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2020-03 STB COVID unit transition: Difference between revisions

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== Background ==
== Background ==
STB is opening a number of beds on STB_A7S and STB_A7W. Patients from our usual [[STB_E6_P]] unit will move there, and the physical E6 location will become the COVID ward.
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==
==Date of change==
2020-Mar-26
* 2020-Mar-25 - last client moved out of [[STB_E6_B|STB_E6]] to [[STB_A7_B]] units
*last client moved out of E6 to A7 units on: 2020-Mar-25
* '''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
 


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== Transition plan ==
== Transition plan A - March 25/26, 2020 ==
* In [[s_dispo table]]:
* In [[s_dispo table]]:
** We create new entries for :
** We create new entries for :
*** [[STB_E6_P_C]]
*** [[STB_E6_C]]
*** [[STB_A7_B]]
*** [[STB_A7_B]]
** We change [[STB_E6_P]] to [[STB_E6_P_B]]
** We change "STB_E6" to [[STB_E6_B]]
*** STB_E6_Pa --> STB_E6_PaB
*** STB_E6a --> STB_E6aB
*** STB_E6_Pb --> STB_E6_PbB
*** STB_E6b --> STB_E6bB
*** STB_E6_Pd --> STB_E6_PdB
*** STB_E6d --> STB_E6dB
* In [[s_tmp table]]:  
* In [[s_tmp table]]:  
** we add [[Boarding Loc]] entry "STB_E6_P_P" that will stay active only during this transition.  
** we add [[Boarding Loc]] entry "STB_E6_B" that will stay active only during this transition.  
{{DT | Need to deactivate STB_E6_P_P once transition is over. }}


=== collector instructions ===
=== collector instructions Plan A ===
'''E6 / A7 Collector'''
'''E6 / A7 Collector'''  
* [[STB_E6_P]] patients already on the laptop will automatically have their [[Service/Location]] changed to [[STB_E6_P_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 discharged while still on that ward don't require further changes
** patients who are moved to one of the A7 locations should  
** 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_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  
*** a move to "STB - Home medicine ward" should be added with the time they were moved  


''' All other collectors'''
''' All other collectors'''
* patients with [[STB_E6_P]] in their [[Previous Location]] or [[Dispo]] fields will automatically have those changed to [[STB_E6_P_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) ===
No fix should be required for [[Previous Location]] / [[Dispo]] since the entry was re-named.
*[[STB_E6_C]] is the designated covid ward at STB at this time.
** coding for COVID_19 - [[COVID-19_(SARS-COV-2)]]
*collected on the '''[[Laptop identifier|S5]] (STB_E6) laptop'''
*End date June 11, 2020


{{DT |
=== A6GY Suspect COVID Ward ===
* set something up to help Pagasa with these specific [[Orphans in Centralized data.mdb]]. If I don't connect with her before she wants to do this, essentially this would be a query that filters to STB_E6_P and STB_E6_P_B, and wherever there are two, delete the E6 entry. }}
* 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


== Reporting ==
=== 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_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 ==  
== Related articles ==  
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[[Category: 2020 COVID unit transition]]
[[Category:2020 COVID unit transition]]
[[Category:Legacy Data Collection]]
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