Isolation-Task: Difference between revisions
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The Isolation [[tasks | task]] encodes whether or not a '''medicine''' patient was in '''isolation'''. It is stored in the Diagnosis tab in [[ | {{LegacyContent | ||
|explanation=discontinued as part of move to [[ICD10]]/[[CCI]]. | |||
|successor=[[Isolation, infectious]] | |||
|content= | |||
The Isolation [[tasks | task]] encodes whether or not a '''medicine''' patient was in '''isolation'''. It is stored in the Diagnosis tab in [[CCMDB.accdb]] because that is the only way we could store it when we started to collect it. | |||
'''Only mark a task as performed if it was done during a patients stay on your ward'''. If a task was done '''prior''' to patient coming to your ward or '''after''' patient is transferred to another ward, it should be marked as ''no'' or '''none''' during the stay on your ward. | '''Only mark a task as performed if it was done during a patients stay on your ward'''. If a task was done '''prior''' to patient coming to your ward or '''after''' patient is transferred to another ward, it should be marked as ''no'' or '''none''' during the stay on your ward. | ||
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== Possible change == | == Possible change == | ||
Dr Garland confirmed with both Dr Hajidiacos for Medicine and Dr Paunovic for Critical Care that this data is not really needed. We need to discuss whether collection should continue. Furthermore, after talking to MA Lynch, we will continue to collect isolation, BUT we'll do away with the different subsets of it and it'll be just Y or N, and Yes will include ANY/ALL types of isolation to include: gloves only, glove+gown, negative pressure room, etc | |||
* In new system we'll code this as 1 thing, in CCI using [[Isolation, infectious]] | |||
* emailed Trish to find out when and how to make the change. Ttenbergen 13:46, 2018 May 8 (CDT) | |||
== Date Glove and Gown added == | == Date Glove and Gown added == | ||
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**'''HSC A4''' isolates these patients (glove & gown). If they are up & about they wear isolation gowns & gloves themselves.--[[User:CMarks|CMarks]] 08:05, 20 October 2010 (CDT) | **'''HSC A4''' isolates these patients (glove & gown). If they are up & about they wear isolation gowns & gloves themselves.--[[User:CMarks|CMarks]] 08:05, 20 October 2010 (CDT) | ||
**'''STB.5B''' will always isolate MRSA and VRE +ve. | **'''STB.5B''' will always isolate MRSA and VRE +ve. | ||
**'''STB E6''' does not isolate if...Patient Alert and oriented 3 and ad lib., or both patients in the room are +ve. Sometimes task is missed for gown and glove as culture results are not back before the patient is discharged/transfered. Lack of isolation carts in the hallway and a list of isolation patients does not help.[[ | **'''STB E6''' does not isolate if...Patient Alert and oriented 3 and ad lib., or both patients in the room are +ve. Sometimes task is missed for gown and glove as culture results are not back before the patient is discharged/transfered. Lack of isolation carts in the hallway and a list of isolation patients does not help.[[p:Elaine Nagy-Retire, Dec 21, 2018 | Elaine Nagy]] 13:01, 20 October 2010 (CDT) | ||
**'''SBGH E5''' According to the crn on my ward, there is not a simple answer to the question. In regards to isolating MRSA or VRE positive patients, each case on this ward is determined with infection control input. If they are culture proven positive, they are generally put on "contact" precautions. Having said that, there are many factors that they consider when deciding whether or not to isolate someone. Some of those factors are strain of MRSA/VRE, whether or not they are going to be eradicated, and whether they are culture positive, or just suspect. The short answer would be, not every MRSA/VRE positive patient is put on isolation.[[User:DPageNewton|DPageNewton]] | **'''SBGH E5''' According to the crn on my ward, there is not a simple answer to the question. In regards to isolating MRSA or VRE positive patients, each case on this ward is determined with infection control input. If they are culture proven positive, they are generally put on "contact" precautions. Having said that, there are many factors that they consider when deciding whether or not to isolate someone. Some of those factors are strain of MRSA/VRE, whether or not they are going to be eradicated, and whether they are culture positive, or just suspect. The short answer would be, not every MRSA/VRE positive patient is put on isolation.[[User:DPageNewton|DPageNewton]] | ||
**'''HSC D4''' - Does gown and glove isolation for MRSA and VRE, so I mark this isolation all the time--[[User:FLindell|FLindell]] 14:37, 20 October 2010 (CDT) | **'''HSC D4''' - Does gown and glove isolation for MRSA and VRE, so I mark this isolation all the time--[[User:FLindell|FLindell]] 14:37, 20 October 2010 (CDT) | ||
=== other reasons for isolation === | |||
