hesn infection control surveillance training manual
TRANSCRIPT
HESN Infection Control Surveillance Training Manual
Revised on: April 19th, 2017
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Content
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Activity 1: Login into HESN
Activity 2: Reset Password
Activity 3: Update User Profile
Activity 4: Client Search/Set in context
Activity 5: Create New Client
Task 5.1 - Task 5.7
Activity 6: Infection Control Encounter Group
Activity 7: Create Encounter - Admission to Hospital
Encounter
Task 1: Reason - Admission to Hospital
Task 2: Reason - Transferred From Another
Hospital
Activity 8: Create Encounter - Admission/ Transfer to
Unit Encounter
Activity 9: Device Related Encounter
Task 1.1: Create Encounter – Central Line
Task 1.2: Create Encounter – Urinary Catheter
Task 1.3: Create Encounter – Ventilator
Task 2.1: Fill UFD
Task 2.2: Fill Out Insertion Information in the UFD
Task 2.3: Bundle Daily Review
Task 3.1: Infection Event UDF - Fill Out Form
Task 3.2: Infection Developed - Fill Out Form
Activity 10: Non Device Associated Event Encounter
Task 1.1: Create Encounter
Task 1.2: Fill out Form
Activity 11: Patient Discharged/Transferred from ICU
to Non-ICU
Activity 12: End of Surveillance “EOS”
Activity 13: Re-Start of Surveillance
Contacts
HESN Main Links
Activity 1: Login into HESN
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*Note that Firefox is the recommended web browser
for HESN.
1. Use https://hesn.moh.gov.sa URL.
2. Enter your User Name and Password then click
the Login button.
3. Select your desired language and click the
Continue button.
**You can download Firefox through the following
link: http://www.mozilla.org/en-US/firefox/new/
Activity 2: Reset Password ** To reset your Password, apply
the following:
1. Click on the hyperlink CLICK
HERE TO CHANGE PASSWORD
2. Change Password screen
will appear.
3. Enter new password and
click change.
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Activity 3: Update User Profile** In order to update your profile
apply the following:
1. Click on My Account,
choose User Profile.
Manage User Profile
screen will display.
2. Choose your preferred
language.
3. Choose preferred
calendar.
4. Update/ Add your Phone
Number.
5. Add your email
6. Click Save.
** This is done once you receive
your HESN username.
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4
5
5
4
6
Activity 4: Client Search/Set in context1. Click on Investigation tab.
2. Select Search Client under
Search section on the left
navigation panel.
3. Search Client screen will
display.
**It is recommended to use client
personal identifier such as, Saudi ID,
Iqama, Boarder Number, or HESN Client
ID
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Activity 4: Client Search/Set in context 1. In Search Client Screen, Enter the
search criteria and click on Search
button.
2. If client found, select the client and
then click Set in Context. Make
sure to choose the correct client from
Client Inbox Search Results.
3. If client Not found, click on Create
Client.
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Activity 5: Create New Client
Task 5.11.Enter the following client
information in the Personal
Information* section:
a.Last, First, and Middle name.
b.Date of Birth.
c.Gender.
d.Select the correct Personal
Identifier type.
e. Select Nationality
f.Health Region Information (Refer
to next page)
**Enter as much available
information as possible in the
client information screen.
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a
b c
de
f
Activity 5: Create New Client
Task 5.2
**Health Region Information refers to
client PHC catchment area
To choose Health Region Information
1. First click on the 'Find' button.
2. Then search, or type the name of
the Organization you wish to
specify.
3. Select it and click on 'Select'
button.
4. Then click 'Close' to close
** if not known use sector or
directorate..
4
3
2
1
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Activity 5: Create New Client
Task 5.3Enter the Marital Status in the Personal
Information* section.
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Activity 5: Create New Client
Task 5.4
1.Select relevant Additional IDs Type
2.Type the number of the ID.
3.Click Add.
