2020-03 STB COVID unit transition: Difference between revisions

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This page is about the transition of collection units at STB to accommodate the new COVID unit.

~~{{Discuss~~ | ~~please review~~ and ~~shoot holes into before we implement~~. }}

== Background ==

STB is opening a number of beds on STB_A7S and STB_A7W. Patients from our usual STB_E6 unit will move there, and the physical E6 location will become the COVID ward.

==Date of change==

* 2020-Mar-25 - last client moved out of [[STB_E6_B|STB_E6]] to [[STB_A7_B]] units

* '''2020-Mar-26''' - [[STB_E6_B|STB_E6]] will be the new COVID-19 ward ([[STB_E6_C]]) until '''2020-June-10

'''

* 2020-June-11 - B service patients physically at [[STB_A7_B]] moved back to [[STB_E6_B|STB_E6]]

* 2020-October 3 - A6S is the designated Medicine covid suspect unit

* 2020-October 3 - A6GY is the designated Medicine covid positive unit

* 2020-October-15 - An Outbreak of covid is declared on Medicine Unit E6 ( exposure between Oct 5 to Oct 16)

* 2020-Octber-17 (2345 HR) - 10 beds open up on B4NO to accommodate B Medicine patients

* 2020-October-21 - An outbreak of covid is declared on Medicine Units E6 and E5 (exposure between Oct 5 to Oct 20)

* 2020-October-22 - From STB CEO Memo to staff:

Through the COVID-19 contact tracing, it has been noted that many of the positive patients had diarrhea, either as part of a respiratory syndrome or without respiratory symptoms. Diarrhea is a known presentation though not as common as the influenza like presentation.

* 2020-October-23 - E6 is activated as the second Red Zone – COVID Positive Unit.

* 2020-October-23 - Notification of covid outbreak on Medicine Unit B5

* 2020-November-2 - 10 bed covid suspect unit opened A7S

* 2021-February-1 - Notification of covid outbreak on Medicine Unit B5

* 2021-February-16 - Notification B5 covid outbreak is over

* 2021-February-14 - Notification of covid outbreak on Medicine Unit A6S

* 2021-February-14 - Medicine Unit E6 will change from Red to temporary Orange zone

* 2021-February-22 - Notification of covid outbreak on A5 Cardiology Unit; declared resolved March 10, 2021

* 2021-February-23 - Notification E6 is designated as the temporary cardiology unit while A5 is on outbreak

* 2021-March-1 - Notification A6S covid outbreak is resolved

* 2021-March-8 - Notification of covid outbreak on Medicine Unit E5; declared resolved March 22, 2021

* 2021-April-1 - Notification of covid outbreak on Medicine Unit B5; declared resolved April 15, 2021

* '''2021-May-10''' - Medicine unit E6 becomes a second designated covid positive unit '''END Date''': July 18/19, 2021

* 2022-January-2 - A6S shifts to mixed orange zone (Covid suspect) and red (Covid positive) zones

* 2022 - January-10-E6 is designated as a red (Covid positive) unit

=~~= Background =~~=

{{Collapsable

~~STB is opening~~ a ~~number~~ of ~~beds~~ on STB_A7S and STB_A7W~~. Patients from our usual~~ [[~~STB_E6~~]] ~~unit will move there, and~~ the ~~physical E6 location will become the COVID~~ ward.

| always= notes on plans that changed

| full=

* there was a plan to only change names for some of the records, but because the names are really only linked values in the s_dispo table you can't change them for some, you have to make a new entry.

* there were thoughts about continuing to collect these patients as STB_E6_P even once on A7*; this might have been practical for that collector but would have been confusing for other collectors since their previous location and dispo fields should match, so we decided to name the Service/Location as it actually is.

* we were going to have "STB_A7S" and "STB_A7W" but this was changed to [[STB_A7_B]] since it's the same ward

}}

== Transition plan ==

== Transition plan A - March 25/26, 2020 ==

* In [[~~s_Dispo~~ table]]:

* In [[s_dispo table]]:

** We ~~will~~ create new entries for :

** We create new entries for :

*** [[STB_E6_C]]

*** [[~~STB_A7S]]~~

*** [[STB_A7_B]]

*** [[STB_A7W]]

** We change "STB_E6" to [[STB_E6_B]]

** We ~~will~~ change [[STB_E6]] to [[~~STB_E6_P~~]]

*** STB_E6a --> STB_E6aB

* In [[~~s_Tmp~~ table]]:

