Overstay Predictor Project Collection Instructions: Difference between revisions

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 == Notifying the Transition Coordinator ==
 If the patient has been designated as "red" for purposes of overstay prediction, the data collector will notify a Transition Coordinator by placing the patients name beside the transition coordinator on call for the time period of the patient's admission. The transition coordinators will be assigned to cover between Friday to Monday, the next shift will go to Wednesday, the last will be Wednesday to Friday. If the designation is made after 1500 on the day of entry, the assignment will be deferred to the next day's coordinator. The rotation of Coordinators is made up of Home Care, Social Work, Physio, And OTs.  After assignment, that service is responsible for following that patient throughout their hospital stay.
+== Questions ==
+Hi Linda,  Instead of trying to reach each other via phone thought I’d write my concerns/ questions about the Overstay project.
+# If it is my responsibility to keep the N5 project binder up to date & well stocked with all the necessary forms then I’d like a supply of  the Discharge screening tool, Coordinator case notes, Coordinator assignment forms in the Data office. I don’t have access to a copier that makes double sided copies so sending me a master copy by email makes doesn’t work.
+''You are not responsible for keeping or making copies -  thanks for offering.
+I will discuss this with the transition coordinators at our meeting on the 15th.''
+# At present it is often taking the nurses 24 hours or longer to complete the screening tool. I have to then either ask the nurses to complete it (which I really don’t think is my job nor do I feel comfortable doing) or leave the form with the Clinical Manager Helen for her to follow up on. This is a problem because I can’t do my job in the project effiently within the 48 hrs or effectively which is to identify whether the patient is “at risk” and then assign them a Coordinator. This is very time consuming and frustrating for me to have to keep track of which patients forms are complete and which ones are not and then where the forms are actually located and then having to check and then recheck the charts for the forms. During the education sessions I think we should not only include the nurses from the wards but also the Resource Team nurses (they cover sick calls and vacations etc.) From now on I think it should be stressed to the nurses that the discharge screening tool should preferably be completed during the admission process and the exception being within 24 hours maximum, not the rule.
+''I will ask Helen to explain if there is a legitimate reason why the 24 hour time frame is not enough to complete the discharge screening tool. If there is no reason then it is her responsibility to police this.
+All Grace nurses with be trained in the next month as they are hoping to roles this out to all unit in September.''
+# Because of the above mentioned delay, there are some N5 patients who will not have the Overstay data entered because the form is blank eg. Short stay< 24hrs either pt. died or transferred.
+''We did not think of these cases and how they should be handled, I will speak to the project team about this and find out how best it is to handle them.''
+# If a patient is transferred between wards are we to complete a D/C screening tool? I thought that until all medical wards were included in the project we were to complete the form on all admissions to N5.There was one pt. who was transferred between wards who had already been paneled and awaiting placement in a nursing home. In this circumstance the screening tool wasn’t done (Helen decided it was not necessary) .
+''The Screening tool only has to be completed once. In September all patients will have the screening tool done upon admission so there should be no patients transferred onto the ward without one. In the interim if a patient is transferred on to the unit without one the screening tool needs to be completed''
+# Now Tina has added under temp files the choices of which home setting the pt. was admitted from. I’ve been opening a 7th Overstay temp file and including that info. If it’s not recorded on the form am I to take that info from the chart or use the form missing info choice. Also can Tina have the 7th Overstay files already selected, like our tasks?
+#On the form if more than 1 of the 6 questions are not answered, do you want me to use the form missing info only once. If I record it like  Overstay   1. Alert and
+                                                                                                  Overstay   form missing
+                                                                                                  Overstay   3. Mobilze
+                                                                                                  Overstay    form missing
+                                                                                                  Overstay  5. Pt. supports
+                                                                                                  Overstay   6. smoke
+       You can then tell that questions #2 & 4 are missing, which do you want?
 [[Category: OverstayProject]]