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12
3
Activity 5: Create New Client
Task 5.5
Select added phone number to
Update/Delete/Set Preferred.
Enter Telephone Number
under Contact Information
then click Add.
*Note: repeat the same steps
to add additional numbers if
needed.
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1.In the Addresses section:
a.Select the Address Type,
b.Enter the address information.
c.Click Add
*Note: repeat the same steps to
add additional addresses if
needed.
Activity 5: Create New Client
Task 5.6
2.Select added address to
Update/Delete/Set Preferred.
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a
b
c
Activity 5: Create New Client
Task 5.7
Click Save*
** You can save after filling information in any of the
sections mentioned before
** Save button available in the top and bottom of the
page.
** HESN Client ID will be generated to saved clients.
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Activity 6: Infection Control Encounter Group
1. Once Client is in Context, under
investigation in the left navigation panel
click on Subject Summary.
2. Under Infection Control Encounter
Group, click on Create Encounter.
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Activity 7: Create Encounter - Admission to Hospital Encounter
Task 1: Reason - Admission to Hospital
1
2
3
6
4
5
*Fill out the required fields in the Encounter
Details screen:
1. Encounter Date: Date of Hospital
Admission
2. Encounter Type: Admission to Hospital
3. Encounter Reason: Admission to Hospital.
Click on the desired reason, then click on
Add to be moved to the next box “Selected
Encounter Reasons”.
4. Responsible Organization. (Defaulted to
User Organization)
5. Location (Defaulted to User “SDL” e.g.
Hospital)
6. Click Save
**Make sure that your organization and location are correct.
**To Create a new encounter, Click on Subject
Summary from the left navigation panel. Then
click on Create Encounter.
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Activity 7: Create Encounter - Admission to Hospital Encounter
Task 2: Reason - Transferred From Another Hospital
1
2
3
4
5
6
*Fill out the required fields in the Encounter
Details screen:
1. Encounter Date: Date of Transfer
2. Encounter Type: Admission to Hospital
3. Encounter Reason: Transferred From
Another Hospital. Click on the desired
reason, then click on Add to be moved to
the next box “Selected Encounter
Reasons”.
4. Responsible Organization. (Defaulted
to User Organization)
5. Location (Defaulted to User “SDL” e.g.
Hospital)
6. Click Save
*Make sure that your organization and location are correct
**To Create a new encounter, Click on
Subject Summary from the left navigation
panel. Then click on Create Encounter.
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Activity 8: Create Encounter - Admission/ Transfer to Unit Encounter
1
2
3
4
*Fill out the required fields:
1. Encounter Date: Date of
Unit Admission
2. Encounter Type:
Admission/Transfer to Unit
3. Encounter Reason: Name
of the Critical Care Unit
from the list.Click on the
desired reason, then click on
Add to be moved to the next
box “Selected Encounter
Reasons”.
4. Click Save
**This encounter should be
created whenever a patient is
transferred to a new unit
**To Create a new encounter, Click
on Subject Summary from the left
navigation panel. Then click on
Create Encounter.
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Activity 9: Device Related Encounter
Task 1.1: Create Encounter – Central Line
*In case device inserted, create new
encounter. Choose Encounter type
Central Line/Urinary Catheter/Ventilator.
1. Encounter Date: Date of starting the
bundle review.
2. Encounter Type: Example Central line
3. Encounter Reason: Example Central
Line Insertion - Bundle - Event. Click on
the desired reason, then click on Add to be
moved to the next box “Selected Encounter
Reasons”.
4. Click Save
1
2
4
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3 3
4
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Activity 9: Device Related Encounter
Task 1.2: Create Encounter – Urinary Catheter
1
2
3
*In case device inserted, create new encounter.
Choose Encounter type Central Line/Urinary
Catheter/Ventilator.
1. Encounter Date: Date of starting the bundle
review.
