2020 GRA COVID unit transition: Difference between revisions

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# if the patient's result is negative and they are moved back to their home ward then enter [[Boarding Loc]] GRA home medicine ward with the date and time they are transferred back

# if the patient's result is positive, create a new profile using S5 as [[Service/Location]] if they do not physically move to S5 and remain on N5 then enter [[Boarding Loc]] N5 with the date and time closest to the positive result, if or when they move to S5 enter [[Boarding Loc]] Gra home medicine ward with the date and time they are transferred to S5

{{Discuss|

I want to make sure I have everything correct so please provide your feedback if anything is incorrect. Please keep in mind that we are not going to the wards to review charts and will not be able to see swab results until their charts are available in medical records because currently the results are NOT available in EPR. The only exception to this would be a situation where someone was in ER long enough that their swab results come in and the ER docs document a note in EPR. People who are swabbed are indicated as COVID SUS in EPR and the positive results are indicated as COVID POS.

'''PATIENT PRESENTS TO GH AND IS SWABBED UPON ADMISSION TO ER'''

This patient is admitted to 5N, and will have a 5N profile created for them using the 5N serial numbers

* We're assuming if the result is negative they are moved to 2S (2S has been transitioned from surgery to a non-teaching medicine unit)

** The Service Location will be changed from GRA_N5 to GRA_2S

** The arrive date and time will remain their original arrive date/time, in this case, when they were admitted to 5N

** A Tmp Boarding Loc will be added to be boarding on 5N for their admission date/time, and a Home Medicine Ward will be added for their admission to 2S

** A second profile will NOT be created for these patients

* If this patient's swab results come back as COVID POS and patient remains on 5N

** A second profile will be created

** The Service Location will be GRA_5S_C. The arrive date/time will be the date/time of the swab POS results.

** A Tmp Boarding Loc will be added to be boarding on 5N again with the swab POS date/time

*** If they do not leave 5N and are discharged from 5N, there will be no Home Medicine Ward entry

*** If they are transferred to 5S, there will be a Home Medicine Ward entry for the date/time of the transfer

* If this patient's swab results come back as COVID POS and patient is transferred to 5S

** A second profile will be created for the 5S admission

** The arrive date/time will be the date/time of the swab POS results

** There is no need to add a Tmp boarding loc

'''PATIENT PRESENTS TO GH AND IS KNOWN TO BE COVID POS UPON TRANSFER TO THE WARD'''

We know that 5N has the capacity for 2 POS patients. If they need capacity beyond this they will open 5S

* If this patient is admitted to 5N and remains on 5N

** The Service Location will be GRA_5S_C. The arrive date/time will remain as their original arrive date/time to 5N.

** A Tmp Boarding Loc will be added to be boarding on 5N for their admission date/time

*** If they are not transferred to 5S and are discharged from 5N, there will be no Home Medicine Ward entry

*** If they are transferred to 5S, there will be a Home Medicine Ward entry for the date/time of the transfer

* If this patient is admitted to 5S and remains on 5S

** Profile will be created in the usual fashion for an admission to 5S

** No Tmp boarding loc required as part of the admission process

*** If this patient is transferred to 5N, a Tmp boarding loc will be entered to reflect the boarding on 5N and another profile will not be created

** If this patient is transferred to any other unit that is not on the 5th floor (i.e. 2S, ICU, etc) this profile will be discharged and a new profile will be created by whomever collects data for the new ward

''QUESTION:'' Currently I do not have a 5N boarding location. Was one going to be created or did we decide against this?

''QUESTION:'' I want to confirm, are we using serial numbers starting at 150 for all 5S admissions?

[[User:Surbanski|Surbanski]] 09:10, 2020 April 16 (CDT)}}

== Outstanding issues ==

@@ Line 67: / Line 67: @@
 #  if the patient's result is negative and they are moved back to their home ward then enter [[Boarding Loc]] GRA home medicine ward with the date and time they are transferred back
 #  if the patient's result is positive, create a new profile using S5 as [[Service/Location]] if they do not physically move to S5 and remain on N5 then enter [[Boarding Loc]] N5 with the date and time closest to the positive result, if or when they move to S5 enter [[Boarding Loc]] Gra home medicine ward with the date and time they are transferred to S5
+{{Discuss|
+I want to make sure I have everything correct so please provide your feedback if anything is incorrect. Please keep in mind that we are not going to the wards to review charts and will not be able to see swab results until their charts are available in medical records because currently the results are NOT available in EPR. The only exception to this would be a situation where someone was in ER long enough that their swab results come in and the ER docs document a note in EPR. People who are swabbed are indicated as COVID SUS in EPR and the positive results are indicated as COVID POS.
+'''PATIENT PRESENTS TO GH AND IS SWABBED UPON ADMISSION TO ER'''
+This patient is admitted to 5N, and will have a 5N profile created for them using the 5N serial numbers
+* We're assuming if the result is negative they are moved to 2S (2S has been transitioned from surgery to a non-teaching medicine unit)
+** The Service Location will be changed from GRA_N5 to GRA_2S
+** The arrive date and time will remain their original arrive date/time, in this case, when they were admitted to 5N
+** A Tmp Boarding Loc will be added to be boarding on 5N for their admission date/time, and a Home Medicine Ward will be added for their admission to 2S
+** A second profile will NOT be created for these patients
+* If this patient's swab results come back as COVID POS and patient remains on 5N
+** A second profile will be created
+** The Service Location will be GRA_5S_C. The arrive date/time will be the date/time of the swab POS results.
+** A Tmp Boarding Loc will be added to be boarding on 5N again with the swab POS date/time
+*** If they do not leave 5N and are discharged from 5N, there will be no Home Medicine Ward entry
+*** If they are transferred to 5S, there will be a Home Medicine Ward entry for the date/time of the transfer
+* If this patient's swab results come back as COVID POS and patient is transferred to 5S
+** A second profile will be created for the 5S admission
+** The arrive date/time will be the date/time of the swab POS results
+** There is no need to add a Tmp boarding loc
+'''PATIENT PRESENTS TO GH AND IS KNOWN TO BE COVID POS UPON TRANSFER TO THE WARD'''
+We know that 5N has the capacity for 2 POS patients. If they need capacity beyond this they will open 5S
+* If this patient is admitted to 5N and remains on 5N
+** The Service Location will be GRA_5S_C. The arrive date/time will remain as their original arrive date/time to 5N.
+** A Tmp Boarding Loc will be added to be boarding on 5N for their admission date/time
+*** If they are not transferred to 5S and are discharged from 5N, there will be no Home Medicine Ward entry
+*** If they are transferred to 5S, there will be a Home Medicine Ward entry for the date/time of the transfer
+* If this patient is admitted to 5S and remains on 5S
+** Profile will be created in the usual fashion for an admission to 5S
+** No Tmp boarding loc required as part of the admission process
+*** If this patient is transferred to 5N, a Tmp boarding loc will be entered to reflect the boarding on 5N and another profile will not be created
+** If this patient is transferred to any other unit that is not on the 5th floor (i.e. 2S, ICU, etc) this profile will be discharged and a new profile will be created by whomever collects data for the new ward
+''QUESTION:'' Currently I do not have a 5N boarding location. Was one going to be created or did we decide against this?
+''QUESTION:'' I want to confirm, are we using serial numbers starting at 150 for all 5S admissions?
+[[User:Surbanski|Surbanski]] 09:10, 2020 April 16 (CDT)}}
 == Outstanding issues ==