Swap Locations

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Some sites use swap locations as entries in EPR.

When patients need to switch locations, patient swap locations can be performed in the ADT EPR.

Example:   
  • Ex 1: For example, patient A and patient B need to switch locations. Patient A is in a private room and patient B is in a semi-private room. Both patients could be transferred into the swap location or non-census location, freeing up both of the unit beds. Then both Patient A and Patient B can be transferred into the correct unit and room/bed.
  • Ex 2: A patient was in a swing bed from 0243 until 0405 that is the actual arrival time to the unit.

The patient remained in ER until 0405 but MR staff had to electronically enter/place the patient somewhere.

The problem

  • We need to ensure this is dealt with consistently in the context of Using Cognos2 to keep track of patients and Cognos2 Unit Starter. CUS lists when someone arrives on a unit, not in a bed. So, for GH-SWAP Locations it is immediately visible that pt is there, but for SBGH Swing Beds it is not.
  • Since EPR/Cognos lists these patients as being physically on the unit already (just in a swing bed) and we list them (correctly) as still being in the ER, this could result in discrepancy between our reports and other hospital reports. This can't be fixed, but is good to know if we are ever asked about reasons for discrepancies.

The solution

We considered whether there are ways to deal with these in the data/filters/programs, but since the scenarios when and how these would be used aren't entirely predictable it was decided to keep these a manual process. See SBGH Swing Beds and GH-SWAP Location for details.

Location specific info

"Swing beds" at STB

See SBGH Swing Beds

"Swap locations" at GRA

See GH-SWAP Location

HSC

According to Chastity there is no such thing at HSC.

Except, on 2021-02-12 we saw a unit "HSC-HOLD", and it wasn't clear what that was about.

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