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OVER

Revision as of 17:17, 2 June 2016 by GHall (talk | contribs) (→Wards)

Patients in the Medicine database who are in a admitted under a Medicine Physician Service but who spend at their ENTIRE LOS in an "off service ward bed" are designated as OVZ. (acronymn which means an overflow patient (OV) under Medicine service who stayed in an off-service ward the whole time and went home (Z)).

This does not apply to

  • EMIP patients who spent their entire stay in the Emergency Room.
  • patients who stay only a partial time in "off service ward bed"

How to enter these patients (i.e. which wards to use) is location specific, see section for your site below.

identifying patients

see Identifying patients in boarding locations

Grace

see GRA_Medicine_Collection_Guide#Medicine_Overflow for local collection info on this

GRA collection instructions

Grace OVER (overflow or over census) Data collectors will handled as follows:

  • if a non-teaching patient enter as:

Template:Discussion This is what came from the local Grace instructions... is it inconsistent with the above?

  • pts. that are admitted into an overflow bed on an off-service unit are assigned a pt. location as follows:
  • if the pt. belongs to the teaching service, the pt. location will be GRA_N3 with variable 5 OVZ
  • if the pt. belongs to the non-teaching units, the pt. location will be GRA_N5 with variable 5 OVZ

GRA Over wards

  • S4
  • S2
  • E4

Victoria

see VIC_Medicine_Collection_Guide#Daily Census Reports for local collection info on this

VIC Collection Instructions

VIC OVER (overflow or over census) Data collectors will handled as follows:

  • if a non teaching (VMU) patient enter as:
    • location field: VIC_N5 or VIC_S5 (as much as possible in equal proportion. It is important then to be mindful of the ward that was previously used in assigning the ward for the new OVER patient) and
    • Med Var 5: OVZ
      • use wards N5/S5/S3 serial number pool starting 8300 by Jan 28, 2013
  • if a teaching (CTU) patient enter as:
    • location field: VIC_S4 and
    • Med Var 5: OVZ
      • use ward S4 serial number pool starting 8300 by Jan 28, 2013
        • Overs can only be found in the admission/disharge book in Medical records at the Vic. Copy the information (name and chart number and discharge date) The nurse collecting on CTU S4 collects this information. Check to see if patient is a VMU patient or CTU patient. If VMU give information to nurse who is collecting on 5N/5S ( VMU has separate laptop same with CTU ) Make sure you indicate that the patient is an Over in access ( enter OVZ) and follow your serial log numbers according to last log number. As in EMIPs/Overs when checking the book in Medical records initial the page of discharges last checked.

VIC Over wards

  • S2
  • N2** we have always stated OVERS from the 2 floor as "S2" this was done prior to my arrival at the Vic so we never coded a location as N2.This is a sugical floor with medicine patients from CTU or VMU admitted there if no beds on the other wards .
  • N4** usually only 417-1 /417-2 / 417-3/417-4/ 418-1/ 418-2/ these are considered mixed beds they can be FM or CTU so you must check which service the patient belongs to. Only 17-1 and 17-2 are considered as OVERs and this changes if the patients are moved to S4 beds .
  • EMIP (Stay in ER whole time under med service)

VIC Start Date

for collecting OVER patients VIC : May 9, 2007

VIC Legacy info

starting Jan 28, 2013.

  • Serial Sequence
    • OVER patients under VMU service attending care will use serial sequence being followed by wards N5/S5/S3 while OVER patients under CTU will use serial sequence being followed by ward S4.
    • As of Jan 27,2013, for N5/S5/S3 serial sequence, the last serial = 5571 while for S4 serial sequence, the last serial = 7975. Starting Jan 28, 2013, both serial sequence will jump and start at SERIAL = 8300 for any new patient admitted in the ward.
      • Serial numbers 8000 to 8299 will be used to replace the SERIAL numbers previously assigned to OVER patients from May 2007 to Dec 2012 (i.e. between 1 and 599). This is done to avoid any duplication in serial numbers under the same ward.

STB

see STB_Medicine_Collection_Guide#Medicine_Overflow for local collection info on this

STB Start Date

March 2016

Wards

  • A6S most common but can be any surgical or medical ward.

Instructions

  • The definition of an overstay pt is that the pt was admitted to a ward where we do not collect data. The pt never goes to E5, E6 or B5 but is accepted and looked after by internal medicine on a different ward.
  • For overflow patients, use E5 as the location but put OVZ in the variable 5 slot. (It does not matter if the pt is A, B or C service med.)

HSC

Wards

Collector enters location A4, D4, H4 which is based on Physician service patient admitted under while in this overflow area.

  • RR5
  • RR6
    • There is 8 beds designated on these 2 units as needed
  • H7 is currently being used for overflow. It is called H7A on EPR.
  • Pts will be logged into the logbook as non teaching pts from various services. These are not to be confused with the high observation patients.

Data Processing

no changes done by processor

Integrity Checks

None

Related Articles

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