Transcript Completing ward list and determining eligible patients for PPS

Completing Ward List (Form A)
&
determining eligible patients for PPS
PPS Data Collector Training
April 2012
Presentation 2
Content
• What wards will be surveyed?
• When should wards be surveyed?
• How to complete the Ward List (Form A)
• How to determine eligible patients?
WHAT WARDS WILL BE SURVEYED?
Included
• All acute wards
• Patients in ED who have been admitted to the
hospital, who await transfer to a bed on the ward
• Patients in ED who have been admitted to a ward
attached to ED for observation >24 hours
• Patients admitted to acute hospital wards,
otherwise fit for discharge, awaiting transfer to a
long-term care facility/nursing home
Excluded
•
•
•
•
•
•
•
Day units/ward
ED – patients attending ED who are not admitted
Labour/delivery suite
Operating theatre
Outpatient department
Outpatient dialysis unit
Units within an acute hospital that are specifically designated
as residential care units or long-term care wards (i.e.
inspected by HIQA against Standards for Residential Care)
• Any acute ward experiencing an infection outbreak on date of
scheduled PPS
WHEN SHOULD WARDS BE
SURVEYED?
When?
• PPS for your hospital must be completed on weekdays
between Tuesday May 8th and Friday May 25th 2012
• PPS team leader plans hospital PPS schedule in
advance of PPS
• PPS team work in pairs
• Pair of data collectors should get two wards completed
per day
• PPS for one ward must be completed in the same day
– E.g. all data for St. Mary’s ward collected on Wednesday
May 8th
When?
• Start your PPS schedule in ICU
• Suggest that all data collectors go to ICU on the first
day
• Take your time on the first day
• Units where patients admitted for elective
procedures on Monday should preferably be
surveyed midweek
• Surgical wards should be surveyed
Tuesdays/Wednesdays/Thursdays if possible
• ED and acute medical admission wards should be
surveyed last if possible
On arrival to a ward
• Collect the ward list ward staff
• Enquire and note if any patients are showing
S/S of infection but not receiving antibiotics
– If yes, these patients will need to be assessed
against the HAI definitions
• Print of a ward census or equivalent
• Bring the theatre list for PPS day and previous
day
– Will help to identify patients who may have
received surgical prophylaxis
HOW TO COMPLETE THE WARD LIST
(FORM A)
Space for 20 beds on Form A
Ward List (Form A)
• One Form A per ward (if more than 20 beds on ward
complete additional forms and staple forms together)
• Form A completed by night shift nursing & midwifery
staff at or before 8am on day of PPS for that ward
• Data collected on every patient present on the ward
at or before 8am on the day of the survey
• Completed Ward List given to PPS team upon arrival
on ward
• All Ward Lists to be retained locally by PPS team
leader until final national PPS report published
Ward List (Form A)
Maternity Ward
• In maternity wards, both mother and baby are listed
as separate patients
• 15/5/12: Ward List completed at 6am
– Maternity ward has 25 beds open
– 24 mothers currently admitted
– 26 babies currently admitted
– Therefore, 50 patients recorded on three page
Ward List
2 number code
only, no letters
20, 21, 22 etc
This information should be completed in advance by the PPS team
prior to delivering the Ward List to each ward
To be completed by ward nurse or midwife
048
Post natal ward: 10 beds but 20 patients included in PPS
008
02
WHAT IS AN ELIGIBLE PATIENT?
Eligible patient
• Patient who is included in the PPS
• Patient admitted to the ward at or before 8am on the
morning of the survey, with the exception of day patients
• Neonate admitted to maternity or neonatal ward,
provided infant was present on the ward at or before
8am
• Patient who is temporarily off the ward at the time the
PPS team arrive – day leave, rehab, theatre, radiology,
endoscopy etc.
