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| == Background == | | == Background == |
| They are adding a new ward [[GRA_5S_C]]. | | They are adding a new ward [[GRA_5S_C]]. |
| | The dates are not yet finalized |
| | * '''Monday?? April ??.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 |
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| == Transition plan == | | == Transition plan == |
Revision as of 14:16, 2020 April 14
This page is about the transition of collection units at GRAto accommodate the new COVID unit.
Background
They are adding a new ward GRA_5S_C.
The dates are not yet finalized
- Monday?? April ??.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
Transition plan
- There is no transition plan for the new COVID ward GRA_5S. Just need to add in the s_dispo table.
- This transition plan is only for the patients in N5 who were moved to B2.
collector instructions
- change the Service/Location of the record to the new location (ie from GRA_N5 to GRA_B2 )
- enter the actual location as part of Boarding Loc:
- for patients who had no location borrowing during transition:
- change the "no borrow" line to "GRA_N5" and enter the time the patient arrived in N5
- add a line for "GRA - 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
Reporting
Cross checks
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- Have not yet checked how this will impact CFE Data Integrity Checks. Pagasa, of the top of your head which would be impacted and how?
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I have spoken with Richard Q the manager on the 5th floor today and this is what he has told me:
- As of right now, they still don't have confirmation on the designated COVID units, but at this time, 5N is being used for COVID SUS and 5S is being used for COVID POS admissions. Currently according to EPR there are 2 positive cases admitted to 5S.
- Over the past week, there has been a lot of movement from 5N to 2S, which in the past was where our boarders were moved to. When I asked Richard, he indicated that 2S has become the "clean" medicine unit. Again, this is all yet to be confirmed by GH and/or WRHA.
- Currently, there is 1 doctor who has taken on the COVID patients, but again, this could be temporary and may change over time depending on what the demand is.
- Unless they are labeled COVID POS in EPR, there is no way for us to know what the swab results return as. This information will only be gathered once the chart is available in Medical Records. If you would like to grant us the ability to go to eChart to review, I'll leave that to the powers that be to decide. My understanding is in this Data Collector role, we are no to review records in eChart.
So the questions I have are:
- For the patients who have been moved from 5N to 2S - I have been tracking these as boarders. Do you want me to continue in this manner?
- For the POS patients who have moved from 5N to 5S - How do we want to track these? There is a dispo location to this unit, but I don't yet see a Service Location for this unit (unless Tina/Julie are still working on this step and it is yet to come).
- I would like some direction on how to proceed - I didn't know that my medicine unit (5N) was transitioned into a COVID floor. I've been entering and tracking the 5N admissions and 2S boarders. I know it's difficult to make decisions when no one really knows what's going on, but before I get too deep in COVID I'd like to have some direction to avoid duplication of work (i.e. having a profile for a 5N admission and a second profile for a 5S admission if we decide to track them).Surbanski 14:42, 2020 April 8 (CDT)
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- I have another question - currently I am recording data and admissions on 5N (as per the current process), which we are assuming is the COVID SUS ward. Some of these patients are discharged from the ward after a couple of days once (I assume) their swab results are back negative. If we're not interested in collecting for COVID SUS, then we need to change the process for data entry on this unit. Technically, my 5N medicine patients are admitted on 2S, which are now all being labelled as "Boarders". I'm not sure what that would look like but I'm open to a discussion with whoever it would be who would decide this. Surbanski 08:57, 2020 April 9 (CDT)
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