2020 GRA COVID unit transition: Difference between revisions

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* The COVID SUS patients are under the medicine doctor that admitted them (general medicine) [[User:Surbanski|Surbanski]] 09:09, 2020 April 15 (CDT)}}

Julie wrote: Tina, Trish – we need to decide how to handle the COVID suspects admitted at N5 -

#Julie wrote: Tina, Trish – we need to decide how to handle the COVID suspects admitted at N5 -

1. If the result is negative and patient moves to 2S – a case of transition, Service_location change from GRA_N5 to GRA_2S

#*1. If the result is negative and patient moves to 2S – a case of transition, Service_location change from GRA_N5 to GRA_2S

Tina- If we change the service location Pagasa will get orphans

#**Tina- If we change the service location Pagasa will get orphans

.2. If the result is negative and patient did not move to 2S but somewhere else - ??? Service_location = GRA_N5 - keep as is

#*2. If the result is negative and patient did not move to 2S but somewhere else - ??? Service_location = GRA_N5 - keep as is

#*3. If the result is positive and patient moves to 5S – new record Service_location= GRA_5S

3. If the result is positive and patient moves to 5S – new record Service_location= GRA_5S

#**Tina- If we change the service location Pagasa will get orphans.

Tina- If we change the service location Pagasa will get orphans.

#*4. If the result is positive and patient remains in N5 - ??? Service_location=GRA_N5_C – added _C to denote covid positive

4. If the result is positive and patient remains in N5 - ??? Service_location=GRA_N5_C – added _C to denote covid positive

#**Tina- Unless other collectors also get this right, this will cause linking errors

Tina- Unless other collectors also get this right, this will cause linking errors

#*Items 1 and 3 - no issue. Items 2 and 4 – need to decide, do you agree with the red entry. If so, need to add item 4 entry (was added already because I thought we had decided to use it) OR you have other thoughts?

#*DC - will it be easy to distinguish the negative and positive at N5?

Items 1 and 3 - no issue. Items 2 and 4 – need to decide, do you agree with the red entry. If so, need to add item 4 entry (was added already because I thought we had decided to use it) OR you have other thoughts?

#Sherry-we won’t know until their charts are physically in medical records. Cadham does not put the swab results on EPR and we have no way of knowing the results. As of right now, Trish has given us the direction to NOT go to the wards to view charts.

#*Tina-We would not likely be able to use eChart for this. When we looked into this before the answer was that eChart is only allowed to be used for direct patient care activities. I have contacted Allan to see if there is another option.

DC - will it be easy to distinguish the negative and positive at N5?

# Lisa

Sherry-we won’t know until their charts are physically in medical records. Cadham does not put the swab results on EPR and we have no way of knowing the results. As of right now, Trish has given us the direction to NOT go to the wards to view charts.

#*1. If Sherry and Mindy are dividing workload on 5N by provider (so it can be and is currently a mix of 5N patients, one 3S patient and one 3N patient) , then a negative covid (moved to its home location) is just an extension of the same admission. by transition Julie do you mean use the transition instructions on the wiki for the moves from 5N to 2S? Would Mindy do the same for a negative that then transfers back to 3N? or a patient that goes back to 3S? (BTW we are not doing any of this at HSC for our COVID suspects we enter our home location and just put the D2 in the tmp boarding and if they transfer back to our home ward we use the medicine home ward option in the tmp, we have not been instructed otherwise)

Tina-We would not likely be able to use eChart for this. When we looked into this before the answer was that eChart is only allowed to be used for direct patient care activities. I have contacted Allan to see if there is another option.

#*2. If the result is negative and the patient and moves somewhere else wouldn't that be boarding?, if they stay under medicine but not on a medicine ward

#*3. if positive and move to 5S I think Julie means create a new profile with service location 5S

**1. If Sherry and Mindy are dividing workload on 5N by provider (so it can be and is currently a mix of 5N patients, one 3S patient and one 3N patient) , then a negative covid (moved to its home location) is just an extension of the same admission. by transition Julie do you mean use the transition instructions on the wiki for the moves from 5N to 2S? Would Mindy do the same for a negative that then transfers back to 3N? or a patient that goes back to 3S? (BTW we are not doing any of this at HSC for our COVID suspects we enter our home location and just put the D2 in the tmp boarding and if they transfer back to our home ward we use the medicine home ward option in the tmp, we have not been instructed otherwise)

#*4. Makes sense to add a new location 5N_c but how will they handle those cases if 5S opens up because there are more than 2 patients and the patient then moves from 5N_C to 5S, is this a new profile? or track in tmp? [[User:Lkaita|Lisa Kaita]] 11:28, 2020 April 15 (CDT)

2. If the result is negative and the patient and moves somewhere else wouldn't that be boarding?, if they stay under medicine but not on a medicine ward

3. if positive and move to 5S I think Julie means create a new profile with service location 5S

4. Makes sense to add a new location 5N_c but how will they handle those cases if 5S opens up because there are more than 2 patients and the patient then moves from 5N_C to 5S, is this a new profile? or track in tmp? [[User:Lkaita|Lisa Kaita]] 11:28, 2020 April 15 (CDT)