2. Encounter Type: Example Urinary Catheter
3. Encounter Reason: Example Urinary Catheter -
Insertion - Bundle - Event. Click on the desired
reason, then click on Add to be moved to the next box
“Selected Encounter Reasons”.
4. Click Save
4
3
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Activity 9: Device Related Encounter
Task 1.3: Create Encounter – Ventilator
*In case device inserted, create new encounter. Choose
Encounter type Central Line/Urinary Catheter/Ventilator.
1. Encounter Date: Date of starting the bundle
review.
2. Encounter Type: Example Ventilator
3. Encounter Reason: Example .
Intubation/Ventilator Commenced – Bundle –
Event.Click on the desired reason, then click on Add to
be moved to the next box “Selected Encounter
Reasons”.
4. Click Save
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4
2
Activity 9: Device Related Encounter
Task 2.1: Fill UFD
2. The encounter UDF screen
will display “ Available Forms”.
3. Choose UDF “Insertion &
Central Line Bundle Form”
4. Click Fill out Form.
1. Click on Encounter
UDF
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Activity 9: Device Related Encounter
Task 2.2: Fill Out Insertion Information in the UFD
In the insertion section information: Fill all
mandatory fields.
* Inserted in ICU: Fill out All the fields in
the Insertion Section
*Inserted in non-admitting unit (ER,
OR): Fill out All insertion section
mandatory fields displayed.
*Inserted in Other Units or Outside
Hospital: Fill out All insertion section
mandatory fields displayed.
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Activity 9: Device Related Encounter
Task 2.3: Bundle Daily Review
** To expand Bundle Daily Review Section, Click Add:
The bundle daily review section should be filled:
1. At Bundle Start Date
2. At least once per week during ICU stay.
3. At Device removal date
4. At End of Surveillance date (Device removal date + 2 Calendar
days)
5. At Development of symptoms date
6. At Any significant change in the patient status.
** Date of first review:
1. Either the first date of admission to ICU if pt was admitted with
this device
2. Or the date of insertion if the device was inserted in this ICU on
this admission occasion to this ICU.
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Activity 9: Device Related Encounter
Task 3.1: Infection Event UDF - Fill Out Form
*If infection develops, fill out the
device related Event Form
attached to the same encounter.
1. Click on Encounter
UDF
2. The encounter UDF screen will display “Available
Forms”.
3. Choose UDF “Bloodstream Infection Event Form”
4. Click Fill out Form.
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2
4
3
93Central Line
Activity 9: Device Related Encounter
Task 3.2: Infection Developed - Fill Out Form
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**Either first positive culture
date or first sign/symptoms
whichever earlier.
*In case there is infection without
any device inserted, create new
encounter.
1. Encounter Date: Date of
Infection
2. Encounter Type: Non device
associated event
3. Encounter Reason: Choose
encounter reason relevant to
the infection (BSI / UTI /
PNEUMONIA). Click on the
desired reason, then click on Add
to be moved to the next box
“Selected Encounter Reasons”.
4. Click Save
Activity 10: Non Device Associated Event Encounter
Task 1.1: Create Encounter
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2
3
4
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Activity 10: Non Device Associated Event Encounter
Task 1.2: Fill out Form
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2
3
4
1. Click on Encounter UDF
2. The encounter UDF screen will
display.
3. Choose UDF relevant to the infection
and click Fill out Form.
4. Fill the form and click submit.
**Incase device not inserted and
infection develops
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**Either first positive culture
date or first sign/symptoms
whichever earlier.
Activity 11: Patient Discharged/Transferred from ICU to Non-ICU
*If patient Discharged/ Transferred from
Critical Care Unit to Non- Critical Care Unit,
create new encounter.
1. Encounter Date: Date of Admission to
the new unit.
2. Encounter Type: Admission/Transfer to
Unit
3. Encounter Reason: Name of Non-ICU. Click on the desired reason, then click on Add
to be moved to the next box “Selected
Encounter Reasons”.
