Abstract:
An integrated method for optimizing productivity and performance of a workforce (comprising at least one person) within a workspace, comprises the steps of a) acquiring at least one real time, continuous, data point set relating to said workforce, which includes data points relating to all activities, roles and functions of a person within a selected time frame, such data set being measured down to the level of a second (the “benchmark data point set”); b) measuring and comparing the benchmark data point set against previously compiled data points from within a usefully comparable, like workforces within a like workplaces and timeframes (the “comparable data point set”); and c) utilizing differences and similarities between the benchmark data point set and the comparable data point set to produce simulation models which identify and direct specific improvements to be made to increase the productivity and performance of the workforce.

Description:
TECHNICAL FIELD 
       [0001]    This invention relates to workplace time, task, facilities and personnel optimization. 
       BACKGROUND 
       [0002]    Healthcare today throughout the developed world is challenged with three core problems: 
         [0003]    1) Shortage of healthcare professionals 
         [0004]    2) Demand for improved patient outcomes 
         [0005]    3) Inefficient healthcare delivery workflows 
         [0006]    These problems are compounded by demographics with an aging baby boomer generation, expanding life expectancy and government budget pressures which place increasingly greater burdens on the cost-effective delivery of patient care services. 
         [0007]    Current solutions to improve efficiencies in the healthcare delivery system are limited to these three approaches:
       1) The made-for-manufacturing “Lean” solution, whereby hospitals adapt Lean principles to their own workflows in an effort to make them more effective.   2) Off-the-shelf software solutions that provide a framework but leave the healthcare institution to interpret and apply their own solution.   3) Operational efficiency consultants who may work on their own or in conjunction with approach #1 or 2, but without any proprietary and focussed methodology.       
 
         [0011]    The consequence of these problems and their limited current solutions is burgeoning public healthcare costs. For example, healthcare expenditures in Canada in 2008 were $172 billion or 10.7% of GDP, an increase of 6.4% over the prior year and 70% of this was public expenditure (Canadian Institute for Health Information 2008). In the US, healthcare expenditures account for a staggering 15.3% of $12.4 trillion GDP ($1.9 trillion) and more than half of this is public expenditure. Throughout the developed world the average expenditure on healthcare is 9.0% of GDP and rising (OECD Health Data published July 2007 on 2005 statistics). Such expenditures are not sustainable. 
         [0012]    Prior to the present invention, the open literature described two main approaches in dealing with healthcare workplace time, task, facilities and personnel optimization:
       1) Statistical approaches: a popular tool in Healthcare studies is that of computer simulation. Simulation is a tool in which a mathematical model is built to act like (simulate) a system of interest (e.g. the specific Department such as ER) in certain important respects such as patient care scheduling, for example. However, to perform simulation, the behavior of several parameters (e.g. case duration) would be represented by a probability distribution. Detailed studies have shown conclusively that such mathematical representations are not appropriate to real-time practice data.   2) High level role/function approaches: References such as (1) Capuano T., Bokovoy J., Halkins, D, Hichings, K. (2004)  Workflow Analysis: eliminating non - valued added work . J Nursing Administration 34:246-256.; (2)  Value Added Care: a new way of assessing nursing staffing ratios and workload variability  by Upenieks et al, J Nursing Administration, May 2007 show studies focusing on the healthcare provider and patient interactions only at the highest level (that is, Main Role and Function). The framework used comprised seven domains, namely: direct patient care, indirect activities, unit related, personal, knowledge exchange, documentation and suspensions. Data collection was self-measurement by the RN with very coarse measurement intervals of every 10-15 minutes. The focus of these high level studies was only on value-added activities (defined as of direct benefit to the patient).       
 
         [0015]    None of the available approaches is of the depth and scope to direct meaningful practise and workplace optimization. It is an object of the present invention to obviate or mitigate the above disadvantages. 
       SUMMARY 
       [0016]    The present invention provides an integrated method for optimizing productivity and performance of a workforce (comprising at least one person) within a workspace, comprising the steps of:
       a) acquiring at least one real time, continuous, data point set relating to said workforce, which includes data points relating to all activities, roles and functions of a person within a selected time frame, such data set being measured down to the level of a second (the “benchmark data point set”);   b) measuring and comparing the benchmark data point set against previously compiled data points from within a usefully comparable, like workforces within a like workplaces and timeframes (the “comparable data point set”); and   c) utilizing differences and similarities between the benchmark data point set and the comparable data point set to produce simulation models which identify and direct specific improvements to be made to increase the productivity and performance of the workforce.       
 
         [0020]    The present invention further provides a computer implemented method of optimizing productivity and performance of a workforce (comprising at least one person) within a workspace, comprising the steps of:
       a) acquiring at least one real time, continuous, data point set relating to said workforce, which includes data points relating to all activities, roles and functions of a person within a selected time frame, such data set being measured down to the level of a second (the “benchmark data point set”);   b) measuring and comparing the benchmark data point set against previously compiled data points from within a usefully comparable, like workforces within a like workplaces and timeframes (the “comparable data point set”); and   c) utilizing differences and similarities between the benchmark data point set and the comparable data point set to produce simulation models which identify and direct specific improvements to be made to increase the productivity and performance of the workforce.       
 
         [0024]    The present invention further provides, in another aspect, a system for optimizing productivity and performance of a workforce (comprising at least one person) within a workspace, comprising a) a first computer for acquiring at least one real time, continuous, data point set relating to said workforce, which includes data points relating to all activities, roles and functions of a person within a selected time frame, such data set being measured down to the level of a second (the “benchmark data point set”) from a second computer over a network; b) at least one of the first or second computers configured to measure and compare the benchmark data point set against previously compiled data points from within a usefully comparable, like workforces within a like workplaces and timeframes (the “comparable data point set”); and c) utilize differences and similarities between the benchmark data point set and the comparable data point set to produce simulation models which identify and direct specific improvements to be made to increase the productivity and performance of the workforce. 
         [0025]    The present invention further provides a computer-readable storage medium having computer-executable code encoded therein for collecting, analyzing, comparing and displaying benchmark data point set and comparable data point sets, as noted above. 
     
    
     
       BRIEF DESCRIPTION OF THE DRAWINGS 
         [0026]      FIG. 1  is a sample data compiler controller; 
           [0027]      FIG. 2  is a graph showing a sample performance report by date; 
           [0028]      FIG. 3  is a graph showing a sample performance report by role; 
           [0029]      FIG. 4  is a graph showing a sample performance report by unit; 
           [0030]      FIG. 5  is a graph showing a sample report on patients; 
           [0031]      FIG. 6  is a flow chart showing a basic and preferred methodology within the FA process; 
           [0032]      FIG. 7  is a photographic representation of the hierarchical database; 
           [0033]      FIG. 8  is a floor plan screen shot schematic; 
           [0034]      FIG. 9  is a bed status screenshot overview; 
           [0035]      FIG. 10  is a resources screenshot overview 
           [0036]      FIG. 11  is a data dictionary development illustration. 
           [0037]      FIG. 12  is an illustration of adding a role to the Compiler. 
           [0038]      FIG. 13  is an illustration of removing a role from the Compiler. 
           [0039]      FIG. 14  is an illustration of removing a variable from the Compiler. 
           [0040]      FIG. 15  is an illustration of editing the levels titles in the Compiler. 
       
    
    
       [0041]    The figures depict an embodiment of the present invention for purposes of illustration only. One skilled in the art will readily recognize from the following description that alternative embodiments of the structures and methods illustrated herein may be employed without departing from the principles of the invention described herein 
       DETAILED DESCRIPTION 
       [0042]    A detailed description of one or more embodiments of the invention is provided below along with accompanying figures that illustrate the principles of the invention. The invention is described in connection with such embodiments, but the invention is not limited to any embodiment. The scope of the invention is limited only by the claims and the invention encompasses numerous alternatives, modifications and equivalents. Numerous specific details are set forth in the following description in order to provide a thorough understanding of the invention. These details are provided for the purpose of example and the invention may be practiced according to the claims without some or all of these specific details. For the purpose of clarity, technical material that is known in the technical fields related to the invention has not been described in detail so that the invention is not unnecessarily obscured. 
       TERMS 
       [0043]    The term “invention” and the like mean “the one or more inventions disclosed in this application”, unless expressly specified otherwise. 
         [0044]    The terms “an aspect”, “an embodiment”, “embodiment”, “embodiments”, “the embodiment”, “the embodiments”, “one or more embodiments”, “some embodiments”, “certain embodiments”, “one embodiment”, “another embodiment” and the like mean “one or more (but not all) embodiments of the disclosed invention(s)”, unless expressly specified otherwise. 
         [0045]    The term “variation” of an invention means an embodiment of the invention, unless expressly specified otherwise. 
         [0046]    A reference to “another embodiment” or “another aspect” in describing an embodiment does not imply that the referenced embodiment is mutually exclusive with another embodiment (e.g., an embodiment described before the referenced embodiment), unless expressly specified otherwise. 
         [0047]    The terms “including”, “comprising” and variations thereof mean “including but not limited to”, unless expressly specified otherwise. 
         [0048]    The terms “a”, “an” and “the” mean “one or more”, unless expressly specified otherwise. 
         [0049]    The term “plurality” means “two or more”, unless expressly specified otherwise. 
         [0050]    The term “herein” means “in the present application, including anything which may be incorporated by reference”, unless expressly specified otherwise. 
         [0051]    The term “whereby” is used herein only to precede a clause or other set of words that express only the intended result, objective or consequence of something that is previously and explicitly recited. Thus, when the term “whereby” is used in a claim, the clause or other words that the term “whereby” modifies do not establish specific further limitations of the claim or otherwise restricts the meaning or scope of the claim. 
         [0052]    The term “e.g.” and like terms mean “for example”, and thus does not limit the term or phrase it explains. For example, in a sentence “the computer sends data (e.g., instructions, a data structure) over the Internet”, the term “e.g.” explains that “instructions” are an example of “data” that the computer may send over the Internet, and also explains that “a data structure” is an example of “data” that the computer may send over the Internet. However, both “instructions” and “a data structure” are merely examples of “data”, and other things besides “instructions” and “a data structure” can be “data”. 
         [0053]    The term “respective” and like terms mean “taken individually”. Thus if two or more things have “respective” characteristics, then each such thing has its own characteristic, and these characteristics can be different from each other but need not be. For example, the phrase “each of two machines has a respective function” means that the first such machine has a function and the second such machine has a function as well. The function of the first machine may or may not be the same as the function of the second machine. 
         [0054]    The term “i.e.” and like terms mean “that is”, and thus limits the term or phrase it explains. For example, in the sentence “the computer sends data (i.e., instructions) over the Internet”, the term “i.e.” explains that “instructions” are the “data” that the computer sends over the Internet. 
         [0055]    Any given numerical range shall include whole and fractions of numbers within the range. For example, the range “1 to 10” shall be interpreted to specifically include whole numbers between 1 and 10 (e.g., 1, 2, 3, 4, . . . 9) and non-whole numbers (e.g. 1.1, 1.2, . . . 1.9). 
         [0056]    Where two or more terms or phrases are synonymous (e.g., because of an explicit statement that the terms or phrases are synonymous), instances of one such term/phrase does not mean instances of another such term/phrase must have a different meaning. For example, where a statement renders the meaning of “including” to be synonymous with “including but not limited to”, the mere usage of the phrase “including but not limited to” does not mean that the term “including” means something other than “including but not limited to”. 
         [0057]    Neither the Title (set forth at the beginning of the first page of the present application) nor the Abstract (set forth at the end of the present application) is to be taken as limiting in any way as the scope of the disclosed invention(s). An Abstract has been included in this application merely because an Abstract of not more than 150 words is required under 37 C.F.R. section 1.72(b). The title of the present application and headings of sections provided in the present application are for convenience only, and are not to be taken as limiting the disclosure in any way. 
         [0058]    Numerous embodiments are described in the present application, and are presented for illustrative purposes only. The described embodiments are not, and are not intended to be, limiting in any sense. The presently disclosed invention(s) are widely applicable to numerous embodiments, as is readily apparent from the disclosure. One of ordinary skill in the art will recognize that the disclosed invention(s) may be practiced with various modifications and alterations, such as structural and logical modifications. Although particular features of the disclosed invention(s) may be described with reference to one or more particular embodiments and/or drawings, it should be understood that such features are not limited to usage in the one or more particular embodiments or drawings with reference to which they are described, unless expressly specified otherwise. 
         [0059]    No embodiment of method steps or product elements described in the present application constitutes the invention claimed herein, or is essential to the invention claimed herein, or is coextensive with the invention claimed herein, except where it is either expressly stated to be so in this specification or expressly recited in a claim. 
         [0060]    The invention can be implemented in numerous ways, including as a process, an apparatus, a system, a computer readable medium such as a computer readable storage medium or a computer network wherein program instructions are sent over optical or communication links. In this specification, these implementations, or any other form that the invention may take, may be referred to as systems or techniques. A component such as a processor or a memory described as being configured to perform a task includes both a general component that is temporarily configured to perform the task at a given time or a specific component that is manufactured to perform the task. In general, the order of the steps of disclosed processes may be altered within the scope of the invention. 
         [0061]    The following discussion provides a brief and general description of a suitable computing environment in which various embodiments of the system may be implemented. Although not required, embodiments will be described in the general context of computer-executable instructions, such as program applications, modules, objects or macros being executed by a computer. 
         [0062]    Within the scope of the present invention “Data Dictionary” is taken to mean and object library or repository for a set of attributes and/or variables usable to build a customized containment hierarchy and a field list for a Functional Analysis study (defined below). 
         [0063]    Within the scope of the present invention “Field List” is taken to mean a set of measurable, observable and mutually exclusive variables representing the tasks, activities, contacts and conversation topics listed in the Data Dictionary. 
         [0064]    The present invention provides supporting technology and techniques that comprise Function Analysis (“FA™”), a proprietary (to the inventor) work-sampling methodology designed to collect continuous, multi-dimensional measurement data using a palm held device (PDA). FA is initiated with a detailed Data Dictionary of predetermined measurable tasks and activities in preparation for data collection. Using this Data Dictionary, FA then creates a hierarchical database that allows the collection of robust and quantitative data on multiple, nested levels. Using FA, continuous observations of health care provider activity provides time points to determine mean time and total time spent in role and function categories 
         [0065]    The FA tool collects observational data on a variety of predefined work activities at multiple levels reflecting the scope and complexity of the work. A multi-level breakdown of tasks is generated in the form of a hierarchical database, known as a Data Dictionary, and forms the basis of the FA methodology. Within this Data Dictionary, an innovation is the representation of a job description as a complete set of discrete tasks or activities sufficient to enable a minute-by-minute measurement of a workday for a given professional. This Task or Activity definition includes not only the implementation of defined medical tasks (for which the professional is trained) but all the types of communication, the various interfaces involved together with the geographical (location; travel) modes involved in implementing these Tasks or Activities. 
         [0066]    What is unique about this methodology, which differentiates it from other approaches, is the multifaceted and granular quantitative data gathered using the FA tool as a primary source of data collection which is augmented by a questionnaire and key informant interviews (qualitative sources). This represents a new approach to examining the physical and mental aspects of any workforce, and in particular the nursing practice. It is to be understood, however, that this method is equally suitable to a human and resource optimization analysis in many different types of workplaces. 
         [0067]    Using the FA tool, continuous observations of worker (for example, a health care provider) activity provides time points to determine mean time and total time spent in each of the predetermined role and function categories. Hundreds of thousands of data points are gathered throughout the FA observational period. The data are aggregated and processed to produce evidence-based findings. FA data is sorted by role functions and activities to examine the time spent in specific types of activities associated with their role functions as well as the people contacted to do their work (with whom), their mode of communication (method of communicating) and finally the focus of conversation during the contact (topic of conversation). The data is then analyzed by using standard descriptive statistics and cross tabulations to determine the percent time, and time in minutes/hours spent of activities. 
         [0068]    Finally, one-on-one key informant interviews throughout the period of observation with staff provide qualitative data on the daily context in which the work-space team operates. These key informant interviews augmented the FA data by capturing the critical thinking and decision-making processes associated with the observed staff roles. 
         [0069]    The FA method and system provides a means to collect continuous multi-dimensional measurement data using, preferably, a palm held device (PDA) for use in any given work field. The FA method and system provides a hierarchical relational database that allows the collection of robust quantitative data on multiple distinct, yet interrelated levels of granularity. The FA protocol aims to preserve as many of the elements of naturally occurring behaviors, while still accomplishing the goals of any given study. 
       ADVANTAGES 
       [0070]    The evidence-based approach of the present invention provides workforce administrators with deep insights into their business and a means to objectively predict performance improvements with a high degree of accuracy. Using the FA methodology of the present invention, real-time data of workplace activities is captured, analyzed by comparison to a robust database of like workforces in like workspaces, allowing simulation modeling to be used to predict improvements in performance to facilitate decision making prior to costly and critical implementation of changes. 
         [0071]    In a typical FA study, the study operators or observers would work in advance with key workplace personnel (for example, hospital administrators) to define their unique operational processes, develop process maps and activity/task dictionaries and then conduct the actual study. 
         [0072]    It is contemplated that the data gatherers or observers may gather and record thousands of detailed observations (sometimes hundreds of thousands) over thousands of people-hours, capturing each person&#39;s activity by pre-specified category, following these activities throughout their shift and covering all personnel 24 hours each day, as applicable (the “benchmark data points”). These data points resulting are systematically analyzed using software and the results are compiled in reports. Within the scope of the present invention, “what-if” scenarios can be run based on the benchmark data-set compared to previously collected and collated data of like workforces in like workspaces, which can have millions of useful data points. 
         [0073]    Without this valuable detailed data, many businesses and operations (such as hospitals) are running blind, without any baseline measurements nor any benchmarks for improvement nor processes to optimize workflow and improve customer services (such as patient care). This methodology is particularly needed in the healthcare field. Current burdens on healthcare systems throughout the developed world mean that such blindness cannot continue unresolved. The method the present invention addresses head-one the issue of inefficient healthcare delivery workflows, bringing light to shine on improving patient outcomes through better utilization of scarce and expensive healthcare professionals. 
         [0074]    One preferred aspect of the present invention is to structure a relational database in a hierarchical manner so as to facilitate accurate data capture throughout the medical system-to-patient process. 
         [0075]    Another key aspect of the present invention is the collection of “real-time” practice data rather than administrative-type data so as to ensure a real-life study emphasis. 
         [0076]    The FA of the present invention focuses on an evidence-based philosophy to problem solving thus providing decision makers with an unprecedented level of insight into their organization and a means to objectively predict performance improvements with an exceptionally high degree of accuracy. There is no comparable technology in the art, to date. 
         [0077]    As a methodology, FA can be summarized as follows: —
       it provides a process for collecting essential information;   it emphasizes a comprehensive, systematic review;   it delivers both Qualitative and Quantitative data; and,   it is focused on Scope, Role and Function.       
 
