STB Medicine Collection Guide: Difference between revisions

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STB_EMIP patients: removing duplicate info, follow link
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* [[STB E6]]
* [[STB E6]]
* [[STB E5]]
* [[STB E5]]
* [[STB EMIP]]
   
   
== Location of information ==
== Location of information ==
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== Process for identifying EMIPs ==
== Process for identifying EMIPs ==
See [[EMIP]] for definitions and general collection information.
We obtain our lists of EMIP patients for medicine from the [[Discharge Register]] and [[Transfer Register]].  We run this report at least once a week.
For EMIP entry there is a separate paper log sheet that has its' own sequential numbers.
* For EMIP pts, you cannot put discharge to an ER, so if that is where they went, put the place they went after ER (usually a ward). Do not put a transfer ready date and time unless the pt is going home.  Just put "no transfer ready" in the tmp.
Definition of EMIP: 
*1. Pt has an order that medicine has accepted the patient while still in ER. 
*2. The patient either is discharged from ER to home or any other out of hospital location
OR..  the patient is transferred within the hospital directly to a different service because Medicine decides that they will not take the pt but the patient needs different care.  Examples:  Palliative care take over the care;  ICMS takes over the care;  Surgery takes over the care; Gynecology takes over care; etc. 
*These patients are only under medicine while they reside in ER.  Once they leave ER they are either going out of hospital or going to a different service within the hospital.


==Medicine [[Off ward field | Off Ward patients]] ==
==Medicine [[Off ward field | Off Ward patients]] ==
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*When a pt comes to E5, E6 or B5 from an off-service ward (this includes 6AS), the data collector must go to the original presentation of the pt to see if this pt was accepted to medicine on the off-service ward prior to their arrival on their own ward.  If you see that the pt was looked after by internal medicine prior to their arrival from the other ward, make sure you start your profile on the original date that medicine accepted them (usually in ER).   
*When a pt comes to E5, E6 or B5 from an off-service ward (this includes 6AS), the data collector must go to the original presentation of the pt to see if this pt was accepted to medicine on the off-service ward prior to their arrival on their own ward.  If you see that the pt was looked after by internal medicine prior to their arrival from the other ward, make sure you start your profile on the original date that medicine accepted them (usually in ER).   
*On occasion medicine patients are transferred to off service wards, but are still admitted under the internal medicine service.  ie. patient transferred from E6 to 7AS (surgical ward) but still admitted under internal medicine.  The attending may be different than the admitting service but it is still an internal medicine attending.  Please continue to follow these patients (new profile is '''not''' required) until they are discharged or transferred to an off service ward under family medicine or any other service other than internal med.  Please note the location in the RECORD box to indicate where the pt is currently located.
*On occasion medicine patients are transferred to off service wards, but are still admitted under the internal medicine service.  ie. patient transferred from E6 to 7AS (surgical ward) but still admitted under internal medicine.  The attending may be different than the admitting service but it is still an internal medicine attending.  Please continue to follow these patients (new profile is '''not''' required) until they are discharged or transferred to an off service ward under family medicine or any other service other than internal med.  Please note the location in the RECORD box to indicate where the pt is currently located.
== [[STB_EMIP]] patients ==


==How to determine when a patient is no longer under an internal medicine service==
==How to determine when a patient is no longer under an internal medicine service==