Salford Critical Care

Author: tthomaswork

  • How to produce the monthly audit reports

    The following videos are videos of my computer screen when I’m producing the monthly audit reports and as such they explain how the reports are produced. The ones about use of the Omnicell are very repetitive. You might like to start with the run charts, most of the information for them comes from the Medicus database or from the other reports. To practice there are lots of files on the Data Group section of teams

    First Omnicell- Meropenem- the original file comes from an output from the Omnicell that comes to me and Emma Boxall- this is the same for all the drugs

    This is for Propofol. The other sedative drugs are Alfentanil and Midazolam. There are also several other antibiotics- Vancomycin, Co-amoxiclav, Tazocin, Flucloxacillin, The sedative drugs we only use the total amount of drug, the antibiotics the total and how many patients have received the drugs in month

    This is how to calculate the information about LocSSIPs, we use the business objects files for CVC placement and endotracheal intubation and these are explained in the two videos below. We also use the tracheostomy file but we only need to count the number for the month

    CVC Locssip

    Endotracheal intubation

    Run charts- this video explains how to make them, I don’t think I’ve covered which reports to run from Medicus but you should be able to work it out- they are standard reports not super queries

    This explains how to produce the information about delirium assessments. The file comes form the business objects report that you should have access to. There is a PDF explaining how to use business objects in the ICNARC section. It’s also in the data group files in the minutes section

    Delirium assessments

    This file explains how to produce the graphs for the NG tube insertion rates calculated from the CXR reports

  • New drug calculators added Feb 2022

    We have added a set of drug calculators to allow conversion of drug doses from ml/hr to ug/kg/min.

    This is to allow us to record information about vasopressor and inotrope use in the first 24 hours of critical care admission. This is a required field in the new ICNARC dataset

  • Changes up to September 2021

    The main changes that have been added in the last couple of months is a whole teaching package on sedation and also a link to the staff safety survey. The sedation teaching is on training information for staff and the link to the staff safety survey is in the section of information for staff

  • Changes for March 2021

    We have started to produce a series of five slide presentations about sedation and analgesia that can be found in “Information for staff”. We have also added a video from the American Thoracic Society about diagnostic bronchoscopy in the section on “Examination and practical procedures” that is in “Training information for staff”. We have updated the LocSSIPS for bronchoscopy and tracheostomy and added a new checklist in the “LocSSIP and Checklist” for endotracheal extubation. We will added a new video about ICU aspects of bronchoscopy which isn’t quite finished yet. We have also added a new section in “Information for staff” about microbiology and added a section in this about the diagnosis of fungal infections

  • Changes for February 2021

    We have added a link to the RCN website for Covid and a summary of covid guidance from the RCOP (ed) and a ventilation guide from the Intensive care foundation. We have also added a 5 slide guide from Justin Turner about analgesia in critical care. We have also added instructions on how to run a training session for new trainees in line placement. We also added a helpful guide on CXR interpretation. In the information for staff we added a new page on microbiology with a section on fungal testing

  • News for staff January 2021

    I have forgotten to add any news about updates made to the website for some months. This month in staff training we have introduced a number of 5 slide presentations about sedation and analgesia for new staff. At the end of last year we added some sections on the new Mindray ventilators

  • Website changes in July 2020

    We have added two new pages, one in the training section of the website about the new Mindray ventilators with a video and the user manual. The other new page is about ICNARC and audit and has a PDF of an introduction to the case mix program and a description of the 2018 coding methodology

  • Website changes June 2020

    We have added a link to the website of Brake.org- the charity that offers support to the victims of road traffic accidents.

    We have also added information for staff in the Covid staff information section of the website about exceptional visiting arrangements during the Covid pandemic and we have also added a section in the “information about visiting the unit” for relatives about exceptional visiting arrangements.

  • Changes to the website May 2020

    We have added a section on News- this will contain information about changes to the website and would also allow staff to add news items.

    We have added transcripts to the videos describing how to place CVCs and how to use the LocSSIPs during CVC placement. We have changed the information for relatives section to include the document on on contacting your relative by video, the information for staff is in the section information for staff.

  • Thromboprophylaxis

    We are developing an update of the guidance on thromboprophylaxis for our critical care unit and the current draft can be found in the unit protocols section of the website.