OVER
OVER is used as a LOCATION in the Medicine database. This indicates a patient is in the hospital under a Medicine Physician Service care, but his entire LOS is in an "off service ward bed". For example
- OVER is used as location for Medicine service patients at the Victoria Hospital who are admitted from ER to a non-VMU bed (off service ward) for their whole stay. This patient has to be admitted to VMU before we track them. We use different serial numbers for this.
- OVER is used as a location for medicine service patients at Grace General Hospital who are admitted from the ER to an "off service ward" for their whole stay under medicine service.--TOstryzniuk 16:20, 4 January 2011 (CST)
HSC_TEMPORARY change for medicine service non-teaching contingency beds
- Extra Medicine service contingency beds will be located on: HSC_H4 and the old CCU on the 7th floor.
- Change in effect from Jan 3.11 to Approx to Feb 24.11 until renovations are completed. (renovations are being done to H7 Non HOBS contingency beds which may take 3-8 weeks).
HSC Collection Process
Even though the actual physical location of these non-teaching contingency bed patients are either physically on H4 or in the CCU, or in the 733 side of H7, the location entered into the database will be the physician service attending care that the patient is under.
Example:
- If in a H4 or CCU contingency bed under "A" physician service care then include as part of A4 occupancy and LOCATION will be collected and reported as A4. Con will be collecting data on A service non-teaching.
- If in a H4 or CCU contingency bed under "D" physician service med then include as part of D med ward occupancy and LOCATION will be collected and reported as D4. Fran will be collecting on D service non-teaching.
- If in a H4 or CCU contingency bed under "H" physician service med then include as part of H med ward occupancy and LOCATION will be collected and reported as HSC_H4. Gail will be collecting on any H service non-teaching if there are such.
- As Pat reminded me there is no "B" Medicine, I'm not sure if she will be impacted by this move to H4. If a patient that she was already collecting on went to H4 non-teaching then she would code the move and continue to collect data.
- Gail will let you know if there is a patient from your service on her ward and you will be responsible to collect the data on that patient.
- The ward clerks are supposed to enter the patients into the log book and check off when the patients are non-teaching for now those contingency bed patients on H4 will be entered in the H4 log book and those in the old CCU will be entered in the MAIN HOBS log book by the HOBS ward clerk who used to do it all the time when the location was 733 (nonHOB side of H7). They will be flagged non-teaching and assigned collectors according to the respective service they belong to.
HSC MED Collection instructions for Contingency beds
- Location: is the Physician Service admitted to: A, D or H. (Example: HSC_H4, HSC_A4, HSC_D4, HSC_D5, HSC_B3)
- Record in the Tmp the MOVE date and time to be the same as admission date and time and put:
- move TO location H7T for teaching or
- move TO location H7N for non teaching
- H7N or H7T mean contingency bed either on H4 or in CCU or 733 side of H7
- When patients moves TO: A4,H4,B3,D4 or D5 we do not need to create a new profile for them, just follow them as continuous from med ward or origin.
- a new profile is only created if a patient is discharged to another Medicine Service Care.
- There should not be H7T because only non-teaching patients are supposed to be admitted to the non teaching side. If a teaching patient is located on the 733 side most likely this is a high observation patient. They may need to borrow space for isolation or other reasons.GHall 15:05, 3 January 2011 (CST)
Discussion
We are planning to change the location label of H4H to just HOB. Must discuss further in main office because it impacts a number of program. Will let you know. --TOstryzniuk 14:34, 23 December 2010 (CST)
Related Articles
Medical Records has a file for Data Collectors in which there are Bed Census Services Reports given to us on a daily basis. These sheets record the clients name ID and which service the client is on and the Doctor.These clients are in emerg and not the wards yet. So what they have done here at the Vic is compare the names with the N5 S5 CTU S3 clients that are admitted and then make a list of the clients who are not admitted to those specific wards. Once that is done you check in Medical records for those names once they are discharged. This also applies for EMIP and OVER patients. We keep a specific log book combined serial log numbers for EMIP and OVERs.