COVID-19 (SARS-COV-2): Difference between revisions

Additional Info: turned old discussion into a statement instead
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**Note that this test is done by [[Cadham]] Lab and not by the usual DSM lab.
**Note that this test is done by [[Cadham]] Lab and not by the usual DSM lab.


==== Cohorting in HSC ICUs ====
==== Cohorting and other location located issues related to COVID ====
As of 2020-04-01 at HSC all CC patients with an "unknown" contact history (even traumas and emergent OR's) are admitted to MICU first, and once their COVID swab comes back negative they are moved to SICU where they normally would be admitted (tracked in [[ICUotherService]]).
See
* [[:Category:2020 COVID unit transition]]
* [[COVID Designated Ward]]
* [[Boarding Loc]]


To show that a patient like this is in MICU rather than SICU, code [[Observation for suspected infection NOS]] with [[{{PAGENAME}}]] as one of the later codes, but still code the [[Primary Admit Diagnosis]] as the thing that put them in an ICU, ie. the trauma or the emergent OR.
==== When info about COVID status is found out long after locations are entered ====
 
==== Special Circumstances ====
When Reviewing a chart in MR and you find a COVID positive or  COVID suspect patient that occurred BEFORE the new COVID positive/suspect wards were opened, use [[Service Location]] home ward location and use the appropriate [[COVID-19 (SARS-COV-2)]] or [[Observation for suspected infection NOS]] code.
When Reviewing a chart in MR and you find a COVID positive or  COVID suspect patient that occurred BEFORE the new COVID positive/suspect wards were opened, use [[Service Location]] home ward location and use the appropriate [[COVID-19 (SARS-COV-2)]] or [[Observation for suspected infection NOS]] code.


When reviewing a chart in MR and you find a COVID suspect patient on your home ward and the patient is transferred to another location where the diagnosis of COVID positive is made, check the date/time the swab was sent.  If it was sent less than 48 hours after admission code this as an [[Admit Diagnosis]], if the swab was sent greater than 48 hours after admission code this as an [[Acquired Diagnosis]]
When reviewing a chart in MR and you find a COVID suspect patient on your home ward and the patient is transferred to another location where the diagnosis of COVID positive is made, check the date/time the swab was sent.  If it was sent less than 48 hours after admission code this as an [[Admit Diagnosis]], if the swab was sent greater than 48 hours after admission code this as an [[Acquired Diagnosis]]
{{Discuss | who = Julie |
* how should this be done now under [[PatientFollow Project]] / [[Boarding Loc]] ? Is it even still applicable? Likely should live under [[Boarding Loc]] instead and just be linked from here? Ttenbergen 12:24, 2020 October 29 (CDT)
}}


=== Other info ===
=== Other info ===