2020-03 HSC COVID unit transition: Difference between revisions
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This page is about the '''March''' transition of collection units at HSC to accommodate the new COVID unit. See [[2020-04 HSC COVID unit transition]] about further transitions in April. | This page is about the '''March''' transition of collection units at HSC to accommodate the new COVID unit. See [[2020-04 HSC COVID unit transition]] about further transitions in April. | ||
{{Discuss|* April 2020 HSC_MICU will admitted both SICU and MICU physician Service patients that are either suspect or confirmed COVID patients. No covid suspect to positive will be admitted to HSC SICU> Though MICU is a close unit the SICU patient in this unit will be under the SICU attending service physician. Depending on skill set required, sometime may be a SICU nurse or just MICU nurse. The nurse bit we will not be able to track. We need to ask Randy and Bojan how they want this tracked in Database in terms of service occupancy. Put service Loc as HSC SICU and tag in TMP as boarding location? Julie would some of the logic applied to bed board apply to how we tag this.}} | |||
==Background== | ==Background== | ||
* '''Thursday March 19.20''' – patients in [[HSC_D5_Pre_COVID]] will be moving to [[HSC_WRS3]] (Level 3 of 735 Notre Dame Ave. old womens Hosp) | * '''Thursday March 19.20''' – patients in [[HSC_D5_Pre_COVID]] will be moving to [[HSC_WRS3]] (Level 3 of 735 Notre Dame Ave. old womens Hosp) | ||
* '''Friday March 20.20''' – patients in [[HSC_D4_pre_COVID]] will be moving to [[HSC D5]] | * '''Friday March 20.20''' – patients in [[HSC_D4_pre_COVID]] will be moving to [[HSC D5]] |
Revision as of 16:56, 2020 May 7
This page is about the March transition of collection units at HSC to accommodate the new COVID unit. See 2020-04 HSC COVID unit transition about further transitions in April.
Background
- Thursday March 19.20 – patients in HSC_D5_Pre_COVID will be moving to HSC_WRS3 (Level 3 of 735 Notre Dame Ave. old womens Hosp)
- Friday March 20.20 – patients in HSC_D4_pre_COVID will be moving to HSC D5
- Friday March 20.20 - D4 will be the new COVID-19 ward (HSC_D4_COVID ?)
- Wednesday April 1- HSC_H4 patients moved to HSC D4 as suspect COVID cases (HSC_H4 closed for terminal clean)
- Friday April 3 - D4 Suspect patients moved to D2 Covid Suspect ward (D4-C is now the COVID positive ward)
- Tuesday April 7- B2B moved to WRS2
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- Tuesday April 14- H4H moved to B2
- Wednesday April 15- H4 reopened
HSC_D4_COVID
See HSC_D4_COVID for how we will collect the new ward.
Temporary naming
- changed names of the following in s_dispo table because the longer version was breaking sending:
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How will we identify these patients in EPR
EPR reports should work for the new locations as usual.
Transition plan
Due to the original transition plan duplicate records were created:
- one with the the original, pre-covid location (only renamed), and negative Pat_ID
- one with the future location, and negative Pat_ID
The plan was chagned as follows.
collector instructions
- delete the duplicate record with the positive Pat_ID, and keep the one with the negative Pat_ID
- change the Service/Location of the record to the new location (ie to HSC_WRS3 resp HSC_D5 )
- 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_D5_P", resp "HSC_D4_P"
- 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
- for patients who had no location borrowing during transition:
data processor instructions
The change of Service/Location will cause Orphans in Centralized data.mdb. Query COV_Pat_ID_matcher should help with cleanup. You may need to change the parameters H4/H5 to make it work for the respective laptop.
original plan, keep until fully backed out, but THIS IS NOT HOW WE WILL DO IT | |||
Tina will pull data from the D4 and D5 laptops and collectors will need to do a CCMDB data.mdb restore from Regional Server before collection.
Tina will duplicate all records for units D4 and D5 that don't have a Dispo_DtTm. The Service/Location and Serial number sequences will be as follows. H5 (old D5)
H4 (old D4)
Collector will set the Dispo_DtTm and Arrive_DtTm to official transition time, doesn't so much matter what they use but should be consistent in the two records. Collectors will continue the same serial pool they used for the old Service/Location at the new one. That way they can just up the count from where they were. We will not need to add _a, _b, _d to the new locations because including the laptop identifier in D_ID takes care of that. Why not do this with one entry rather than 2?We could have had one entry, started at old location and then ended at new location. The transition might have been quite prolonged since a pt may have been on ward for long time, and might stay there for long time, especially with D5 population. We would have been in a transition status for months. Possibly longer than this new arrangement will stay. With the current dynamic state, best to have a transition we can complete in a predictable time frame. |
Reporting
Med reporting is by ward and combined. service location D5 before March 19 and WRS3N can be together.
Related articles
Related articles: |