4. Click Save
*Follow up for two calendar days
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2
3
4
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Activity 12: End of Surveillance “EOS” 4
1
2
3
*Create encounter EOS If:
The device is removed +2CDs OR the
patient is transferred outside critical care
units in this hospital + 2 CDs OR
discharged/ transferred outside this
hospital OR patient died
1. Encounter Date: Date of Discharge/
Post two calendar days
2. Encounter Type: EOS End of
Surveillance
3. Encounter Reason: Select one of
the appropriate reason from the
displayed list, then click on Add to be
moved to the next box “Selected
Encounter Reasons”.
4. Click Save
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Activity 13: Re-Start of Surveillance
b
1
a
3
*If patient transferred back to ICU / Surveillance Unit
within the same admission occasion, then create two
encounters
1. Encounter Type: Restarting Surveillance for patient
within same admission
a. Encounter Reason: Patient Transferred back to
Surveillance Unit. Click on the desired reason, then
click on Add to be moved to the next box “Selected
Encounter Reasons”.
b. Encounter Date: Date of Admission to ICU Unit
2. Encounter Type: Admission/Transfer to Unit
a. Encounter Reason: Name of ICU Unit
(Surveillance Unit)
b. Encounter Date: Date of Admission to ICU Unit
3. Click Save
4. Resume Surveillance as per infection control protocol
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ContactsPLEASE CONTACT US FOR ANY ISSUES OR MORE INFORMATION.
● HESN Support:
○ EMAIL: [email protected]
○ TELEPHONE NUMBER: 00966112125555 Ext. 2764, 3872, 3201
● HESN Coordinators at MOH:
○ Roba Abu Issa / Email: [email protected]
○ Ahd Abualrob / Email: [email protected]
○ Mai Saleh / Email: [email protected]
● Infection Control Team:
○ Dr. Yasser / Email: [email protected] / Mobile: 0539391619
○ Dr. Tabish / Email: [email protected] / Mobile: 0597601626
○ Dr. Hanan / Email: [email protected] / Mobile: 0543553015100
HESN Main Links
● HESN Production Site
○ https://hesn.moh.gov.sa
● HESN Web Portal
○ https://hesn.moh.gov.sa/webportal
● HESN Training Site
○ https://hesntraining.moh.gov.sa
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Registration of Device and Non Devices Associated Infections In ICU on HESN
Test Scenarios
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Scenario 1Admission to Critical Care Units
Summary
Mona is a 50 years old female who was admitted on the 10th of February to the ICU Medical Cardiac Unit in Hospital X following a suspected MI for monitoring. No device inserted upon admission
Aim
Demonstrate how to search and create client on HESN and how to register admission
104
Scenario 1Admission to Critical Care Units
Steps
Search for client
Create client on HESN.
Create two new encounters First one: Encounter Type Admission to Hospital and
Encounter reason Admission to Hospital
Second One: Encounter Type Admission/Transfer to Units and Encounter Reason Name of the ICU units patient was admitted to.
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Scenario 2Change of unit and discharge from Critical care Unit
Summary
The next day (February 11st), Mona was transferred to the ICU Burn Unit because her current unit is expecting admissions.
Aim
Demonstrate how to document movement of client within the hospital
106
Scenario 2Change of unit and discharge from Critical care Unit
Steps
Search for client and Place client in context
Create new encounter, third one : Encounter Date February 11th, Encounter Type : Admission/Transfer to Units
Encounter Reason : Name of the ICU Burn Unit
(every time a client change unit, a new encounter is created with reason name of the admitting unit)
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Scenario 3 Non Device Associated Infection in ICU and Hospital Discharge
Summary
On February 13th, Mona has fever > 38.5 o C, Chills, and hypotension. Blood culture taken and results show Staph. aureus
She was discharged home on 17th directly from ICU.