– Bed remains available for that patient to return to
Ineligible patient
• Patient transferred into the ward after 8am on
date of PPS
• Patient transferred out of the ward to another
ward after 8am
• Patient discharged from the hospital after 8am
• Baby born after 8am on date of the PPS who is
transferred to the ward later that day
• Each eligible patient must have a Patient Form
(Form C) completed
Ward List - St. Mary’s ward:
Completed
at 7amMed08/5/12
Hospital
St.Mary’s
Ward name
1
Ward specialty
PPS
team arrive
on
ward
at 1pm 08/5/12
Number of
Number
of
If HDU/ICU mixed ward,
25
5
4
Point Prevalence Survey - Ward List
single rooms
multi-bedded rooms or bays
number of ICU beds
COMPLETED BY
PPS DATA TEAM
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Total
Mary jane
John Doe
Jane Doe
Patrick Smyth
Clare Farrell
Mary Ryan
Sheila Regan
Pauline O’Brien
Orla Byrne
Karen Fitzpatrick
Paul Kehoe
Brian Higgins
Kevin Tuite
Jack Donlon
Jim O’Brien
Tom Joyce
Padraig Pearse
Stephen Kelly
Maurice O’Brien
Seamus Conway
F
M
F
M
F
F
F
F
F
F
M
M
M
M
M
M
M
M
M
M
85
65
45
90
52
51
82
74
25
36
42
71
65
50
72
71
93
45
43
86
08/05/12
01/05/12
10/04/12
11/04/12
05/05/12
04/05/12
01/05/12
06/05/12
30/04/12
24/04/12
05/04/12
29/04/12
26/04/12
28/04/12
29/04/12
28/04/12
07/05/12
08/05/12
04/05/12
30/04/12
+
+
+
+
+
+
+
+
Surgery
since
admission
Surgery in
last 24 hrs
Central
venous
catheter
Peripheral
vascular
catheter
Urinary
Catheter
Intubation
Patient on
antibiotics
Eligible
patient
admission
DD/MM/YY
Date of
Age
Patient name
Years or
Months
<2
Gender
Bed number
COMPLETED BY WARD STAFF PART FOR ALL PATIENTS ON THE WARD
M/F
N/A
+
+
+
+
Patient Study
Number
Number of
beds on the ward
MEDGEN
+
+
+
+
+
+
+
+
+
+
+
+
+
Note: If there are more than 20 beds on ward please continue on another Ward List – Completed Ward Lists to be retained by the Hospital Coordinator
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Total
Mary jane
John Doe
Jane Doe
Patrick Smyth
Clare Farrell
Mary Ryan
Sheila Regan
Pauline O’Brien
Orla Byrne
Karen Fitzpatrick
Paul Kehoe
Brian Higgins
Kevin Tuite
Jack Donlon
Jim O’Brien
Tom Joyce
Padraig Pearse
Stephen Kelly
Maurice O’Brien
Seamus Conway
F
M
F
M
F
F
F
F
F
F
M
M
M
M
M
M
M
M
M
M
85
65
45
90
52
51
82
74
25
36
42
71
65
50
72
71
93
45
43
86
08/05/12
01/05/12
10/04/12
11/04/12
05/05/12
04/05/12
01/05/12
06/05/12
30/04/12
24/04/12
05/04/12
29/04/12
26/04/12
28/04/12
29/04/12
28/04/12
07/05/12
08/05/12
04/05/12
30/04/12
+
+
+
+
+
+
+
Central
venous
catheter
Peripheral
vascular
catheter
Urinary
Catheter
Intubation
Patient on
antibiotics
Eligible
patient
+
Patient Study
Number
+
Surgery in
last 24 hrs
PPS DATA TEAM
Surgery
since
admission
admission
Age
Patient name
DD/MM/YY
Date of
M/F
Years or
Months
<2
Gender
Bed number
COMPLETED BY WARD STAFF PART FOR ALL PATIENTS ON THE WARD
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
When PPS team arrive on St Mary’s at 1pm
• Bed 2 has been transferred to St Patrick's ward: Not eligible
• Bed 6 has been discharged: Not eligible
• Bed 11 has gone out on day leave: Eligible
• Bed 16 has gone to theatre: Eligible
• 18 eligible patients on St Mary's ward: 18 patient forms (Form C) required
Note: If there are more than 20 beds on ward please continue on another Ward List – Completed Ward Lists to be retained by the Hospital Coordinator
What is the ‘Patient study number’?
• Patient study number = Patient ID
• Anonymous consecutive number of eligible patients
present on the ward and therefore enrolled in the
study
– Recorded as 01, 02, 03 etc
• Patient study number/patient ID (rather than the
patient’s name) is recorded on ‘Patient Form’ (Form
C)
– This ensures that information can be cross
checked at a later date if necessary
008
02
Patient study number/patient ID must have two digits
Numbers one to nine = 01, 02, 03, 04 etc.
CASE STUDIES
Example 1
• PPS team arrive on ward 1pm 08/05/12
• Bed 1: Mary Jane: admitted to ward at 6am
08/05/2012:
– Eligible or not?
√
– Eligible
– Study number: 01
Example 2
• Ward staff inform PPS team that:
– John Doe (Bed 2) is discharged
• Eligible
• Not eligible √
– Pauline O’Brien (Bed 8) was transferred to another ward at
10am
• Eligible
• Not Eligible √
– Brian Higgins (Bed 12) is in x-ray for a CT scan
• Eligible √
• Not Eligible
• Remaining patients unchanged since 8am
Patient study number/patient ID must have two digits
Numbers one to nine = 01, 02, 03, 04 etc.
Eligible or not?
1.
2.
3.
4.
5.
6.
7.
Admitted to ward at 7.45am on day of survey
Admitted to ward at 8.01am on the day of survey
Transferred to ward at 8.15am on the day of survey
Admitted at 6am 1 day before survey, though remains in ED
Discharged from ward 10 minutes before survey
In for day case radiotherapy treatment every day for 1 month
In care of the elderly/geriatric ward for 1 year, medically fit
for discharge and awaiting bed in nursing home
Next
• Complete Patient Form C on all eligible
patients
• When PPS completed on that ward, ensure
that each ward’s PPS documentation is
retained separately to allow for cross checking
later if necessary
– Ward list
– Patient Forms
– Ward census
SUMMARY
Any Questions?
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