STB Critical Care Collection Guide: Difference between revisions

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*[[STB MICU Collection Guide]]  
*[[STB MICU Collection Guide]]  


=== IMPORTANT INFORMATION DURING COVID PANDEMIC ===
'' see [[STB General Collection Guide#IMPORTANT UPDATE DURING CORONAVIRUS PANDEMIC]] for general info
*STB ICU Data Collectors will be working from home until recalled or redeployed; we are monitoring our emails


=== Covid Unit info === <!-- pls leave that header in, it's so we can link this from [[COVID Designated Ward]] -->
 
====AS OF NOVEMBER 2020, in order to accommodate COVID ICU patients & in an attempt to keep specific units "clean/dirty"====
*STB ICU Data Collectors work from from home and are on site once a week to do records and ward followups.
“ACCU has transferred 4 of their beds over to ICCS, in order to take in 4 beds for ICMS overflow patients.  There has been a surge in ICU bed requirements lately, and this is part of the pandemic plan through HICS. 
In order to keep ICCS somewhat green, ACCU will take on the overflow for ICMS. 
The ACCU attendings will be the responsible physicians for those patients in ICCS (this is different than the current guidelines, as these patients are not our overflow but part of their baseline);
The unit staff remain in their own units at this time  - collaboration between the units will continue, and conversations about acuity will be front and center.”
**ICMS has now 18 opened beds (14+4 in ACCU)
**ACCU remains 8 opened bed (4 main unit +4 ICCS)  giving their other 4 Bed to ICMS
**ICCS reduced  from 14 to whatever available (e.g. 10)


=== On-site presence of collectors ===
=== On-site presence of collectors ===
*each ICU collector will be on site once weekly to collect completed TISS forms & complete profiles in Health Records & ICUs as required
*each ICU collector will be on site 3 times weekly to complete profiles in Health Records & ICUs as required
**Marla Penner will be on site each Tuesday
**Valerie Penner will be on site each Wednesday
**Stephanie Cortilet will be on site each Thursday
*when on site, each collector will request that their unit clerk send the completed TISS forms kept on unit to Health Records via pneumatic tube; forms will be sent in an envelope addressed to Attn. Research Shelf 24


=== [[STB Medical Records requests]] ===
=== [[STB Medical Records requests]] ===
*Health Records requests 5 business days notice for pulling your list
*use the MR generator within Access to email your list to Reggie Albis & Joanna Talastas; cc supervisor Tianna Mohammed who will redirect the list as required


=== TISS forms ===
*STB Critical Care has a resource website maintained by our ICU Educators;
*completed TISS forms - please send to main office on day completed.  For main office to received them next day, must be submitted to '''[[STB Mail Room]]''' before 1400 hrs.
https://extranet.manitoba-ehealth.ca/hospitals/SBH/ICMSR/_layouts/15/start.aspx#/SitePages/Home.aspx
** mail to WRHA Adult Critical Care Program office(TISS forms), GF 201 – 820 Sherbrook Street,(Green Owl, level 2 Rm GF201) Health Sciences Center, R3A-1R9


== Cardiac Type patients ==
== Relevant articles specific to STB Critical Care patients ==
see [[STB Cardiac Care patients]]
'''ECMO article'''
* https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4522501/
 
'''VAD article'''
* https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4921031/


== VAP notification ==
== VAP notification ==
In addition to [[Contacting Quality Officer and Manager for VAPs and CLIs]], for VAP's also notify Rob Ariano who will notify all contacts for a SWOOP.
There is no longer a requirement to notify the VAP Committee regarding a confirmed or potential VAP


See [[STB VAP Committee]].
== CLI notification ==
*when a patient has met criteria for [[Iatrogenic, infection, central venous catheter-related bloodstream infection (CVC-BSI, CLI)]], there is no longer any need to inform any unit staff


== Labs ==
== CCI/TISS ==
* [[Lab Collection Process]]
Remember to count cardiac MRI, echos and angiograms in the labs.


*With the [[STB Electronic Patient Record]] we do not count most labs or pharms until the patient is discharged from the unit, it is the last thing we do.--[[User: LKolesar|LKolesar]]
*cardiac MRI, echos and angiograms can be found in the CCI picklist
 
*With the [[STB Electronic Patient Record]] we collect/count CCI/TISS entries as we are able when we review the record.  Confirmation of entries is done on final review of the chart.  Pharmacy is completed after final review of the chart.


== Code STEMI ==
== Code STEMI ==
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See [[STB Cardiac Care patients]] for information specific to the cardiac service care patients in the STB MICU/SICU unit.
See [[STB Cardiac Care patients]] for information specific to the cardiac service care patients in the STB MICU/SICU unit.


