2020-04 HSC COVID unit transition: Difference between revisions

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* '''Tuesday April 14.20''' – patients in [[HSC_H4H]] (GH7 HOBS) moved to [[HSC_B2]]

* '''Wednesday April 15''' -[[HSC_H4]] reopened

*'''July 27.21''' - '''B2B''' only COVID ward open at HSC

=== Medicine specifics ===

~~{{Discuss |~~* Julie wrote - We should have a cut-off date for the additional covid ward D2 and MS3. As I understand these new wards are for covid positives. Once dates are confirmed, then we start collecting at D2 and MS3.

==== Cut-off dates ====

* Julie wrote - We should have a cut-off date for the additional covid ward D2 and MS3. As I understand these new wards are for covid positives. Once dates are confirmed, then we start collecting at D2 and MS3.

** Currently D2 is still a suspect ward, D4 is still our only COVID + ward [[User:Lkaita|Lisa Kaita]] 17:01, 2020 April 16 (CDT)

***update There are no COVID specific suspect or positive wards as of May 27, 2020 [[User:Lkaita|Lisa Kaita]] 13:49, 2020 June 11 (CDT)

}}

~~{{Discuss |~~

==== multiple wards ====

* If all the covid wards are operational, how to handle the case where the patient stayed in 2 official covid wards consecutively - 1) separate records or 2)one continuous record? I think we should consider (2) as continuous. (who asked?)

** what was the decision? Ttenbergen 10:31, 2020 May 14 (CDT)

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=== ICU specifics ===

~~{{Discuss | Related to ICU, how will the patient originally at HSC_MICU then move to either H7 or A7 under the care of MICU be collected - will the move to H7/A7 be a new record or continuation?~~

April 2020 HSC_MICU will admitted both SICU and MICU physician Service patients that are either suspect or confirmed COVID patients. No suspect or positive covid will be admitted to HSC SICU. Though MICU is a close unit the SICU patient in this unit will be under the SICU attending service physician. Depending on skill set required, sometime may be a SICU nurse or just MICU nurse. The nurse bit we will not be able to track.

* Did not happen at all. We can ignore this scenario for now. --[[User:JMojica|JMojica]] 10:02, 2020 June 12 (CDT)}}

*This scenario can be handled by our tmp boarding loc. Say an SICU physician service patient with COVID using HSC MICU bed will have SICU as service and boarding loc at MICU. OR vice versa, no covid MICU physician Service patients using SICU bed will have service MICU and boarding loc at SICU.

{{Discuss|* April 2020 HSC_MICU will admitted both SICU and MICU physician Service patients that are either suspect or confirmed COVID patients. No suspect or positive covid will be admitted to HSC SICU. Though MICU is a close unit the SICU patient in this unit will be under the SICU attending service physician. Depending on skill set required, sometime may be a SICU nurse or just MICU nurse. The nurse bit we will not be able to track. ~~We need to ask Randy and Bojan how they want this tracked in Database in terms of service occupancy~~. ~~Put~~ service ~~Loc as~~ HSC SICU and ~~tag in TMP as~~ boarding ~~location?~~ ~~Julie would some of the logic applied to~~ bed ~~board apply to how we tag this~~.}}

Wards involved:

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* [[HSC_SICU]]

* [[HSC_IICU]]

==== Multiple Units ====

Related to ICU, how will the patient originally at HSC_MICU then move to either H7 or A7 under the care of MICU be collected - will the move to H7/A7 be a new record or continuation?

* the move will be considered as a continuation of HSC MICU profile and H7 or A7 is noted as a second record in tmp boarding loc.

== Service Locations ==

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** HSC_D4_P

** HSC_H4H

~~{{Discuss |~~

*Does that mean all those should be removed as [[s_dispo table]] entries? If we keep them in both linking will mess up.

** are you using the tmp entries in linking? I use the s_dispo when I do linking. I use the tmp entries to calculate time spent in each boarding loc and home ward. --[[User:JMojica|JMojica]] 11:03, 2020 April 15 (CDT)

*** No, not using tmp entries for linking, but if info is kept in tmp instead of new record added then the dispo entry in previous record or previous entry in next record may not match with the service location. }}

== Transition plan ==

# There is no transition plan for the new COVID wards and the additional ICUs. Just need to add in the [[s_dispo table]]

# This transition plan is only for the patients in H4H who were moved to HSC_B2

#* "HSC_H4H" needs to be added to [[s_tmp]] of Project BoardingLoc

#* "HSC_H4H" needs to be added to [[s_tmp table]] of Project BoardingLoc

=== collector instructions ===

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* service location [[HSC_H4H]] before April 14,2020 and [[HSC_B2]] can be together.

* all COVID wards namely [[HSC_D4_C]], "HSC D2 C", HSC_MS3 can be together.

* [[HSC_MICU]], [[HSC_A7_MI]], [[HSC_H7_MI]] can be together.

* [[HSC_MICU]], HSC_A7_MI, HSC_H7_MI can be together.

* [[HSC_SICU]], [[HSC_A7_SI]], [[HSC_H7_SI]] can be together.

* [[HSC_SICU]], HSC_A7_SI, HSC_H7_SI can be together.