         [0082]    More specifically, the FA tool collects observational data on a variety of predefined work activities at multiple levels reflecting the scope and complexity of the work. This hierarchical database (Data Dictionary) can be described as follows: — 
         [0083]    The structure of each entry at each level in the Data Dictionary is (Code; Field Name; Field Description) where: —
       Code=a unique code for each task at that level   Field Name=recognizable identifier of the task at that level   Field Description=clear and unambiguous description of the identifier (in the Field Name)       
 
         [0087]    Within the operational description below (in a hospital environment), the hierarchical and nested nature of the FA Data Dictionary architecture is apparent. Preferably, the levels are follows: — 
         [0088]    Level 1 Main Role and Function—this level refers to the main role and functions of the particular healthcare worker, e.g. RN. The job description of the RN would be analyzed and key functions identified and assigned a code together with its corresponding filled name and field description. So, this first level of data collection captures time spent at the macro level (main role and function); for instance, nurses are responsible for assessing the patient, identifying desired outcomes and planning/implementing required interventions and treatments. The FA provides the opportunity to delve deeper into the complexity and scope of work within each of these main categories. 
         [0089]    Level 2 Subactivities of Main Role—this refers to any sub-activities from the Main Role (Level 1) with clear reference linking. By way of example, at Level 1, a nursing function such as 20 (Code) Infection Control (Field Name) would have Level 2 functions identified separately as: —
       20 Put on glove/gown/mask   20 Request Assistance   20 Take off glove/gown/mask   20 IC other       
 
         [0094]    Typical work-sampling studies would collect and aggregate total time and percent time spent in this category alone; however, as seen, Infection Control has, in theory, several (4) discrete components describing the holistic nature of the control. The FA is designed to collect percent and total time in each of these discrete areas nested with the main role and function of infection control. 
         [0095]    Level 3 Patient Link—the FA has additional levels of data collection nested within Level 1 (Infection Control). This level refers to specific patient information (such as patient ID, specific treatment intervention needs, ADT (admission, discharge, treatment), any anecdotal information that might be useful and so on. The distribution of time among activities is important, but the real value comes from understanding the patient/nurse encounter during the assessment, treatment, discharge planning etc. The ability to provide robust data at this level of detail is a unique feature of the FA. 
         [0096]    Level 4 Mode of Communication—this refers to types of communication. For example, phone, pager, face-to-face, computer, etc. 
         [0097]    Level 5 Communications with Whom—this identifies with whom the various types of communication occur. So, for example, with doctor, patent, RN, RPN, Home Care, Health Professionals, etc. 
         [0098]    Level 6 Topic of Communication—this identifies all topics not just medical assessment. So, Administration, Care Plans, complaints, hospital policies, equipment, supplies, etc. . . . Note also at this level the patient would be required to sign a consent form to record such information; this is another unique feature of this methodology. 
         [0099]    Through these three lower levels (4,5,6) in the Data Dictionary hierarchy, the investigator will have data that examine with whom the staff interact to do their work, modes of communication (face-to-face, phone, fax, pager etc.), and the focus of conversation and/or activity during the encounter (patient care, teaching, information exchange). Recording and analyzing the appropriate combination of these four dimensions allows any work-related tasks and activity to be accurately described down to the second. 
         [0100]    This Methodology is easily extendable to further levels and functionality, as required.
       the FA Methodology is a proprietary work-sampling methodology designed to collect continuous multi-dimensional measurement data.   the FA Methodology invention is based on a unique, multi-level and hierarchical database, referred to as the Data Dictionary.   the Data Dictionary contained within this FA Methodology invention provides a unique and detailed representation of the roles, functions and daily activities of a healthcare worker; this is the first example of such detailed information availability.   the FA Methodology invention provides data collection and analysis capabilities down to the second level. The utility of having this level of detail in a data set becomes evident when decision-makers need compelling quantitative data for strategic planning. Using a palm held device the observer toggles quickly between dimensions as the activity changes and/or topic of conversation changes to ensure the depth and breadth of detail required.   the FA Methodology is unique and differentiated from other approaches through its multifaceted and granular quantitative data as a primary source of data collection, and which is then augmented by qualitative data (a questionnaire and key informant interviews). This represents a new and unique approach to examining the physical and mental aspects of nursing practice.   the FA Methodology supports continuous observations of health care provider activity thus providing time points to determine mean time and total time spent in each of the predetermined role and function categories. Hundreds of thousands of data points are gathered throughout the FA™ observational period. The data are aggregated and processed to produce evidence-based findings.   the FA Methodology focuses on collecting real-time practice data rather than administrative-type data so as to ensure a real-life study emphasis.       
 
         [0108]      FIGS. 1-5  show the data compiler controller, and four performance and data reports generated in accordance with the method of the present invention. 
         [0109]      FIG. 6  describes a basic and preferred methodology of the FA process (generally at  10 ) commencing with, within any sector saught to be analyzed: identifying key processes  12  and developing data dictionary  14 , conducting FA study  16 , thereafter using FA to analyze data  18  and sharing data and analyses/making recommendations  20 . 
         [0110]    One key innovation in the approach of the present invention is the methodology in which a relational database in a hierarchical manner is created and used to facilitate accurate data capture throughout the care delivery process. Real-time practice data is collected through observation with a well-defined methodology ( FIG. 6 ) rather than administrative-type data to ensure a real-life study emphasis. The FA approach focuses on an evidence-based philosophy to problem solving thus providing decision makers with an unprecedented level of insight into their organization and a means to objectively predict performance improvements with an exceptionally high degree of accuracy. 
         [0111]    Within the healthcare sector, preparing for an observation period using the FA method and system occurs preferably by adhering to four phases—Preparation, Go-Live, Analysis and Completion. Within this health sector context, it takes preferably about 10-12 weeks from the start of the preparation phase to the end of the completion phase. This 12-14 week process does not include the change management work required to move evidence into action. The following describes a typical and preferred set of operational steps within a health care optimization context. 
       Study Set Up 
       [0112]    Face-to-face meetings with Senior Leadership, Unions, and other key stakeholders identified are held to share information, understand the context of the unit, and to solicit the level of support required to ensure success of the process. 
         [0113]    Following the first round of introductory sessions that briefly explain the process, Unit managers, clinical nurse educators, and others as identified are invited to attend a half day more in-depth orientation. The agenda for the orientation includes:
       1. Overview of CDMR   2. Overview of the FAs   3. Review and discussion of the roles and expectations between the VIHA and the unit participating in the FA work-sampling research.   4. Review and discussion of communication materials provided for distribution following ethics approval. It is recommended that the communications materials be vetted through the organization&#39;s own communications team. The communications package included:
           a. Frequently Asked Questions related to the FAprocess   b. one-page information sheet for staff   c. One-page information sheet for patients/family?   d. CDMR Poster to provide information to the broader hospital staff and patients/families etc.   
           5. Determination and clarity around the roles and responsibilities for each person engaged in the work.       
 
       Data Dictionary/Field List Development 
       [0123]    The first step in analyzing the work of healthcare staff is to identify each measurable/observable task and activity and its relationship to other variables. Following the identification of fields for observation, each measurable task and activity and/or data object are given a description and definition with its meaning described. This collection is organized for reference into a comprehensive document called a data dictionary. The process of confirming the data dictionary variables is a vital to ensure staff engagement and buy-in from the beginning Staff representing their specific role and function within the core care team are generally asked to:
       1. Describe the daily activities and the types of patients they take care of   2. Describe how patients are assigned to the unit staff   3. Indicate who they communicate with on any given day?
           a. Describe what topics are discussed with the following groups:   b. Peers   c. Allied Health   d. Assistive Personnel   e. Physicians   f. Patients   g. Families   h. Other   
           4. Describe what activities/tasks they engage in that are the most important to them.   5. Describe what activities/tasks patients&#39; value most.       
 
         [0137]    The data dictionary is key to ensuring the model of care delivery is theory and reality driven and staff are aware of what&#39;s being collected. The data dictionary represents a typology of observations consisting of multiple variables placed in an organized format to facilitate the flow and collection of data. 
         [0138]    The FA methodology has the ability to collect observational data on multiple levels. Within the health care sector (hospital optimization, six levels are preferred). Within each of these levels are variables that are considered observable and measurable. For instance, nurse data dictionary may have 1300 unique variables to observe and enter into the PDA. More specifically, the FA  10  tool collects observational data on a variety of predefined work activities, to the depth of six levels, reflecting the scope and complexity of the work. The first level of data collection captures time spent at the macro level (main role and function). For instance, nurses are responsible for assessing the patient, identifying desired outcomes and planning/implementing required interventions and treatments. The FA provides the opportunity to delve deeper into the complexity and scope of work within each of these main categories. 
         [0139]    To illustrate this point, consider one nursing role and function such as the nursing assessment. Typical work-sampling studies collect and aggregate total time and percent time spent in this category alone. However, a nursing assessment theoretically is holistic in nature and should include assessing the individual from a variety of perspectives (psychosocial, physical, financial, spiritual etc.). The analysis from the FA can provide that level of detail. 
         [0140]    The FA collects percent and total time in each of these discrete areas nested with the main role and function of the assessment. Following through with this example, the FA has an additional three levels of data collection nested within level 1 (assessment). The distribution of time among activities is important, but the real value comes from understanding the patient/nurse encounter during the assessment, treatment, discharge planning etc. 
         [0141]    The ability to provide robust data at this level of detail is a unique feature of the FA method and system. 
       Observer Training and Field Validation 
       [0142]    Observer training, validity checks and piloting of the data fields takes place to validate the classification of the variables and to ensure internal consistency of observer behavior. This period allows for a final refinement of the fields prior to data collection and an opportunity for the observer and staff to acquaint themselves with the routine on the unit and each other. Where possible, the observer is assigned to the same staff member for the duration of the observational period to ensure continuity for the staff and to enhance data quality. 
         [0143]    Preferably, over a multi-day period the data gatherers are prepared off-site in a classroom setting for the “go-live” observational phase. The training begins with each individual data gatherer going through the eight e-learning modules ending with a training module quiz. Following the e-learning sessions, prospective data gatherers are tested on their knowledge of the context, content, and their ability to work with the technology in the field. 
       Go-Live Phase 
       [0144]    During the observational period, both professional and non-professional staff are observed during their shifts (days, evenings, nights) and on the weekend. Unlike many observational studies, the observation is continuous, allowing for a factual and detailed snapshot of the work being done by the (in this scenario) healthcare team. The observer uses a hand held device (PDA) to capture the different activities being completed at the moment they occur. Within the health care sector specifically, because the research goes through a process of securing ethic approval, a detailed consent process for both the staff and patients is required. This is described below: 
       Patient Consent 
       [0145]    Although patients are not being observed directly, conversations between health care providers and patients and/or families are captured, which require patient consent. A member of the care team in collaboration with the unit manager, approach patients on each unit to request consent. Patients will be made aware of the following:
       1. Only staff activities are being observed and data collected;   2. Observers will respect confidentiality related to all verbal exchanges between patients and healthcare providers.   3. Patients are asked to give permission for demographic data to be abstracted from their respective charts.   4. Patients are made aware that consent is voluntary—patient care will not be affected if they do not wish to consent.       
 