*** STB_E6b --> STB_E6bB

** we ~~will~~ add a "~~STB_E6_P~~" ~~entry~~ that will stay active only during this transition.

*** STB_E6d --> STB_E6dB

* In [[s_tmp table]]:

** we add [[Boarding Loc]] entry "STB_E6_B" that will stay active only during this transition.

=== collector instructions ===

=== collector instructions Plan A ===

'''E6 / A7 Collector'''

* [[~~STB_E6~~]] patients already on the laptop will automatically have their [[Service/Location]] changed to [[~~STB_E6_P~~]]

* '''[[Laptop identifier|S5]] (STB_E6) laptop'''

* '''STB_E6''' patients already on the laptop will automatically have their [[Service/Location]] changed to [[STB_E6_B]]

** patients who are discharged while still on that ward don't require further changes

** patients who are moved to one of the A7 locations should

*** have their [[Service/Location]] changed to [[~~STB_A7S]] resp [[STB_A7W~~]]

*** have their [[Service/Location]] changed to [[STB_A7_B]]

*** a [[Boarding Loc]] entry added for the first part of their stay on ~~STB_E6_P~~

*** a [[Boarding Loc]] entry added for the first part of their stay on STB_E6_B

*** a move to "STB - Home medicine ward" should be added with the time they were moved

''' All other collectors'''

* patients with [[STB_E6]] in their [[Previous Location]] or [[Dispo]] fields will automatically have those changed to [[~~STB_E6_P~~]]

* patients with '''STB_E6''' in their [[Previous Location]] or [[Dispo]] fields will automatically have those changed to [[STB_E6_B]]

* if the patient was transferred there before the move date, you can leave that. If they were transferred there after the move date but before we put the new entries in place, you may need to change the dispo to [[~~STB_A7S]] resp [[STB_A7W~~]]. Don't worry too much about this, we can fix it at the back end, but if you notice it please fix.

* if the patient was transferred there before the move date, you can leave that. If they were transferred there after the move date but before we put the new entries in place, you may need to change the dispo to [[STB_A7_B]]. Don't worry too much about this, we can fix it at the back end, but if you notice it please fix.

*Pamela does not follow patients from A7/A6 locations that are discharged to B5 or IMCU locations. The B5/IMCU collector enters a new profile for these patients.

=== ~~data processor instructions~~ ===

=== E6_C (COVID-19 ward) ===

~~{{Discuss | How will Pagasa fix~~ [[~~Previous Location~~]] / [[~~Dispo~~]] ~~for related records? Same question for~~ the ~~other two hospitals... }}~~

*[[STB_E6_C]] is the designated covid ward at STB at this time.

~~{{DT | set something up to help Pagasa with these specific orphans. }}~~

** coding for COVID_19 - [[COVID-19_(SARS-COV-2)]]

*collected on the '''[[Laptop identifier|S5]] (STB_E6) laptop'''

*End date June 11, 2020

== ~~Reporting~~ ==

=== A6GY Suspect COVID Ward ===

* A6GY (and could include other units on 6th floor) is designated for covid suspects.

* Mixed of patients - Medicine service A & B and other services such as surgery or family medicine in this ward.

* Only collect Medicine Service patient admitted in this ward.

* End date June 11, 2020

=== A medicine service patients on A6GY ===

# A6GY- patients admitted to '''A medicine service''' in this unit are entered on the '''[[Laptop identifier|S5]] (STB_E6)''' laptop.

#* [[Service/Location field | Service Location]]: STB_E5

#*in TMP [[Boarding Loc]] will be '''generic ward''' with date and time arrived on A6GY. In the Q column enter in A6GY

#If '''A service''' patient is physically move from A6GY to "STB_E5" ward, the '''[[Laptop identifier|S5]] (STB_E6) laptop''' will follow as a continuous profile AND

#*in the TMP [[Boarding Loc]] enter '''Home ward''' with date and time they physically arrived there.

#patient's with negative test results are either physically move to home medicine service wards or transfer to other service location or discharged home.

#patient's with positive test results get transferred to either: STB_E6_C, STB_MICU.

#* for these transfers, you will create a new profile for either STB E6_C or STB MICU.