*Just to clarify - the table attached below are the frequency for HSC only. In 2007 and 2008, we are only collecting TOTAL Isolation, is 3 out of 159 cases in 2007 and 1 out of 163 cases in 2008 be possible? I find it really very very low. Before 2007, when we have the ITISS form, total isolation cases were 52, 87 and 48 respectively in 2004, 2005 and 2006. There is a study which aims to find if isolation at HSC is effective in reducing the risk of infection specifically MRSA/VRE - can the database helps in answering the goal of this study with the data we have? What are the other diagnoses that requires isolation? I would really like to have a data quality check for isolation (i.e. able to distinguish the missed entry from incorrect value). [[User:JMojica|JMojica]] 10:31, 26 October 2010 (CDT) | *Just to clarify - the table attached below are the frequency for HSC only. In 2007 and 2008, we are only collecting TOTAL Isolation, is 3 out of 159 cases in 2007 and 1 out of 163 cases in 2008 be possible? I find it really very very low. Before 2007, when we have the ITISS form, total isolation cases were 52, 87 and 48 respectively in 2004, 2005 and 2006. There is a study which aims to find if isolation at HSC is effective in reducing the risk of infection specifically MRSA/VRE - can the database helps in answering the goal of this study with the data we have? What are the other diagnoses that requires isolation? I would really like to have a data quality check for isolation (i.e. able to distinguish the missed entry from incorrect value). [[User:JMojica|JMojica]] 10:31, 26 October 2010 (CDT) | ||
** did we ever address this? Should it be fanned out to collectors? Is the question still relevant? [[User:Ttenbergen|Ttenbergen]] 18:22, 2012 September 6 (CDT) Ttenbergen 17:36, 2014 October 2 (CDT) | ** did we ever address this? Should it be fanned out to collectors? Is the question still relevant? [[User:Ttenbergen|Ttenbergen]] 18:22, 2012 September 6 (CDT) Ttenbergen 17:36, 2014 October 2 (CDT) | ||
{ | {{{!}} class="wikitable" border=1 | ||
{{!}}- style="font-size:11pt" | |||
{{!}} width="54" height="42" valign="bottom" {{!}} Year | |||
{{!}} width="112" align="center" valign="bottom" {{!}} Number of MRSA or VRE +ve in Admit or acquired DX | |||
{{!}} width="125" align="center" valign="bottom" {{!}} Number with task- Isolation '''(glove, gown)''' marked | |||
{{!}} width="81" valign="bottom" {{!}} Comments | |||
{{!}}style="font-weight:bold" width="243" valign="bottom" {{!}} | |||
{{!}}- style="font-size:11pt" | |||
{{!}}style="color:#800080" height="20" valign="bottom" {{!}} 2007-HSC | |||
{{!}} align="center" valign="bottom" {{!}} 159 | |||
{{!}} align="center" valign="bottom" {{!}} 3 | |||
{{!}} valign="bottom" {{!}} | |||
{{!}} valign="bottom" {{!}} | |||
{{!}}- style="font-size:11pt" | |||
{{!}}style="color:#800080" height="20" valign="bottom" {{!}} 2008-HSC | |||
{{!}} align="center" valign="bottom" {{!}} 163 | |||
{{!}} align="center" valign="bottom" {{!}} 1 | |||
{{!}} valign="bottom" {{!}} | |||
{{!}} valign="bottom" {{!}} | |||
{{!}}- | |||
{{!}}style="font-size:11pt;color:#800080" height="20" valign="bottom" {{!}} 2009-HSC | |||
{{!}}style="font-size:11pt" align="center" valign="bottom" {{!}} 234 | |||
{{!}}style="font-size:11pt" align="center" valign="bottom" {{!}} 119 | |||
{{!}}style="font-size:11pt" valign="bottom" {{!}} | |||
{{!}} valign="bottom" {{!}} Glove and gown added to task on '''June 5. 2009'''. Prior to this only TOTAL isolation task item was available. | |||
{{!}}- | |||
{{!}}style="font-size:11pt;color:#800080" height="20" valign="bottom" {{!}} 2010-HSC | |||
{{!}}style="font-size:11pt" align="center" valign="bottom" {{!}} 271 | |||
{{!}}style="font-size:11pt" align="center" valign="bottom" {{!}} 239 | |||
{{!}}style="font-size:11pt" valign="bottom" {{!}} | |||
{{!}}style="font-size:9pt" valign="bottom" {{!}} | |||
{{!}}} | |||
==Pulmonary Tuberculosis-Isolation== | ==Pulmonary Tuberculosis-Isolation== | ||
Airborne Precautions - No gloves or gown is required. | Airborne Precautions - No gloves or gown is required. | ||
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[[Category: Task Elements]] | [[Category:Task Elements]] | ||
}} | |||