23 November, 2017
 Abstractor's Corner - Your Questions, Answered

QUESTION 16: If a baby comes from an out-of-province hospital, should we be noting times in local time or the time zone of the other province?


ANSWER 16: We are interested in transport time, birth-admission time etc. so whatever you do please do it consistently (if you are putting time of admission in CDT then put other times in CDT as well so we do not inflate or deflate true numbers)

QUESTION 17: If a baby at our center is receiving sham (fake) feeds not for nutiritional benefit, do we count that as NPO for the day?

ANSWER 17: No

QUESTION 18: What do I enter for pCO2 in SNAP if my values are above the upper range limit of 150?

ANSWER 18: For a pCO2 number that is >150, please simply enter 150.

 

 

QUESTION 1: Baby is born in hospital A on 8 Sep 2009 and goes home on 9 Sep 2009. Suddenly baby gets sick and goes to hospital B on the 10 Sep 2009. The case gets worse and baby needs to be admitted in NICU at hospital B. The NICU admission in this case is outborn. The birth hospital would be hospital A. What will the "Transferred From" place be?

a) Children Emergency - Hospital B
b) Hospital B
c) Home
d) Hospital A

ANSWER 1: c
 
QUESTION 2: On the daily chart, what do we record for ventilation? If the baby was on IPPV and CPAP for the specified day we would only record IPPV and not CPAP?. As for oxygen we would only record if >21% irrespective of mode of ventilation?
 
ANSWER 2: Yes, record the HIGHEST level of ventilation
 
QUESTION 3: Mother screen: If it is a C-section and there has not been a natural/artificial ROM prior to C-section how should I enter that? Do I leave it blank?
 
ANSWER 3: Rupture of membrane was done at C section - then enter that as time. 

QUESTION 4
: Antenatal screen: For Para, could you tell me what the viability cut off is in weeks? Is it more than 20 weeks?
 
ANSWER 4: Yes
 
QUESTION 5: SNAP: If there is no lactate taken in this period, do I leave this blank? Do we leave all unknown values as blank?
 
ANSWER 5: Leave blank, the validation will still go through

QUESTION 6
: On the Patient Chart screen, it asks for days when narcotic infusion is given. I had a single instance when Fentanyl was given, in conjunction with the cocktail for intubation. It was a one-time dose, not technically a transfusion. Does it still count?
 
ANSWER 6: We are interested in Narcotic infusion only and not boluses. 

QUESTION 7: 
Many of our babies have “increased periventricular echos” on their HUS’s.How do you want me to score that?
 
ANSWER 7: Early US showing PV echo would be under "Intraparenchymal lesions". Remember to check whether it resolved or not - if not resolved it has implications.  Those which resolve are of possibly no consequence.

QUESTION 8: 
If there is no head circumference done on admission, what do I enter in the field? The manual states to leave field blank. If I leave the field blank, the validation fails because it is a required entry.
 
ANSWER 8: Leave blank for now, future versions of CNN will make the field not mandatory.

QUESTION 9: 
Where do I enter CPAP and PEEP information on the resuscitation screen, and free-flow oxygen information?
 
ANSWER 9: CPAP and PEEP info is entered as "PPV via bag and mask" and for free-flow and blow-by oxygen simply select Stimulation and enter the concentration.

QUESTION 10:
What should I do if admission weight was not recorded because of critical condition and instability? 
                                                                
ANSWER 10: Enter an estimated admission weight to validate the screen.

QUESTION 11:
For EEG results, do you want the “worst” results? The patient I am doing had two done, the initial one being abnormal and the one after cooling almost normal. Which should I score?
 
ANSWER 11: Enter the worst one

QUESTION 12:
Is albumin not being scored anymore? Under what are we scoring a PFO (Defect of foramen ovale)?

ANSWER 12
: We are not collecting albumin any more. PFO is other congenital malformation.
 
QUESTION 13: A new mode of ventilation is being used that doesn't appear in CNN - MMW. MMV is a cross-over between CPAP and IPPV, so if we're scoring highest mode of ventilation, do we score as NI or IPPV?

ANSWER 13: IPPV please.

QUESTION 14:
On the DIangosis screen, is total bilirubin conjugated and unconjugated bilirubin?

ANSWER 14: Yes

QUESTION 15:
Recently, an abstractor came across a reported case of gangrene in the patients chart and asked if we collected this.
ANSWER 15: No
 
QUESTION 16: If a baby comes from an out-of-province hospital, should we be noting times in local time or the time zone of the other province?

                                          ANSWER 16: We are interested in transport time, birth-admission time etc. so whatever you do please do it consistently (if you are putting time of admission in CDT then put other times in CDT as well so we do not inflate or deflate true numbers)

QUESTION 17: If a baby at our center is receiving sham (fake) feeds not for nutiritional benefit, do we count that as NPO for the day?

                                                                                           ANSWER 17: No

QUESTION 18: What do I enter for pCO2 in SNAP if my values are above the upper range limit of 150?

                                                    ANSWER 18: For a pCO2 number that is >150, please simply enter 150.

