Download PINS 2011 instruction manual - Children's Hospital Boston

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SCREENING LOG PICU Name This log is for your own reference and will not be entered online. Column 1 Column 2 Column 3 Column 4 Column 5 Initials for ALL patients in the PICU on beginning study day 5/5/<strong>2011</strong> Patients intubated and ventilated within the first 48 hrs of admission to PICU Patients in the PICU � 3 days Screening Number Patient ID Number Total number of patients meeting inclusion criteria =____________ 16
Screening Notes: � If the number of patients meeting inclusion criteria is less than 20, please continue to screen daily until you have a minimum of 15 CONSECUTIVE patients (maximum accrual 40 patients). � Consecutive: means the very next patient that meets the criteria, instead of picking and choosing patients randomly. � For those patients just admitted and are ventilated, please follow them up for 72 hours to see if they stay in the PICU (� 3 days) as they will also be included into your study cohort. � Include the patient if he/she is physically in the PICU at time of screening and meets the criteria even if they are ready for discharge from the PICU and are waiting for a bed on the ward. � If the patient has had several admissions to the PICU, use the most recent admission. � If a patient is discharged from the PICU but re-admitted within 48 hours, consider that this patient never left the PICU. � If data are missing and you are unable to collect the relevant details for this patient, please exclude and include the next eligible consecutive patient. � The screening number and patient number (generated by the web based data tool) will be the same if you enter the patients in consecutive order. 5/5/<strong>2011</strong> 17
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 and 14: 5/5/2011 Patient Status Page � Af
Page 15: 5/5/2011 Screening Please begin to
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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