions

an effort is made to assign collectors patients that belong to the service they usually collect on.

Daily ward Admit/transfer/discharge ward Binder

• 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
• The ward also has a scribbler that usually has the names of patients admitted,discharged,transferred and moved.
• The data collector reviews the Admission Binder on each ward, assigns a serial number and enters the minimal data base for all new admissions.
• The admission and discharge "times" are entered as per the Admission binder. Times are corrected once the chart is reviewed.

Information relevant to patients admitted to D4

• D4 is a ward that accepts both medical and surgical patients.

Area specific data collection practices exist that will be written in the near future by Fran Lindell Template:Discussion

Information relevant to patients admitted to B3

• B3 is both a medicine, and surgical unit. The unit is split into two, ten beds to medicine, the rest to day surgery.

There is a white board opposite the main desk and the inpatients (which are medicine) are written in Black. Cathy is the 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--PStein 12:07, 6 December 2010 (CST)

Medical Records

• 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.
• charts requested before 1400 hrs will be pulled by MR staff overnight and be available next day is the general rule of thumb.

Technical Support

• If you are having problems with the laptops you need to call the Technical Support.