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.
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.
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.
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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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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.
Were there more? Pls add... Ttenbergen 20:29, 2020 April 14 (CDT)
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Service Locations
Tmp entries
The following should be added to Tmp entries :
HSC_D5_P
HSC_D4_P
HSC_H4H
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
the new ward B2 does not need a subscript anymore because the Laptop identifier replaces it.
enter the actual location as part of Boarding Loc:
for patients who had no location borrowing during transition:
change the "no borrow" line to "HSC_H4H" and enter the time the patient arrived in H4H
add a line for "HSC - Home medicine ward" with the time that the patient was actually moved
if there were patients who actually were in a borrow location during the transition, let's talk about how we would enter those
The move from H4H to B2 happened April 14th.
Are we supposed to have a drop down option for B2 in our service location field? If the plan is to treat this the same way as we treated the d4 to d5, and d5 to WRS3 moves, then we will need more drop down options. Mlagadi 07:50, 2020 April 15 (CDT)
I have added B2 as dropdown for service location for all HSC laptops for next version.
We also need H4H_p added to our temp boarding locations
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D2 COVID Suspect Ward
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 as your Service/Location if for some reason the patient is not physically transferred and remains on D2 then enter Boarding Loc D4_C with the date and time closest to the positive result, in the tmp the Boarding Loc will be the generic boarding and in Q column enter D2, if or when they move to D4_C enter in the tmp Boarding Loc HSC home medicine ward with the date and time they are transferred to D4_C
data processor instructions
Depending on how we do this with tmp vs service location we may end up with linking issues and orphans; need to review.
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Reporting
service location HSC_H4H before April 14,2020 and HSC_B2 can be together.
