Overstay Predictor Project Collection Instructions: Difference between revisions

done editing now, I think. I hope.
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Medical records will auto print patient list for RR5 & RR6 direclty to the printer in GF216.  HSC collector should now have access to ADT (Admit/Transfer/Discharge) for patient wards list via [[KEA]]/ [[Reflections]] also.  If not, please contact Denise Felbel (she is in global address in your email).
Medical records will auto print patient list for RR5 & RR6 direclty to the printer in GF216.  HSC collector should now have access to ADT (Admit/Transfer/Discharge) for patient wards list via [[KEA]]/ [[Reflections]] also.  If not, please contact Denise Felbel (she is in global address in your email).
==Special Collection Instructions-for SBGH medicine during vacation/sick leave of regular collectors==
SBGH has now gone to paperless charting or [[EPR]]. This means that we can now review almost the entire chart on the computer. The exceptions to this are:
#the discharge planning screening tool (dpst) form. The information found on this form is one part of the information we need for the overstay predictor project (opp).
#the medicine apache score. These elements are usually found in the ER nurses notes, or the MICU flowsheet (for those patients transferred to medicine from MICU). Both of these forms are still paper.
The priority for medicine data collection at this point in time is this:
#minimal data entry and assignment of serial #'s to all admissions.
#overstay predictor project with color assignment, i.e. keeping current and up to date with same. For instructions on what to do with entering reds into the transition coordinator binder, and where to put the colored stickers on the chart see the wiki opp collection instructions.
#completing oldest discharge charts for patients discharged while collector on vacation, starting with oldest first. Pay particular attention to those charts that are still incomplete if it is just prior to quarterly report time.
#last priority would be the current admissions and discharges.
For those collectors who are doing vacation relief for the regular collectors who are away, catch up from time off can be expedited for the returning collector if the following things are priorized.
#do opp and color generation. (ADL's are a component of the opp and can be found on the epr. They are in "initial assessment" form under the documents tab.) Everything needed for minimal data will be included if the opp is done.
#medicine apache score. This can only be found in the regular paper chart, as the ER nurses notes and the MICU flow sheet are still paper.
The only things that need to be taken from the paper chart are the dpst info and the apache score info. If the opp is kept current and up to date then charts would not have to be pulled from medical records by the person returning from vacation. This would help tremendously in catching up from time off for the returning collector.[[User:DPageNewton|DPageNewton]] 14:40, 2013 February 20 (EST)
== Special Collection Instructions - Colour Generation during collection staff shortages ==
* Also, during vacation periods, there is a very good possibility that information will not be entered and colours will not be generated on the teaching units. When/if these patients are transfered to non-teaching, will the nurses on 5B be filling out the screening tool within 24hr. of transfer to ward?  I can not find the answers to these questions on self learning collection instructions on Wiki. Please advise.[[User:ENagy|ENagy]] 17:30, 2012 November 8 (EST)
** I am not sure if you are referring to nurses on vacation or data collectors. I will leave it to Trish to managed the data collector coverage model and the unit managers to manage nursing coverage. We will be monitoring form adherence to the process on an ongoing bases.[[User:LHathout|LHathout]]''
*** Collecting enough information to generate the overstay colour is the highest priority thing to do in medicine data collection. Trish, can you specify how this would be handled? Ttenbergen 13:28, 2013 February 14 (EST)
****Staff have the option to pick up posted vacation shift as before.  Also staff will also have some of their shifts assigned to the area were there is the highest project priority during this time.


== Special Case - Patient transferred from other participating ward ==
== Special Case - Patient transferred from other participating ward ==
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* ''erase'' the 6 questions
* ''erase'' the 6 questions
* enter an entry Project "Overstay", Item '''"Form Data Missing"'''; put "EMIP" into the notes field
* enter an entry Project "Overstay", Item '''"Form Data Missing"'''; put "EMIP" into the notes field
==Special Collection Instructions - Colour Generation during collection staff shortages ==
* I have tried to re-factor this section but I think it would be best if Trish pulled apart what is universal to all sites and what is specific to some... Ttenbergen 12:49, 2013 July 4 (CDT) {{discussion}}
=== General Instructions for coverage ===
* Also, during vacation periods, there is a very good possibility that information will not be entered and colours will not be generated on the teaching units. When/if these patients are transfered to non-teaching, will the nurses on 5B be filling out the screening tool within 24hr. of transfer to ward?  I can not find the answers to these questions on self learning collection instructions on Wiki. Please advise.[[User:ENagy|ENagy]] 17:30, 2012 November 8 (EST)
** I am not sure if you are referring to nurses on vacation or data collectors. I will leave it to Trish to managed the data collector coverage model and the unit managers to manage nursing coverage. We will be monitoring form adherence to the process on an ongoing bases.[[User:LHathout|LHathout]]''
*** Collecting enough information to generate the overstay colour is the highest priority thing to do in medicine data collection. Trish, can you specify how this would be handled? Ttenbergen 13:28, 2013 February 14 (EST)
****Staff have the option to pick up posted vacation shift as before.  Also staff will also have some of their shifts assigned to the area were there is the highest project priority during this time.
=== specific SBGH medicine ==
SBGH has now gone to paperless charting or [[EPR]]. This means that we can now review almost the entire chart on the computer. The exceptions to this are:
#the discharge planning screening tool (dpst) form. The information found on this form is one part of the information we need for the overstay predictor project (opp).
#the medicine apache score. These elements are usually found in the ER nurses notes, or the MICU flowsheet (for those patients transferred to medicine from MICU). Both of these forms are still paper.
The priority for medicine data collection at this point in time is this:
#minimal data entry and assignment of serial #'s to all admissions.
#overstay predictor project with color assignment, i.e. keeping current and up to date with same. For instructions on what to do with entering reds into the transition coordinator binder, and where to put the colored stickers on the chart see the wiki opp collection instructions.
#completing oldest discharge charts for patients discharged while collector on vacation, starting with oldest first. Pay particular attention to those charts that are still incomplete if it is just prior to quarterly report time.
#last priority would be the current admissions and discharges.
For those collectors who are doing vacation relief for the regular collectors who are away, catch up from time off can be expedited for the returning collector if the following things are priorized.
#do opp and color generation. (ADL's are a component of the opp and can be found on the epr. They are in "initial assessment" form under the documents tab.) Everything needed for minimal data will be included if the opp is done.
#medicine apache score. This can only be found in the regular paper chart, as the ER nurses notes and the MICU flow sheet are still paper.
The only things that need to be taken from the paper chart are the dpst info and the apache score info. If the opp is kept current and up to date then charts would not have to be pulled from medical records by the person returning from vacation. This would help tremendously in catching up from time off for the returning collector.[[User:DPageNewton|DPageNewton]] 14:40, 2013 February 20 (EST)


== Legacy Info - red for PCH or out-of-province patients ==
== Legacy Info - red for PCH or out-of-province patients ==