Isolation-Task
Only mark a task as performed if it was done during a patients stay on your ward. If a task was done prior to patient coming to your ward or after patient is transferred to another ward, it should be marked as no or none during the stay on your ward.
Isolation Task
possible entries:
- None
- GG - gloves and gown only
- Total GGM - gloves, gown and mask; hence there should only be a few patients with this task marked
Mark isolation as None if only a mask is required.
Collection Rationale
- This element is collected not only for nursing work load but also as a quality indicator to facilitate future work on infection control.
- We decided not to code mask only isolation because it is both very common, doesn't relevantly correlate with anything, and takes very little time.
Legacy Data
options changed June 5.09--TOstryzniuk 17:35, 5 June 2009 (CDT))
Template:Data Integrity Rules Template:Discussion
Diagnosis corrected after Isolation applied
- Trish, I have had patients that have been ordered on isolation by the Doctor for suspected TB. I have marked the Task Isolation Total. The tests have all come back negative and the isolation has been discontinued by order from the Doctor. Because the patients were ordered to be on isolation(and were on total isolation) I have kept the Task Isolation as Total and sent in the profile even though there is no infection to be linked to it. Is this correct?TAngell 10:37, 18 June 2009 (CDT)
- TB isolation is usually only respiratory precautions against a droplet transmitted infection- not total isolation.We are not collecting a TASK for mask precautions.If your patient was on glove,gown and mask precautions at anytime during the stay on your ward you would mark the TASK "total isolation" even if the culture came back negative or the isolation was discontinued.
- If we want collectors to change diagnoses once it is discovered that an isolation-causing diagnosis was false we will not be able to implement a hard check in CCMDB.mdb for this. What should be the plan?Ttenbergen 16:49, 3 September 2009 (CDT)
- TB isolation is usually only respiratory precautions against a droplet transmitted infection- not total isolation.We are not collecting a TASK for mask precautions.If your patient was on glove,gown and mask precautions at anytime during the stay on your ward you would mark the TASK "total isolation" even if the culture came back negative or the isolation was discontinued.
What would be the complete list of diagnoses qualifying for and/or requiring Isolation?
As from !_Automated_Data_Integrity_Checks#Q9.6_-_Isolation_Task: Pagasa runs the following check: If code = 99.22, 99.24, 99.48 in any Admit/ Acquired then Isolation must be marked.
Discussion
- Should Isolation also be marked if VRE (22), MSRA(48) or ESBL (I think that’s a group marking, not a specific bug…?) are the pathogen? For any other pathogens? (Tina)
- These are super-bugs and so need isolation. There are others cases of isolation like TB but we can’t tell by the code if the level of TB needs isolation. (Julie)
- What I meant to ask was, should isolation not be for any occurrence of those pathogens in any infection, rather than only 99.*? (Tina)
- These are super-bugs and so need isolation. There are others cases of isolation like TB but we can’t tell by the code if the level of TB needs isolation. (Julie)
- If we can cross-check so completely for who should have had isolation, and if we are going to hard-code this into CCMDB.mdb, then why are we collecting isolation at all and not just deriving it from the diagnoses? Ttenbergen 16:55, 3 September 2009 (CDT)