Transfer Ready DtTm tmp entry: Difference between revisions
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***order is written to change all iv meds to po AND remove monitoring | ***order is written to change all iv meds to po AND remove monitoring | ||
***patient is made '''[[ACP C|ACP-C]]''' | ***patient is made '''[[ACP C|ACP-C]]''' | ||
== Data Collection Instructions == | == Data Collection Instructions == | ||
*As of February 2021, there will be a transfer-ready entry for each and every boarding location. This entry takes 1 of 2 possible forms: | *As of February 2021, there will be a transfer-ready entry for each and every boarding location. This entry takes 1 of only 2 possible forms: | ||
**If while in a given location the care team writes that they intend (as above) to transfer the patient to a lower level of care, then the entry is the date/time that they first indicate this intention. | **If while in a given location the care team writes that they intend (as above) to transfer the patient to a lower level of care, then the entry is the date/time that they first indicate this intention. | ||
**If while in a given location the care team never writes such an intention, then instead of entering the date/time, collectors should indicate this by clicking the check box in this field. | **If while in a given location the care team never writes such an intention, then instead of entering the date/time, collectors should indicate this by clicking the check box in this field. | ||
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**Transfer Ready Date: Date as defined in section [[#Transfer Ready]] above | **Transfer Ready Date: Date as defined in section [[#Transfer Ready]] above | ||
**Transfer Ready Time: Time as defined in section [[#Transfer Ready]] above | **Transfer Ready Time: Time as defined in section [[#Transfer Ready]] above | ||
**checkbox: | **checkbox: to be checked only if a transfer ready date/time to a LOWER level of never was indicated ''while in this location'' | ||
=== Initial pre-entered record === | === Initial pre-entered record === | ||
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** if the pt ''doesn't change '''to''' [[#Transfer Ready]] state'', enter the checkbox and "not available" | ** if the pt ''doesn't change '''to''' [[#Transfer Ready]] state'', enter the checkbox and "not available" | ||
{{Discuss| If the pt doesn't change to a transfer ready state during a location stay, should the comment be "not ready"? The comment "not available" is indicated in above statement-is this inconsistent? Or is this comment intended for scenarios of never transfer ready patients moving from ER (higher acuity) to lower acuity medicine units whereby a transfer date/time is "not available"? }} | {{Discuss| If the pt doesn't change to a transfer ready state during a location stay, should the comment be "not ready"? The comment "not available" is indicated in above statement-is this inconsistent? Or is this comment intended for scenarios of never transfer ready patients moving from ER (higher acuity) to lower acuity medicine units whereby a transfer date/time is "not available"? }} | ||
=== Matching up Boarding Locs and TrDtTms === | |||
{{DiscussTask | | |||
* Pam had a promising suggestion: "Or are data collectors to enter a matching count similar to combo codes?" - we could use the integer field of pairs of Transfer Ready and Boarding Locs to be able to match them. Should we do that? If you have concerns please post them here, else this will change likely when I am back from vacation early March. [[User:Ttenbergen|Ttenbergen]] 15:49, 2021 February 10 (CST) | |||
}} | |||
=== Potential change === | |||
{{Discuss | | |||
* We discussed at [[Task Team Meeting - Rolling Agenda and Minutes|Task]] that it might be easier to have different dropdowns as "item" entry instead of manually populating the comment. I think that's a good idea but wanted to give people a chance to shout "NOOOOO". So if you have concerns please post them here, else this will change likely when I am back from vacation early March. [[User:Ttenbergen|Ttenbergen]] 15:49, 2021 February 10 (CST) | |||
**'''If we do this I need to also remove the automatically added item from the [["Make loc" button]] so no one forgets to enter this. [[User:Ttenbergen|Ttenbergen]] 09:31, 2021 March 10 (CST) | |||
}} | |||
* to make a smoother transition, is there any way for a Transfer Ready Dt/Tm line to automatically be put in when we enter a new Boarding Loc? [[User:Surbanski|Surbanski]] 12:57, 2021 February 12 (CST) | |||
** Implemented as of [[CCMDB.accdb Change Log 2021#2021-03-04]]: if the Boarding loc is started by clicking on a line in the Cognos Unit listing the TrDtTm line will also be added. [[User:Ttenbergen|Ttenbergen]] 10:48, 2021 March 4 (CST) | |||
==== What if the pt ends up transferred to a higher level of care ==== | |||
'''The original transfer {{PAGENAME}} does not change. ''' | |||
{{Collapsable | |||
| always= Expand for details why | |||
| full= | |||
It might '''seem''' that a patient who was transfer ready but then moves to a higher level of care should be excluded, since they did not actually get transferred to a lower level of care. However, when the patient was deemed transfer ready, additional time in the ward was "wasted time" - if we could have sent them elsewhere we would have. If the patient later crashes, that doesn't make it not-wasted time - they could have crashed anywhere. So the interpretation that a pt moving to a higher level of care after transfer ready is not wasted time is not right. We discussed this repeatedly at task and steering meetings. The only way this makes sense is if it is done by intent. | |||
}} | |||
==== Patient doesn't become [[#Transfer Ready]] before leaving unit ==== | ==== Patient doesn't become [[#Transfer Ready]] before leaving unit ==== | ||