The following guidance should help you complete your logbook record

Please enter logbook data for each date of your Critical Care attendance. All data is specific to the date entered, and not entered as a sum total over a period of time.

Patients in unit: some ICUs organize their rounds such that there is a consultant and a number of NCHDs assigned to different parts of the ICM practice. The “Patients in the Unit” for the trainee is the number of patients seen in your ward round with your consultant.

Patients directly assigned to you: this is the number of patients within that ward round cohort that you the trainee are tasked with looking after.

Disease Specific: The format of this logbook is to enable you, the User, to log cases under your care into related groups. Each patient has ONLY one primary diagnosis. So, for example, under the domain of cardiovascular, you may have been caring for 1 patient with an ST Elevation Myocardial Infarction (therefore enter “1”) and 2 patients with Cardiogenic Shock (enter “2”). Thus you will enter that, during that working shift, you cared for 3 patients whose disease is best represented by a cardiovascular diagnosis.

A patient may have respiratory failure and acute kidney injury secondary to the cardiogenic shock. These are not primary diagnoses and therefore are not entered.

Therefore: the sum of diagnoses entered per day should equal the sum of the patients assigned to you.

Acute Kidney Injury: This is a little confusing. The idea of these rows is to capture the number of patients admitted to the ICU solely for dialysis, either as an acute event ( eg. Hyperkalaemia) or due to lack of other dialysis facility in the hospital. This is a diagnostic section. The “procedure” of IHD / CRRT is listed under procedures. So, you might have both an admission diagnosis of Acute Kidney Injury and also a procedural entry of managing CRRT.

Some of your patients may be under your care for scheduled ICU admission after major surgery. These are to be listed in the Peri-operative Care section of the logbook, and are not entered under a domain of specific organ failures.

Procedures / Interventions:

Procedural interventions are a simple sum of the interventions on a given day – eg. 3 arterial lines placed by you plus 2 central venous catheters.

For some interventions, the daily interpretation and adjustment / prescription based on that continuous intervention is reflected. This applies to ventilation, CRRT, and advanced haemodynamic monitoring ( eg. Pulmonary Artery Catheter, PICCO or equivalent)

Some of your patients may be under your care for scheduled ICU admission after major surgery. These are to be listed in the Peri-operative Care section of the logbook, and are not entered under a domain of specific organ failures.

End-of-Life Care and Transport sections:

These are simple totals of each of those activities on the date of the log.

Save function:

When you have logged data for a specific date , click Save log and Review,

When this is clicked the data will be provisionally saved to the database but this will not be the final record.

Only when the Complete your Log is used will the final log be created in the database. It can then no longer be edited.

Once you have clicked Complete your Log, you, as the registered user, should receive an email confirming the log has been saved and completed.

View your Logbook Calendar:

You can view your logbook calendar at any time to see that you have entered a log for each of your ICU days.

The logbook calendar displays all completed logs, incomplete logs and relevant dates where you have had an ICU presence but failed to submit a log. Clicking on a date (incomplete logs/not logged) will take you to a logbook (empty or partially complete) for that date. The log can then be completed or created for that date