2020 GRA COVID unit transition: Difference between revisions

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== Background ==

~~The dates are not yet finalized.~~

=== Grace Medicine ===

* Saturday March 28.20 – start date patients in [[GRA_N5]] move to [[GRA_2S]] but not all. Moves are are on staggered basis in April.

**Wednesday April 15.20 - the decided date as a cut-off for the service_location change

***All admit dates before April 15, 2020 will have service_location = [[GRA_N5]]

*** All admit dates on or after April 15, 2020 will have service_location=[[GRA_2S]]

*** All admit dates on or after April 15, 2020 and discharge before May 15,2020 will have service_location=[[GRA_2S]]

* ?? April ?? .20 - '''5S''' will be a new COVID-19 ward [[GRA_5S_C]] with ?? adult beds

* ~~Tuesday~~ ~~Apr~~ 14~~.20~~ - [[~~GRA_PACU~~]] with 15 beds are added to Grace ICU for non-covid pts. The current [[GRA_MICU]] with 10 beds are for covid pts.

* Friday May15.20 - start date patients in [[GRA_2S]] move back to [[GRA_N5]]

**All admit dates before April 15, 2020 and discharge after May 15, 2020 will have service_location = [[GRA_N5]]

**All admit dates on or after April 15, 2020 and discharge after May 15, 2020 will have service_location = [[GRA_N5]]

=== GRA MICU ===

* 2020-10-16 the PACU will not be used as the GRACE ICU COVID Unit unless absolutely necessary. Two NFA theatres in the SDC area next to the ICU are being renovated to accommodate four COVID Positive patients. I do not know how the beds will be numbered yet, but these 4 beds will be part of the 10 bed census for the GRA ICU, they are not extra beds, just extra isolation rooms.[[User:Gens|Gens]] 07:25, 2020 October 16 (CDT)gens}}

*The GRACE ICU COVID UNIT in the SDC NFA Theatres will potentially be opened on November 6 or November 9, 2020. There will be 4 isolation beds for COVID-19 positive patients. They will be labelled as: ICU NFA 1,ICU NFA 2,ICU NFA 3 and ICU NFA 4.[[User:Gens|Gens]] 11:44, 2020 October 30 (CDT)

* 2020-04-14 - [[GH-Recovery Room]] with 15 beds are added to Grace ICU for non-covid pts. The current [[GRA_MICU]] with 10 beds are for covid pts.

== Medicine Situation ==

=== ~~Transition plan~~ ===

=== New COVID ward ===

# ~~There is no transition plan for the~~ new COVID ward [[GRA_5S_C]] which has already been added to the [[s_dispo table]].

# The new COVID ward is [[GRA_5S_C]] which has already been added to the [[s_dispo table]].

=== Transition plan A - from N5 to 2S on and after April 15, 2020 and before May 15 ===

# This transition plan is only for the patients on N5 who were moved to 2S or who remained on N5 under the N5 physicians.

# [[GRA_N5]] patients discharged '''before April 15''' remain [[GRA_N5]]

# All admission to N5 on or after April 15, 2020 will have service_location=[[GRA_2S]]

# All admission to N5 on or after April 15, 2020 and discharge before May15 will have service_location=[[GRA_2S]]

# All admission to N5 before April 15, 2020 and discharge after May15 will have service_location=[[GRA_N5]] - refer to case#1 in Transition plan B

=== Collector Instructions for Transition Plan A ===

=== Collector Instructions for Transition Plan ===

# change the [[Service/Location]] of the record to the new location (ie from [[GRA_N5]] to [[GRA_2S]] )

# enter the actual location as part of [[Boarding Loc]]:

Line 25:

Line 36:

#** add a line for "GRA - Home medicine ward" with the time that the patient was actually moved

#* if there were patients who actually were in a borrow location during the transition, let's talk about how we would enter those

=== Transition plan B - from 2S to N5 on and after May 15, 2020 ===

# This transition plan is only for the patients with service_location= [[GRA_2S]] who were 1) moved back to [[GRA_N5]] or 2) boarding on N5 under the N5 physicians.