    

 CNN - INC Abstractors
Hospital
Location
Data Abstractor
Email
BC Children’s Hospital
Vancouver, BC
Afsaneh Afshar
  
Sheryl Atkinson 
604-875-2345 x5558
 
 
 
Victoria General Hospital
Victoria, BC
Sue Wadsworth
250-383-0807
 
Margaret Baker
250-727-4212 x 15437
 
 
 
Royal Columbian Hospital
New Westminster, BC
Parisa Golahmadinia
604-520-4681
 
Jason Xie
  
Patsy Mang
604-520-4631
x524631
 
 
 
 
 
Royal Alexandra and UofA Hospital
Edmonton, AB
Tracy Dubitz
780-735-6736
780-407-1720
780-407-3574
  
Donna Gardiner
 
Sandi Moller
780-407-3574
 
 
 
 
 
 
 
 
Foothills Medical Centre
Calgary, AB
Michelle Matthews
403-944-1947 
 
 
 
 
Royal University Hospital
Saskatoon, SK
Aimee Goss
306-655-1725
 

Laura Wiwchar
 
 
 
 
Regina Qu’Appelle Health Region (Regina General Hospital)
Regina, SK
Lynn Rotariu
306-766-2408
 
Caroline Sorensen
306-766-4352 
 
 
 
 
 
 
Winnipeg Health Sciences Centre
Winnipeg, MB
Valerie Cook
secretary Irene at
204-787-1853
 
 
 
 
 
St. Boniface General Hospital
Winnipeg, MB
Dayle Everatt
204-237-2775
 
Naomi Granke
204-235-3486
 
 
 
Hamilton Health Sciences Centre
Hamilton, ON
Team members:
Ellen Townson 
Loreanne D'Orazio
Maggie Sebesta
 
Team Co-ordinator:
Wendy Seidlitz
905-521-2100 x72758
 
Team Contact:
905-521-2100 x 77684 (or 7SNUG)
 
 
 
Team Co-ordinator &  
Abstractors Representative:
London Health Sciences Centre (formerly St. Joseph’s Health Centre)
London, ON
Sheila Johnston
519-685-8500 x64308 or x65859
 
Nancy Dodman
519-685-8500 x64929
 
 
 
 
 
Mt. Sinai Hospital
Toronto, ON
Elena Nikolaeva
416-586-4800 x5034
 
Hospital for Sick Children
 
 
 
 
Toronto, ON
Robin Knighton
416-813-8801
 
Annette VanBergen
 
 
Sunnybrook Health Sciences Centre
Toronto, ON
Allyson Morris
 
416-480-6100 x 87960
 
Kingston General Hospital
Kingston, ON
Lizy Kodiattu
613-929-3991
 
Children’s Hospital of Eastern Ontario
Ottawa, ON
Francois Tshibemba
 
Dr. Brigitte Lemyre
613-737-8561
 

ftshibemba@ohri.ca

 

blemyre@toh.on.ca
 

 
 
Montreal Children's Hospital - McGill University Health Centre
 
(formerly Royal Victoria Hospital & Montreal Children's Hospital)
Montreal, QC
Danielle Vallerand
514-934-1934 x34454
 
Alda DiBattista
514-934-1934 x39362
 
Martine Claveau NNP
 
 
 
 
 
Jewish General Hospital
Montreal, QC
Dr. Ermie Pelausa
 
Sylvie Vincent
M-R (8:00-3:30)
514-340-8222 x5722 
 
 
 
 
 
Hopital Saint-Justine
Montreal, QC
Jocelyne Vallee
514-345-4931
 
Lucie Lafond
 
 
 
Centre Hopitalier de Quebec
Sainte Foy, QC
Nathalie Fredette
418-525-4444 x72186
 

Nathalie.Fredette@mail.chudequebec.ca

 
IWK Health Centre
Halifax, NS
Debbie Arsenault
902-470-7182
 
Saint John Regional Hospital
Saint John, NB
Valerie Cobham-Richards
 
Moncton Hospital
Moncton, NB
Norma Leger
1x /wk
506-857-5805
 
 
Dr. Everett Chalmers Hospital
Fredericton, NB
Janet Paquin
506-452-5988
506-452-5151
 
Carol Muncer
506-452-5151
 
Joanne Aube
506-452-5151
 
Carol Levesque
 
 


 
 
 
 
Janeway Children’s Health & Rehabilitation Centre
St. John’s, NL
Nicole Tucker
709-777-4128
 
Surrey Memorial Hospital
 Surrey, BC
Brenda Parhar
Supervisor
 
Kristen Konowalchuk
 
Caylie Fettback
 
Patricia Parkes
 
 
 
Cape Breton Regional Hospital
Sydney, NS
Irma MacDonald
902-567-7839
 
 
   

 
 
Windsor Regional Hospital Windsor, ON
Jodie Nugent
519-255-6741

jodie_nugent@wrh.on.ca

Centre Hospitalier Universitaire de Sherbrooke Fleurimont, QC
Dr. Valerie Bertelle
 
Dr. Edith Masse
 
Thomas Lemaître
819-346-1110
x 16376
 

Valerie.Bertelle@USherbrooke.ca

 edith.masse@usherbrooke.ca

 

tlemaitre.chus@ssss.gouv.qc.ca

Alberta Children's Hospital Calgary, AB

Michelle Matthews

403-944-1947

michelle.matthews@albertahealthservices.ca

 

Hospital

Location

Data Abstractor

Email

Wolfson Children's Hospital Jacksonville. Florida

Kimberly Barnette

904-244-5566

kimberly.barnette[at]jax.ufl.edu

Shands Jacksonville Medical Center, Inc.

Jacksonville, Florida

Kimberly Barnette

904-244-5566

kimberly.barnette[at]jax.ufl.edu

Maricopa Integrated Health System Phoenix, Arizona

Patty Benjamin

623-451-0015

patty.benjamin[at]mihs.org
Kapiolani Medical Center for Women and Children Honolulu, Hawaii

Jackie Ruiz
808-983-6125

jaclynn.ruiz[at]kapiolani.org