STB CICU Collection Guide

This article contains collection information specific to the CICU (cardiac sciences) at St Boniface.

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:

• STB Collection Guide
• STB Critical Care Collection Guide

PT Type question

• Need to clarify what patient type is used in the registry when a patient requires VA ecmo only. The patient is first admitted under cardiology (in MICU or CCU) and then when they get the ecmo, they have to go to CICU while they are on it. What patient type is used?? cardiac, medical or surgical??? Lois please clarify for us what you do so we can be consistent when we cover for you.--LKolesar 13:52, 2014 July 14 (CDT)
  • please update this in Registry_Patient_Type#Critical_Care_Units once it is resolved. Ttenbergen 17:30, 2014 July 14 (CDT)
    • I put the VA ECMO patients down as surgical because they are admitted under a Surgeon in my unit. Lois

Unit admission log book

The unit admission log book is kept at the main desk in front of where the ward clerk sits along with a binder to keep the completed TISS and green sheets as well.

Ward contacts

If you have questions ask the ward clerk or charge nurse.

Collector "base"

You can sit at the main desk behind the ward clerk to read charts or at the individual patient desks if the nurse is away.

Location of patient chart components

Patient charts and clipboards are in front of the individual cubicles.

Special Situations

• TEVAR Thoracic Endovascular aortic repair. I use the appropriate aneurysm repair code and then code peripheral angiogram to indicate this was done in the angio suite percutaneously and not in the OR through a sternotomy.

still code as coming from OR.

• • TAVI Transcatheter aortic valve implantation. Minimally invasive, done through large vessel or small incision in chest. I code AVR then either peripheral angiogram or thoracotomy depending which approach they use. Then code aortic stenosis or insuffiency.
    • Bentall Procedure This is a combination of aortic valve and or aortic root replacement and ascending aorta replacement.If they replace the root they will reimplant the coronary buttons. I code AVR and TAA for this.
      • Vasoplegia (vasoplegic syndrome) This is a combination of low SVR and high CO post surgery requiring cardiac bypass and hypothermia. Some of the cardiac patients develop this post op and require volume and or inotrops usually vasopressin.

Other STB ICU collection guide info STB CCU Collection Guide

• STB CCU Collection Guide
• STB MICU Collection Guide