== Transition plan ==

@@ Line 16: / Line 16: @@
 * The COVID SUS patients are under the medicine doctor that admitted them (general medicine)  [[User:Surbanski|Surbanski]] 09:09, 2020 April 15 (CDT)}}
-Julie wrote:  Tina, Trish – we need to decide how to handle the COVID suspects admitted at N5 -
+#Julie wrote:  Tina, Trish – we need to decide how to handle the COVID suspects admitted at N5 -
-.       If the result is negative and patient moves to 2S –  a case of transition, Service_location change from GRA_N5 to GRA_2S
+#*1.       If the result is negative and patient moves to 2S –  a case of transition, Service_location change from GRA_N5 to GRA_2S
-Tina- If we change the service location Pagasa will get orphans
+#**Tina- If we change the service location Pagasa will get orphans
-.2.       If the result is negative and patient did not move to 2S but somewhere else -  ???   Service_location = GRA_N5   - keep as is
+#*2.       If the result is negative and patient did not move to 2S but somewhere else -  ???   Service_location = GRA_N5   - keep as is
+#*3.       If the result is positive and patient moves to 5S – new record Service_location= GRA_5S
-.       If the result is positive and patient moves to 5S – new record Service_location= GRA_5S
+#**Tina- If we change the service location Pagasa will get orphans.
-Tina- If we change the service location Pagasa will get orphans.
+#*4.       If the result is positive and patient remains in N5 - ??? Service_location=GRA_N5_C – added _C to denote covid positive
-.       If the result is positive and patient remains in N5 - ??? Service_location=GRA_N5_C – added _C to denote covid positive
+#**Tina- Unless other collectors also get this right, this will cause linking errors
-Tina- Unless other collectors also get this right, this will cause linking errors
+#*Items 1 and 3  - no issue.  Items 2 and 4 – need to decide, do you agree with the red entry.  If so, need to add item 4 entry (was added already because I thought we had decided to use it)  OR you have other thoughts?
+#*DC - will it be easy to distinguish the negative and positive at N5?
-Items 1 and 3  - no issue.  Items 2 and 4 – need to decide, do you agree with the red entry.  If so, need to add item 4 entry (was added already because I thought we had decided to use it)  OR you have other thoughts?
+#Sherry-we won’t know until their charts are physically in medical records. Cadham does not put the swab results on EPR and we have no way of knowing the results. As of right now, Trish has given us the direction to NOT go to the wards to view charts.
+#*Tina-We would not likely be able to use eChart for this. When we looked into this before the answer was that eChart is only allowed to be used for direct patient care activities. I have contacted Allan to see if there is another option.
-DC - will it be easy to distinguish the negative and positive at N5?
+# Lisa
-Sherry-we won’t know until their charts are physically in medical records. Cadham does not put the swab results on EPR and we have no way of knowing the results. As of right now, Trish has given us the direction to NOT go to the wards to view charts.
+#*1.  If Sherry and Mindy are dividing workload on 5N by provider (so it can be and is currently a mix of 5N patients, one 3S patient and one 3N patient) , then a negative covid (moved to its home location) is just an extension of the same admission. by transition Julie do you mean use the transition instructions on the wiki for the moves from 5N to 2S?  Would Mindy do the same for a negative that then transfers back to 3N?  or a patient that goes back to 3S?  (BTW we are not doing any of this at HSC for our COVID suspects we enter our home location and just put the D2  in the tmp boarding and if they transfer back to our home ward we use the medicine home ward option in the tmp, we have not been instructed otherwise)
-Tina-We would not likely be able to use eChart for this. When we looked into this before the answer was that eChart is only allowed to be used for direct patient care activities. I have contacted Allan to see if there is another option.
+#*2.  If the result is negative and the patient and moves somewhere else wouldn't that be boarding?, if they stay under medicine but not on a medicine ward
+#*3.  if positive and move to 5S I think Julie means create a new profile with service location 5S
-**1.  If Sherry and Mindy are dividing workload on 5N by provider (so it can be and is currently a mix of 5N patients, one 3S patient and one 3N patient) , then a negative covid (moved to its home location) is just an extension of the same admission. by transition Julie do you mean use the transition instructions on the wiki for the moves from 5N to 2S?  Would Mindy do the same for a negative that then transfers back to 3N?  or a patient that goes back to 3S?  (BTW we are not doing any of this at HSC for our COVID suspects we enter our home location and just put the D2  in the tmp boarding and if they transfer back to our home ward we use the medicine home ward option in the tmp, we have not been instructed otherwise)
+#*4.  Makes sense to add a new location 5N_c but how will they handle those cases if 5S opens up because there are more than 2 patients and the patient then moves from 5N_C to 5S, is this a new profile? or track in tmp? [[User:Lkaita|Lisa Kaita]] 11:28, 2020 April 15 (CDT)
-.  If the result is negative and the patient and moves somewhere else wouldn't that be boarding?, if they stay under medicine but not on a medicine ward
-.  if positive and move to 5S I think Julie means create a new profile with service location 5S
-.  Makes sense to add a new location 5N_c but how will they handle those cases if 5S opens up because there are more than 2 patients and the patient then moves from 5N_C to 5S, is this a new profile? or track in tmp? [[User:Lkaita|Lisa Kaita]] 11:28, 2020 April 15 (CDT)
 == Transition plan ==