Download PINS 2011 instruction manual - Children's Hospital Boston

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Table of Contents Table of Contents.................................................................................................................................................... 2 Study Contacts ........................................................................................................................................................ 2 Introduction .............................................................................................................................................................. 3 General Guidelines................................................................................................................................................. 4 Pediatric Critical Care Nutrition Website ............................................................................................................. 6 Survey Login Page and Registration ................................................................................................................... 7 Home Page............................................................................................................................................................ 10 Patient Status Page.............................................................................................................................................. 13 Screening ............................................................................................................................................................... 15 Patient Information Form ..................................................................................................................................... 18 Baseline Nutrition Assessment Form................................................................................................................. 20 Daily Nutrition Data............................................................................................................................................... 22 Enteral Nutrition Data........................................................................................................................................... 23 Parenteral Nutrition Data ..................................................................................................................................... 26 Patient Outcome ................................................................................................................................................... 28 Finalizing Data Entry ............................................................................................................................................ 30 Appendix 1 - PICU Admission Taxonomy ......................................................................................................... 31 Appendix 2 – Enteral Formula Taxonomy......................................................................................................... 37 � Principal Investigator 5/5/2011 Study Contacts Nilesh M. Mehta, MD, DCH Assistant Professor, Department of Anesthesia, Perioperative and Pain Medicine Division of Critical Care Medicine Children's Hospital Boston Email: nilesh.mehta@childrens.harvard.edu Tel: 617-355-7327 � Project Leader Lori Bechard, M.Ed., R.D., LDN Clinical Nutrition Specialist III Clinical Nutrition Service Children’s Hospital Boston Email: lori.bechard@childrens.harvard.edu Tel: 617 355 5293 2
5/5/2011 Introduction Pediatric International Nutrition Survey (PINS 2011) This project is a period-prevalence survey of nutrition therapies in critically ill children in pediatric intensive care units (PICUs) across the world. This survey will commence on 11 May 2011, or the nearest date practically possible. Dietitians (or other healthcare practitioners) at each PICU will record data including site characteristics, patient demographics and nutrition goals, illness severity, length of stay, duration of ventilation, infectious outcomes, and mortality. In addition, daily nutrition practices such as route of nutrition, energy and protein amounts received, feeding interruptions, and related medications will also be recorded from PICU admission to PICU discharge, death, or for a maximum of 10 days (whichever comes first). It is projected that the results of this survey will identify differences, highlight strengths and weaknesses, and hopefully illuminate opportunities to improve nutrition practices in the United States and throughout the world. Benchmarked Site Report For participating in this project, you will be provided with a benchmarked site report. This site report summarizes your site’s performance and will allow you to compare your nutrition practices to other PICUs within your own country or region (‘Sister Sites’) and all the PICUs in the database (‘All Sites’). You will also be able to compare your performance to the recommendations of the ASPEN Clinical Guidelines for Nutrition Support of the Critically Ill Child. Instruction Manual This Instruction Manual functions as a resource for successful completion of the electronic case report forms (eCRFs) for PINS 2011. The manual is formatted to provide instruction for each eCRF data page. An image of the actual data page will follow the written instructions. eCRFs are the exclusive mode of data capture used in PINS 2011. The dietitian (or other healthcare practitioner) should enter data online to the eCRFs as soon as it becomes available. NOTE: If you choose to create paper worksheets, please keep ALL documents until you receive your benchmarked performance report. This will provide you with an opportunity to check your site report with the raw data and ensure that it is accurate. Please check with your hospital for local requirements regarding storage of data collection forms as this may differ by hospital site. Please contact the Project Leader for any questions or clarification about PINS 2011. 3
Page 1: Instruction Manual Pediatric Intern
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 and 16: 5/5/2011 Screening Please begin to
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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