STB Medicine Collection Guide: Difference between revisions

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We use EPR for all Admit/Transfer/Discharge times. ENagy
We use EPR for all Admit/Transfer/Discharge times. ENagy


==6AS Transitional Care Unit collection guide ==
Generally speaking patients that have been admitted to any of the active medicine units, E5 (A service), 5B (C service) and E6 (B medicine) are transferred there once they have been deemed medically stable and are waiting for placement or geri rehab, stroke rehab etc.
Medicine would like to track these patients and as such  the following situations may arise. 
On the very rare occasion patients are admitted directly from the ER or elsewhere to 6AS:
1.If they are admitted under family medicine, we do not admit them, in other words ignore them completely
2 If they are admitted under internal medicine, then the profile should be entered on the E5 laptop, using an E5 profile number and select E5 as the location, this is irregardless of the service.  As for the overstay, the allied health and nursing staff do NOT fill out these forms, so the overstay would be entered as “data missing” and the color would still be generated.  If they are a red- there is no binder for allied health staff, so nothing more needs to be done. Please document in the notes section that they are actually on 6AS
When a patient is transferred to 6AS from one of the internal medicine wards and remains under an internal medicine service, then that patient should be followed until either time of discharge/transfer or until they are transferred to the family medicine service. Document their date and time of transfer to 6AS in the notes section.  Do not create a new profile if they switch services, just continue to follow them until they are no longer under an internal medicine attending. 
When a patient is admitted/transferred FROM 6AS to one of the internal medicine wards:
1. If they have remained under one of the internal medicine services and are transferred back to the same internal medicine ward this should be one continuous admission and no new profile is needed
2. If they were under family medicine, then a new profile should be created.
3. If they were under an internal medicine service on 6AS and are transferred to a different internal medicine ward then a new profile should be created by the collector who collects for that service. Ie. If a patient is admitted under C service on 6AS and is transferred to 5E, then a new profile should be created on the 5E laptop and the patient should be considered discharged from the 6E/5B laptop