#*transfers to E6_C a '''new profile''' is required and is collected on the '''[[Laptop identifier|S5]] (STB_E6) laptop'''

#*[[Service/Location field | Service Location]]: STB_E6_C

#*if patient remains on A6GY then no changes are required

===B medicine service patients on A6GY ===

#A6GY patients admitted to '''B medicine service''' are entered on '''[[Laptop identifier|S5]] (STB_E6) laptop'''

#*[[Service/Location field | Service Location]]: STB_A7_B

#*in TMP [[Boarding Loc]] will be '''generic ward''' with date and time arrived on A6GY. In the Q column enter in A6GY

#If '''B service''' patient is physically move to "STB_A7_B" ward, the '''[[Laptop identifier|S5]] (STB_E6) laptop''' will follow as a continuous profile AND

#*in the TMP [[Boarding Loc]] enter '''Home ward''' with date and time they physically arrived there.

# similar with item #3 and #4 of A Medicine service

~~== Cleanup ==~~

'''How to code negative and positive result go to''': [[Observation for suspected infection NOS]]

~~{{DT |~~

* We needed to ~~use P for Pre_COVID~~ and C for ~~COVID since full names would have broken D_ID in sending. Once the last pt of a location is sent, we can change those names in the s_dispo table. }}~~

~~{{DT |~~

== Transition plan B - June 11, 2020 ==

* ~~deactivate STB_E6_P in~~ [[~~s_Tmp table~~]] ~~once last pt has~~ moved~~. }}~~

=== collector instructions for B service patients returning from A7_B to E6_B ===

* For patients discharge on or before June 11, 2020, keep [[Service/Location]] = [[STB_A7_B]]

* For patients not yet discharge and move to [[STB_E6_B]]

** have their [[Service/Location]] changed from [[STB_A7_B]] to [[STB_E6_B]]

** a [[Boarding Loc]] entry added for the part of their stay on [[STB_A7_B]]

** a move to "STB - Home medicine ward" should be added with the time they were moved

* New patients admitted starting June 11,2020 have [[Service/Location]] = [[STB_E6_B]]

== ~~Cross checks~~ ==

== Reporting ==

~~{{Discuss |~~

*STB_E6_B and STB_A7_B are reported together.

* ~~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?~~

*STB_E6_C is reported as a separate ward.

}}

== Related articles ==

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[[Category: 2020~~-03 HSC~~ COVID unit transition | ]]

[[Category:2020 COVID unit transition]]

[[Category:Legacy Data Collection]]