       Exclusion Criteria 
       [0150]    Patients who are unable to give informed consent are excluded from the study as well as patients under the age of 18 years, those who do not speak English, and those restricted to isolation rooms. In such cases the observers are instructed to wait outside the patient&#39;s room during any interactions between the healthcare provider and the patient. 
       Staff Consent 
       [0151]    Staff working on the unit are also invited to participate in the work-sampling study and sign a consent to:
       1. Being observed on their shift as they go about their professional activities. No personal data is captured.   2. Respond to open-ended questions related to their perception of their workload that day, any unusual events that should be noted to put the FA data into context and any ideas they may have to improve the environment for themselves and the customers/patients.       
 
       Analysis Phase 
     Preparing the Data for Analysis 
       [0154]    The volume of observational data points for each individual observed is significant and requires ongoing quality checks throughout the period of observation. The data is checked for any errors or omissions based on predetermined business rules. 
       Function Analysis (FA Data: 
       [0155]    FA details are sorted by role functions and activities to examine the time spent in specific types of activities associated with their role functions as well as the people contacted to do their work (with whom), their mode of communication (method of communicating) and finally the focus of conversation during the contact (topic of conversation). The data is analyzed by using standard descriptive statistics and cross tabulations to determine the percent time, and time in minutes/hours spent of activities. Specifically, the steps for analysis and reporting on the data include:
       Data comprehensiveness validation (to ensure all datasets are present for observed shifts)   Data quality validations (to ensure timestamps are valid and shift duration is accounted for)   Compiling files collapse the hierarchical data into one line of data   Further manipulation of the data to preparation of analysis   Prepare descriptive statistics for each role and focused activities   Prepare a Report   Interpretation guide is prepared based on the descriptive data analysis       
 
         [0163]    Table 2 illustrates typical Data Dictionary Typology. 
         [0164]      FIG. 7  depicts the hierarchical or nested nature of the FA database architecture. Using a PDA, the observer toggles quickly between dimensions as the activity changes and/or topic of conversation changes to ensure the capture of the required depth and breadth of detail 
         [0165]    It is to be understood and appreciated that the method of the present invention is not limited for use in the healthcare sector, although there is great need for workforce optimization therein. In particular, this method may be employed in workplaces selected from the group consisting of a hospital, an acute care facility, an extended care facility, a psychiatric facility, and a geriatric facility. 
         [0166]    This method may similarly be adapted and applied to a wide variety of other workforces, including, but not limited to: lawyers, teachers, other education providers, governments, social service providers, and truck drivers. 
         [0167]    The present invention can be implemented in numerous ways, including as a process, an apparatus, a system, a computer readable medium such as a computer readable storage medium or a computer network wherein program instructions are sent over optical or communication links. In this specification, these implementations, or any other form that the invention may take, may be referred to as systems or techniques. A component such as a processor or a memory described as being configured to perform a task includes both a general component that is temporarily configured to perform the task at a given time or a specific component that is manufactured to perform the task. In general, the order of the steps of disclosed processes may be altered within the scope of the invention. 
         [0168]    The following discussion provides a brief and general description of a suitable computing environment in which various embodiments of the system may be implemented. Although not required, embodiments will be described in the general context of computer-executable instructions, such as program applications, modules, objects or macros being executed by a computer. Those skilled in the relevant art will appreciate that the invention can be practiced with other computer or microcomputer configurations, including hand-held devices, Smartphones (for example, iPhone, Blackberry, Android), as an application on iPad or via multiprocessor systems, microprocessor-based or programmable consumer electronics, personal computers (“PCs”), network PCs, mini-computers, mainframe computers, and the like. The embodiments can be practiced in distributed computing environments where tasks or modules are performed by remote processing devices, which are linked through a communications network. In a distributed computing environment, program modules may be located in both local and remote memory storage devices. 
         [0169]    A computer system may be used as a server including one or more processing units, system memories, and system buses that couple various system components including system memory to a processing unit. Computers will at times be referred to in the singular herein, but this is not intended to limit the application to a single computing system since in typical embodiments, there will be more than one computing system or other device involved. Other computer systems may be employed, such as conventional and personal computers, where the size or scale of the system allows. The processing unit may be any logic processing unit, such as one or more central processing units (“CPUs”), digital signal processors (“DSPs”), application-specific integrated circuits (“ASICs”), etc. Unless described otherwise, the construction and operation of the various components are of conventional design. As a result, such components need not be described in further detail herein, as they will be understood by those skilled in the relevant art. 
         [0170]    A computer system includes a bus, and can employ any known bus structures or architectures, including a memory bus with memory controller, a peripheral bus, and a local bus. The computer system memory may include read-only memory (“ROM”) and random access memory (“RAM”). A basic input/output system (“BIOS”), which can form part of the ROM, contains basic routines that help transfer information between elements within the computing system, such as during start-up. 
         [0171]    The computer system also includes non-volatile memory. The non-volatile memory may take a variety of forms, for example a hard disk drive for reading from and writing to a hard disk, and an optical disk drive and a magnetic disk drive for reading from and writing to removable optical disks and magnetic disks, respectively. The optical disk can be a CD-ROM, while the magnetic disk can be a magnetic floppy disk or diskette. The hard disk drive, optical disk drive and magnetic disk drive communicate with the processing unit via the system bus. The hard disk drive, optical disk drive and magnetic disk drive may include appropriate interfaces or controllers coupled between such drives and the system bus, as is known by those skilled in the relevant art. The drives, and their associated computer-readable media, provide non-volatile storage of computer readable instructions, data structures, program modules and other data for the computing system. Although a computing system may employ hard disks, optical disks and/or magnetic disks, those skilled in the relevant art will appreciate that other types of non-volatile computer-readable media that can store data accessible by a computer system may be employed, such a magnetic cassettes, flash memory cards, digital video disks (“DVD”), Bernoulli cartridges, RAMs, ROMs, smart cards, etc. 
         [0172]    Various program modules or application programs and/or data can be stored in the computer memory. For example, the system memory may store an operating system, end user application interfaces, server applications, and one or more application program interfaces (“APIs”). 
         [0173]    The computer system memory also includes one or more networking applications, for example a Web server application and/or Web client or browser application for permitting the computer to exchange data with sources via the Internet, corporate Intranets, or other networks as described below, as well as with other server applications on server computers such as those further discussed below. The networking application in the preferred embodiment is mark-up language based, such as hypertext mark-up language (“HTML”), extensible mark-up language (“XML”) or wireless mark-up language (“WML”), and operates with mark-up languages that use syntactically delimited characters added to the data of a document to represent the structure of the document. A number of Web server applications and Web client or browser applications are commercially available, such those available from Mozilla and Microsoft. 
         [0174]    The operating system and various applications/modules and/or data can be stored on the hard disk of the hard disk drive, the optical disk of the optical disk drive and/or the magnetic disk of the magnetic disk drive. 
         [0175]    A computer system can operate in a networked environment using logical connections to one or more client computers and/or one or more database systems, such as one or more remote computers or networks. A computer may be logically connected to one or more client computers and/or database systems under any known method of permitting computers to communicate, for example through a network such as a local area network (“LAN”) and/or a wide area network (“WAN”) including, for example, the Internet. Such networking environments are well known including wired and wireless enterprise-wide computer networks, intranets, extranets, and the Internet. Other embodiments include other types of communication networks such as telecommunications networks, cellular networks, paging networks, and other mobile networks. The information sent or received via the communications channel may, or may not be encrypted. When used in a LAN networking environment, a computer is connected to the LAN through an adapter or network interface card (communicatively linked to the system bus). When used in a WAN networking environment, a computer may include an interface and modem or other device, such as a network interface card, for establishing communications over the WAN/Internet. 
         [0176]    In a networked environment, program modules, application programs, or data, or portions thereof, can be stored in a computer for provision to the networked computers. In one embodiment, the computer is communicatively linked through a network with TCP/IP middle layer network protocols; however, other similar network protocol layers are used in other embodiments, such as user datagram protocol (“UDP”). Those skilled in the relevant art will readily recognize that these network connections are only some examples of establishing communications links between computers, and other links may be used, including wireless links. 
         [0177]    While in most instances a computer will operate automatically, where an end user application interface is provided, a user can enter commands and information into the computer through a user application interface including input devices, such as a keyboard, and a pointing device, such as a mouse. Other input devices can include a microphone, joystick, scanner, etc. These and other input devices are connected to the processing unit through the user application interface, such as a serial port interface that couples to the system bus, although other interfaces, such as a parallel port, a game port, or a wireless interface, or a universal serial bus (“USB”) can be used. A monitor or other display device is coupled to the bus via a video interface, such as a video adapter (not shown). The computer can include other output devices, such as speakers, printers, etc. 
         [0178]    Further and in addition to the other computing system related disclosure provided herein, it will be readily apparent to one of ordinary skill in the art that the various processes and methods (and system) described herein may be implemented by, e.g., appropriately programmed general purpose computers, special purpose computers and computing devices. Typically a processor (e.g., one or more microprocessors, one or more microcontrollers, one or more digital signal processors) will receive instructions (e.g., from a memory or like device), and execute those instructions, thereby performing one or more processes defined by those instructions. Instructions may be embodied in, e.g., a computer program. 
         [0179]    A “processor” means one or more microprocessors, central processing units (CPUs), computing devices, microcontrollers, digital signal processors, or like devices or any combination thereof. 
         [0180]    Thus a description of a process is likewise a description of an apparatus for performing the process. The apparatus that performs the process can include, e.g., a processor and those input devices and output devices that are appropriate to perform the process. 
         [0181]    Further, programs that implement such methods (as well as other types of data) may be stored and transmitted using a variety of media (e.g., computer readable media) in a number of manners. In some embodiments, hard-wired circuitry or custom hardware may be used in place of, or in combination with, some or all of the software instructions that can implement the processes of various embodiments. Thus, various combinations of hardware and software may be used instead of software only. 
         [0182]    The term “computer-readable medium” refers to any medium, a plurality of the same, or a combination of different media, that participate in providing data (e.g., instructions, data structures) which may be read by a computer, a processor or a like device. Such a medium may take many forms, including but not limited to, non-volatile media, volatile media, and transmission media. Non-volatile media include, for example, optical or magnetic disks and other persistent memory. Volatile media include dynamic random access memory (DRAM), which typically constitutes the main memory. Transmission media include coaxial cables, copper wire and fiber optics, including the wires that comprise a system bus coupled to the processor. Transmission media may include or convey acoustic waves, light waves and electromagnetic emissions, such as those generated during radio frequency (RF) and infrared (IR) data communications. Common forms of computer-readable media include, for example, a floppy disk, a flexible disk, hard disk, magnetic tape, any other magnetic medium, a CD-ROM, DVD, any other optical medium, punch cards, paper tape, any other physical medium with patterns of holes, a RAM, a PROM, an EPROM, a FLASH-EEPROM, any other memory chip or cartridge, a carrier wave as described hereinafter, or any other medium from which a computer can read. 
         [0183]    Various forms of computer readable media may be involved in carrying data (e.g. sequences of instructions) to a processor. For example, data may be (i) delivered from RAM to a processor; (ii) carried over a wireless transmission medium; (iii) formatted and/or transmitted according to numerous formats, standards or protocols, such as Ethernet (or IEEE 802.3), SAP, ATP, Bluetooth™, and TCP/IP, TDMA, CDMA, and 3G; and/or (iv) encrypted to ensure privacy or prevent fraud in any of a variety of ways well known in the art. 
         [0184]    Thus a description of a process is likewise a description of a computer-readable medium storing a program for performing the process. The computer-readable medium can store (in any appropriate format) those program elements which are appropriate to perform the method. 
         [0185]    Just as the description of various steps in a process does not indicate that all the described steps are required, embodiments of an apparatus include a computer/computing device operable to perform some (but not necessarily all) of the described process. 
         [0186]    Likewise, just as the description of various steps in a process does not indicate that all the described steps are required, embodiments of a computer-readable medium storing a program or data structure include a computer-readable medium storing a program that, when executed, can cause a processor to perform some (but not necessarily all) of the described process. 
         [0187]    Where databases are described, it will be understood by one of ordinary skill in the art that (i) alternative database structures to those described may be readily employed, and (ii) other memory structures besides databases may be readily employed. Any illustrations or descriptions of any sample databases presented herein are illustrative arrangements for stored representations of information. Any number of other arrangements may be employed besides those suggested by, e.g., tables illustrated in drawings or elsewhere. Similarly, any illustrated entries of the databases represent exemplary information only; one of ordinary skill in the art will understand that the number and content of the entries can be different from those described herein. Further, despite any depiction of the databases as tables, other formats (including relational databases, object-based models and/or distributed databases) could be used to store and manipulate the data types described herein. Likewise, object methods or behaviors of a database can be used to implement various processes, such as the described herein. In addition, the databases may, in a known manner, be stored locally or remotely from a device which accesses data in such a database. 
         [0188]    Various embodiments can be configured to work in a network environment including a computer that is in communication (e.g., via a communications network) with one or more devices. The computer may communicate with the devices directly or indirectly, via any wired or wireless medium (e.g. the Internet, LAN, WAN or Ethernet, Token Ring, a telephone line, a cable line, a radio channel, an optical communications line, commercial on-line service providers, bulletin board systems, a satellite communications link, a combination of any of the above). Each of the devices may themselves comprise computers or other computing devices, such as those based on the Intel® Pentium® or Centrino® processor, that are adapted to communicate with the computer. Any number and type of devices may be in communication with the computer. 
         [0189]    In an embodiment, a server computer or centralized authority may not be necessary or desirable. For example, the present invention may, in an embodiment, be practiced on one or more devices without a central authority. In such an embodiment, any functions described herein as performed by the server computer or data described as stored on the server computer may instead be performed by or stored on one or more such devices. 
         [0190]    Where a process is described, in an embodiment the process may operate without any user intervention. In another embodiment, the process includes some human intervention (e.g., a step is performed by or with the assistance of a human). 
         [0191]    As will be apparent to those skilled in the art, the various embodiments described above can be combined to provide further embodiments. Aspects of the present systems, methods and components can be modified, if necessary, to employ systems, methods, components and concepts to provide yet further embodiments of the invention. For example, the various methods described above may omit some acts, include other acts, and/or execute acts in a different order than set out in the illustrated embodiments. 
         [0192]    Further, in the methods taught herein, the various acts may be performed in a different order than that illustrated and described. Additionally, the methods can omit some acts, and/or employ additional acts. 
         [0193]    The present methods, systems and articles also may be implemented as a computer program product that comprises a computer program mechanism embedded in a computer readable storage medium. For instance, the computer program product could contain program modules. These program modules may be stored on CD-ROM, DVD, magnetic disk storage product, flash media or any other computer readable data or program storage product. The software modules in the computer program product may also be distributed electronically, via the Internet or otherwise, by transmission of a data signal (in which the software modules are embedded) such as embodied in a carrier wave. 
         [0194]    For instance, the foregoing detailed description has set forth various embodiments of the devices and/or processes via the use of examples. Insofar as such examples contain one or more functions and/or operations, it will be understood by those skilled in the art that each function and/or operation within such examples can be implemented, individually and/or collectively, by a wide range of hardware, software, firmware, or virtually any combination thereof. In one embodiment, the present subject matter may be implemented via ASICs. However, those skilled in the art will recognize that the embodiments disclosed herein, in whole or in part, can be equivalently implemented in standard integrated circuits, as one or more computer programs running on one or more computers (e.g., as one or more programs running on one or more computer systems), as one or more programs running on one or more controllers (e.g., microcontrollers) as one or more programs running on one or more processors (e.g., microprocessors), as firmware, or as virtually any combination thereof, and that designing the circuitry and/or writing the code for the software and or firmware would be well within the skill of one of ordinary skill in the art in light of this disclosure. 
         [0195]    In addition, those skilled in the art will appreciate that the mechanisms taught herein are capable of being distributed as a program product in a variety of forms, and that an illustrative embodiment applies equally regardless of the particular type of signal bearing media used to actually carry out the distribution. Examples of signal bearing media include, but are not limited to, the following: recordable type media such as floppy disks, hard disk drives, CD ROMs, digital tape, flash drives and computer memory; and transmission type media such as digital and analog communication links using TDM or IP based communication links (e.g., packet links). 
         [0196]    These and other changes can be made to the present systems, methods and articles in light of the above description. In general, in the following claims, the terms used should not be construed to limit the invention to the specific embodiments disclosed in the specification and the claims, but should be construed to include all possible embodiments along with the full scope of equivalents to which such claims are entitled. Accordingly, the invention is not limited by the disclosure, but instead its scope is to be determined entirely by the following claims. 
         [0197]    The invention will be described by the following non-limiting examples: 
       Example 1 
     Workflow Process 
     Function Analysis: Data Processing—Workflow Process 
       [0198]    Roles and Responsibilities:
       To collect, analyze and consolidate data over the duration of the study period   More specifically, to:
           Prepare compiler and, subsequently, the field lists, data dictionaries and CSV files;   Educate and train the research team (also known as data gatherers or DGs) on how the data from PDAs is processed and structured, and how to navigate and calibrate the PDA;   Assist with the coordination of the field testing exercise;   Download data from PDAs, quality analysis and consolidation;   Collect, secure, consolidate and clean study files in the database on a daily basis;   Direct and manage the day to day operations as they relate to the WIN technology hardware (PDA) and software;   Provide daily feedback (oral and written) to the research team; and,   Generate the lean (consolidated) data file and final reports as required and requested.   
               