#* Identify the patient who stayed the 1) whole time at 5N with service_location=[[GRA_2S]]

#* Identify the patient who stayed the 2) whole time at 2S with service_location=[[GRA_2S]]

#* Identify the patient who stayed 3) first in N5 and then moved to 2S with service_location=[[GRA_2S]]

#* Identify the patient who stayed 4) first in 2S and then moved to N5 with service_location=[[GRA_2S]]

# All new patients admitted after May 15, 2020 on N5 will have service_location= [[GRA_N5]] and follow the usual guideline in tmp

=== Collector Instructions for Transition Plan B ===

# For patients Discharged before May 15, 2020

#* For cases in #1 - change the [[Service/Location]] from [[GRA_2S]] to [[GRA_N5]] and in tmp change the line "GRA_N5" to "no borrow" and delete the date and time

#* For cases in #2 - keep the [[Service/Location]]= [[GRA_2S]] and in tmp "no borrow"

#* For cases in #3 - keep the [[Service/Location]]= [[GRA_2S]] and keep in tmp line "GRA_N5" and date/time the patient arrived in N5 and the line for "GRA - Home medicine ward" with the time that the patient was actually moved

# For patients Discharged on or after May 15, 2020

#* For cases in #1 - change the [[Service/Location]] from [[GRA_2S]] to [[GRA_N5]] and in tmp change the line "GRA_N5" to "no borrow" and delete the date and time

#* For cases in #4 - change the [[Service/Location]] from [[GRA_2S]] to [[GRA_N5]] and in tmp add line "GRA_2S" and date/time the patient arrived in 2S and the line for "GRA - Home medicine ward" with the time that the patient was actually moved to N5

===N5 COVID suspect ward===

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===Special Circumstances===

When Reviewing a chart in MR and you find a COVID positive or COVID suspect patient that occurred BEFORE the new COVID positive/suspect wards were opened, use [[Service Location]] home ward location and use the appropriate [[COVID-19 (SARS-COV-2)]] or [[Observation for suspected infection NOS]] code.

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=== Serial Number===

# For transition unit ie. N5 to 2S use your continuous serial numbers

# For transition unit (ie. N5 to 2S or 2S to N5) use your continuous serial numbers

# For 5S_C start with serial number 150

=== Examples of Entries ===

Line 53:

Line 79:

== ICU Situation ==

*The current Grace ICU will be the COVID unit. A new 15 bed ICU has been set up in the [[~~GRA_PACU~~]] area, this will be the ~~clean~~ ICU.

*The current Grace ICU will be the COVID unit. A new 15 bed ICU has been set up in the [[GH-Recovery Room]] area, this will be the non-covid ICU.

== Reporting ==

* Service location [[GRA_N5]] ~~before April 15, 2020~~ and [[GRA_2S]] are reported together.

* Service location [[GRA_N5]] and [[GRA_2S]] are reported together.

* Service location [[~~GRA_PACU~~]] and [[GRA_MICU]] are reported together.

* Service location [[GH-Recovery Room]] and [[GRA_MICU]] are reported together.

~~== Cross checks ==~~

~~{{Discuss |~~

* We have no [[CCMDB.accdb Data Integrity Checks]] yet for [[Boarding Loc]] , so that won’t limit our options. Is this the time to add cross-checks?

}}

~~{{Discuss |~~

* Have not yet checked how this will impact [[CFE Data Integrity Checks]]. Pagasa, of the top of your head which would be impacted and how?

