2020-10 COVID unit collection

This page explains how we will collect data on patients located in COVID units or other temporary units starting 2020-Oct-15.

Instructions

How do we decide which patients to include

Include all patients admitted under the services you generally collect.

As in the first wave will we exclude those patients that are not under any of our medicine services? Ie. neurology and respiratory patients but we do include nephrology patients. I will pass this question on to Julie, since reporting needs should drive the answer to this. Ttenbergen 21:22, 2020 October 15 (CDT) what was done in the past? are we collecting nephro under Medicine service? I thought we are only collecting patients under Medicine service in the designated Covid wards? This is what I have said to GRA when the same question was asked to me. Trish can you confirm? --JMojica 11:18, 2020 October 26 (CDT)

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Effective October 23, 2020 STB Medicine Unit E6 is opened as second covid positive unit- Red zone. - Pam My understanding is that the boarding location STB-COVID unit will capture covid positive unit changes within a facility. Since there are now two covid positive units at STB, I suggest entering the specific unit in the Q column. Unless main office needs something different. - Pam This is a bit tricky. should we collect all COVID admitted at E6 or just those under Medicine service? I think collect only those under Medicine Service. enter in the boarding Loc STB Covid unit and in the comment E6 to differentiate it with A6GY. Meantime B4NO boarding will have the overflows of non covid B service. does this make sense? --JMojica 11:18, 2020 October 26 (CDT)

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Which laptops will they be collected on?

• At sites that use PatientFollow Project, patients will be assigned to laptops based on that.
• At STB, until they join PatientFollow Project, patients in COVID locations will collected by Pam/S5 Laptop identifier; if there are special cases/exceptions, please note them here

How will they be entered on the laptops

• Create an entry for the patient following the Change from Service Location to Service, Boarding Loc and Transfer Ready DtTm tmp entry
• Enter a Boarding Loc entry of <your site> - COVID unit (e.g. "HSC - COVID unit") for any admission to and time spent in a COVID unit
  • enter the actual location into the comment field, e.g. JKL3

• If the patient moves to another unit from a COVID unit:
  • at PatientFollow Project sites, or if the move is to a Service/Location also collected on this laptop, enter a Boarding Loc entry for this move
  • at non-PatientFollow Project sites, and if the Service/Location is not collected on this laptop, discharge the patient from this laptop as they will be collected by the corresponding other collector

• If the patient moves to the COVID unit from another unit:
  • at PatientFollow Project sites, or if the move is from a Service/Location also collected on this laptop, enter a Boarding Loc entry for this move
  • at non-PatientFollow Project sites, and if the previous location is not collected on this laptop, discharge the patient from the first laptop and enter them on the laptop responsible for the new Service/Location

• If the unit a patient is on changes to be a COVID unit, or changes to no longer be a COVID unit, and the patient stays put.

So, to be on the same page about this: I would enter a change in boarding loc, with covid unit and same location and the date that they changed it. That way Julie is still able to report on who is on a COVID unit when. Does that make sense for Julie, and for collectors? Emailing Julie and STB Med collectors since that is where it came up, but the same answer should hold for HSC and GRA. Ttenbergen 11:03, 2020 October 26 (CDT) Additionally, do we enter a boarding loc when a change in designation is declared, and/or when an outbreak is declared? Ttenbergen 11:10, 2020 October 26 (CDT)

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What to enter for Pre-admit Inpatient Institution Previous Location / Dispo for patients from/to Covid units

• Just enter the generic <site>_<program> (e.g. HSC_Med)

Background

Physical locations of COVID isolation, cohorting and expansion keep changing. Every change we make to Service/Location causes extra disruption to collection, documentation, training, vacation coverage hand-over and data processing steps so we needed a flexible method that doesn't require decisions and changes every time locations are opened, closed or moved.

We will start to treat COVID and other contingency locations like any other Boarding Loc.