 
         [0209]    Data Workflow 
         [0210]    What is the Compiler? 
         [0211]    The compiler is a tool that allows the modification of data variable options and architecture (how the data is organized) according to the study design requirements. The compiler generates 3 distinct files: the data dictionary, the field list and the CSV file for every role under observation. The data dictionary and the field list provide the data gatherer with detailed reference material specific to the study (see Appendix A). 
         [0212]    The CSV (Text format data) file is a specifically formatted version of the field list which is uploaded to the PDA. 
         [0213]    The study design articulates the sample size, the roles being observed and the research objectives. These details will determine what new roles and/or variables need to be added to the compiler. 
         [0214]    Step 1: Preparing Compiler 
         [0215]    A key outcome in the Prepare the Go-Live Team work package is to ensure all tools, documentation and materials are operational and standing-by prior to the go live study. Preparing the compiler is central to this process (see Appendix B). The compiler is the tool which generates the PDA files and reference documents used by the research team during the Function Analysis™ (FA) study. Every study is distinct and as such, the variables housed in the compiler must meet the specific criteria and objectives identified in the study design. 
         [0216]    Key elements to be reviewed and revised in the compiler are:
       Addition, deletion or redefinition of variables: removing the non-applicable variables, adding new variables representative of the program and/or roles and redefining existing variables with local language used on the unit(s)   Addition or deletion of staff roles: Removing staff roles no longer applicable, adding new roles be observed during the study   Adjustments to the data architecture: In some cases, changes to the variable hierarchy structure are necessary. Such changes will impact how variables are defined on every level of the task data.       
 
         [0220]    Minor adjustments to the compiler may be required after field testing and client feedback. Note: It is not recommended to revise the compiler once the documents have been updated and field testing has been completed. 
         [0221]    What is a Data Dictionary? 
         [0222]    The Data Dictionary acts as an “object library” or repository for a set of attributes/variables used to build a customized containment hierarchy (6 levels) and field list for a Function Analysis™ study. 
         [0223]    The field list is a set of measurable, observable and mutually exclusive variables representing the tasks, activities, contacts and conversation topics listed in the data dictionary. 
         [0224]    Operational Definitions for each level are found in Appendix A. 
         [0225]    Step 2: Preparing Materials and PDA for the Study 
         [0226]    Once the documents (data dictionary and field list) have been approved and field tested, they are printed and used by the research team as reference documents throughout the study. 
         [0227]    The final CSV files are then loaded onto the PDAs (see Appendix C) and the PDAs are run through a series of tests to verify operational functionality. These tests include:
       correct CSV files loaded and visible on screen   operational navigation through all data levels   date and time zone correct   maximum battery strength   PDA calibration       
 
         [0233]    Broken and sub optimal PDAs will be replaced and reported to the Operation Lead. 
         [0234]    Step 3: Training Research Team and Conducting Field Testing 
         [0235]    The week prior to the study, the research team will receive on-site training over a two day period. The data manager will support the training by providing instruction on the basic PDA operation (on/off, navigating the home screen, using the stylus, calibrating the PDA, troubleshooting and downloading/uploading data). The data manager will also assist in the development and execution of training scenarios aimed at providing the research team with an opportunity to practice and improve their data coding skills. 
         [0236]    On the third day of training, the research team collects real time observational data at the study site. This is known as field practice. The objective is to provide the research team with an opportunity to become more familiar with the use of the PDA, to practice navigating through the 6 level hierarchical data structure, and to become more comfortable in the space where they will collecting the data. The data manager will support this step by analyzing the recorded data and providing feedback and technical assistance to the research team throughout the day. 
         [0237]    Step 4: Preparing the Database 
         [0238]    The purpose of the database is to secure, consolidate, store, organize and correct the observational data collected. The database is closely connected to and integrated with statistical information collected in the study schedule and reconciliation tables. Specifically, the names and ID numbers of the research team, staff name/role/ID number, and patient information is updated and verified using a standard naming convention. There are a number of specific steps required to prepare a database (see Appendix D). 
         [0239]    A note about naming convention 
         [0240]    Naming conventions are used when filing and storing data to limit data object uncertainty and ambiguity while providing a systematic and standard method of cataloguing files. 
         [0241]    A note about the qualitative paperwork 
         [0242]    In addition to collecting observational data using a PDA, the research team is also asked to collect qualitative information on a daily basis. The End of Shift Questions and the Data Gatherer Journal provide valuable contextual insights on the day&#39;s activities. The paperwork is reviewed for completeness by the Operations Lead and is labelled with the study file by the Data Manager. 
         [0243]    Step 5: Managing the Data 
         [0244]    At the end of every shift, each of the data gatherers will complete their paperwork (corrections sheet, end of shift questions and DG journal), place this information along with the PDA in an envelope and hand the envelope to the data manager. The data is then downloaded from the PDA to a computer where a unique study file and number is automatically created. This number is recorded on all paperwork related to the study file. A copy of the study file is then imported into the database where automated quality checks and corrections are performed. The original study file is saved and secured in a separate location and is never manipulated. Once a copy of the numbered study file is safely secured in a separate file, the data manager can begin to review and make corrections to the data. The correction sheet submitted by the data gatherer will identify the error (time, level and field) and note the correct variable to substitute in its place. The data manager will then conduct a manual review of the data and will highlight areas in the data file where clarification is required from the data gatherer (see Appendix E). 
         [0245]    Step 5: Consolidating the Data 
         [0246]    At the end of the study, the data will be consolidated into a single or “lean” file through an automated process. A final quality check is manually performed by the data manager before it is sent on for analysis. (Appendix F) 
         [0247]    Function Analysis Study—Data Management Process—Draft Feb. 11, 2011 
       APPENDIX A 
     The Data Dictionary 
       [0248]    Development of the data dictionary: See  FIG. 11 . 
         [0249]    The Data Dictionary acts as an “object library” or repository for a set of attributes/variables used to build customized containment hierarchies (data dictionary) for a Function Analysis study. 
         [0250]    The Architecture: Data Dictionary Waterfall: “There are six levels of data in a data dictionary. Each level contains a list of options, from which you will choose.” See  FIG. 7 . 
         [0251]    OVERARCHING PRINCIPLES—Each attribute or variable must have:
       Standard language/terminology across roles   Standard codes across roles   Local or unique terms which can be mapped back to a standard term       
 
         [0255]    Criteria for Inclusion/Exclusion of Object Library Attributes:
       Measurable   Observable   Mutually exclusive   Capture 100% of the participants time   Must add value/contribute to understand/answer the CDMR research initiative (importance/relevance)—the variables identify task and/or activities related to the key metrics of optimization, productivity, quality and safety, and cost avoidance.       
 
         [0000]    
       
         
               
             
               
               
               
               
             
               
               
               
               
               
             
           
               
                   
               
               
                 Data Dictionary Operational Definitions by Level 
               
             
          
           
               
                   
                   
                   
                 Criteria (the qualities that determine 
               
               
                   
                   
                   
                 appropriateness for inclusion and position of 
               
               
                   
                   
                   
                 elements within the data dictionary} 
               
             
          
           
               
                   
                   
                 Operational Definition: 
                 Inclusion Criteria  
                 Exclusion Criteria 
               
               
                   
                   
                 “description of term as applied to a specific 
                 (what is considered  
                 (what is considered- 
               
               
                   
                   
                 situation to facilitate the collection of 
                 when deciding to 
                 when deciding to 
               
               
                   
                   
                 meaningful standardized data”—overarching 
                 INCLUDE content  
                 EXCLUDE content 
               
               
                 Level 
                 Name 
                 principle 
                 at this level?) 
                 at this level?) 
               
               
                   
               
               
                 Level 1 
                 Primary Activity 
                 Represents the main roles, functions, and/or 
                 Activities of high cumulative 
                   
               
               
                   
                   
                 activities of the person under observation and 
                 duration. 
                   
               
               
                   
                   
                 includes: 
                 Activities of high 
                   
               
               
                   
                   
                 Unit/Environment-Related: Activities 
                 importance/relevance that 
                   
               
               
                   
                   
                 associated with the nursing 
                 occur instantaneously (occur 
                   
               
               
                   
                   
                 unit/environment that are not patient- 
                 in such short duration that 
                   
               
               
                   
                   
                 specific, including activities related to 
                 subsequent levels of coding 
                   
               
               
                   
                   
                 travel, equipment, look for, miscellaneous,  
                 are not feasible). 
                   
               
               
                   
                   
                 housekeeping, code situation. 
                 Activities of high 
                   
               
               
                   
                   
                 FA-Related: Activities associated with the 
                 importance/relevance or 
                   
               
               
                   
                   
                 Function Analysis study itself; appears as 
                 duration that are related to 
                   
               
               
                   
                   
                 “Pause”, “FA Research Project” (includes 
                 external circumstances. 
                   
               
               
                   
                   
                 interview at end of day, speaking about the 
                   
                   
               
               
                   
                   
                 project), “End of Data Collection”. 
                   
                   
               
               
                   
                   
                 Personal: Personal activities not related to 
                   
                   
               
               
                   
                   
                 patient care or unit activities such as lunch, 
                   
                   
               
               
                   
                   
                 dinner, breaks, and personal 
                   
                   
               
               
                   
                   
                 communication (telephone, email). 
                   