}}

== Related articles ==

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[[Category: 2020 COVID unit transition]]

[[Category:2020 COVID unit transition]]

[[Category: Legacy Data Collection]]

[[Category:Legacy Data Collection]]

@@ Line 2: / Line 2: @@
 == Background ==
-The dates are not yet finalized.
+=== Grace Medicine ===
 * Saturday March 28.20 – start date patients in [[GRA_N5]]  move to  [[GRA_2S]] but not all. Moves are are on staggered basis in April.
 **Wednesday April 15.20 - the decided date as a cut-off for the service_location change
 ***All admit dates before April 15, 2020 will have service_location = [[GRA_N5]]
-*** All admit dates on or after April 15, 2020  will have service_location=[[GRA_2S]]
+*** All admit dates on or after April 15, 2020 and discharge before May 15,2020 will have service_location=[[GRA_2S]]
 * ?? April ?? .20 -  '''5S''' will be a new COVID-19 ward [[GRA_5S_C]] with ?? adult beds
-* Tuesday  Apr 14.20 - [[GRA_PACU]] with 15 beds are added to Grace ICU for non-covid pts.  The current [[GRA_MICU]] with 10 beds are for covid pts.
+* Friday May15.20 - start date patients in [[GRA_2S]] move back to  [[GRA_N5]]
+**All admit dates before April 15, 2020 and discharge after May 15, 2020 will have service_location = [[GRA_N5]]
+**All admit dates on or after April 15, 2020 and discharge after May 15, 2020 will have service_location = [[GRA_N5]]
+=== GRA MICU ===
+* 2020-10-16 the PACU will not be used as the GRACE ICU COVID Unit unless absolutely necessary. Two NFA theatres in the SDC area next to the ICU are being renovated to accommodate four COVID Positive patients.  I do not know how the beds will be numbered yet, but these 4 beds will be part of the 10 bed census for the GRA ICU, they are not extra beds, just extra isolation rooms.[[User:Gens|Gens]] 07:25, 2020 October 16 (CDT)gens}}
+*The GRACE ICU COVID UNIT in the SDC NFA Theatres will potentially be opened on November 6 or November 9, 2020.  There will be 4 isolation beds for COVID-19 positive patients.  They will be labelled as:  ICU NFA 1,ICU NFA 2,ICU NFA 3 and ICU NFA 4.[[User:Gens|Gens]] 11:44, 2020 October 30 (CDT)
+* 2020-04-14 - [[GH-Recovery Room]] with 15 beds are added to Grace ICU for non-covid pts.  The current [[GRA_MICU]] with 10 beds are for covid pts.
 == Medicine Situation ==
-=== Transition plan ===
+=== New COVID ward ===
-# There is no transition plan for the new COVID ward [[GRA_5S_C]] which has already been added to the [[s_dispo table]].
+# The new COVID ward is [[GRA_5S_C]] which has already been added to the [[s_dispo table]].
+===  Transition plan A - from N5 to 2S on and after April 15, 2020 and before May 15 ===
 # This transition plan is only for the patients on N5 who were moved to 2S or who remained on N5 under the N5 physicians.
 #  [[GRA_N5]] patients discharged '''before April 15''' remain [[GRA_N5]]
-# All admission to N5 on or after April 15, 2020  will have service_location=[[GRA_2S]]
+# All admission to N5 on or after April 15, 2020 and discharge before May15  will have service_location=[[GRA_2S]]
+# All admission to N5 before April 15, 2020 and discharge after May15  will have service_location=[[GRA_N5]] - refer to case#1 in  Transition plan B
+=== Collector Instructions for Transition Plan A ===
-=== Collector Instructions for Transition Plan ===
 # change the [[Service/Location]] of the record to the new location (ie from [[GRA_N5]] to [[GRA_2S]] )
 # enter the actual location as part of [[Boarding Loc]]:
@@ Line 25: / Line 36: @@
 #** add a line for "GRA - Home medicine ward" with the time that the patient was actually moved
 #* if there were patients who actually were in a borrow location during the transition, let's talk about how we would enter those