Aim
Demonstrate how to document Non Device associated Infection occurring in ICU
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Scenario 3 Non Device Associated Infection in ICU and Hospital Discharge
Steps
Search for client and Place client in context
Create new encounter : number 4: Non Device Associated Event and Encounter Reason BSI
Fill BSI event form + fill organism section
On day of discharge, Create new Encounter : No 4 End of Surveillance
Reason: Discharge from Hospital
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Scenario 4Insertion of Central Line and initiation of Bundle
Summary
Ahmad is a 65 years old male who was admitted on 14th
February in a surgical ward unit in Hospital X following partialGastrectomy. A central Line and a Urinary Catheter wereinserted.
On the 16th of February Ahmad was transferred to the ICUMedical Surgical Unit
Aim
Demonstrate how to document insertion information and how to start a bundle for central line and urinary catheter .
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Scenario 4Insertion of Central Line and initiation of Bundle
Steps
Create client on HESN and place in context
Create new encounter with Encounter Type :Admission to Hospital and Encounter reason :Admission to Hospital (date February 14th)
Create new encounter with Encounter Type:Admission /Transfer to Units and Encounter reason A-04-ICU-Medical/Surgical (date February 16th )
Create new encounter with Encounter Type CentralLine-Bundle-Event andFill Insertion date and location (0utside ICU) only
Central Line Bundle Form (date February 16th)
Create new encounter with Encounter Type UrinaryCatheter-Bundle-Event andFill Insertion date and location (0utside ICU) only
Urinary Catheter Bundle Form (date February 16th)
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Scenario 5Documentation of Device Associated Infection
Summary
On the 17th, Ahmad central line was removed and he was transferred to general ward.
On 18th , Ahmad started having fever and chills and 2 blood cultures were taken on 18th and 19th.
Staph. epidermidis was isolated in both cultures.
Aim
Demonstrate how to document Device Associated Infection
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Scenario 5Documentation of Device Associated Infection
StepsPlace client in context
Perform Daily bundle on the 17th and Update removal information
Create new encounter with Encounter Type: Admission /Transfer to Units and Encounter reason name of the Non ICU Unit (General Ward ) he was transferred to (date of encounter 17th)
Daily bundle monitoring for 2 CD days (17th and 18th) continues , date of device removal being CD 1, focus only on BSI signs, symptoms and positive blood culture.
Fill the CLABSI event form (18th) as signs and symptoms are there.
After 2 CD days (on the 19th) , surveillance is stopped.
Continue daily bundle review for Foley's on 17th and 18th . Stop on 19th.
Create new Encounter: End of Surveillance and
Reason: Moved to Non Surveillance Unit +2CD(date 17th and 18th)
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Scenario 6Documentation of VAP
Summary
Fahad was admitted directly to critical care uniton 15th of February with road traffic accident andwas connected to a ventilator on the 16th ofFebruary. On the 18th, he develops Pneumoniaconfirmed by X-ray.
Aim
Demonstrate how to document incidence ofinfection
114
Scenario 6Documentation of VAP
Steps
Create client and place in context
Create new encounter with Encounter Typeadmission to Hospital and Encounter reasonAdmission to Hospital (date February 15th)
Create new encounter with Encounter Typeadmission /Transfer to Units and Encounter reasonA05-ICU-Neurological (date February 15th )
Create Ventilator-Bundle-Event encounter (dateFebruary 16th) and encounter reason is intubation
Fill VAP insertion and Bundle Form associated tothe encounter
Perform Daily bundle review on the 16th, 17th and18th of February (once a week is compulsory)
Fill VAP event form on the 18th
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Scenario 7Insertion of multiple devices of the same type
Summary
Nasser is 10 years old who was transferred fromanother hospital on the 10th of February toCritical Care in hospital X, after sustaining HeadTrauma. A central line and a Urinary Catheterwere inserted and he was connected to aventilator in the previous hospital. On the 12th, asecond central line was inserted and the first oneremoved due to blockage.
