HSC D4 COVID: Difference between revisions

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*March 20 2020, all medical patients originally on this ward were transferred to D5.  
*March 20 2020, all medical patients originally on this ward were transferred to D5.  
**This ward was then designated to be an isolation ward for patients who tested positive for COVID
**This ward was then designated to be an isolation ward for patients who tested positive for COVID
==Collection process ==
May 12, 2020:  Any covid ''suspect'' or ''positive'' patient admitted to this units is a NEW PROFILE in this service location.    If their test outcomes is negative and the patient moves back to another medicine ward we collect on, then we discharge from D4_C and admit to other medicine ward we collect on as a new profile.  D4_C is not a boarding location for suspect covid.
=== COVID status change and new profile creation ===
{{DiscussTask | Please put here what we actually want to discuss at task, not the whole discussion, or it will be really hard to bring this forward at the task meeting. Also, too much in a discuss breaks the template}}
The discussion:
2020_May_12:  There is another layer added into the unit switches. Our suspect ward (D2), has now moved to D4. D2 will change back to orthopedic surgery, so we will no longer collect any of those patients.  D4 will now become a mixture of COVID positive and COVID suspect patients. This will change how we collect these patients, as the patients on this ward were previously all positive, and as such, we were collecting them with their specific unit location (instead of considering them boarding), and giving them a unique serial number set. We will need to decide how to proceed. The unit currently has two suspects, and are expecting to admit a positive patient later today.  Just as we thought we had it all figured out…
Michelle
*. I think we should be consistent with the collection process that we use at Grace for N5 which is both a mixed suspect and positive ward.  They collect according to service and use their home service location and board on N5 .  If they are negative and remain on N5, no change is required.  If they are positive and remain on N5 no change is required, if they move to their home ward enter temp home ward with date and time.  Thoughts? 
**That sounds like the best option in terms of ease of collection, as long as it works for Julie's reports.
* At HSC, HSC_D4 is declared as COVID ward and we have agreed that any patient '''physically''' at D4 will be a new record and will be reported as one service location. We made this guideline consistent to all sites -  HSC (D4_C), STB (E6_C) and GRA (5S_C). Now, all the suspects are in separate ward, at HSC it is at D2, at STB, it is at A6GY and at GRA, it is at N5 and all these suspect locations are entered as boarding location. Starting May 12, at HSC, D2 stopped as a suspect location and now moved to D4 which is the HSC Covid ward. Question - are there any physical separation to distinguish the suspects and confirmed COVID+? if so, then we can consider the suspects as if boarding only, with service_location=home ward. what happens if the test is positive? - a new record with service_location=D4_C is to be done.  If there is no distinction on physical space, then we should consider all moves to D4 as new profile under D4_C (physically) regardless of test result.  --[[User:JMojica|JMojica]] 10:20, 2020 May 13 (CDT)
** There is no physical separation between the suspects or positives on D4 (This is the same at the Grace on N5)  The problem with a suspect on D4 that then becomes positive is we run in to issues of what date and time to use for the new profile because the swabs are often sent from ER, so technically if they are positive they have been for their whole admission.  Also, we identified an issue at Grace where a patient came from ER (swab sent from there) transferred to 5N as a suspect, patient then deteriorated and transferred to ICU as a suspect, 5 hours in to ICU admission swab came back positive.  Mindy entered that patient as home service location=3N boarding on 5N and ICD code=COVID +.  I still think it is easiest and cleanest to have them all as boarding on D4 or as you said treat them all as a new admission to D4 (however this is more work for collectors if the patient is negative and is transferred back to their home ward)  I know we have a few profiles with the new D4_C serial numbers but they number about 5-10 so they should be easy to separate out, and the rest of the reports should be run using ICD 10 coding which is what I assume you are doing anyway.  Would we need to identify D4 in another way D4_CS or it doesn’t matter?


