Isolation-Task
Task items replaced iTISS as a sampler of specific "nursing workload" items that the medicine program continues to track as QA indicators.
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.
These items are included in: S_AllDiagnoses table which is in CCMDB.mdb. Was also on the PDA in HanDBase which was phased out as of September 2010.
Isolation Task
Possible entries for Isolation task:
- 100500 - Isolation None (If no isolation is charted', or only a mask was required, collect it as none)
- 100501 - Isolation Total (gloves,gown,masks) (gloves, gown, mask);hence, there should only be a few patients with this task marked
- 100502 - Isolation (gloves and gown)
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.
Date Glove and Gown added
options changed June 5.09--TOstryzniuk 17:35, 5 June 2009 (CDT))
- use to only collect total isolation (Glove, gown, mask)prior to this date.
Test data
see Test data
Data Integrity Rules
Since we are coding what is actually charted, no integrity checks can be done on this. However, it would be interesting to run a report on the corellation between diagnoses and the charting of isolation sometime to see what it shows.
- QUESTION: would be the reason that Task Isolation (glove, gown) as not marked when an admit or acquired diagnosis is MSRA or VRE +ve? Thank you for your input on this.--TOstryzniuk 11:26, 19 October 2010 (CDT)
- in 2009-in Medicine there were 234 cases of VRE or MSRA +ve in admit or acquired diagnosis, however, there are only 119 marked with task of Isolation. (glove, gown).
- in 2010, in Medicine, there were 271 cases of VRE or MSRA +ve with only 239 marked with the task of Isolation (glove, gown).
- On my 2 units @HSC B3&D5 MRSA will always be isolated, VRE will be isolated if the pt is having diarrhea and is confused, but if the pt is Ox3 and up and about and no isolation rooms around they will not isolate and ID is ok with this--PStein 07:48, 20 October 2010 (CDT)