Aim
Demonstrate how to document a second bundle
116
Scenario 7Insertion of multiple devices of the same type
StepsCreate client on HESN and place in context
Create the below encounters (date February 10th)
Encounter Type admission to Hospital and Encounter reason Transfer from another Hospital
Encounter Type admission /Transfer to Units and Encounter reason A09-ICU-Pediatric
Encounter Type Central Line –Bundle –Event and Encounter Reason Central Line Insertion (UDF: Insertion, date and location only and Central Line Bundle Form) for the 1ST central line.
Encounter Type Urinary Catheter-Bundle-Event and Encounter Reason Urinary Catheter Insertion (UDF: Insertion, date and location only, and Urinary Catheter Bundle Form)
Encounter Type VAP-Bundle Event and Encounter Reason Ventilator Insertion (UDF: date and location only, Ventilator Bundle Form)
On the 12th : Update the Bundle form of the first central line with removal information
On 12th, Open new UDF for the 2nd central line and fill insertion as well as daily bundle review.
Continue daily monitoring on the new Bundle form
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Scenario 8Monitoring of client with Device following discharge from ICU
Summary
On the 25th of February, Nasser is considered fit for discharge from ICU and is transferred to General Paediatric Unit with the central line in situ.
Aim
Demonstrate how to follow up after ICU Discharge with a device
118
Scenario 8Monitoring of client with Device following discharge from ICU
StepsCreate new encounter with Encounter Type
admission /Transfer to Units and Encounter reason name of the Non ICU Paediatric Unit he was transferred to (date of encounter February 25)
Continue daily monitoring on the new Bundle form for 2CD,25th and 26th.
After 2 CD days, create new encounter with Encounter Type End of Surveillance and Encounter Reason Moved to Non Surveillance Unit +2CD (even though Nasser was physically still in hospital)
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Scenario 9Client readmitted to ICU (Surveillance Unit) within Same Admission
Summary
On the 28th of February, while still in Paediatrics, Nasser’s neurological state deteriorates and he is readmitted to ICU.
Aim
Demonstrate how to resume surveillance after readmission to ICU within the same hospitalization episode
120
Scenario 9Client readmitted to ICU (Surveillance Unit) within Same Admission
Steps
Create new encounter with Encounter Type admission /Transfer to Units and Encounter Reason name of the ICU Unit he was transferred to (date of encounter February 28th)
Create new encounter with Encounter Type Restarting Surveillance for Patient Within Same Admission and Encounter Reason Transferred Back to Surveillance Unit (date of encounter February 28th)
ON 28th Encounter Type Central Line –Bundle –Event and Encounter Reason Central Line Insertion (UDF: Insertion, date and location only and Central Line Bundle Form)
Perform Daily Monitoring on Central Line bundle form starting from February 28th
121
Scenario 10New Born Client
Summary
On 2nd March, baby of Sarah was delivered by C-section and rushed to NICU because of fataldistress. A central line was inserted immediatelyand the baby was ventilated.
Aim
Demonstrate how to register and follow up anew born in NICU
122
Scenario 10New Born Client
StepsCreate New born on HESN and place in context. Use
additional ID (Mother ID or Father ID)
Create new encounter with Encounter Type admission to Hospital and Encounter reason Admission to Hospital (date 2nd March)
Create new encounter with Encounter Type admission /Transfer to Units and Encounter reason A07-ICUNeonatal Intensive Care (date 2nd March)
Create new encounter with Encounter Type Central Line-Bundle-Event and Fill Insertion and Central Line Bundle Form (date 2nd March)
Create new encounter with Encounter Type Ventilator-Bundle-Event and fill Ventilator Bundle Form (date 2nd March)
Perform Daily Monitoring on both bundle forms (central line and ventilator) starting from the 2nd March
123
Scenario 11Transfer Out of NICU with a Central Line
Summary
Ventilator was removed on 9th March. Baby of Sarah remained for two weeks in NICU. During that time (20th March), he develops a CLABSI event confirmed by blood culture. On 23rd
March, he is transferred out of NICU with the central line in situ.