== Patient origins and types ([[Admit_Type_for_APACHE_II]])==
==STB Swing Beds==
{{Discuss|
*STB Swing Bed entries are "bed" records within a "unit" in EPR/Cognos. They are not beds or locations but conceptual service location and time entries used for patient moves. This data causes a patient record to show up in Cognos/CUS as having arrived on a unit even when the pt has not actually arrived, and it isn't visible in our listings whether the record is for a swing or real bed.
* The following seems to be different than what is in [[Admit_Type_for_APACHE_II]] - there it says they have to be directly from OR.  
*Any ICU pt. may be placed into a swing bed, but the majority of swing beds are used for the ICCS pt's. The pt. is placed in a swing bed while in the OR, and then moved into a real bed post op when they arrive in the CICU. Their stay in a swing bed may be any length of time. The true arrive Dt/Tm is taken from the ICU flow sheets.
* These things should be the same for medicine and critical care at STB, no? If any instructions separate from [[Admit Type for APACHE II]] are actually required, they should live in [[ STB General Collection Guide]] instead of here. Ttenbergen 15:40, 2020 October 7 (CDT)
if a pt. was placed into an ICU swing bed but was never admitted to the ICU, the pt. entries are manually excluded from Cognos when reviewed
}}
Medical type patients are those under medical service and may have come from a medical ward or from ER or from outside of the hospital. The medical wards at STB include
* E5
* B5
* E6
* A6
* A5 is the cardiology ward (not part of our database)
The surgical type patients are those that are admitted directly from the OR, PARR or any surgical ward. The surgical wards in SBGH are: 
* CR4 cardiac surgery ward
* 2B day surg
** 6AW gyne
***October 2, 2020 - this has changed.  6AW is covid ward and 6AS is covid suspect ward.  
* 4AS surg
* 7AS
* 7AW. 
 
When a pt is admitted from CR5 (CICU) this pt is deemed a surgical type (not cardiac).
 
== cost center ==
== cost center ==
Our cost number for supply ordering is 6766
Our cost number for supply ordering is 6766


== [[Outreach efforts]] ==
== [[Outreach efforts]] ==
St Boniface critical care collectors attend the [[STB VAP Committee]].
St Boniface critical care collectors attend the [[STB VAP Committee]] when requested by the chair/co-chair. There is no longer any need to email the committee regarding a potential or confirmed VAP


== Related articles ==  
== Related articles ==  

Latest revision as of 08:55, 2024 April 25

This article contains information specific to STB Critical Care Units.

  • See STB General Collection Guide for general STB information such as: links to EPR, Mail room, medical records. Information also in regards to obtaining hand sanitizer, wipes, printer paper for collection offices.
  • See ICU Curriculum for general critical care info.

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 also:


  • STB ICU Data Collectors work from from home and are on site once a week to do records and ward followups.

On-site presence of collectors

  • each ICU collector will be on site 3 times weekly to complete profiles in Health Records & ICUs as required

STB Medical Records requests

  • Health Records requests 5 business days notice for pulling your list
  • use the MR generator within Access to email your list to Reggie Albis & Joanna Talastas; cc supervisor Tianna Mohammed who will redirect the list as required


  • STB Critical Care has a resource website maintained by our ICU Educators;

https://extranet.manitoba-ehealth.ca/hospitals/SBH/ICMSR/_layouts/15/start.aspx#/SitePages/Home.aspx

Relevant articles specific to STB Critical Care patients

ECMO article

VAD article

VAP notification

There is no longer a requirement to notify the VAP Committee regarding a confirmed or potential VAP

CLI notification

CCI/TISS

  • cardiac MRI, echos and angiograms can be found in the CCI picklist
  • With the STB Electronic Patient Record we collect/count CCI/TISS entries as we are able when we review the record. Confirmation of entries is done on final review of the chart. Pharmacy is completed after final review of the chart.

Code STEMI

Some heart attack patients go straight to the heart cath lab directly from EMS. See STEMI for collection instructions for such patients.

Cardiac Care patients

See STB Cardiac Care patients for information specific to the cardiac service care patients in the STB MICU/SICU unit.

STB Swing Beds

  • STB Swing Bed entries are "bed" records within a "unit" in EPR/Cognos. They are not beds or locations but conceptual service location and time entries used for patient moves. This data causes a patient record to show up in Cognos/CUS as having arrived on a unit even when the pt has not actually arrived, and it isn't visible in our listings whether the record is for a swing or real bed.
  • Any ICU pt. may be placed into a swing bed, but the majority of swing beds are used for the ICCS pt's. The pt. is placed in a swing bed while in the OR, and then moved into a real bed post op when they arrive in the CICU. Their stay in a swing bed may be any length of time. The true arrive Dt/Tm is taken from the ICU flow sheets.

if a pt. was placed into an ICU swing bed but was never admitted to the ICU, the pt. entries are manually excluded from Cognos when reviewed

cost center

Our cost number for supply ordering is 6766

Outreach efforts

St Boniface critical care collectors attend the STB VAP Committee when requested by the chair/co-chair. There is no longer any need to email the committee regarding a potential or confirmed VAP

Related articles

Related articles:
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