@@ Line 1: / Line 1: @@
 This page is about the transition of collection units at STB to accommodate the new COVID unit.
-{{Discuss | please review and shoot holes into before we implement. }}
+== Background ==
+STB is opening a number of beds on STB_A7S and STB_A7W. Patients from our usual STB_E6 unit will move there, and the physical E6 location will become the COVID ward.
+==Date of change==
+* 2020-Mar-25 - last client moved out of [[STB_E6_B|STB_E6]] to [[STB_A7_B]] units
+* '''2020-Mar-26''' - [[STB_E6_B|STB_E6]] will be the new COVID-19 ward ([[STB_E6_C]]) until '''2020-June-10
+'''
+* 2020-June-11 - B service patients physically at [[STB_A7_B]] moved back to [[STB_E6_B|STB_E6]]
+* 2020-October 3 - A6S is the designated Medicine covid suspect unit
+* 2020-October 3 - A6GY is the designated Medicine covid positive unit
+* 2020-October-15 - An Outbreak of covid is declared on Medicine Unit E6  ( exposure between Oct 5 to Oct 16)
+* 2020-Octber-17 (2345 HR) - 10 beds open up on B4NO to accommodate B Medicine patients
+* 2020-October-21 - An outbreak of covid is declared on Medicine Units E6 and E5 (exposure between Oct 5 to Oct 20)
+* 2020-October-22 - From STB CEO Memo to staff:
+Through the COVID-19 contact tracing, it has been noted that many of the positive patients had diarrhea, either as part of a respiratory syndrome or without respiratory symptoms. Diarrhea is a known presentation though not as common as the influenza like presentation.
+* 2020-October-23 - E6 is activated as the second Red Zone – COVID Positive Unit.
+* 2020-October-23 - Notification of covid outbreak on Medicine Unit B5
+* 2020-November-2 - 10 bed covid suspect unit opened A7S
+* 2021-February-1 - Notification of covid outbreak on Medicine Unit B5
+* 2021-February-16 - Notification B5 covid outbreak is over
+* 2021-February-14 - Notification of covid outbreak on Medicine Unit A6S
+* 2021-February-14 - Medicine Unit E6 will change from Red to temporary Orange zone
+* 2021-February-22 - Notification of covid outbreak on A5 Cardiology Unit; declared resolved March 10, 2021
+* 2021-February-23 - Notification E6 is designated as the temporary cardiology unit while A5 is on outbreak
+* 2021-March-1 - Notification A6S covid outbreak is resolved
+* 2021-March-8 - Notification of covid outbreak on Medicine Unit E5; declared resolved March 22, 2021
+* 2021-April-1 - Notification of covid outbreak on Medicine Unit B5; declared resolved April 15, 2021
+* '''2021-May-10''' - Medicine unit E6 becomes a second designated covid positive unit '''END Date''': July 18/19, 2021
+* 2022-January-2 - A6S shifts to mixed orange zone (Covid suspect) and  red (Covid positive) zones
+* 2022 - January-10-E6 is designated as a red (Covid positive) unit
-== Background ==
+{{Collapsable
-STB is opening a number of beds on STB_A7S and STB_A7W. Patients from our usual [[STB_E6]] unit will move there, and the physical E6 location will become the COVID ward.
+| always= notes on plans that changed
+| full=
+* there was a plan to only change names for some of the records, but because the names are really only linked values in the s_dispo table you can't change them for some, you have to make a new entry.
+* there were thoughts about continuing to collect these patients as STB_E6_P even once on A7*; this might have been practical for that collector but would have been confusing for other collectors since their previous location and dispo fields should match, so we decided to name the Service/Location as it actually is.
+* we were going to have "STB_A7S" and "STB_A7W" but this was changed to [[STB_A7_B]] since it's the same ward
+ }}
-== Transition plan ==
+== Transition plan A - March 25/26, 2020 ==
-* In [[s_Dispo table]]:
+* In [[s_dispo table]]:
-** We will create new entries for :
+** We create new entries for :
 *** [[STB_E6_C]]
-*** [[STB_A7S]]
+*** [[STB_A7_B]]
-*** [[STB_A7W]]
+** We change "STB_E6" to [[STB_E6_B]]
-** We will change [[STB_E6]] to [[STB_E6_P]]
+*** STB_E6a --> STB_E6aB
-* In [[s_Tmp table]]:
+*** STB_E6b --> STB_E6bB
-** we will add a "STB_E6_P" entry that will stay active only during this transition.
+*** STB_E6d --> STB_E6dB
+* In [[s_tmp table]]:
+** we add [[Boarding Loc]] entry "STB_E6_B" that will stay active only during this transition.
-=== collector instructions ===
+=== collector instructions Plan A ===
 '''E6 / A7 Collector'''
-* [[STB_E6]] patients already on the laptop will automatically have their [[Service/Location]] changed to [[STB_E6_P]]
+* '''[[Laptop identifier|S5]] (STB_E6) laptop'''
+* '''STB_E6''' patients already on the laptop will automatically have their [[Service/Location]] changed to [[STB_E6_B]]
 ** patients who are discharged while still on that ward don't require further changes
 ** patients who are moved to one of the A7 locations should
-*** have their [[Service/Location]] changed to [[STB_A7S]] resp [[STB_A7W]]
+*** have their [[Service/Location]] changed to [[STB_A7_B]]
-*** a [[Boarding Loc]] entry added for the first part of their stay on STB_E6_P
+*** a [[Boarding Loc]] entry added for the first part of their stay on STB_E6_B
 *** a move to "STB - Home medicine ward" should be added with the time they were moved
 ''' All other collectors'''