                   
               
               
                 Level 2 
                 Sub Activity 
                 Represents the sub-activities of Level 1, 
                 May depend upon the 
                   
               
               
                   
                   
                 providing a greater level of 
                 requirements of the research 
                   
               
               
                   
                   
                 specificity/refinement to the Level 1 Primary 
                 question. 
                   
               
               
                   
                   
                 Activity Areas. 
                 Can be stated as an action 
                   
               
               
                   
                   
                   
                 verb (e.g., I am patient 
                   
               
               
                   
                   
                   
                 charting) 
                   
               
               
                 Level 3 
                 Patient Link 
                 Represents the patient(s) with/for/about  
                 None. 
                   
               
               
                   
                   
                 whom the Level 1 and 2 activities pertain. 
                   
                   
               
               
                 Level 4 
                 Mode of Primary 
                 Represents the mode (manner, means or 
                 May depend upon the 
                   
               
               
                   
                 or Sub Activity 
                 method) employed to complete a Level 1/ 
                 requirements of the research 
                   
               
               
                   
                   
                 Level 2 activity. 
                 question. 
                   
               
               
                   
                   
                   
                 Can be stated as a noun. 
                   
               
               
                 Level 5 
                 Communication 
                 Represents the people, department, agency or 
                 Includes the network of 
                   
               
               
                   
                 with Whom 
                 organization with whom the professional is 
                 people required to meet the 
                   
               
               
                   
                   
                 directly interacting. 
                 care needs of the patient 
                   
               
               
                 Level 6 
                 Topic of 
                 Represents the subject of the communication. 
                   
                   
               
               
                   
                 Communication 
               
               
                   
               
             
          
         
       
     
         [0000]    
       
         
               
             
               
               
               
               
               
               
             
           
               
                   
               
               
                 Sample Field List 
               
             
          
           
               
                   
                   
                   
                 4-Mode of Primary or  
                 5 Communication  
                 6-Topic of 
               
               
                 Primary Activity 
                 2-Sub-activities 
                 3-Patient Link 
                 Sub Activity 
                 with Whom 
                 Communication 
               
               
                   
               
               
                  10 Hands* 
                 20 Put on glove/gown/ 
                 999 Not Applicable 
                 999 Info Record- 
                 999 Care Management 
                 999 ADL-General 
               
               
                   
                 mask 
                   
                 Computer 
                 Leader 
                   
               
               
                  20 Infection Control 
                 20 Request Assistance 
                 999 Patient Discharge 
                 999 Info Record-Offline 
                 999 Doctor-GP 
                 999 ADL-Patient Hygiene 
               
               
                  30 Interruption 
                 20 Take off glove/gown/ 
                 999 Patient Group 
                 999 Info Review- 
                 999 Family Meeting 
                 999 Administrative 
               
               
                   
                 mask 
                   
                 Computer 
                   
                   
               
               
                  50 Communication 
                 20 IC Other 
                 999 Patient New 
                 999 Info Review-Offline 
                 999 Hospital Security 
                 999 ALC 
               
               
                  60 Travel 
                 30 Knowledge Exchange 
                 999 Patient No 
                 999 Document-Handoff 
                 999 Med Student/ 
                 999 Appoint/Test 
               
               
                   
                   
                 Consent 
                   
                 Resident 
                   
               
               
                  70 Assess Evaluate 
                 50 Greeting patients/ 
                 999 Patient  
                 999 Email-Read 
                 999 OT 
                 999 Arrange Meeting/ 
               
               
                   
                 visitors 
                 Unknown 
                   
                   
                 ____ 
               
               
                  80 Patient Needs 
                 50 Interview-Patient 
                 999 Patient 1 
                 999 Email-Write 
                 999 Patient 
                 999 Arrange Peer Support 
               
               
                  90 ADL 
                 50 Knowledge Exchange 
                 999 Patient 2 
                 999 Face to Face 
                 999 Patient Group 
                 999 Assessment 
               
               
                  91 IADLS 
                 50 Meeting-Family 
                 999 Patient 3 
                 999 Fax 
                 999 Psychiatrist 
                 999 Bed Availability 
               
               
                 100 Medication 
                 50 Meeting-Other 
                 999 Patient 4 
                 999 Filing 
                 999 Psychologist 
                 999 Bowel Care 
               
               
                 110 Treatment 
                 50 Meeting-Rounds 
                 999 Patient 5 
                 999 Intercom 
                 999 Rehab Assistant 
                 999 Bowel Habits 
               
               
                 120 Documentation 
                 50 Report 
                 999 Patient 6 
                 999 Not Applicable 
                 999 RN 
                 999 Care Plan 
               
               
                 130 Miscellaneous 
                 50 Verbal/Status Update 
                 999 Patient 7 
                 999 Other 
                 999 Social Worker 
                 999 Census/Bed  
               
               
                   
                   
                   
                   
                   
                 Assignment 
               
               
                 131 Equipment 
                 60 Med Room-E1 
                 999 Patient 8 
                 999 Pager 
                 999 Staff Group 
                 999 Concerns and  
               
               
                   
                   
                   
                   
                   
                 Complaints 
               
               
                 132 Housekeeping 
                 60 Med Room-W1 
                 999 Patient 9 
                 999 Photocopy 
                 999 Student Nurse 
                 999 Cueing Action with  
               
               
                   
                   
                   
                   
                   
                 Staff 
               
               
                 190 Waiting* 
                 60 Nursing Station-E1 
                 999 Patient 10 
                 999 Print 
                 999 Unit Clerk 
                 999 Cueing Action with 
               
               
                   
                   
                   
                   
                   
                 Patients 
               
               
                 200 Lunch/Dinner/ 
                 60 Nursing Station-W1 
                 999 Patient 11 
                 999 Research-Computer 
                 999 Ambulance Service 
                 999 Death Related 
               
               
                 Break* 
                   
                   
                   
                   
                   
               
               
                 210 Pause* 
                 60 Pt Room 
                 999 Patient 12 
                 999 Research-Paper  
                 999 Central Processing 
                 999 Diet-Nutrition 
               
               
                   
                   
                   
                 based 
                   
                   
               
               
                 220 Personal* 
                 60 Supply/Storage Rooms 
                 999 Patient 13 
                 999 Take Out/Return  
                 999 Clinical Nurse  
                 999 Diet-Pt Meals 
               
               
                   
                   
                   
                 Paperwork 
                 Educator 
                   
               
               
                 230 Unusual Incident- 
                 60 Building Services  
                 999 Patient 14 
                 999 Telephone-Transfer  
                 999 Clinical Nurse 
                 999 Directions 
               
               
                 Patient* 
                 Room-W1 
                   
                 call 
                 Specialist 
               
               
                   
               
             
          
         
       
     
       APPENDIX B 
     Working with the Compiler 
       [0261]    The compiler is the main tool used to define how the data will be collected so it is necessary to have a clear perspective on how the data will be structured. That is:
       A. How many different staff roles will be studied?   B. What variables will need to be added or modified to the Nursing Unit requirements?   C. Is there a major change required to the variable hierarchy?
 
Once these questions are answered we can begin working with the compiler.
       
 
         [0265]    Set a new Compiler version:
       i. For each study you will need to define a unique Compiler file:
           1. Copy the Standard Compiler file and paste in the desired folder   2. Change the name of the file into a name more familiar to the nature of the study. Also add a reference to the date of modification and the version number since it is likely changes will be made, which you will want to keep track of (i.e. VictoriaGeneralHospital-11022010-V02)   
               
 
         [0269]    Adding or removing roles from the compiler:
       i. To add a role to the Compiler, on the “Controller” Sheet, press the button “Add Resource” and type the role name. See  FIG. 12 .   ii. To remove a role from the Compiler, on the “Controller” Sheet, press the button “Remove Resource” and type the ID of the Role you want to remove. See  FIG. 13 .       
 
         [0272]    Editing, adding or removing variables from the compiler:
       i. To edit a variable, go to the “Main Master” sheet. Look for the variable you want to edit. You can alter any blue-shaded cell between column J and column AI; with the exception of column N since changing cells in this column will alter the automated data handling process.   ii. To remove a variable from the Compiler, on “Main Master” sheet, select the row containing the variable you want to remove. Then, right click and select “Delete”. Remember to select the entire row or you will alter the automated data handling process. See  FIG. 14 .   iii. To add a variable, on the “Main Master” Sheet, insert a row anywhere in between the first and last variable listed on the table. Then Copy/Paste another variable in the just inserted row. Perform any editing required as in step i       
 
         [0276]    Changes to the variable hierarchy: For exceptional cases, the different levels of the data will need to be redefined. For example, one client required to analyze the body posture of the staff as they were performing their activities. Because patient characteristics were not relevant to that study, level 3 definition was changed to describe the different postures. Also, part of the study required to change other levels to track the type of furniture, type of movement, etc. Such changes are done by editing the levels titles and adding new variables. To edit the levels titles go to “Controller” sheet and edit cells L9 to L14. See  FIG. 15 . 
       APPENDIX C 
     Working with the PDA 
       [0277]    During the study period, files will need to be uploaded to PDAs on a daily basis or as required. 
         [0278]    Loading the PDA:
       i. Identify the CSV files generated by the compiler with a unique version ID. For example, change “RNCSV” to “RNCSV02” to indicate that this is the second version of the file in the study   ii. Copy the CSV files that you want to upload to the PDA in to the following folder C:\WinFaSync\ToPda   iii. Connect the PDA to the laptop using the USB connection cable. The HotSync application will automatically start once the connection is made. Select the “Synchronize” option   iv. Once the synchronization is complete, ensure the Role menu on the CFA application of the PDA shows the same name as the CSV file you wanted to upload (identified by the version ID)   v. Select a role and check that all levels are showing the correct variable options   vi. When synchronizing, keep in mind that any record from the PDA will also be downloaded into “FromPda” folder       
 
         [0285]    Testing the PDA:
       i. Turn on the PDA   ii. Check Battery levels. Charge batteries if necessary (see charging batteries, page 11)   iii. Check that time and time zone are correct. To modify the time:
           a. Select “Preference Icon” on the Home menu   b. Select “Date &amp; Time”   
           iv. Check if the correct CSV files are uploaded:
           a. Select “CFA” on the Home menu   b. Check the roles menu and see if the version ID matches the CSV file.   
               
 
         [0294]    The Data Manager will need to also handle PDA maintenance and troubleshooting. The following are a few examples of potential problems and solutions: 
         [0295]    PDA freezes and requires a soft re-set:
       i. Turn the PDA over—you will see a small hole labelled “reset”   ii. Using a paperclip or the tip of the stylus (some tips can be unscrewed and there is a pin—like device attached)   iii. Place the clip/pin into this hole and lightly push and hold—this is a soft reset and should bring the program back on track   iv. If the clip/pin is held TOO long it is a HARD reset and the data as well as the CFA program will be lost       
 
         [0300]    “Fatal Error”:
       i. If “Fatal Error” occurs during the study—soft reset will usually fix this issue. If this continues, replace the PDA then upload the data from the PDA file noting  2  files will exist for this observation       
 
         [0302]    “Unknown” (the user does not recognize the screen on the PDA):
       i. The recommended course of action is for the user to hit the “home” button—this will return them to “home page” where the CFA icon will be displayed (if it is not—ensure that “ALL” programs are being displayed). Select the CFA program—a message will appear “do you want to resume study” select YES and the program will resume. If NO is selected the data gatherer will be required to load the CFA program again—entering names etc. Only select NO if it is a new study day       
 
         [0304]    Charging Batteries:
       i. Do not wait until the PDA dies. This affects many settings and reduces the lifetime of the battery   ii. Charge the PDA for at least 6 hours   iii. If you notice that a battery seems to be charging poorly, write down the serial number to keep track of the battery performance       
 
       APPENDIX D 
     Preparing the Database 
       [0308]    Before starting to import the PDA files into the database, it is necessary to update study-specific tables in order for the data to make sense. The following steps must be followed to prepare the database: 
         [0309]    Define the new database
       i. Copy the standard version of the database to the desired folder   ii. Change the name of the file to a name representative of the study. Also, add a reference to the date of modification and a version number, since it is likely for changes to be made which you want to keep track of For example, a potential file name could be “VictoriaGeneralHospital-11022010-V02”.       
 
         [0312]    Update the Patient table
       i. You will need to update the patient table on a daily basis during a study. The information will come from OPS3 (Schedule Coordinator) in a file named “Patient List”. The information will include assigned patient ID, Unit and transfer type. Open the “Patients” table in the database and enter the information as listed on the Patient list.       
 
         [0314]    Update the Data Gatherers table
       i. At the beginning of the study, OPS3 will handle a list of the data gatherers with their assigned data gatherer ID. This information should not change over the entire study period. Open the “DGList” table in the database and enter the information as listed in the Data Gatherers list.       
 
         [0316]    Update the Staff table
       i. At the beginning of the study, OPS3 will handle a list of the staff members at the site with there assigned resource ID. This information should not change over the entire study period. Open the “StaffList” table in the database and add the information as listed on the Staff list.       
 
