Latest revision as of 11:07, 22 March 2017

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.

Airway

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

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 -Continuous positive airway pressure via Mask

CPAP via ETT/Trachy -Continuous positive airway pressure via Tracheostomy

Vision via mask.

BIPAP/ASB/SIMV via ETT/Trachy - continuous positive airway pressure (CPAP) with pressure support breaths

HFJV/HFOV - High Frequency Jet Ventilation & High-frequency Oscillatory Ventilation

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 - Extracorporeal membrane oxygenation

Peak Inspiratory Pressure - Enter patients Peak Inspiratory Pressure

P/F Ratio -Enter patients P/F Ratio

SoPRA (System of Patient Related Activity)

Nitric oxide

Pulmonary artery catheter

Bronchoscopic investigation

Bronchoscipy Re-score (AIS) Select from drop down list

Lavage adjuncts

Induced hypothermia

Endoscopy

Variceal tamponade

Jugular venous monitoring

Lumbar puncture

Inhalation Severity Score.- Enter patients inhalation severity score

Circulatory Support

Vasoactive 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

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

Editor Types

Date Editor

Can free type date or select from drop down calender. Enter "Today" or press "Clear to exit without entering data.

Time Editor

Can free type time or use scroll bars at the right of data field.

Date & Time Editor

Free type date dd/mm/yyy and time 00.00, or drop down list. Choose "today" button if event was day of inputting data or "Clear to exit field without data entered.

Drop Down / Lookup List

The Lookup List is a collection of common names, places, catagorys, or other types of information that can help you choose a required field. Click on the down arrow to the right of the data field, highlight the relevant information to enter.

Staff Drop Down / Lookup List

Populated by staff names entered as "Users" in Administration.

'Yes/No/(Don't Know Drop Down

A special kind of drop down list to allow a clearer selection of yes, no & don't know when compared to the tick box. Used predominantly in the iBID editors, but due to roll out to all data-entry fields. Input via keyboard can be acheived by pressing Y or N on the keyboard.

Tickbox

Checked - Positive with a known value = 1.

Unchecked - Negative with a known value = 0.

Gray - Don't know with a value = null.

Please note: Check boxes are grey (Unknown) by default.

Postcode Editor (2 part)

Free type 1st part of postcode letters and numbers.

Free type 2nd part of postcode numbers and letters.

Text Field

A free type field to enter as much detail as possible.

(Note: Max 255 characters)

Memo Field

A free type field to enter as much detail as possible (Unlimited chars)

Automatically Filled in Fields

Sometimes shaded, Aquila will fill in these fields automatically from the data entered in previous fields.