-* patients with [[STB_E6]] in their [[Previous Location]] or [[Dispo]] fields will automatically have those changed to [[STB_E6_P]]
+* patients with '''STB_E6''' in their [[Previous Location]] or [[Dispo]] fields will automatically have those changed to [[STB_E6_B]]
-* if the patient was transferred there before the move date, you can leave that. If they were transferred there after the move date but before we put the new entries in place, you may need to change the dispo to [[STB_A7S]] resp [[STB_A7W]]. Don't worry too much about this, we can fix it at the back end, but if you notice it please fix.
+* if the patient was transferred there before the move date, you can leave that. If they were transferred there after the move date but before we put the new entries in place, you may need to change the dispo to [[STB_A7_B]]. Don't worry too much about this, we can fix it at the back end, but if you notice it please fix.
+*Pamela does not follow patients from A7/A6 locations that are discharged to B5 or IMCU locations. The B5/IMCU collector enters a new profile for these patients.
-=== data processor instructions ===
+=== E6_C  (COVID-19 ward) ===
-{{Discuss | How will Pagasa fix [[Previous Location]] / [[Dispo]] for related records? Same question for the other two hospitals... }}
+*[[STB_E6_C]] is the designated covid ward at STB at this time.
-{{DT | set something up to help Pagasa with these specific orphans. }}
+** coding for COVID_19 - [[COVID-19_(SARS-COV-2)]]
+*collected on the '''[[Laptop identifier|S5]] (STB_E6) laptop'''
+*End date June 11, 2020
-== Reporting ==
+=== A6GY Suspect COVID Ward ===
+* A6GY (and could include other units on 6th floor) is designated for covid suspects.
+* Mixed of patients - Medicine service A & B and other services such as surgery or family medicine in this ward.
+* Only collect Medicine Service patient admitted in this ward.
+* End date June 11, 2020
+=== A medicine service patients on A6GY ===
+# A6GY- patients admitted to '''A medicine service''' in this unit are entered on the '''[[Laptop identifier|S5]] (STB_E6)''' laptop.
+#* [[Service/Location field | Service Location]]: STB_E5
+#*in TMP [[Boarding Loc]] will be '''generic ward''' with date and time arrived on A6GY. In the Q column enter in A6GY
+#If '''A service''' patient is physically move from A6GY to "STB_E5" ward, the '''[[Laptop identifier|S5]] (STB_E6) laptop''' will follow as a continuous profile AND
+#*in the TMP [[Boarding Loc]]  enter '''Home ward'''  with date and time they physically arrived there.
+#patient's with negative test results are either  physically move to home medicine service wards or transfer to other service location or discharged home.
+#patient's with positive test results get transferred to either: STB_E6_C, STB_MICU.
+#* for these transfers, you will create a new profile for either  STB E6_C or STB MICU.
+#*transfers to E6_C a '''new profile''' is required and is collected on the '''[[Laptop identifier|S5]] (STB_E6) laptop'''
+#*[[Service/Location field | Service Location]]: STB_E6_C
+#*if patient remains on A6GY then no changes are required
+===B medicine service patients on A6GY ===
+#A6GY patients admitted to '''B medicine service''' are entered on '''[[Laptop identifier|S5]] (STB_E6) laptop'''
+#*[[Service/Location field | Service Location]]:  STB_A7_B
+#*in TMP [[Boarding Loc]] will be '''generic ward''' with date and time arrived on A6GY. In the Q column enter in A6GY
+#If '''B service''' patient is physically move to "STB_A7_B" ward, the '''[[Laptop identifier|S5]] (STB_E6) laptop''' will follow as a continuous profile AND
+#*in the TMP [[Boarding Loc]]  enter '''Home ward'''  with date and time they physically arrived there.
+# similar with item #3 and #4 of A Medicine service
-== Cleanup ==
+'''How to code negative and positive result go to''': [[Observation for suspected infection NOS]]
-{{DT |
-* We needed to use P for Pre_COVID and C for COVID since full names would have broken D_ID in sending. Once the last pt of a location is sent, we can change those names in the s_dispo table. }}
-{{DT |
+== Transition plan B - June 11, 2020 ==
-* deactivate STB_E6_P in [[s_Tmp table]] once last pt has moved. }}
+=== collector instructions  for B service patients returning from A7_B  to E6_B ===
+* For patients discharge on or before June 11, 2020, keep [[Service/Location]] = [[STB_A7_B]]
+* For patients not yet discharge and move to [[STB_E6_B]]
+** have their [[Service/Location]] changed from  [[STB_A7_B]] to [[STB_E6_B]]
+** a [[Boarding Loc]] entry added for the part of their stay on [[STB_A7_B]]
+** a move to "STB - Home medicine ward" should be added with the time they were moved
+* New patients admitted starting June 11,2020 have [[Service/Location]] = [[STB_E6_B]]
-== Cross checks ==
+== Reporting ==
-{{Discuss |
+*STB_E6_B and STB_A7_B are reported together.
-* 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?
+*STB_E6_C is reported as a separate ward.
-}}
 == Related articles ==
@@ Line 52: / Line 120: @@
-[[Category: 2020-03 HSC COVID unit transition | ]]
+[[Category:2020 COVID unit transition]]
+[[Category:Legacy Data Collection]]