STB ACCU Collection Guide: Difference between revisions

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This article contains collection information specific to the CCU (Cardiac Care Unit) at St Boniface.  
This article contains collection information specific to the Acute Cardiac Care Unit at St Boniface, [[STB_ACCU]].
 
See also [[ACCU borrow]], [[STB Cardiac Care patients]].


''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 StB in the program or unit level articles. ''
''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 StB in the program or unit level articles. ''


See the following for more general information:
See the following for more general information:
* [[STB Collection Guide]]
* [[STB General Collection Guide]]
* [[STB Critical Care Collection Guide]]
* [[STB Critical Care Collection Guide]]


== Unit admission log book ==
== Unit admission log book ==
Admission and discharges unit Log book is found at the Unit Ward Clerk Desk.
The log book is no longer used to track admissions, see [[Using Cognos2 to keep track of patients]].
 
Admission and discharges unit Log book is found at the Unit Ward Clerk Des


== Ward Location ==
== Ward Location ==
ACCU is located in SBGH on 5AW. The unit is referred to in our boarding locations as CCUO, but remains ACCU in the pre-admit location, previous location & dispo fields on the profile home page.


ACCU is located in SBGH on 5AW
== Ward Contacts ==
 
[[STB_ACCU#contacts]]
 
 
== '''Ward Contacts''' ==
 
ACCU 235-3843
 
Fax 235-3848
 
Rosanne (PTM) 235-2981
 
Chris (Educator) 235-3997
 
Helen (Ward Clerk) 235-3843


== Collector "base" ==
== Collector "base" ==
Admissions, Discharges and Transfers can be found the EPR. Check these against the Log Book kept at the Ward Clerks desk. TISS sheets post discharge, are kept in a binder at the Ward Clerk's Desk. Rogue TISS sheets can sometimes be captured in the charts in the new patient location, in Medical Records, or have to be re-done if lost in transit. Review the TISS sheets and any paper chart components in ACCU at the bedside.  This information is readily accessible early morning prior to 0700. Work surfaces in the new ACCU are very limited, so borrow a bedside table from an empty room and use this as a work surface.  When finished, clean the bedside table and replace to original position. Computers are available in the Common Work Area accross from the Main Desk. All other chart information is on EPR which can be reviewed in our office on the computer.
Admissions, Discharges and Transfers can be found the EPR.


== Location of patient chart components ==
== Location of patient chart components ==
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The ACCU patient chart now only uses the ICU flow sheet.
The ACCU patient chart now only uses the ICU flow sheet.


== Patient exclusions ==
== Other STB ICU collection guides ==  
=== Post-Angio ===
We do not enter patients into the database when the cath lab is recovering patients there (borrowing a bed).These pts are only in ACCU for post procedure care after an [[angio]] '''they send the patients to ACCU for recovery only when the pre and post angio area is closed, usually in the late evenings and nights'''.--[[User:LKolesar|LKolesar]] 12:12, 2014 July 25 (CDT)
 
=== Elective Cardioversion ===
When patients come to ACCU for an elective cardioversion only, they are not entered into the database.  This is also a bed borrow.
 
== Paper notation for primary angios ==
On the paper log sheet in the data collectors' binder, we put a small heart figure in the admit-from space to indicate all patients who come directly from the cath lab.  You must also put where the patient was prior to the angio in this space.  This includes, but is not limited to, primary angios.
*Primary angio means the patient came directly to the cath lab via EMS or they are first sent to angio before other interventions are done in ER.  --[[User:LKolesar|LKolesar]] 12:20, 2014 July 25 (CDT)
 
== Diagnostic Coding vs Admit-From==
Primary angiograms are those that go first to the angio room and then to CCU afterwards.  In this case the first admit diagnosis should be related to the Angiogram outcome (ie stenting) then the Myocardial infarction (with location subcode) and then other related admit dx (CHF, ETC.) 
The exception to this rule is when the patient has a cardiac [[:Category:Arrest|arrest]] before arriving in CCU or has [[Cardiogenic Shock]]. These will then be coded first and then the primary angio sequence.
 
If the patient comes from an ICU (different hospital) do not use the MI as the first diagnosis.  Other options could be [[Post Infarct Angina]], [[Unstable angina]], CHF, cardiogenic shock, etc. The second diagnosis could be the MI.
 
== Other STB ICU collection guide info STB CCU Collection Guide ==  
*[[STB CICU Collection Guide]]
*[[STB CICU Collection Guide]]
*[[STB MICU Collection Guide]]  
*[[STB MICU Collection Guide]]
 
 


== Related articles ==
{{Related Articles}}


[[Category:St Boniface Hospital Office (Critical Care)]]
[[Category:St Boniface Hospital Office (Critical Care)]]
[[Category:Site Specific Collection Guide]]
[[Category:Site Specific Collection Guide]]

Latest revision as of 11:49, 2023 August 29

This article contains collection information specific to the Acute Cardiac Care Unit at St Boniface, STB_ACCU.

See also ACCU borrow, STB Cardiac Care patients.

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 StB in the program or unit level articles.

See the following for more general information:

Unit admission log book

The log book is no longer used to track admissions, see Using Cognos2 to keep track of patients.

Admission and discharges unit Log book is found at the Unit Ward Clerk Des

Ward Location

ACCU is located in SBGH on 5AW. The unit is referred to in our boarding locations as CCUO, but remains ACCU in the pre-admit location, previous location & dispo fields on the profile home page.

Ward Contacts

STB_ACCU#contacts

Collector "base"

Admissions, Discharges and Transfers can be found the EPR.

Location of patient chart components

Most information is on EPR. There still are heart cath reports stored on paper but usually heart caths also are reported on EPR. Echo reports on paper chart.

Charting Note

The ACCU patient chart now only uses the ICU flow sheet.

Other STB ICU collection guides

Related articles

Related articles:
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