Previous Location field: Difference between revisions

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=== Borrowed Bed Or Pt Boarding On Other Unit ===

For direct transfers within the Winnipeg region, should we enter the Last Boarding Location as the [[Previous Location]] ? No because these are only temporary location. Use the service taking care of the patient : '''<site>_Med''', GH-CC, HSC_MICU, HSC_SICU, HSC_IICU, STB MICU, STB_ICCS, STB_ACCU.

=== Direct Transfers ~~Scenario~~ ===

=== Direct Transfers Scenarios ===

#~~from~~ Outside Winnipeg facilities - whether inpt or not, if they went to <own site> ER (e.g. STB ER) for triage, previous location is <own site> ER (e.g. STB ER). If they just stop by only at <own site> ER, then previous location is the outside facility service - it does not matter if from ICU (e.g. Thompson ICU) or ER (e.g. Thompson ER) service of that outside facility as long as the pre-admit inpt has been filled up correctly (e.g. Thompson ICU) , then in TMP Boarding, put <own site> ER (e.g. STB ER) as first boarding loc.

# From Outside Winnipeg facilities - whether inpt or not, if they went to <own site> ER (e.g. STB ER) for triage, previous location is <own site> ER (e.g. STB ER). If they just stop by only at <own site> ER, then previous location is the outside facility service - it does not matter if from ICU (e.g. Thompson ICU) or ER (e.g. Thompson ER) service of that outside facility as long as the pre-admit inpt has been filled up correctly (e.g. Thompson ICU) , then in TMP Boarding, put <own site> ER (e.g. STB ER) as first boarding loc.

#~~from~~ Within Winnipeg facilities -

# From Within Winnipeg facilities - For transfers among HSC/STB/GRA, we are linking all the admissions so we need to be specific for the sending and receiving service. If already inpatients, and no in-between procedures, pre-admit inpt is the same as previous location. if there is temporary location in-between, then previous location is equal to the temporary location (e.g. ER, OR, RR, Cath Lab, Dialysis, Radiology). If not yet an inpt and coming from <other site> ER then previous location is <other site> ER.

##For transfers among HSC/STB/GRA, we are linking all the admissions so we need to be specific for the sending and receiving service. If already inpatients, and no in-between procedures, pre-admit inpt is the same as previous location. if there is temporary location in-between, then previous location is equal to the temporary location (e.g. ER, OR, RR, Cath Lab, Dialysis, Radiology). If not yet an inpt and coming from <other site> ER then previous location is <other site> ER.

# When to use generic ward - If the patient from our sending service (e.g. HSC SICU) was discharged to a service we are not collecting (e.g. Step down ward) and then transfer again to the service (e.g. HSC Med) we are collecting, having no in-between procedure then the dispo of sending service, pre-admit inpt and previous location are all generic ward (e.g. HSC ward). For the case having in-between procedure, say, sending service is HSC Med to a surgery ward, then OR, then to HSC SICU, the dispo of the sending and pre-admit inpt are generic ward (e.g. HSC ward) and previous location is the temporary location e.g. HSC OR.

###When to use generic ward - If the patient from our sending service (e.g. HSC SICU) was discharged to a service we are not collecting (e.g. Step down ward) and then transfer again to the service (e.g. HSC Med) we are collecting, having no in-between procedure then the dispo of sending service, pre-admit inpt and previous location are all generic ward (e.g. HSC ward). For the case having in-between procedure, say, sending service is HSC Med to a surgery ward, then OR, then to HSC SICU, the dispo of the sending and pre-admit inpt are generic ward (e.g. HSC ward) and previous location is the temporary location e.g. HSC OR.

#For sites no longer collected ie. CON/OAK/VIC - inpatients from CON, OAK, VIC who are direct transfers to HSC/STB/GRA, the pre-admit inpt will '''not''' be N/A and the previous location is the same as the pre-admit inpt even if the patient spends time in site's UC prior to transfer. If not yet an inpt from CON/OAK/VIC and transfers only from their UC triage, then previous location is the CON/OAK/VIC UC.

##For ~~those we~~ no longer ~~collect sites~~ CON/OAK/VIC - inpatients from CON, OAK, VIC who are ~~directly transferred~~ to HSC/STB/GRA, ~~then~~ the pre-admit inpt will '''not''' be N/A and the previous location is the same as the pre-admit inpt. If not yet an inpt from CON/OAK/VIC and transfers only from their UC triage, then previous location is the CON/OAK/VIC UC.