       APPENDIX E 
     Managing the Data 
       [0318]    Once the database is set-up and ready, we can begin importing the PDA file data. Most of the quality checking and data manipulation are done automatically, however, some manual data corrections will be required. 
         [0319]    Download the data from the PDA:
       i. Make sure no files are located in the input (destination) folder before downloading. The input folder is located at C:\WinFa\Sync\FromPda\Study   ii. Create a folder named “Source” were you will archive all files coming from the PDAs. Organize this folder with subfolders labelled with the date when the data was gathered. The Source folder should be in the same directory location as the database file   iii. Open the Data gatherer envelope containing the PDA and correction sheet. Using a marker, assign a unique ID to the Correction Sheet at the top of the sheet   iv. Connect the PDA to the computer. If the PDA has no power, you will need to charge the battery for at least 30 min to be able to download the files. Synchronization will occur automatically   v. Once synchronization is complete, access the input folder and move the CSV file to the source folder   vi. Rename the file with the ID you just assigned to the correction sheet   vii. Recharge the PDA if necessary   viii. File the correction sheet in an envelope assigned to that data collection date       
 
         [0328]    Import PDA data into the Database:
       i. Copy the files you want to import into the database from the Source folder. Paste them to the same folder location as the database   ii. Open the database. Go to the operations form and press the “import files” button   iii. Once all files have been imported, you can delete the copies you just pasted to the database folder       
 
         [0332]    Run automated quality checking and data correction:
       i. Open the database. Go to the operations form and press the “Quality Checking” button       
 
         [0334]    Perform manual data corrections:
       i. Go through each row of data and ensure the information is making logical sense. OPS1 will guide you on this matter. Perform manual corrections as required   ii. Make manual data corrections. (Manual corrections will mostly be related to the corrections listed on the Correction sheet) To start, open the database and then open the “Main” table   iii. Pick a correction sheet from the selected envelope   iv. Look for the ID marked at the top of the correction sheet and under the field “FileID”, filter the table according to the selected ID   v. Modify the field data as required based on the notes from the correction sheet   vi. Mark the correction sheet as checked and file it back into the same envelope       
 
       APPENDIX F 
     Consolidating the Data 
       [0341]    At the end of the study, the corrected data needs to be compressed. The idea is to keep only the records where all required levels are complete and recalculate the elapsed time of all recorded activities. Finally, the data needs to be prepared to be delivered to the client. 
         [0342]    Compressing the data:
       i. Open the database. Go to the operations form and press the “Data Compressing” button. The compressed data will appear in the “LeanData” table       
 
         [0344]    Final Quality checking:
       i. Once the data is compressed, a final manual check must be done. Review the “LeanData” and perform any necessary manual corrections       
 
         [0346]    Generating CSV file:
       i. Select all fields except “GroupID” and “Var” as they are not relevant to the client   ii. Copy/Paste the selection into a new spreadsheet in Excel   iii. Save the spreadsheet using a CSV file extension       
 
       Example 2 
     RN Data Dictionary 
       [0350]    RN Data Dictionary: Ambulatory Care: Victoria General Hospital: April 2011: Prepared by Workflow Integrity Network 
         [0000]    
       
         
               
             
               
               
               
             
               
               
               
             
           
               
                   
               
               
                 Level 1: Main Role and Function 
               
             
          
           
               
                 Code 
                 Field Name 
                 Field Description 
               
               
                   
               
             
          
           
               
                 10 
                 Wash Hands* 
                 It is important to capture the extent to which staff members are washing their hands. This includes washing with soap and water  
               
               
                   
                   
                 as well as using sanitizing gel. 
               
               
                 20 
                 Infection  
                 Infection Control covers activities related to the professional protecting themselves against infection by putting on/taking off  
               
               
                   
                 Control 
                 gloves, gown and mask. 
               
               
                 30 
                 Interruption 
                 Actions on the part of another individual(s) that disrupt the professional&#39;s work activity. For example, a professional may be  
               
               
                   
                   
                 interrupted by a colleague while documenting at the nursing station. The professional stops documenting to address the inquiry.  
               
               
                   
                   
                 Continue past Level 1 if they conduct a conversation. 
               
               
                 50 
                 Communication 
                 Professionals will engage in communication with other staff, patients, family and physicians throughout the shift.  
               
               
                   
                   
                 Communication may be verbal (face to face), by telephone or by email. Note, in most cases communication between the  
               
               
                   
                   
                 professional and patient will take the form of an Assessment or Treatment. You should only select Communication in these  
               
               
                   
                   
                 cases if it is not clear that an Assessment or Treatment is occurring. 
               
               
                 60 
                 Travel 
                 This section records the travelling a professional does on and off the unit. There are specific destinations of travel noted in  
               
               
                   
                   
                 Level 2 on the field list. Once you have selected Travel from Level 1, select the correct destination from Level 2. Do not  
               
               
                   
                   
                 enter the destination in Level 2 until your professional has arrived there. Continue to Level 3 if the professional travels to  
               
               
                   
                   
                 the patient&#39;s room, in which case you should select the patient number in Level 3 and then return to Level 1. Once the  
               
               
                   
                   
                 professional has reached her/his destination, it is important to return to Level 1 as soon as you can. Then, record the activity  
               
               
                   
                   
                 happening at this new destination. This gives us 2 separate times-1 for the travel time and 1 for the time (for example) it took  
               
               
                   
                   
                 to clean up the room. If the professional continues to travel after appearing to have arrived at their destination, reselect Travel  
               
               
                   
                   
                 in Level 1 and repeat the same process. The exception: if you have selected Walk/Talk in Level 2 (the professional is walking  
               
               
                   
                   
                 and talking with the patient) you will code down to level 6 to capture the topic(s) of conversation. 
               
               
                 70 
                 Assess Evaluate 
                 Identification by a professional of the needs, preferences and abilities of a patient. Assessment considers the symptoms and  
               
               
                   
                   
                 signs of the condition, the patient&#39;s verbal and nonverbal communication, medical and social history and any other information  
               
               
                   
                   
                 available. The initial and ongoing assessment is critical because it provides the basis for the patient plan of care (Plan of Care  
               
               
                   
                   
                 can include initial assessment, treatment/interventions/therapeutic group activity, outcomes etc). 
               
               
                 80 
                 Patient Needs 
                 There are a number of tasks and activities that a professional may do over the shift to address the specific needs of patients.  
               
               
                   
                   
                 For example, the professional may prepare, pick up and drop off a drink or snack for the patient. 
               
               
                 90 
                 ADL 
                 Activities of daily living (ADLs): The things we normally do in daily living, including any daily activity we perform for  
               
               
                   
                   
                 self-care (such as feeding ourselves, bathing, dressing, grooming). The ability or inability to perform ADLs can be used as a  
               
               
                   
                   
                 very practical measure of ability/disability in many disorders. 
               
               
                 91 
                 IADLS 
                 Instrumental Activities of Daily Living (IADL): The activities often performed by a person who is living independently in a  
               
               
                   
                   
                 community setting during the course of a normal day, such as managing money, shopping, telephone use, travel in  
               
               
                   
                   
                 community, housekeeping, preparing meals, and taking medications correctly. 
               
               
                 100 
                 Medication 
                 Related to the drugs or curative substances used to treat disease and illness. 
               
               
                 110 
                 Treatment 
                 Related to specific patient care and will include traditional treatments such as wound care, as well as psychosocial  
               
               
                   
                   
                 interventions. The professional will work with patients suffering from psychosis, depression, and anxiety (for example), using  
               
               
                   
                   
                 psychological methods such as therapeutic group or one to one therapy to engage and teach the patient techniques/skills they  
               
               
                   
                   
                 can use to aid recovery and help manage any future crisis in their mental health. 
               
               
                 120 
                 Documentation 
                 Any documentation including charting, updating of files, filling in forms, and reviewing charts. Please select the correct form 
               
               
                   
                   
                 from level 2. Please note, some documentation may be computerized and some may be paper based. 
               
               
                 130 
                 Miscellaneous 
                 Activities that fit outside the other main categories. 
               
               
                 131 
                 Equipment 
                 A number of activities that are related to equipment such as cleaning, fixing or checking. 
               
               
                 132 
                 Housekeeping 
                 A number of activities that are related to general housekeeping and cleaning. This may include cleaning the patient&#39;s room or  
               
               
                   
                   
                 tidying the nursing station. 
               
               
                 190 
                 Waiting* 
                 Select this option if your professional is waiting to speak to a professional, a patient to arrive, a meeting to begin etc. 
               
               
                 200 
                 Lunch/Dinner/ 
                 The professional takes a scheduled lunch/dinner/break. This is NOT a working lunch. 
               
               
                   
                 Break* 
                   
               
               
                 210 
                 Pause* 
                 If the person you are observing needs to ask you a question or vice versa then you would put the PDA on pause to ensure you  
               
               
                   
                   
                 don&#39;t skew the data. You would also put the PDA on pause if you needed to go to the bathroom etc. Putting the PDA on pause  
               
               
                   
                   
                 keeps the actual working hours of the professional separate from anything related to the observer. 
               
               
                 220 
                 Personal* 
                 Personal activities are not related to any work activities. For example, the professional may make a personal phone call, or  
               
               
                   
                   
                 take a bathroom break outside of their regular Lunch/Dinner/Break. You do not need to code past Level 1. Any social  
               
               
                   
                   
                 conversation with other staff, patients or their family should be coded under communication with social conversation in  
               
               
                   
                   
                 Level 6. 
               
               
                 230 
                 Unusual  
                 This is when your professional is directly involved with an unusual incident related to the patient. It could be a violent  
               
               
                   
                 Incident- 
                 patient, a patient fall etc. After coding this field you need to change to the next activity that they perform in order to deal  
               
               
                   
                 Patient* 
                 with the crisis. 
               
               
                 231 
                 Unusual  
                 This is when your professional is directly involved with an unusual incident related to another staff member. It could be a  
               
               
                   
                 Incident-Staff* 
                 staff injury. After coding this field you need to change to the next activity that they perform in order to deal with the crisis. 
               
               
                 240 
                 End of Data 
                 This is the last entry for your day of data collection. Always enter this immediately after the last activity has been  
               
               
                   
                 Collection* 
                 performed. 
               
               
                 270 
                 Patient No  
                 This field should be used when a patient has not given permission to be observed. If the professional is in direct contact with  
               
               
                   
                 Consent* 
                 a patient then your PDA should be on Patient No Consent in Level 1. For example if your professional travels to a room  
               
               
                   
                   
                 where the patient is a “no consent” you would code: Level 1-Travel, Level 2-Patient&#39;s Room, Level 3-Patient No Consent  
               
               
                   
                   
                 and then return to Level 1 and select Patient No Consent*. You can leave your PDA on this until they change activities. If  
               
               
                   
                   
                 the professional is not dealing directly with the patient then you are able to continue coding to Level 6. For example, Level  
               
               
                   
                   
                 1-Communication, Level 2-Knowledge Exchange, Level 3-Patient No Consent, Level 4-Face to Face, Level 5-RN, Level 6- 
               
               
                   
                   
                 Care Plan. 
               
               
                 280 
                 Administration 
                 The professional may conduct a number of administrative tasks that are listed in Level 2. 
               
               
                 300 
                 Look For 
                 The professional may look for a number of items or people that are listed in Level 2. Select this term when they begin  
               
               
                   
                   
                 looking, and then select what it is they are looking for in Level 2. Leave it selected like this until they either fmd or do not  
               
               
                   
                   
                 find what they are looking for. Then select Found or Not Found in Level 2 accordingly. 
               
               
                 450 
                 Therapy 
                 The professional may conduct a number of therapy activities on a patient. 
               
               
                 530 
                 Conduct  
                 It may not be possible to capture some tasks and activities that are conducted when the professional has left the unit (e.g.  
               
               
                   
                 Activities 
                 private meetings behind closed doors). Where possible, select the relevant Level 1 category, but if you are not able to 
               
               
                   
                 Off Floor* 
                 determine what activity is taking place, use this field. 
               
               
                 540 
                 Research  
                 Select this anytime a professional is participating in tasks related to this research project (such as signing consent forms  
               
               
                   
                 Project* 
                 or talking to WIN support staff). 
               
               
                   
               
             
          
         
       
     
         [0000]    
       
         
               
             
               
               
               
             
               
               
               
               
             
           
               
                   
               
               
                 Level 2: Sub-activities 
               
             
          
           
               
                 Level 1 Category 
                 Field Name 
                 Field Description 
               
               
                   
               
             
          
           
               
                 20 
                 Put on glove/ 
                 Put on glove/ 
                 The professional puts on gloves, gown and mask. 
               
               
                   
                 gown/mask 
                 gown/mask 
               
               
                 20 
                 Request 
                 Request 
                 A professional may need help if they have gloved and gowned and can&#39;t leave 
               
               
                   
                 Assistance 
                 Assistance 
                 the isolation room (e.g. they may have forgotten some necessary supplies). 
               
               
                 20 
                 Take off 
                 Take off 
                 The professional takes off gloves, gown and mask. 
               
               
                   
                 glove/gown/mask 
                 glove/gown/mask 
               
               
                 20 
                 IC Other 
                 IC Other 
                 An infection control activity that is not listed here. Please specify on corrections sheet. 
               
               
                 30 
                 Knowledge 
                 Knowledge 
                 After an interruption the professional may continue a conversation with the person 
               
               
                   
                 Exchange 
                 Exchange 
                 who interrupted them. Please continue coding under interruption as long as the 
               
               
                   
                   
                   
                 conversation lasts. Once the professional begins another activity return to Level 1 
               
               
                   
                   
                   
                 and choose the appropriate field. 
               
               
                 50 
                 Greeting patients/ 
                 Greeting patients/ 
                 The professional quickly greets patients or visitors on the unit. This occurs when 
               
               
                   
                 visitors 
                 visitors 
                 the professional is travelling through the unit - it is a very quick hello. 
               
               
                 50 
                 Interview - 
                 Interview - 
                 The professional will meet face to face with the patient. This meeting may include other 
               
               
                   
                 Patient 
                 Patient 
                 health care professionals such as nurses, doctors, residents, nursing students. Discussions 
               
               
                   
                   
                   
                 may focus on, but not be limited to the following: how the patient is currently doing/ 
               
               
                   
                   
                   
                 managing (eating, sleeping, self care), medication side effects, current treatments, 
               
               
                   
                   
                   
                 patient symptoms, patient&#39;s current progress, care plan, discharge plan etc. 
               
               
                 50 
                 Knowledge 
                 Knowledge 
                 The professional may exchange knowledge (communicate) verbally, by telephone, by 
               
               
                   
                 Exchange 
                 Exchange 
                 email etc. The mode of communication will be selected at Level 4. The person with 
               
               
                   
                   
                   
                 whom the professional is communicating is selected and entered at level 5. 
               
               
                 50 
                 Meeting - Family 
                 Meeting - Family 
                 The professional will meet with the patient, the patient&#39;s family, and if 
               
               
                   
                   
                   
                 appropriate, other members of a health care team to discuss the current and future 
               
               
                   
                   
                   
                 plan of care for the patient. Topics of communication may include the patients current 
               
               
                   
                   
                   
                 mental status (symptoms), medications, family history, patient&#39;s compliance 
               
               
                   
                   
                   
                 (attending group) on the unit, patient progress etc. 
               
               
                 50 
                 Meeting -Other 
                 Meeting -Other 
                 Use this form of communication when the professional participates in an organized 
               
               
                   
                   
                   
                 meeting that is not listed elsewhere. 
               