== Cross checks ==

* [[CCMDB.accdb Data Integrity Checks]] for [[Boarding Loc]] have been set up. Ttenbergen 10:26, 2020 June 25 (CDT)

~~{{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 10: / Line 10: @@
 * '''Tuesday April 14.20''' – patients in [[HSC_H4H]] (GH7 HOBS)  moved to [[HSC_B2]]
 * '''Wednesday April 15''' -[[HSC_H4]] reopened
+*'''July 27.21''' - '''B2B''' only COVID ward open at HSC
 === Medicine specifics ===
-{{Discuss |* Julie wrote - We should have a cut-off date for the additional covid ward D2 and MS3.  As I understand these new wards are for  covid positives. Once dates are confirmed, then we start collecting at D2 and MS3.
+==== Cut-off dates ====
+* Julie wrote - We should have a cut-off date for the additional covid ward D2 and MS3.  As I understand these new wards are for  covid positives. Once dates are confirmed, then we start collecting at D2 and MS3.
 ** Currently D2 is still a suspect ward, D4 is still our only COVID + ward [[User:Lkaita|Lisa Kaita]] 17:01, 2020 April 16 (CDT)
 ***update There are no COVID specific suspect or positive wards as of May 27, 2020 [[User:Lkaita|Lisa Kaita]] 13:49, 2020 June 11 (CDT)
-}}
-{{Discuss |
+==== multiple wards ====
 * If all the covid wards are operational,  how to handle the case where the patient stayed in 2 official covid wards consecutively - 1) separate records or 2)one continuous record?  I think we should consider (2) as continuous. (who asked?)
 ** what was the decision? Ttenbergen 10:31, 2020 May 14 (CDT)
@@ Line 22: / Line 24: @@
 === ICU specifics ===
-{{Discuss | Related to ICU, how will the patient originally at HSC_MICU then move to either H7 or A7 under the care of MICU  be collected - will the move to H7/A7 be a new record or continuation?
+April 2020 HSC_MICU will admitted both SICU and MICU physician Service patients that are either suspect or confirmed COVID patients.  No suspect or positive covid will be admitted to HSC SICU.   Though MICU is a close unit the SICU patient in this unit will be under the SICU attending service physician.  Depending on skill set required, sometime may be a SICU nurse or just MICU nurse. The nurse bit we will not be able to track.
-* Did not happen at all. We can ignore this scenario for now.  --[[User:JMojica|JMojica]] 10:02, 2020 June 12 (CDT)}}
+*This scenario can be handled by our tmp boarding loc. Say an SICU physician service patient with COVID using HSC MICU bed will have SICU as service and boarding loc at MICU. OR vice versa,  no covid  MICU physician Service patients using SICU bed will have service MICU and boarding loc at SICU.
-{{Discuss|* April 2020 HSC_MICU will admitted both SICU and MICU physician Service patients that are either suspect or confirmed COVID patients.  No suspect or positive covid will be admitted to HSC SICU.   Though MICU is a close unit the SICU patient in this unit will be under the SICU attending service physician.  Depending on skill set required, sometime may be a SICU nurse or just MICU nurse. The nurse bit we will not be able to track.    We need to ask Randy and Bojan how they want this tracked in Database in terms of service occupancy. Put service Loc as HSC SICU and tag in TMP as boarding location?  Julie would some of the logic applied to bed board apply to how we tag this.}}
 Wards involved:
@@ Line 40: / Line 41: @@
 * [[HSC_SICU]]
 * [[HSC_IICU]]
+==== Multiple Units ====
+Related to ICU, how will the patient originally at HSC_MICU then move to either H7 or A7 under the care of MICU  be collected - will the move to H7/A7 be a new record or continuation?
+* the move will be considered as a continuation of HSC MICU profile and H7 or A7 is noted as a second record in tmp boarding loc.
 == Service Locations ==
@@ Line 48: / Line 53: @@
 ** HSC_D4_P
 ** HSC_H4H
-{{Discuss |
-*Does that mean all those should be removed as [[s_dispo table]] entries? If we keep them in both linking will mess up.
-** are you using the tmp entries in linking? I use the s_dispo when I do linking. I use the tmp entries to calculate time spent in each boarding loc and home ward.   --[[User:JMojica|JMojica]] 11:03, 2020 April 15 (CDT)
-*** No, not using tmp entries for linking, but if info is kept in tmp instead of new record added then the dispo entry in previous record or previous entry in next record may not match with the service location. }}
 == Transition plan ==
 # There is no transition plan for the new COVID wards and the additional ICUs. Just need to add in the [[s_dispo table]]
 # This transition plan is only for the patients in H4H who were moved to HSC_B2
-#* "HSC_H4H" needs to be added to [[s_tmp]] of Project BoardingLoc
+#* "HSC_H4H" needs to be added to [[s_tmp table]] of Project BoardingLoc
 === collector instructions ===
@@ Line 97: / Line 98: @@
 * service location [[HSC_H4H]] before April 14,2020 and [[HSC_B2]] can be together.
 * all COVID wards namely [[HSC_D4_C]], "HSC D2 C", HSC_MS3 can be together.
-* [[HSC_MICU]], [[HSC_A7_MI]], [[HSC_H7_MI]] can be together.
+* [[HSC_MICU]], HSC_A7_MI, HSC_H7_MI can be together.
-* [[HSC_SICU]], [[HSC_A7_SI]], [[HSC_H7_SI]] can be together.
+* [[HSC_SICU]], HSC_A7_SI, HSC_H7_SI can be together.
 == Cross checks ==
 * [[CCMDB.accdb Data Integrity Checks]] for [[Boarding Loc]] have been set up. Ttenbergen 10:26, 2020 June 25 (CDT)
-{{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 111: / Line 108: @@
-[[Category: 2020 COVID unit transition ]]
+[[Category:2020 COVID unit transition ]]
-[[Category: Legacy Data Collection]]
+[[Category:Legacy Data Collection]]