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 === Borrowed Bed Or Pt Boarding On Other Unit ===
 For direct transfers within the Winnipeg region, should we enter the Last Boarding Location as the [[Previous Location]] ?  No because these are only temporary location.  Use the service taking care of the patient : '''<site>_Med''', GH-CC, HSC_MICU, HSC_SICU, HSC_IICU, STB MICU, STB_ICCS, STB_ACCU.
-=== Direct Transfers Scenario ===
+=== Direct Transfers Scenarios ===
-#from Outside Winnipeg facilities - whether inpt or not, if they went to  <own site>  ER  (e.g. STB ER) for triage, previous location is <own site> ER (e.g. STB ER). If  they just stop by only  at <own site> ER, then previous location is the outside facility service - it does not matter if from ICU (e.g. Thompson ICU) or ER (e.g. Thompson ER) service of that outside facility as long as the pre-admit inpt has been filled up correctly (e.g. Thompson ICU) , then in TMP Boarding, put <own site> ER (e.g. STB ER)  as first boarding loc.
+# From Outside Winnipeg facilities - whether inpt or not, if they went to <own site> ER  (e.g. STB ER) for triage, previous location is <own site> ER (e.g. STB ER). If  they just stop by only  at <own site> ER, then previous location is the outside facility service - it does not matter if from ICU (e.g. Thompson ICU) or ER (e.g. Thompson ER) service of that outside facility as long as the pre-admit inpt has been filled up correctly (e.g. Thompson ICU) , then in TMP Boarding, put <own site> ER (e.g. STB ER)  as first boarding loc.
-#from Within Winnipeg facilities -
+# From Within Winnipeg facilities - For transfers among HSC/STB/GRA, we are linking all the admissions so  we need to be specific for the sending and receiving service.   If already inpatients, and no in-between procedures,  pre-admit inpt is the same as previous location. if there is temporary location in-between, then previous location is equal to the temporary location (e.g. ER, OR, RR, Cath Lab, Dialysis, Radiology).  If not yet an inpt and coming from <other site> ER then previous location is <other site> ER.
-##For transfers among HSC/STB/GRA, we are linking all the admissions so  we need to be specific for the sending and receiving service.   If already inpatients, and no in-between procedures,  pre-admit inpt is the same as previous location. if there is temporary location in-between, then previous location is equal to the temporary location (e.g. ER, OR, RR, Cath Lab, Dialysis, Radiology).  If not yet an inpt and coming from <other site> ER then previous location is <other site> ER.
+# When to use generic ward -  If the patient from our sending service (e.g. HSC SICU)  was discharged to a service we are not collecting (e.g. Step down ward) and then transfer again to the service (e.g. HSC Med) we are collecting, having no in-between procedure then the dispo of sending service, pre-admit inpt and previous location are all generic ward (e.g. HSC ward).  For the case having in-between procedure, say, sending service is HSC Med  to a surgery ward, then OR, then to HSC SICU, the dispo of the sending and pre-admit inpt are generic ward (e.g. HSC ward) and previous location is the temporary location e.g.  HSC OR.
-###When to use generic ward -  If the patient from our sending service (e.g. HSC SICU)  was discharged to a service we are not collecting (e.g. Step down ward) and then transfer again to the service (e.g. HSC Med) we are collecting, having no in-between procedure then the dispo of sending service, pre-admit inpt and previous location are all generic ward (e.g. HSC ward).  For the case having in-between procedure, say, sending service is HSC Med  to a surgery ward, then OR, then to HSC SICU, the dispo of the sending and pre-admit inpt are generic ward (e.g. HSC ward) and previous location is the temporary location e.g.  HSC OR.
+#For sites no longer collected ie. CON/OAK/VIC - inpatients from CON, OAK, VIC who are direct transfers to HSC/STB/GRA, the pre-admit inpt will  '''not''' be N/A and the previous location is the same as the pre-admit inpt even if the patient spends time in site's UC prior to transfer. If not yet an inpt from CON/OAK/VIC and transfers only from their UC triage, then previous location is the CON/OAK/VIC UC.
-##For those we no longer collect sites CON/OAK/VIC -  inpatients from CON, OAK, VIC who are directly transferred to HSC/STB/GRA, then the pre-admit inpt will  '''not''' be N/A and  the previous location is the same as the pre-admit inpt.   If not yet an inpt from CON/OAK/VIC and transfers only from their UC triage, then previous location is the CON/OAK/VIC UC.