This page is about the April transition of collection units at HSC to accommodate the new COVID unit. See 2020-03 HSC COVID unit transition about earlier transitions in March.
Lisa asked - Patient x under A goes to A4 then becomes suspect and moves to D2 then becomes positive and moves to D4 but stays under A the whole time, do we make a new profile for each move? Or keep as one profile?
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 WS3.
For Lisa's example, there can be 3 options assuming no official date yet for D2 as COVID positive ward :
1) A4, D2 together and new record D4
2) A4 one record, D4 new record – drop D2 (suspect only) because we don’t collect on that ward
3) A4 as one record and D2,D4 together as new record
Which one? not sure, I have to think. Maybe option (2).
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.
Any thoughts?
Tina commented - Keep in mind with all this that having a single record is maybe less work, but having multiple might actually make it more straighfwd to track all this. Also, how collectors get this out of EPR might be easier if we do it one way than another.
So far, I have been using option one. We have had a lot of admissions to D2 over the weekend, and I have been entering them as though they are an off ward D5 patient. I don't think option 2 would work, because these are medicine patients admitted under our services, so ignoring that part of their stay wouldn't make sense. I'm happy to change this, but we should decide soon before this gets too complicated.Mlagadi 15:07, 2020 April 14 (CDT)
if D2 is under Medicine service, then D2 can be consider as an off ward - I agree this makes sense. --JMojica 15:22, 2020 April 14 (CDT)
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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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The dates are not yet finalized
Tuesday April 14.20 – patients in HSC_H4H (GH7 HOBS) will be moving to HSC_B2
?? April .20 - MS3 will be another new COVID-19 ward (HSC_MS3) with 29 adult beds
?? April .20 - D2 will be another new COVID-19 ward (HSC_D2_C) with 32 adult beds
?? .20 - H7 (H7 and H733 old CCU) will be additional 17 beds for ICU (HSC_MICU and/or HSC_SICU)
it is not yet clear if this ward is allocated for MICU only or SICU only or both - waiting for the decision.
?? .20 - A7 will be additional 14 beds for ICU (HSC_MICU and/or HSC_SICU)
it is not yet clear if this ward is allocated for MICU only or SICU only or both - waiting for the decision.
