2020-03 STB COVID unit transition

This page is about the transition of collection units at STB to accommodate the new COVID unit.

Background

STB is opening a number of beds on STB_A7S and STB_A7W. Patients from our usual STB_E6 unit will move there, and the physical E6 location will become the COVID ward.

Date of change

• 2020-Mar-25 - last client moved out of STB_E6 to STB_A7_B units
• 2020-Mar-26 - STB_E6 will be the new COVID-19 ward (STB_E6_C)
• 2020-June-11 - B service patients physically at STB_A7_B moved back to STB_E6
• 2020-October-15 - An Outbreak of covid is declared on Medicine Unit E6
• 2020-Octber-17 (2345) - 10 beds open up on B4NO to accommodate B Medicine patients
• 2020-October-21 - An outbreak of covid is declared on Medicine Units E6 and E5
• 2020-October-22 - From STB CEO Memo to staff:

Through the COVID-19 contact tracing, it has been noted that many of the positive patients had diarrhea, either as part of a respiratory syndrome or without respiratory symptoms. Diarrhea is a known presentation though not as common as the influenza like presentation.

• 2020-October-23 - E6 is activated as the second Red Zone – COVID Positive Unit.
• 2020-October-23 - Notification of covid outbreak on Medicine Unit B5

notes on plans that changed

there was a plan to only change names for some of the records, but because the names are really only linked values in the s_dispo table you can't change them for some, you have to make a new entry. there were thoughts about continuing to collect these patients as STB_E6_P even once on A7*; this might have been practical for that collector but would have been confusing for other collectors since their previous location and dispo fields should match, so we decided to name the Service/Location as it actually is. we were going to have "STB_A7S" and "STB_A7W" but this was changed to STB_A7_B since it's the same ward

Transition plan A - March 25/26, 2020

• In s_dispo table:
  • We create new entries for :
    • STB_E6_C
    • STB_A7_B
  • We change "STB_E6" t Marcho STB_E6_B
    • STB_E6a --> STB_E6aB
    • STB_E6b --> STB_E6bB
    • STB_E6d --> STB_E6dB
• In s_tmp table:
  • we add Boarding Loc entry "STB_E6_B" that will stay active only during this transition.

Need to deactivate STB_E6_B once transition is over.

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collector instructions Plan A

E6 / A7 Collector

• S5 (STB_E6) laptop
• STB_E6 patients already on the laptop will automatically have their Service/Location changed to STB_E6_B
  • patients who are discharged while still on that ward don't require further changes
  • patients who are moved to one of the A7 locations should
    • have their Service/Location changed to STB_A7_B
    • a Boarding Loc entry added for the first part of their stay on STB_E6_B
    • a move to "STB - Home medicine ward" should be added with the time they were moved

All other collectors

• patients with STB_E6 in their Previous Location or Dispo fields will automatically have those changed to STB_E6_B
• if the patient was transferred there before the move date, you can leave that. If they were transferred there after the move date but before we put the new entries in place, you may need to change the dispo to STB_A7_B. Don't worry too much about this, we can fix it at the back end, but if you notice it please fix.
• Pamela does not follow patients from A7/A6 locations that are discharged to B5 or IMCU locations. The B5/IMCU collector enters a new profile for these patients.

E6_C (COVID-19 ward)

• STB_E6_C is the designated covid ward at STB at this time.
  • coding for COVID_19 - COVID-19_(SARS-COV-2)
• collected on the S5 (STB_E6) laptop
• End date June 11, 2020

A6GY Suspect COVID Ward

• A6GY (and could include other units on 6th floor) is designated for covid suspects.
• Mixed of patients - Medicine service A & B and other services such as surgery or family medicine in this ward.
• Only collect Medicine Service patient admitted in this ward.
• End date June 11, 2020

A medicine service patients on A6GY

1. A6GY- patients admitted to A medicine service in this unit are entered on the S5 (STB_E6) laptop.
   • Service Location: STB_E5
   • in TMP Boarding Loc will be generic ward with date and time arrived on A6GY. In the Q column enter in A6GY
2. If A service patient is physically move from A6GY to "STB_E5" ward, the S5 (STB_E6) laptop will follow as a continuous profile AND
   • in the TMP Boarding Loc enter Home ward with date and time they physically arrived there.
3. patient's with negative test results are either physically move to home medicine service wards or transfer to other service location or discharged home.
4. patient's with positive test results get transferred to either: STB_E6_C, STB_MICU.
   • for these transfers, you will create a new profile for either STB E6_C or STB MICU.
   • transfers to E6_C a new profile is required and is collected on the S5 (STB_E6) laptop
   • Service Location: STB_E6_C
   • if patient remains on A6GY then no changes are required

B medicine service patients on A6GY

1. A6GY patients admitted to B medicine service are entered on S5 (STB_E6) laptop
   • Service Location: STB_A7_B
   • in TMP Boarding Loc will be generic ward with date and time arrived on A6GY. In the Q column enter in A6GY
2. If B service patient is physically move to "STB_A7_B" ward, the S5 (STB_E6) laptop will follow as a continuous profile AND
   • in the TMP Boarding Loc enter Home ward with date and time they physically arrived there.
3. similar with item #3 and #4 of A Medicine service

How to code negative and positive result go to: Observation for suspected infection NOS

Transition plan B - June 11, 2020

collector instructions for B service patients returning from A7_B to E6_B

• For patients discharge on or before June 11, 2020, keep Service/Location = STB_A7_B
• For patients not yet discharge and move to STB_E6_B
  • have their Service/Location changed from STB_A7_B to STB_E6_B
  • a Boarding Loc entry added for the part of their stay on STB_A7_B
  • a move to "STB - Home medicine ward" should be added with the time they were moved
• New patients admitted starting June 11,2020 have Service/Location = STB_E6_B

Reporting

• STB_E6_B and STB_A7_B are reported together.
• STB_E6_C is reported as a separate ward.

Cleanup

We needed to use P for Pre_COVID and C for COVID since full names would have broken D_ID in sending. Once the last pt of a location is sent, we can change those names in the s_dispo table.

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deactivate STB_E6_P in s_tmp table once last pt has moved.

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Related articles

Related articles:

CCMDB.accdb Change Log 2020 (← links) 2020 COVID unit transition (← links)