Critical Care summaries have to be done for every patient who leaves the ICU/HDU

These are done on CRS (the same system where you find blood results)

  1. Log on to CRS using your own card and open the patient’s Powerchart.
  2. Click on + Add in the documentation line on the left hand side menu.
  3. Select ICU Transfer Summary as the document type.
  4. Click on the ‘Precompleted’ tab below.
  5. Select the first template in the list, ‘ACCU Transfer Summary’.
  6. Write the summary. If you wish to add to it later (e.g. starting the summary before discharge), click on Save.  See step 13.  If you have finished the summary and the patient is leaving, go to step 7.
  7. Click on Sign. This starts the spellcheck.  Please use this if you can’t spell.  You may need to click on Sign again afterwards.
  8. In the ‘Sign note’ box, ensure the ‘Request endorsement’ check box is ticked. Please ensure the date and time are current – if not, click on the ‘Current Date’  Don’t tick the ‘Print final document’ box.
  9. Search for the consultant in the Endorser field; select ‘Sign’ in the Type field. The correct consultant is the daytime consultant responsible for the bit of the unit the patient is in.
  10. Click OK.
  11. The document can be opened and printed as any other document can; this copy can go in the notes with the patient.
  12. (If you need to modify the document before printing it but after signing it, highlight the document in the documentation view, click on ‘Modify’ and then select ‘Correct’. You will click on ‘Sign’ again to accept your changes.)  Ideally you won’t need to do this – the preferred option is to save and review (as in steps 6 and 13).


  1. To add to a previously started summary, click on + Add in the documentation line on the left hand side menu, select the ‘Existing’ tab and select the already started summary in the list. Go to step 6. The consultant will then receive a message to review the summary.

Please ensure the summary is allocated to the appropriate Team A, B or C consultant, which MAY NOT be the consultant covering overnight when the patient is admitted or discharged