               
                 50 
                 Meeting -Rounds 
                 Meeting -Rounds 
                 The professional attends a multi-disciplinary team meeting (staff from multiple 
               
               
                   
                   
                   
                 departments). It may include the many staff who are involved in the patient&#39;s care 
               
               
                   
                   
                   
                 such as social workers, therapists, doctors, RN&#39;s etc. During this meeting they 
               
               
                   
                   
                   
                 will review each patient on the floor. 
               
               
                 50 
                 Report 
                 Report 
                 Report is a formal verbal report handover that will occur at the beginning of 
               
               
                   
                   
                   
                 every shift. The professionals will meet and review the current health status of 
               
               
                   
                   
                   
                 individual patient&#39;s on the unit. 
               
               
                 50 
                 Verbal/Status 
                 Verbal/Status 
                 The professional will provide a verbal or status update on their patients or on 
               
               
                   
                 Update 
                 Update 
                 the unit in general to another professional. Note, this is a quick overview rather 
               
               
                   
                   
                   
                 than the detailed report and can occur any time throughout the day. 
               
               
                 60 
                 Med Room - E1 
                 Med Room - E1 
                 This is the medication room where the professionals will access and prepare 
               
               
                   
                   
                   
                 medication for East 1. 
               
               
                 60 
                 Med Room - W1 
                 Med Room - W1 
                 This is the medication room where the professionals will access and prepare 
               
               
                   
                   
                   
                 medication for West 1. 
               
               
                 60 
                 Nursing 
                 Nursing 
                 The E1 nursing station serves as the administrative centre for unit. It is 
               
               
                   
                 Station - E1 
                 Station - E1 
                 usually centrally located. 
               
               
                 60 
                 Nursing 
                 Nursing 
                 The W1 nursing station serves as the administrative centre for unit. It is 
               
               
                   
                 Station - W1 
                 Station - W1 
                 usually centrally located. 
               
               
                 60 
                 Pt Room 
                 Pt Room 
                 A patient&#39;s room. Please select the patient number in Level 3 and then 
               
               
                   
                   
                   
                 return to Level 1. 
               
               
                 60 
                 Supply/Storage 
                 Supply/Storage 
                 Any storage room or closet used for E1 or W1. 
               
               
                   
                 Rooms 
                 Rooms 
               
               
                 60 
                 Building Services 
                 Building Services 
                 This is the room where housekeeping store supplies. Located around the corner 
               
               
                   
                 Room - W1 
                 Room - W1 
                 from the W1 nursing station 
               
               
                 60 
                 Dining Room - W1 
                 Dining Room - W1 
                 The kitchen is set up for the patients to use throughout the day. Food trays are 
               
               
                   
                   
                   
                 brought to the floor and delivered to the patients in this area. 
               
               
                 60 
                 Documntatn 
                 Documentation/ 
                 Documentation, Education and Resources Room located in W1 around the corner from 
               
               
                   
                 Educatn Rm - W1 
                 Education Room 
                 the nursing station. 
               
               
                 60 
                 Games Room 
                 Games Room 
                 This is where the patients will sit, read, visit, do their laundry, or play music 
               
               
                   
                   
                   
                 or games. It is located in between the E1 and W1 and is shared by both units. 
               
               
                 60 
                 Hall 
                 Hall 
                 Select this field if the professional stops in the hallway. 
               
               
                 60 
                 Hallway Interview 
                 Hallway Interview 
                 Select this field if the professional stops at either of the inteview areas 
               
               
                   
                 Chairs - E1 
                 Chairs - E1 
                 located at either end of the hallway. 
               
               
                 60 
                 Hallway Interview 
                 Hallway Interview 
                 Select this field if the professional stops at the inteview area located at 
               
               
                   
                 Chairs - W1 
                 Chairs - W1 
                 the end of the hallway. 
               
               
                 60 
                 Interview 
                 Interview 
                 The seclusion room for East 1 is where a patient would be placed in isolation 
               
               
                   
                 (Seclusion) 
                 (Seclusion) 
                 at any hour of the day or night in which the doors and windows are locked from 
               
               
                   
                 Rm - E1 
                 Rm - E1 
                 the outside. This action is in effort to decrease stimuli that might be causing 
               
               
                   
                   
                   
                 or exacerbating the patient&#39;s emotional distress. 
               
               
                 60 
                 Interview 
                 Interview 
                 The seclusion room for West 1 is where a patient would be placed in isolation at 
               
               
                   
                 (Seclusion) 
                 (Seclusion) 
                 any hour of the day or night in which the doors and windows are locked from the 
               
               
                   
                 Rm - W1 
                 Rm - W1 
                 outside. This action is in effort to decrease stimuli that might be causing or 
               
               
                   
                   
                   
                 exacerbating the patient&#39;s emotional distress. 
               
               
                 60 
                 Kitchen - E1 
                 Kitchen - E1 
                 The kitchen is set up for the patients to use throughout the day. Food trays are 
               
               
                   
                   
                   
                 brought to the floor and delivered to the patients in this area. 
               
               
                 60 
                 Linen Cart - E1 
                 Linen Cart - E1 
                 This is the cart that holds the linen for patient rooms, such as sheets, 
               
               
                   
                   
                   
                 pillowcases etc for East 1 
               
               
                 60 
                 Linen Cart - W1 
                 Linen Cart - W1 
                 This is the cart that holds the linen for patient rooms, such as sheets, 
               
               
                   
                   
                   
                 pillowcases etc for West 1. 
               
               
                 60 
                 Lounge TV Room - E1 
                 Lounge TV Room - E1 
                 The TV Room located on the right of the hallway or East 1. 
               
               
                 60 
                 Nursing Conference 
                 Nursing Conference 
                 The Conference room is where the professionals will conduct meetings 
               
               
                   
                 Room - E1 
                 Room - E1 
                 (i.e. staff, rounds) for East 1. 
               
               
                 60 
                 Nursing Lounge - W1 
                 Nursing Lounge - W1 
                 This is the room where staff can leave their personal belongings and go for 
               
               
                   
                   
                   
                 their breaks in West 1. 
               
               
                 60 
                 Patient Lounge - E1 
                 Patient Lounge - E1 
                 Lounge area for patients to sit, read, or watch TV in East 1. 
               
               
                 60 
                 Patient Lounge - W1 
                 Patient Lounge - W1 
                 Lounge area for patients to sit, read, or watch TV in West 1. 
               
               
                 60 
                 Patient Services 
                 Patient Services 
                 This is the office where the Patient Services Manager works. 
               
               
                   
                 Manager - E1 
                 Manager - E1 
                 Located in East 1. 
               
               
                 60 
                 Porter 
                 Porter 
                 Select this field when the professional porters equipment. For example, a 
               
               
                   
                 Equipment 
                 Equipment 
                 wheelchair or vitals machine. 
               
               
                 60 
                 Porter Pt 
                 Porter Pt 
                 Select this field when the professional porters a patient. They could be 
               
               
                   
                   
                   
                 in a wheelchair or in a bed. 
               
               
                 60 
                 Social Workers 
                 Social Workers 
                 This is the office or desk where the Social Worker works. 
               
               
                   
                 Office 
                 Office 
               
               
                 60 
                 Walk/Talk 
                 Walk/Talk 
                 Walking and talking at the same time. 
               
               
                 60 
                 Washroom - 
                 Washroom - 
                 There are a number of patient washrooms located on the floor. 
               
               
                   
                 Patient 
                 Patient 
               
               
                 60 
                 Washroom - 
                 Washroom - 
                 Washroom that staff members use. 
               
               
                   
                 Staff 
                 Staff 
               
               
                 60 
                 E1- Other 
                 E1- Other 
                 Any destination on on E1 not listed here. 
               
               
                 60 
                 Leave Floor 
                 Leave Floor 
                 Select this field when the professional leaves the floor. Then return to 
               
               
                   
                   
                   
                 Level 1 and code Travel followed by the destination in Level 2. 
               
               
                 60 
                 Leave Hospital 
                 Leave Hospital 
                 Any destination that takes the professional out of the hospital. For example, 
               
               
                   
                   
                   
                 the OT will take patients to the track for a power walking session or the 
               
               
                   
                   
                   
                 SW will take a patient to the store. 
               
               
                 60 
                 Lobby 
                 Main floor Lobby 
                 The Main floor lobby area of the Health Centre, located outside of the two 
               
               
                   
                   
                   
                 observed units. 
               
               
                 60 
                 Return Floor 
                 Return Floor 
                 Select this field when the professional arrives back at the ward. Then return 
               
               
                   
                   
                   
                 to Level 1 and code their next activity. For example, Travel, Unit Clerk Desk. 
               
               
                 60 
                 Travel Other 
                 Travel Other 
                 A travel destination that is not listed here. Please specify on corrections sheet. 
               
               
                 60 
                 W1- Other 
                 W1- Other 
                 Any destination on on W1 not listed here. 
               
               
                 70 
                 Chck Blood 
                 Check Blood 
                 The professional takes the blood from the patient in order to test their 
               
               
                   
                 sugars -on patient 
                 sugars -on patient 
                 blood sugar levels. 
               
               
                 70 
                 Check Blood 
                 Check Blood 
                 The professional tests the blood on the ACCU Check or other machine to find out 
               
               
                   
                 sugars -machine 
                 sugars -machine 
                 the patient&#39;s blood sugar levels. 
               
               
                 70 
                 Check-in with 
                 Check-in with 
                 The professional will travel to one or more patients&#39; rooms to check in on 
               
               
                   
                 Patient 
                 Patient 
                 the patient. The check in will typically occur as a first activity in the morning 
               
               
                   
                   
                   
                 and on the evening/night shift. This is a quick face to face interaction where 
               
               
                   
                   
                   
                 the professional may greet the patient if they are awake. It also allows the 
               
               
                   
                   
                   
                 professional to ensure every patient assigned to the unit is accounted for. 
               
               
                 70 
                 Mental Status 
                 Mental Status 
                 The professional is constantly assessing the patient&#39;s current mental status 
               
               
                   
                 Assessment 
                 Assessment 
                 using therapeutic (verbal and non verbal) communication. The professional may 
               
               
                   
                   
                   
                 ask questions related to the patient&#39;s orientation (date, place and time); their 
               
               
                   
                   
                   
                 sense of safety on the unit; explore their psychotic symptoms (i.e. “do you have 
               
               
                   
                   
                   
                 racing thoughts?, trouble concentrating?, sleeping? or with your memory?”) 
               
               
                   
                   
                   
                 This conversation can happen at any time or occur anywhere on the unit. These and 
               
               
                   
                   
                   
                 similar type questions should not be confused with social conversation but rather 
               
               
                   
                   
                   
                 is part of the ongoing assessment of the patient. 
               
               
                 70 
                 Monitor Fluid 
                 Monitor Fluid 
                 The professional will monitor and assess the patient&#39;s fluid intake to ensure 
               
               
                   
                 Volume 
                 Volume 
                 the patient is not dehydrated. The professional will document the patient&#39;s fluid 
               
               
                   
                   
                   
                 intake and output several times a day. 
               
               
                 70 
                 Nursing 
                 Nursing 
                 Often the new patient or initial assessment is completed prior to the patient 
               
               
                   
                 Admission 
                 Admission 
                 being admitted to the unit (e.g. in Emergency Services). However, if the patient 
               
               
                   
                 Assessment 
                 Assessment 
                 is a direct admission, the professional is responsible to assess/evaluate the 
               
               
                   
                   
                   
                 patient. The Nursing Admission Assessment is a paper based assessment that provides 
               
               
                   
                   
                   
                 baseline information on the patient&#39;s physical and mental health, (i.e. patient&#39;s 
               
               
                   
                   
                   
                 physical symptoms, IADLs, alcohol/substance use, general appearance, behaviour, 
               
               
                   
                   
                   
                 speech, mood, cognitive function, symptoms - delusions and/or hallucinations, 
               
               
                   
                   
                   
                 personal history - living arrangements, supports, and financial situation) 
               
               
                 70 
                 Physical Routine 
                 Physical Routine 
                 Checking the patient&#39;s temperature, respiratory rate, heartbeat (pulse), blood 
               
               
                   
                 Vitals 
                 Vitals 
                 pressure etc. This also includes weighing the patient, which happens every Monday. 
               
               
                 70 
                 Rounds - 
                 Rounds - 
                 Each patient on the unit is monitored or observed by a professional at specified 
               
               
                   
                 Observational 
                 Observational 
                 times throughout the day/evening/night. For example, a patient who has been considered 
               
               
                   
                   
                   
                 a high suicide risk would receive constant 1-to-1 supervision. Other patients might 
               
               
                   
                   
                   
                 require close observation (every 15 minutes), frequent observation (every thirty 
               
               
                   
                   
                   
                 minutes) or general observation (every hour). 
               
               
                 70 
                 Screen 
                 Screen 
                 The patient is asked a series of questions (Antibiotic Resistant Organism Screening 
               
               
                   
                 Patient 
                 Patient 
                 Form) when they are first admitted to the ward. If they answer yes to one or more 
               
               
                   
                   
                   
                 of these questions, they are then screened for MRSA/VRF/H1N1 as part of the patient&#39;s 
               
               
                   
                   
                   
                 initial assessment. Swabs are taken from the nasal, rectum and any wound sites 
               
               
                   
                   
                   
                 and then sent to the lab for analysis. 
               
               
                 70 
                 Specimen 
                 Specimen 
                 The professional takes samples of urine, feces, sputum, blood etc. 
               
               
                   
                 Collection 
                 Collection 
               
               
                 70 
                 Staff -Assist 
                 Staff -Assist 
                 The professional assists another professional in an assessment or evaluation. 
               
               
                   
                   
                   
                 Specify who they are assisting in level five. 
               
               
                 70 
                 Staff -Mentor 
                 Staff -Mentor 
                 The professional watches another professional perform an assessment or evaluation 
               
               
                   
                   
                   
                 and gives them instruction. Specify who they are teaching in level five. 
               
               
                 70 
                 Staff -Observe 
                 Staff -Observe 
                 The professional observes another professional conduct an assessment or evaluation. 
               
               
                   
                   
                   
                 Specify who they are observing in level five. 
               