+===  Transition plan B - from 2S to N5 on and after May 15, 2020 ===
+# This transition plan is only for the patients with service_location= [[GRA_2S]] who were 1) moved back to [[GRA_N5]] or 2) boarding on N5  under the N5 physicians.
+#* Identify the patient who stayed the 1) whole time at 5N  with service_location=[[GRA_2S]]
+#* Identify the patient who stayed the 2) whole time at 2S  with service_location=[[GRA_2S]]
+#* Identify the patient who stayed 3) first in N5 and then moved to 2S with service_location=[[GRA_2S]]
+#* Identify the patient who stayed 4) first in 2S and then moved to N5 with service_location=[[GRA_2S]]
+# All new patients admitted after May 15, 2020 on N5 will have service_location= [[GRA_N5]] and follow the usual guideline in tmp
+=== Collector Instructions for Transition Plan B ===
+# For patients Discharged before May 15, 2020
+#* For cases in #1 - change the [[Service/Location]] from [[GRA_2S]] to [[GRA_N5]] and in tmp change the line "GRA_N5" to "no borrow" and delete the date and time
+#* For cases in #2 - keep the [[Service/Location]]= [[GRA_2S]] and in tmp "no borrow"
+#* For cases in #3 - keep the [[Service/Location]]= [[GRA_2S]] and keep in tmp line "GRA_N5" and date/time the patient arrived in N5 and the line for "GRA - Home medicine ward" with the time that the patient was actually moved
+# For patients Discharged on or after May 15, 2020
+#* For cases in #1 - change the [[Service/Location]] from [[GRA_2S]] to [[GRA_N5]] and in tmp change the line "GRA_N5" to "no borrow" and delete the date and time
+#* For cases in #4 - change the [[Service/Location]] from [[GRA_2S]] to [[GRA_N5]] and in tmp add line "GRA_2S" and date/time the patient arrived in 2S and the line for "GRA - Home medicine ward" with the time that the patient was actually moved to N5
 ===N5 COVID suspect ward===
@@ Line 35: / Line 63: @@
 ===Special Circumstances===
 When Reviewing a chart in MR and you find a COVID positive or  COVID suspect patient that occurred BEFORE the new COVID positive/suspect wards were opened, use [[Service Location]] home ward location and use the appropriate [[COVID-19 (SARS-COV-2)]] or [[Observation for suspected infection NOS]] code.
@@ Line 41: / Line 68: @@
 === Serial Number===
-# For transition unit ie. N5 to 2S use your continuous serial numbers
+# For transition unit (ie. N5 to 2S or 2S to N5) use your continuous serial numbers
 # For 5S_C start with serial number 150
 === Examples of Entries ===
@@ Line 53: / Line 79: @@
 == ICU Situation ==
-*The current Grace ICU will be the COVID unit. A new 15 bed ICU has been set up in the [[GRA_PACU]] area, this will be the clean ICU.
+*The current Grace ICU will be the COVID unit. A new 15 bed ICU has been set up in the [[GH-Recovery Room]] area, this will be the non-covid ICU.
 == Reporting ==
-* Service location [[GRA_N5]] before April 15, 2020 and [[GRA_2S]] are reported together.
+* Service location [[GRA_N5]] and [[GRA_2S]] are reported together.
-* Service location [[GRA_PACU]] and [[GRA_MICU]] are reported together.
+* Service location [[GH-Recovery Room]] and [[GRA_MICU]] are reported together.
-== Cross checks ==
-{{Discuss |
-* We have no [[CCMDB.accdb Data Integrity Checks]] yet for [[Boarding Loc]] , so that won’t limit our options. Is this the time to add cross-checks?
-}}
-{{Discuss |
-* Have not yet checked how this will impact [[CFE Data Integrity Checks]]. Pagasa, of the top of your head which would be impacted and how?
-}}
 == Related articles ==
@@ Line 72: / Line 89: @@
-[[Category: 2020 COVID unit transition]]
+[[Category:2020 COVID unit transition]]
-[[Category: Legacy Data Collection]]
+[[Category:Legacy Data Collection]]