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A CHAMP-Path presentation about the Physician's and Resident's role in the patient recruitment process.
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Physician’s & Resident’s Role CHAMP-Path Study | Recruitment Process
Pre-Test
Q1: The Screening Log Sheet is for recording the recruited patients only. True or False?
Q2: Where are all the copies of the forms located?
Q3: Where will you find the allocation labels – which identify the patient’s randomly assigned case number and care group?
Q4: The Pathways Referral Form is to be used for all recruited patients. True or False?
STEP 1:
Screen
Eligibility Criteria
Eligibility Criteria
• Older than 14 years old
• One principle diagnosis
• Hemodynamic stability
• Cardiogenic pulmonary edema
• Not requiring Inotropic agents
• Not an ICU patient
• Not pregnant
• Older than 14 years old
• One principle diagnosis
• Hemodynamic stability
• Not an ICU patient
• Not pregnant
Heart Failure Community Acquired Pneumonia
If patient is ineligible…
Record and explain why on the
Screening Log Sheet
If patient is eligible…
Take an
Informed Consent
STEP 2:
Informed Consent
Copies of this form can be found at:
(1)ER counters
(2)Dept of Med office door
If patient does NOT agree…
Record and explain why on the
Screening Log Sheet
If patient Agrees…
Record on the
Screening Log Sheet
Copies of this sheet can be found at:(1) ER counters(2) Dept of Med office door
So whether the patient is….ineligible,
eligible and does not agree, or eligible and agrees ….
Record on the
Screening Log Sheet
Screening Log Sheets will be collected.
Collection points are:(1) ER – file tray behind the counters(2) Dept of Med – file tray office door
File trays are labeled:CHAMP-Path Screening Log Sheets To-Be-Collected
Please Remember…
STEP 3:
Allocation
Patient Has Agreed!
Request from ED Pharmacy:1. CHAMP-Path Envelope2. Patient Registration Form
CHAMP-Path Envelope
CHAMP-Path Registration Form
Patient Label Here Allocation Label Here
CHAMP-Path Envelope
Inside the envelope:Two allocation labels identifying patient’s diagnosis and randomly-assigned case number and care group (UC=Usual; PC=Pathway)
Use one label for the Patient Registration Form. If PC, keep the other label for the Pathway Care Referral Form, otherwise leave ‘UC label’ in envelope.
UC or PC
Break the Seal
CHAMP-Path Registration Form
Patient Label Here Allocation Label Here
Return Form and Envelope to ED Pharmacy, for pharmacy staff to sign.
If patient has been assigned to Pathway Care (PC)…..
Initiate Pathways through QuadraMed
Fill Out Pathways Referral Form
Give to Nurse Manager or Nurse-in-Charge to fax to the Medicine Pathway Team
This form can be found at:(1)ER Counters(2)Dept of Med office door
Allocation Label Here
Affix the Patient Label.
Affix the other Allocation label.
Fill out the form.
Must say “PC”
Now…
Post-Test
Q: The Screening Log Sheet is for recording the recruited patients only. True or False?
Q: Where are all the copies of the forms located?
Q: Where will you find the allocation labels – which identify the patient’s randomly assigned case number and care group?
Q: The Pathways Referral Form is to be used for all recruited patients. True or False?
A: False; ineligible and eligible non-recruited patients are recorded too.
A: All forms are located on the ER counters and Dept of Med office door.
A: Allocation labels are located in a sealed envelope in the ED Pharmacy.
A: False; Pathways Referral Form is only for those patients who have been assigned to pathway care, not usual care.
Questions…..
Comments….
THANK YOU
Please feel free to contact me:
Maryam KhalilCHAMP-Path Research Assistant
Email: maryam.research@gmail.com Ext: 21298 (Dept of Med)
Public link to this presentation on the internet:http://www.slideshare.net/maryam_kk/champpath-study-physicians-role
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