Revision as of 15:59, 7 July 2014

This topic is for IBID

Intensive Care/Critical Care Dataset

Mainly made up of tickboxes these fields should be completed where patient has received Intensive or Critical Care from hospital staff on this date.

These items should be checked if the patient is receiving this form of support or therapy

• Oral_Nasal ET Tube

• Surgical Trachy

• Percutaneous Trachy

• Mini Trachy

• Facemask/Trach mask/Nasal specs

• CPAP Mask

Breathing

• Air spontaneously

• Under 2 hourly physio or suction

• Nebulised Adjuncts

• Sputum Appearance - Drop down box containing a description of any sputum samples these should be taken from sputum samples provided by expectoration from airway suction

• Under 50% O2 Breathing spont

• Over 50% O2 Breathing spont

• CPAP via mask

• CPAP via ETT/Trachy

• Vision via mask.

• BIPAP/ASB/SIMV via ETT/Trachy

• HFJV/HFOV

• Hayek oscillator

• Patient ventilated on HDU

• Proned

• Turned back to supine

• Recent extubation under 24hrs - Has the patient recently been extubated within the last 24 hours, if so then this item should be checked

• Close observation/apnoea risk

• ECMO

SoPRA (System of Patient Related Activity)

• Nitric oxide

• Pulmonary artery catheter

• Bronchoscopic investigation

• Lavage adjuncts

• Induced hypothermia

• Endoscopy

• Variceal tamponade

• Jugular venous monitoring

• Lumbar puncture

Circulatory Support

• Vasocative drugs multiple

• Vasoactive drug single

• Arterial line sampling/monitoring

• CVP line monitoring/drug delivery

• Hypovolaemic circ instability

• Anti arrythmic drug cont infusion

• Cardiac output invasive

• Cardiac output non invasive

• IA Balloon pump/VAD

• Temporary cardiac pacemaker

• Post cardiac arrest stabilisation

Gastro Support

• Parenteral feeding

• Enteral feeding

• Bowel management system

Renal

• Xigris Drotrecogin Alfa

• Chronic Dialysis 3 months

• Drug controlled only

• Intermittent haemodialysis

• Veno venous haemofiltration

• Peritoneal dialysis

Liver

• Charcoal haemoperfusion

• MARS

Dermatological

• Major burns over 30%

• Major exfoliation over 30%

• Major rashes over 30%

• Multiple trauma dressings

• Open abdomen dressings

• Other complex dressings > 1hr per day

Neuro Monitoring

• CNS Depression prejudicial to airway obstructing

• CNS monitoring by clinical assessment

• CNS monitoring_invasive/IC

• Non Invasive monitoring BIS/EEG

• Severe agitation/Fits

• Cerebral function monitoring

• Observation only

Critical Care Discharge Details

• Time bed manager contacted - Free type time Bed manager was Contacted in associated box otherwise choose time from up down scroll bars

• Time bed allocated by bed manager - Free type time Bed allocated by bed manager in associated box otherwise choose time from up down scroll bars

• Reason for delay if >6hrs - Free type reason bed allocation was delayed in associated box.

Associated Organ Failure at Death

• Acute lung injury

• Renal tertiary failure

• Barotrauma

• Coagulopathy

• Hepatic tertiary failure

• Thrombocytopenia

• CNS

• Donated organs

Nutrition

• Time feeding tube placed - Enter time in associated box using scroll arrows or free type.

• Type of feeding tube - Enter type of tube in associated box using scroll arrows or free type.

• NRS Nutrition Risk Score - Free type Nutrition Risk Score in associated box

• Weight - Enter weight in associated box

• Target Feed Rate Achieved

• Gastrostomy

• Bowel Management tube

• Nutrition Comments - Free Type Nutrition Comments in associated box.

Once the Intensive Care fields have been completed, in the case of a patient requiring a theatre visit or wound intervention, Wound Intervention/TX fields will need to be completed. For further details regarding Intervention, please follow link to Wound Intervention/Theatre