Download PINS 2011 instruction manual - Children's Hospital Boston

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5/5/2011 Patient Status Page 14
5/5/2011 Screening Please begin to identify study patients on 11 May 2011 (or nearest possible date thereafter). � The Screening Log is not part of the online data collection process, but has been developed as a tool to help you to identify which patients in the PICU meet the inclusion criteria. We will not ask you to enter any information from this form online. Eligibility Criteria Inclusion: � Critically ill patients that are mechanically ventilated and have an anticipated stay of > 48 hours in the PICU. � Children ages 1 month to 18 years. Exclusion: � Patients who were not ventilated within the first 48 hours of admission. � Patients on mask ventilation. � Patients on compassionate care towards end-of-life. � Patients enrolled in any other nutritional interventional trial. Duration of Ventilation does not matter. Patients that were ventilated within the first 48 hours of admission to the PICU, and then came off the ventilator and stay in the PICU > 3 days, still meet the eligibility criteria. If the patient is ventilated prior to admission to the PICU they meet the eligibility criteria. To identify your eligible study patients using the Screening Log, complete the following steps: � Record the initials of ALL patients that are currently in your PICU in Column 1 � In Column 2, record only those patients from Column 1 that were intubated and ventilated within the first 48 hrs of admission to PICU or prior to PICU admission. � In Column 3, list only those patients from Column 2 that were in PICU � 3 days. � In Column 4, number the patients from Column 3 consecutively and these are your eligible study patients. � In Column 5, enter the identification number the patient was allocated by the web-based tool. � Continue to screen until you reach a minimum of 15, maximum of 40 consecutive patients. � For patients that are just admitted and are ventilated, please follow them up for 72 hours to see if they stay in the ICU � 3 days, as they will also be included. � Please keep the Screening Log to help track down which patient corresponds to which patient number in case we have data queries at a later date. 15
Page 1 and 2: Instruction Manual Pediatric Intern
Page 3 and 4: 5/5/2011 Introduction Pediatric Int
Page 5 and 6: � Please follow the order in whic
Page 7 and 8: 5/5/2011 Survey Login Page and Regi
Page 9 and 10: 5/5/2011 Login Page 9
Page 11 and 12: � Log Out. To log out of the web
Page 13: 5/5/2011 Patient Status Page � Af
Page 17 and 18: Screening Notes: � If the number
Page 19 and 20: 5/5/2011 Patient Information Form 1
Page 21 and 22: 5/5/2011 � For those receiving bo
Page 23 and 24: 5/5/2011 Enteral Nutrition Data �
Page 25 and 26: 5/5/2011 Enteral Nutrition Page 25
Page 27 and 28: 5/5/2011 Parenteral Nutrition Page
Page 29 and 30: 5/5/2011 on the patient status page
Page 31 and 32: Respiratory � 1. Acute resp. fail
Page 33 and 34: � 56. Pericarditis w/effusion, NO
Page 35 and 36: � 110. Chronic renal failure stag
Page 37 and 38: Abbott International A1 AlitraQ 5/5
Page 39 and 40: 5/5/2011 A37 Suplena A38 Two Cal HN
Page 41 and 42: Nestle 5/5/2011 B19 Other Fresenius
Page 43 and 44: 5/5/2011 D3 Fibersource D4 Fibersou
Page 45 and 46: 5/5/2011 D41 Supplements-Resource G
Page 47 and 48: 5/5/2011 E34 Infatrini E35 Kinderge
Page 49: 5/5/2011 G17 Enfamil Lipil G18 Enfa

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