== other==
== other==

Revision as of 16:15, 2020 May 14

Location
Location HSC D4 COVID
First Admission April 3, 2020
Program Medicine
Hospital HSC
Nr of Beds 31
Collection Unit Phone: +(204) 787-3757
Collection Unit Fax : +(204) 787-3350
Collection Unit Manager : Tanya Henderson
Collection Unit Manager Phone : +(204) 787-3086
Collection Unit Clerk : Lorene

 

Cargo:


Categories:


Location profile

  • D4 is a teaching medical ward.
  • May 12 2020: has become a mixed unit for both COVID positive and COVID suspect patients and is labelled as HSC D4 Covid.
  • March 20 2020, all medical patients originally on this ward were transferred to D5.
    • This ward was then designated to be an isolation ward for patients who tested positive for COVID

Collection process

May 12, 2020: Any covid suspect or positive patient admitted to this units is a NEW PROFILE in this service location. If their test outcomes is negative and the patient moves back to another medicine ward we collect on, then we discharge from D4_C and admit to other medicine ward we collect on as a new profile. D4_C is not a boarding location for suspect covid.


COVID status change and new profile creation

Please put here what we actually want to discuss at task, not the whole discussion, or it will be really hard to bring this forward at the task meeting. Also, too much in a discuss breaks the template

  • SMW


  • Cargo


  • Categories

The discussion: 2020_May_12: There is another layer added into the unit switches. Our suspect ward (D2), has now moved to D4. D2 will change back to orthopedic surgery, so we will no longer collect any of those patients. D4 will now become a mixture of COVID positive and COVID suspect patients. This will change how we collect these patients, as the patients on this ward were previously all positive, and as such, we were collecting them with their specific unit location (instead of considering them boarding), and giving them a unique serial number set. We will need to decide how to proceed. The unit currently has two suspects, and are expecting to admit a positive patient later today. Just as we thought we had it all figured out… Michelle

  • . I think we should be consistent with the collection process that we use at Grace for N5 which is both a mixed suspect and positive ward. They collect according to service and use their home service location and board on N5 . If they are negative and remain on N5, no change is required. If they are positive and remain on N5 no change is required, if they move to their home ward enter temp home ward with date and time. Thoughts?
    • That sounds like the best option in terms of ease of collection, as long as it works for Julie's reports.
  • At HSC, HSC_D4 is declared as COVID ward and we have agreed that any patient physically at D4 will be a new record and will be reported as one service location. We made this guideline consistent to all sites - HSC (D4_C), STB (E6_C) and GRA (5S_C). Now, all the suspects are in separate ward, at HSC it is at D2, at STB, it is at A6GY and at GRA, it is at N5 and all these suspect locations are entered as boarding location. Starting May 12, at HSC, D2 stopped as a suspect location and now moved to D4 which is the HSC Covid ward. Question - are there any physical separation to distinguish the suspects and confirmed COVID+? if so, then we can consider the suspects as if boarding only, with service_location=home ward. what happens if the test is positive? - a new record with service_location=D4_C is to be done. If there is no distinction on physical space, then we should consider all moves to D4 as new profile under D4_C (physically) regardless of test result. --JMojica 10:20, 2020 May 13 (CDT)
    • There is no physical separation between the suspects or positives on D4 (This is the same at the Grace on N5) The problem with a suspect on D4 that then becomes positive is we run in to issues of what date and time to use for the new profile because the swabs are often sent from ER, so technically if they are positive they have been for their whole admission. Also, we identified an issue at Grace where a patient came from ER (swab sent from there) transferred to 5N as a suspect, patient then deteriorated and transferred to ICU as a suspect, 5 hours in to ICU admission swab came back positive. Mindy entered that patient as home service location=3N boarding on 5N and ICD code=COVID +. I still think it is easiest and cleanest to have them all as boarding on D4 or as you said treat them all as a new admission to D4 (however this is more work for collectors if the patient is negative and is transferred back to their home ward) I know we have a few profiles with the new D4_C serial numbers but they number about 5-10 so they should be easy to separate out, and the rest of the reports should be run using ICD 10 coding which is what I assume you are doing anyway. Would we need to identify D4 in another way D4_CS or it doesn’t matter?

other

HSC_D2_C (for suspect covide) - closed May 12.20, back to ortho pt unit.

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