STB Medicine Collection Guide: Difference between revisions

Line 33:

3. If they were under an internal medicine service on 6AS and are transferred to a different internal medicine ward then a new profile should be created by the collector who collects for that service. Ie. If a patient is admitted under C service on 6AS and is transferred to 5E, then a new profile should be created on the 5E laptop and the patient should be considered discharged from the 6E/5B laptop

How to determine when a patient is no longer under an internal medicine service:

In the EPR the patient list for 6AS will show the "provider" which should separate family medicine attending physicians from the internal medicine attending physicians. However, because this is not always consistently kept up to date when services change, the following checks can help to determine if a patient remains under internal medicine.

1. In EPR,Check the orders under transfers/care directives, to see if there has been an order to switch from internal medicine to family medicine. If there is use this as your date and time of discharge.

2. In EPR, go to the patient info tab, select care providers from the left hand column, a list should come up with providers and their discipline with a date. If you see that the most recent attending is a family medicine physician then there has likely been a change of service. You may be able to confirm this by checking under the documents tab, sort by discipline, and then check the medicine notes that correspond to the date found in the care providers list. Family medicine progress notes will be identified as such in the notes section. If you determine that they are in fact now under family medicine (with no corresponding order), use the date and time of the attending switch in the care provider list as you discharge date and time

==Medicine Overflow Patients==

@@ Line 33: / Line 33: @@
 . If they were under an internal medicine service on 6AS and are transferred to a different internal medicine ward then a new profile should be created by the collector who collects for that service. Ie. If a patient is admitted under C service on 6AS and is transferred to 5E, then a new profile should be created on the 5E laptop and the patient should be considered discharged from the 6E/5B laptop
+How to determine when a patient is no longer under an internal medicine service:
+In the EPR the patient list for 6AS will show the "provider" which should separate family medicine attending physicians from the internal medicine attending physicians.  However, because this is not always consistently kept up to date when services change, the following checks can help to determine if a patient remains under internal medicine.
+. In EPR,Check the orders under transfers/care directives, to see if there has been an order to switch from internal medicine to family medicine.  If there is use this as your date and time of discharge.
+. In EPR, go to the patient info tab, select care providers from the left hand column, a list should come up with providers and their discipline with a date.  If you see that the most recent attending is a family medicine physician then there has likely been a change of service.  You may be able to confirm this by checking under the documents tab, sort by discipline, and then check the medicine notes that correspond to the date found in the care providers list. Family medicine progress notes will be identified as such in the notes section. If you determine that they are in fact now under family medicine (with no corresponding order), use the date and time of the attending switch in the care provider list as you discharge date and time
 ==Medicine Overflow Patients==