Aim
Demonstrate how to follow up after ICU Discharge with a device
124
Scenario 11 Cont’dTransfer Out of NICU with a Central Line
Steps
Update the Ventilator Bundle form on the 9th of March (ventilator removed)
Update the Central Line bundle form when signs and symptoms appeared
Fill out the CLABSI event form (event date 20th
March)
Create new encounter with Encounter Type admission /Transfer to Units and Encounter reason name of the Non ICU Paediatric Unit he was transferred to (date of encounter 23rd March)
Continue daily monitoring on the Central Line Bundle form for 2 calendar days’ 23rd and 24th
March
After 2 days, create new encounter with Encounter Type End of Surveillance and Encounter Reason Moved to Non Surveillance Unit +2CD (date March 25th)
125
Scenario 12Readmission to Surveillance Unit
Summary
Baby of Sarah remains in the hospital for one month. He then undergoes surgery to correct a cardiac defect and is transferred to A08-ICU-Pediatric Cardiothoracic immediately post operatively. The central line that was inserted at birth is still in situ
Aim
Demonstrate how to resume surveillance within the same admission
126
Scenario 12Readmission to Surveillance Unit
Steps
Create new encounter with Encounter Type admission /Transfer to Units and Encounter reason A08-ICU-Pediatric Cardiothoracic (date 23rd April )
Create new encounter with Encounter Type Restarting Surveillance for Patient within the same admission (date 23rd April )
Create new encounter with Encounter Type Central Line-Bundle-Event and Fill Insertion and Central Line Bundle Form attached to this new encounter (date 23rd April )
Perform Daily Monitoring on Central Line bundle form starting from 23rd April
127
Scenario 13Readmission to Surveillance Unit
Summary
MUHAIB is a 21 years old male who was admitted on the 15th of March to ICU and 3 devices were inserted (Central Line, Ventilator inside ICU, and Urinary Catheter outside ICU). The ventilator was disconnected on the 20th of March. Patient was transferred to non-ICU unit with the central line and urinary catheter on the 29th of March.
StepsEncounter: Admission to Hospital, Reason: Admission to Hospital. 15th
of March
Encounter: Admission/Transfer to Units, Reason: one of the ICU units. 15th of March.
3 Encounters for the devices, Insertion date: 15th of March.
Encounter: Admission/Transfer to Units, Reason: one of non-ICU units. 29th of March.
Encounter: EOS, Reason: Moved to Non-Surveillance Unit + 2CD. 31 of March.
128
Scenario 13Readmission to Surveillance Unit
Summary
MUHAIB was readmitted to ICU on the 1st of April and transferred out the same day.
StepsEncounter: Admission/Transfer to Units, Reason: one of the
ICU units. 1st of April.
Encounter: Restarting the Surveillance, Reason: Pt Transferred back to Surveillance Unit. 1st of April
Encounter: Admission/Transfer to Units, Reason: one of the non-ICU units. 1st of April.
Encounter: EOS, Reason: Moved to Non-Surveillance Unit + 2CD. 3rd of April
129
Scenario 13Readmission to Surveillance Unit
Summary
MUHAIB’s condition deteriorated and he was transferred to ICU on the 18th of April where he was intubated and a central line and urinary catheter were inserted. MUHAIB died on the 24th of April.
Steps
Encounter: Admission/Transfer to Units, Reason: one of the ICU units. 18th of April.
Encounter: Restarting the Surveillance, Reason: Pt Transferred back to Surveillance Unit. 18th of April.
3 Encounters for the devices, note all devices inserted inside ICU. 18th of April.
Encounter: EOS, Reason: Death. 24th of April
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