Wednesday April 1- HSC_H4 patients moved to HSC D4 as suspect COVID cases (HSC_H4 closed for terminal clean)
allHSC_H4 patients were moved to HSC_D4_C and were all considered as covid suspects. and they are the ones who were now labeled as D4 suspects who later move to HSC_D2_C in Apr 3. the ones left at HSC_D4_C are all COVID+. HSC_H4 is vacant from April 1 forward
Friday April 3 - D4 Suspect patients moved to D2 Covid Suspect ward (D4-C is now the COVID positive ward)
Tuesday April 7 - Boarding Loc beds HSC B2B moved to HSC WRS2
Tuesday April 7 - HSC_D2_C opened as COVID-19 ward
Tuesday April 14.20 – patients in HSC_H4H (GH7 HOBS) moved to HSC_B2
MS3 will be another new COVID-19 ward (HSC_MS3) with 29 adult beds
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Medicine specifics
Julie wrote - We should have a cut-off date for the additional covid ward D2 and MS3. As I understand these new wards are for covid positives. Once dates are confirmed, then we start collecting at D2 and MS3.
Currently D2 is still a suspect ward, D4 is still our only COVID + ward Lisa Kaita 17:01, 2020 April 16 (CDT)
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If all the covid wards are operational, how to handle the case where the patient stayed in 2 official covid wards consecutively - 1) separate records or 2)one continuous record? I think we should consider (2) as continuous. (who asked?)
what was the decision? Ttenbergen 10:31, 2020 May 14 (CDT)
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ICU specifics
Related to ICU, how will the patient originally at HSC_MICU then move to either H7 or A7 under the care of MICU be collected - will the move to H7/A7 be a new record or continuation?
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April 2020 HSC_MICU will admitted both SICU and MICU physician Service patients that are either suspect or confirmed COVID patients. No suspect or positive covid will be admitted to HSC SICU. Though MICU is a close unit the SICU patient in this unit will be under the SICU attending service physician. Depending on skill set required, sometime may be a SICU nurse or just MICU nurse. The nurse bit we will not be able to track. We need to ask Randy and Bojan how they want this tracked in Database in terms of service occupancy. Put service Loc as HSC SICU and tag in TMP as boarding location? Julie would some of the logic applied to bed board apply to how we tag this.
Does that mean all those should be removed as s_dispo table entries? If we keep them in both linking will mess up.
are you using the tmp entries in linking? I use the s_dispo when I do linking. I use the tmp entries to calculate time spent in each boarding loc and home ward. --JMojica 11:03, 2020 April 15 (CDT)
No, not using tmp entries for linking, but if info is kept in tmp instead of new record added then the dispo entry in previous record or previous entry in next record may not match with the service location.
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Transition plan
There is no transition plan for the new COVID wards and the additional ICUs. Just need to add in the s_dispo table
This transition plan is only for the patients in H4H who were moved to HSC_B2
"HSC_H4H" needs to be added to s_tmp of Project BoardingLoc
what needs to change on laptops? Trish Ostryzniuk 18:00, 2020 May 12 (CDT)
good question; also, what needs to change on the wiki.
Service/Location - HSC D2 C had been available but was never entered; I have inactivated it, and we could probably delete it. Since it was never used as a Service/Location, the wiki page HSC D2 C needs to have that template removed. Possibly it can be altogether deleted. However, for now there is a big question on there that was supposed to go to the Task meeting, so not sure where to go with that.
Boarding Loc - D2_C was never a specific Boarding Loc, so no change needed there.
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Stopped May 12.20. will be Ortho.
This ward is a mix of different medicine patients ie. H, D, A, unkknown, and nephrology patients, therefore each data collector will enter their own patients
in the tmp the Boarding Loc will be generic boarding and in Q column enter D2
if the patient's result is negative and they are moved back to their home ward then enter Boarding Loc HSC home medicine ward with the date and time they are transferred back
if the patient's result is positive, create a new profile using D4_C or whichever COVID + ward they are transferred to, if they remain on D2 no changes are required
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
Serial Number
For transition units ie. D5 to WRS3, D4 to D5, H4H to B2, use your continuous serial numbers
For D4_C start with serial number 150
Reporting
service location HSC_H4H before April 14,2020 and HSC_B2 can be together.
