STB Medicine Collection Guide: Difference between revisions

Line 25:

*These patients are only under medicine while they reside in ER. Once they leave ER they are either going out of hospital or going to a different service within the hospital.

==Medicine ~~Overflow Patients~~==

==Medicine [[Off ward field | Off Ward patients]] ==

*Medicine service patients that spend all or part of their time on an off-service ward.

~~=== Overflow patients ===~~

=== Process for identifying Overflow Patients ===

==== Process for identifying Overflow Patients ====

# Go to Citrix Apps on Desktop

# Click on EPR Reports

Line 42:

Line 41:

# Scroll though the list to look for only internal medicine patients that went to off-service wards. (Do not count patients that go to ICMS).

==== STB Med Office tracking of overflows ====

=== STB Med Office tracking of overflows ===

# Write down a list of these patients with their chart numbers on a paper.

# Place this list on the bulletin board in the medicine office so that both medicine data collectors are aware that there are medicine service patients on off-service wards in the hospital.

===== generated list for [[overflow]]s also includes EMIP patients =====

==== generated list for [[overflow]]s also includes EMIP patients ====

**When reviewing the list of patients generated by the above method, you can also identify some [[EMIP]] patients. The patients that were accepted by medicine while in ER and subsequently were transferred to a different service while still in ER are actually EMIP patients. For example, the pt was under medicine while in ER but later (while still in ER) are taken over by surgery, palliative, critical care, etc. These are EMIP patients. --[[User:Malcudia|Malcudia]] 07:46, 2017 February 10 (CST)

Line 53:

Line 52:

* If these patients get discharged from the off service ward to home or out of hospital location, then these are considered overflows that must be entered on the E5 laptop.

*This patient list is posted on the bulletin board of the medicine office. If they are admitted to one of the medicine wards, then that data collector will cross that person off the list. Once a week check if the pt is still in the hospital, if they have left and were never admitted to one of the medicine wards, then the E5 data collector will enter them on her laptop. --[[User:LKolesar|LKolesar]] 06:48, 2017 February 1 (CST)

~~=== Who collects Overflow and EMIP Patients===~~

*EMIP's and Overflows at STB are collected on the E5 laptop only.

===Patients who are on off service wards part of their stay only===

*When a pt comes to E5, E6 or B5 from an off-service ward (this includes 6AS), the data collector must go to the original presentation of the pt to see if this pt was accepted to medicine on the off-service ward prior to their arrival on their own ward. If you see that the pt was looked after by internal medicine prior to their arrival from the other ward, make sure you start your profile on the original date that medicine accepted them (usually in ER).

*On occasion medicine patients are transferred to off service wards, but are still admitted under the internal medicine service. ie. patient transferred from E6 to 7AS (surgical ward) but still admitted under internal medicine. The attending may be different than the admitting service but it is still an internal medicine attending. Please continue to follow these patients (new profile is '''not''' required) until they are discharged or transferred to an off service ward under family medicine or any other service other than internal med. Please note the location in the RECORD box to indicate where the pt is currently located.

== [[STB_EMIP patients]] ==

=== Who collects Overflow and EMIP Patients===

*EMIP's and Overflows at STB are collected on the E5 laptop only.

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

@@ Line 25: / Line 25: @@
 *These patients are only under medicine while they reside in ER.  Once they leave ER they are either going out of hospital or going to a different service within the hospital.
-==Medicine Overflow Patients==
+==Medicine [[Off ward field | Off Ward patients]] ==
 *Medicine service patients that spend all or part of their time on an off-service ward.
-=== Overflow patients ===
+=== Process for identifying Overflow Patients ===
-==== Process for identifying Overflow Patients ====
 # Go to Citrix Apps on Desktop
 # Click on EPR Reports
@@ Line 42: / Line 41: @@
 # Scroll though the list to look for only internal medicine patients that went to off-service wards.  (Do not count patients that go to ICMS).
-==== STB Med Office tracking of overflows ====
+=== STB Med Office tracking of overflows ===
 # Write down a list of these patients with their chart numbers on a paper.
 # Place this list on the bulletin board in the medicine office so that both medicine data collectors are aware that there are medicine service patients on off-service wards in the hospital.
-===== generated list for [[overflow]]s also includes EMIP patients =====
+==== generated list for [[overflow]]s also includes EMIP patients ====
 **When reviewing the list of patients generated by the above method, you can also identify some [[EMIP]] patients.  The patients that were accepted by medicine while in ER and subsequently were transferred to a different service while still in ER are actually EMIP patients.  For example, the pt was under medicine while in ER but later (while still in ER) are taken over by surgery, palliative, critical care, etc.  These are EMIP patients.   --[[User:Malcudia|Malcudia]] 07:46, 2017 February 10 (CST)
@@ Line 53: / Line 52: @@
 * If these patients get discharged from the off service ward to home or out of hospital location, then these are considered overflows that must be entered on the E5 laptop.
 *This patient list is posted on the bulletin board of the medicine office.  If they are admitted to one of the medicine wards, then that data collector will cross that person off the list.  Once a week check if the pt is still in the hospital,  if they have left and were never admitted to one of the medicine wards, then the E5 data collector will enter them on her laptop.  --[[User:LKolesar|LKolesar]] 06:48, 2017 February 1 (CST)
-=== Who collects Overflow and EMIP Patients===
-*EMIP's and Overflows at STB are collected on the E5 laptop only.
 ===Patients who are on off service wards part of their stay only===
 *When a pt comes to E5, E6 or B5 from an off-service ward (this includes 6AS), the data collector must go to the original presentation of the pt to see if this pt was accepted to medicine on the off-service ward prior to their arrival on their own ward.  If you see that the pt was looked after by internal medicine prior to their arrival from the other ward, make sure you start your profile on the original date that medicine accepted them (usually in ER).
 *On occasion medicine patients are transferred to off service wards, but are still admitted under the internal medicine service.  ie. patient transferred from E6 to 7AS (surgical ward) but still admitted under internal medicine.  The attending may be different than the admitting service but it is still an internal medicine attending.  Please continue to follow these patients (new profile is '''not''' required) until they are discharged or transferred to an off service ward under family medicine or any other service other than internal med.   Please note the location in the RECORD box to indicate where the pt is currently located.
+== [[STB_EMIP patients]] ==
+=== Who collects Overflow and EMIP Patients===
+*EMIP's and Overflows at STB are collected on the E5 laptop only.
 ==How to determine when a patient is no longer under an internal medicine service==