2020-04 HSC COVID unit transition: Difference between revisions
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** I have added B2 as dropdown for service location for all HSC laptops for next version. | ** 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}} | *We also need H4H_p added to our temp boarding locations}} | ||
===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 | |||
# the [[Service/Location]] will be your home ward location | |||
# 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 === | === data processor instructions === |
Revision as of 14:05, 2020 April 15
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.
Background
Medicine specifics
For Lisa's example, there can be 3 options assuming no official date yet for D2 as COVID positive ward : 1) A4, D2 together and new record D4 2) A4 one record, D4 new record – drop D2 (suspect only) because we don’t collect on that ward 3) A4 as one record and D2,D4 together as new record Which one? not sure, I have to think. Maybe option (2).
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?
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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? |
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.
Wards involved:
originals:
Service Locations
Tmp entries
- The following should be added to Tmp entries :
- HSC_D5_P
- HSC_D4_P
- HSC_H4H
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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
collector instructions
- change the Service/Location of the record to the new location (ie from HSC_H4H to HSC_B2 )
- Multi DC are collecting the H4H patients
- HSC_H4H_a to HSC_B2
- HSC_H4H_b to HSC_B2
- HSC_H4H_d to HSC_B2
- HSC_H4H_h to HSC_B2
- the new ward B2 does not need a subscript anymore because the Laptop identifier replaces it.
- Multi DC are collecting the H4H patients
- 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.
- for patients who had no location borrowing during transition:
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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
- the Service/Location will be your home ward location
- 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. |
Reporting
- service location HSC_H4H before April 14,2020 and HSC_B2 can be together.
- all COVID wards namely HSC_D4_C, HSC_D2_C, HSC_MS3 can be together.
- HSC_MICU, HSC_A7_MI, HSC_H7_MI can be together.
- HSC_SICU, HSC_A7_SI, HSC_H7_SI can be together.
Cross checks
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Related articles
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