2020 GRA COVID unit transition: Difference between revisions

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== Reporting ==
== Reporting ==
service location [[GRA_N5]] before move date to [[GRA_2S]] and [[GRA_2S]] can be reported together.
service location [[GRA_N5]] before April 15, 2020 and [[GRA_2S]] are reported together.
service location [[GRA_PACU]] and [[GRA_ICU]] are reported together.


== Cross checks ==
== Cross checks ==

Revision as of 16:32, 2020 April 17

This page is about the transition of collection units at GRA to accommodate the new COVID unit.

Background

The dates are not yet finalized.

  • Saturday March 28.20 – start date patients in GRA_N5 move to GRA_2S but not all. Moves are are on staggered basis in April.
    • Wednesday April 15.20 - the decided date as a cut-off for the service_location change
      • All admit dates before April 15, 2020 will have service_location = GRA_N5
      • All admit dates on or after April 15, 2020 will have service_location=GRA_2S
  • ?? April ?? .20 - 5S will be a new COVID-19 ward GRA_5S_C with ?? adult beds
  • Tuesday Apr 14.20 - GRA_PACU with 15 beds are added to Grace ICU for non-covid pts. The current GRA ICU with 10 beds are for covid pts.

Medicine Situation

Collection instruction summary for now

If in the documentation from ER it says that a COVID swab was sent and they do NOT indicate the result, we assume they were admitted to whichever ward as COVID SUS

  • If they were admitted to 5N, service location= home ward location (3N, 3S or 2S), boarding loc in tmp= 5N
  • If they’re admitted to their home ward, Service Location = home ward (3N, 3S, 2S), no boarding loc in tmp is necessary, unless they are transferred to 5N at some point during their stay
  • If they’re swabbed positive, the initial profile will be discharged to 5S_C, and a new profile will be created Service Location= 5S_C, and if they’re physically anywhere other than 5S_C we will add a boarding loc entry.
    • We do not follow surgery patients that are COVID suspect unless they are under the care of medicine


Transition plan

  1. There is no transition plan for the new COVID ward GRA_5S_C which has already been added to the s_dispo table.
  2. This transition plan is only for the patients on N5 who were moved to 2S or who remained on N5 under the N5 physicians.
  3. GRA_N5 patients discharged before April 15 remain GRA_N5


collector instructions

  1. change the Service/Location of the record to the new location (ie from GRA_N5 to GRA_2S )
  2. 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

N5 COVID suspect ward

This ward is a mix of different medicine patients ie. 3S, 2S, and 3N patients, therefore each data collector will enter their own patients

  1. the Service/Location will be your home ward location
  2. in the tmp the Boarding Loc will be N5
  3. if the patient's result is negative and they are moved back to their home ward then enter Boarding Loc GRA home medicine ward with the date and time they are transferred back
  4. if the patient's result is positive, create a new profile using S5 as Service/Location if they do not physically move to S5 and remain on N5 then enter Boarding Loc N5 with the date and time closest to the positive result, if or when they move to S5 enter Boarding Loc Gra home medicine ward with the date and time they are transferred to S5

Special Circumstances

When reviewing a chart in MR and you find a positive result that is dated after their discharge date and time.

We then need to split the profile into

  1. Before COVID positive (ie COVID suspect) with service_loc=home ward, boardingLoc if applicable, dispo_dttm=(swab sent date/time)
  2. Arrive date/time= swab sent date/time +5 minutes, service_loc=5S_C

Which serial numbers should be used

  • I want to confirm, are we using serial numbers starting at 150 for all 5S admissions?

Surbanski 09:10, 2020 April 16 (CDT)

    • I think you just have to continue your serial number. do you agree, Trish and Tina? --JMojica 09:43, 2020 April 16 (CDT)
      • At HSC we are continuing using the same serial numbers, please let us know if we should be doing something different Lisa Kaita 10:28, 2020 April 16 (CDT)
        • The new Serial Number helper will give you highest current of that service/location + 1; so we should use different series for each service location. If you end up trying to enter a serial while that serial is already on your laptop, you will get an error. So if we made more than one new location for someone we should start new serials in a staggered way, with the unit with expected higher throughput having the higher number. Eg. start slower unit with 150, and faster unit with 1150. Alternatively, we could move to a system where each laptop uses a single serial number pool; I would need to update the helper for this. Ttenbergen 11:12, 2020 April 16 (CDT)
          • Before we clean this out, this above info needs to be moved to Serial number. Ttenbergen 11:12, 2020 April 16 (CDT)
  • SMW


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ICU Situation

  • The current Grace ICU will be the COVID unit. A new 15 bed ICU has been set up in the GRA_PACU area, this will be the clean ICU.

Reporting

service location GRA_N5 before April 15, 2020 and GRA_2S are reported together. service location GRA_PACU and GRA_ICU are reported together.

Cross checks

  • SMW


  • Cargo


  • Categories
  • 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?
  • SMW


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