               
                 70 
                 Unit Observation 
                 Unit Observation 
                 The professional will survey the unit (often from the Nursing station or Hallway) 
               
               
                   
                   
                   
                 and assess patient location and behaviour. 
               
               
                 70 
                 Weigh Patient 
                 Weigh Patient 
                 The professional will weigh the patient. 
               
               
                 70 
                 Assess Other 
                 Assess Other 
                 An assessment or evaluation activity that is not listed here. Please specify on 
               
               
                   
                   
                   
                 corrections sheet. 
               
               
                 80 
                 Dispose Dirty 
                 Dispose Dirty 
                 The professional disposes of dressings, needles, soiled linens etc. 
               
               
                   
                 Linen/Materials 
                 Linen/Materials 
               
               
                 80 
                 Drop off Drink/ 
                 Drop off Drink/ 
                 The professional drops off a drink, meal or snack for the patient. 
               
               
                   
                 Meal/Snack 
                 Meal/Snack 
               
               
                 80 
                 Drop off Equipment 
                 Drop off Equipment 
                 The professional drops off equipment for the patient to use. 
               
               
                 80 
                 Drop off Linen/ 
                 Drop off Linen/ 
                 The professional drops off linen, blanket or laundered clothes for the patient. 
               
               
                   
                 Blankt/laundy 
                 Blanket/Laundry 
               
               
                 80 
                 Drop off OTHER 
                 Drop off OTHER 
                 The professional drops something off for the patient that is not listed here. 
               
               
                   
                   
                   
                 Please specify on corrections sheet. 
               
               
                 80 
                 Drop off 
                 Drop off 
                 The professional will drop off patient belongings (e.g. Clothes) 
               
               
                   
                 Patient Belongings 
                 Patient Belongings 
               
               
                 80 
                 Drop off Supplies 
                 Drop off Supplies 
                 The professional drops off supplies. 
               
               
                 80 
                 Hand Out Pt 
                 Hand Out Patient 
                 Patient privileges include day/weekend passes, daily cigarettes and needs (e.g. Razors, 
               
               
                   
                 Privileges/Needs 
                 Privileges/Needs 
                 clothes or other patient belongings). The cigarettes/razors are kept at the nursing 
               
               
                   
                   
                   
                 station and the professional will monitor this activity. 
               
               
                 80 
                 Make Snack/Meal 
                 Make Snack/Meal 
                 The professional makes a snack for a patient between meal times. 
               
               
                 80 
                 Pick up Drink/ 
                 Pick up Drink/ 
                 The professional picks up a drink/meal or snack for the patient. 
               
               
                   
                 Meal/Snack 
                 Meal/Snack 
               
               
                 80 
                 Pick up Equipment 
                 Pick up Equipment 
                 The professional picks up equipment for the patient. 
               
               
                 80 
                 Pick up Linen/ 
                 Pick up Linen/ 
                 The professional picks up linen, blanket or laundry for the patient. 
               
               
                   
                 Blankt/Laundy 
                 Blanket/Laundry 
               
               
                 80 
                 Pick up OTHER 
                 Pick up OTHER 
                 The professional picks something up for the patient that is not listed here. 
               
               
                   
                   
                   
                 Please specify on corrections sheet. 
               
               
                 80 
                 Pick Up Patient 
                 Pick Up Patient 
                 The professional will pick up patient belongings (e.g. Clothes). Clothes are stored 
               
               
                   
                 Belongings 
                 Belongings 
                 in the Dirty Utility Room on the unit 
               
               
                 80 
                 Pick up Supplies 
                 Pick up Supplies 
                 The professional picks up supplies. 
               
               
                 80 
                 Needs Other 
                 Needs Other 
                 A patient need that is not listed here. Please specify on corrections sheet. 
               
               
                 90 
                 Bath/Shower 
                 Bath/Shower 
                 The patient takes a tub bath or a shower. The professional will be assisting them as needed. 
               
               
                 90 
                 Dress Patient 
                 Dress Patient 
                 The professional assists the patient to get dressed or undressed. 
               
               
                 90 
                 Lift 
                 Lift 
                 The professional lifts a patient from one position to another without mechanical 
               
               
                   
                 Manual -Alone 
                 Manual -Alone 
                 support. They do this on their own, without help from another professional. 
               
               
                 90 
                 Personal Hygiene 
                 Personal Hygiene 
                 The professional assists with brushing the patient&#39;s teeth, hair, or shaving etc. 
               
               
                 90 
                 Prep for Bath/ 
                 Prep for Bath/ 
                 The professional helps the patient get ready for a bath or shower. This could involve 
               
               
                   
                 Shower 
                 Shower 
                 covering all necessary areas (i.e. casts) with waterproof covering or regulating water 
               
               
                   
                   
                   
                 temperature. 
               
               
                 90 
                 Pt Transfer ADL 
                 Pt Transfer ADL 
                 Patient is assisted to move from bed to chair, chair to wheelchair, etc. 
               
               
                 90 
                 Purposeful 
                 Purposeful 
                 Only select this variable if the professional is getting the patient up and 
               
               
                   
                 Mobilization 
                 Mobilization 
                 moving with the intent to build strength and functionality. This is not the same 
               
               
                   
                   
                   
                 as simply walking the patient to the bathroom. You may hear the professional say . . . 
               
               
                   
                   
                   
                 “Mrs. Smith, let&#39;s take a walk down the hall and build up your strength”. 
               
               
                 90 
                 Staff -Assist 
                 Staff -Assist 
                 The professional assists another professional with an ADL activity. Specify 
               
               
                   
                   
                   
                 who they are assisting in level five. 
               
               
                 90 
                 Staff -Mentor 
                 Staff -Mentor 
                 The professional watches another professional perform an ADL activity and gives 
               
               
                   
                   
                   
                 them instruction. Specify who they are teaching in level five. 
               
               
                 90 
                 Staff -Observe 
                 Staff -Observe 
                 The professional observes another professional conducting an ADL activity. 
               
               
                   
                   
                   
                 Specify who they are observing in level five. 
               
               
                 90 
                 Wash Patient 
                 Wash Patient 
                 The professional washes or assists in washing the patient while NOT in the shower or tub. 
               
               
                 90 
                 ADL Other 
                 ADL Other 
                 An ADL activity that is not listed here. Please specify on corrections sheet. 
               
               
                 91 
                 Financial 
                 Financial 
                 The professional assists the patient with basic money management (e.g. daily money 
               
               
                   
                 Management - 
                 Management - 
                 management, banking, paying bills). In some instances, the professional may accompany 
               
               
                   
                 Basic 
                 Basic 
                 the patient to the bank. 
               
               
                 91 
                 Financial 
                 Financial 
                 The professional assists the patient with more complex money management issues 
               
               
                   
                 Managemt - 
                 Management - 
                 (e.g. preparation of taxes). 
               
               
                   
                 Complex 
                 Complex 
               
               
                 91 
                 Housekeeping 
                 Housekeeping 
                 The professional will assist the patient with cleaning and/or tidying their room 
               
               
                   
                   
                   
                 (making their bed, hanging up their clothes) and/or doing laundry. 
               
               
                 91 
                 IADL Other 
                 IADL Other 
                 An IADL activity that is not listed here. Please specify on corrections sheet. 
               
               
                 91 
                 Shopping 
                 Shopping 
                 The professional assists the patient before, during and after shopping. For example, 
               
               
                   
                   
                   
                 the professional may help the patient make a shopping list. The professional may also 
               
               
                   
                   
                   
                 accompany the patient to the local store to assist in purchasing items such as food, 
               
               
                   
                   
                   
                 clothing or other personal items. Travel to and from the store will be captured 
               
               
                   
                   
                   
                 separately under travel. 
               
               
                 91 
                 Staff -Assist 
                 Staff -Assist 
                 The professional assists another professional with an IADL activity. Specify who 
               
               
                   
                   
                   
                 they are assisting in level five. 
               
               
                 91 
                 Staff -Mentor 
                 Staff -Mentor 
                 The professional watches another professional perform an IADL activity and gives 
               
               
                   
                   
                   
                 them instruction. Specify who they are teaching in level five. 
               
               
                 91 
                 Staff -Observe 
                 Staff -Observe 
                 The professional observes another professional conducting an IADL activity. 
               
               
                   
                   
                   
                 Specify who they are observing in level five. 
               
               
                 100 
                 Access/Pick 
                 Access/Pick 
                 The professional accesses patient medications from drawers located in the med room 
               
               
                   
                 Up Meds 
                 Up Meds 
               
               
                 100 
                 Administer 
                 Administer 
                 The professional administers meds to a patient. This includes all forms of 
               
               
                   
                 Meds 
                 Meds 
                 medication and could be tablets, an injection etc. 
               
               
                 100 
                 Narcotics 
                 Narcotics 
                 Medications are counted by professionals. They are typically counted at the end 
               
               
                   
                 Count 
                 Count 
                 of a shift and involve 2 professionals. 
               
               
                 100 
                 Prepare Meds 
                 Prepare Meds 
                 The professional gets the drugs and curative substances ready for the patient. 
               
               
                   
                   
                   
                 This could include the crushing of pills for easy administering. 
               
               
                 100 
                 Staff -Assist 
                 Staff -Assist 
                 The professional assists another professional in a medication related activity. 
               
               
                   
                   
                   
                 Specify who they are assisting in level five. 
               
               
                 100 
                 Staff -Mentor 
                 Staff -Mentor 
                 The professional watches another professional perform a Medication related activity 
               
               
                   
                   
                   
                 and gives them instruction. Specify who they are teaching in level five. 
               
               
                 100 
                 Staff -Observe 
                 Staff -Observe 
                 The professional observes another professional perform a medication activity. 
               
               
                   
                   
                   
                 Specify who they are observing in level five. 
               
               
                 100 
                 Meds Other 
                 Meds Other 
                 A medication related activity that is not listed here. Please specify on corrections sheet. 
               
               
                 110 
                 Bowel Care 
                 Bowel Care 
                 The professional administers a suppository or provides fibre drink to patient. 
               
               
                 110 
                 Organized 
                 Organized 
                 The professional will engage in activities with the patient such as playing cards or 
               
               
                   
                 Therapeutic Acts 
                 Therapeutic 
                 putting together a puzzle. This activity is usually conducted one to one or in small 
               
               
                   
                   
                 Activities 
                 groups on the unit. These activities can facilitate therapeutic growth in patients by 
               
               
                   
                   
                   
                 reducing anxiety, and improving communication and decision making. DO NOT select this 
               
               
                   
                   
                   
                 variable if the professional is involved in structured therapy groups with other staff 
               
               
                   
                   
                   
                 (OT) - these group sessions will be captured under the main role of Therapy. 
               
               
                 110 
                 Prep Patient 
                 Prep Patient 
                 The professional prepares the patient for treatment. This may include ensuring the 
               
               
                   
                 for Treatment 
                 for Treatment 
                 patient is dressed in hospital gown or other loose clothing, if the patient is NPO 
               
               
                   
                   
                   
                 (nothing-by-mouth) ensure they have not consumed any fluids/food prior to treatment, 
               
               
                   
                   
                   
                 removal of any dentures, glasses, contact lenses, hear aids etc. 
               
               
                 110 
                 Staff -Assist 
                 Staff -Assist 
                 The professional assists another professional with a treatment/therapy. Specify who 
               
               
                   
                   
                   
                 they are assisting in level five. 
               
               
                 110 
                 Staff -Mentor 
                 Staff -Mentor 
                 The professional watches another professional perform a Treatment/Therapy and gives 
               
               
                   
                   
                   
                 them instruction. Specify who they are teaching in level five. 
               
               
                 110 
                 Staff -Observe 
                 Staff -Observe 
                 The professional observes another professional conducting a treatment/therapy. 
               
               
                   
                   
                   
                 Specify who they are observing in level five. 
               
               
                 110 
                 Tubes/ 
                 Tubes/ 
                 The professional performs an activity that involves the tubes, lines and bags of used 
               
               
                   
                 Lines/Bags 
                 Lines/Bags 
                 for a patient&#39;s care. For example, changing, checking, inserting, or emptying. 
               
               
                 110 
                 Wound Care 
                 Wound Care 
                 The professional will examine the wound; document its size, location, appearance, and 
               
               
                   
                   
                   
                 the surrounding skin. The health care professional also examines the wound for signs 
               
               
                   
                   
                   
                 of infection, and drainage, and documents how long the patient has had the wound. Actual 
               
               
                   
                   
                   
                 components of wound care include cleaning, applying hot compress, dressing, determining 
               
               
                   
                   
                   
                 frequency of dressing changes, and re- evaluation. 
               
               
                 110 
                 Treatment 
                 Treatment 
                 A treatment activity that is not listed here. Please specify on corrections sheet. 
               
               
                   
                 Other 
                 Other 
               
               
                 120 
                 ADT Report 
                 ADT Report 
                 The ADT report (Admissions Discharges Transfers) is updated with all information 
               
               
                   
                   
                   
                 related to patient admissions, discharges and transfers. 
               
               
                 120 
                 Book Manual 
                 Book Manual 
                 Material being referred to for care purposes, policies, protocols and procedures, 
               
               
                   
                   
                   
                 medications etc. 
               
               
                 120 
                 Care Plan 
                 Care Plan 
                 A Care Plan is based on the initial and ongoing assessment of the patient. A Care Plan 
               
               
                   
                   
                   
                 will review a patient&#39;s individual needs and design appropriate patient care outcomes 
               
               
                   
                   
                   
                 in an effort to facilitate the patient&#39;s discharge from the hospital. An essential 
               
               
                   
                   
                   
                 portion of each care plan is to determine a patient&#39;s treatment by nurses, doctors and 
               
               
                   
                   
                   
                 other healthcare professionals. These documents are considered to be living documents - they 
               
               
                   
                   
                   
                 will be revised as the patient&#39;s conditions and abilities change. The Care Plan 
               
               
                   
                   
                   
                 is located in patient&#39;s MAR. 
               
               
                 120 
                 Directors 
                 Directors 
                 The professional will issue a Director&#39;s Warrant (Mental Health Act - Form 21) for 
               
               
                   
                 Warrant 
                 Warrant 
                 a patient who is AWOL (Absent Without Leave). The warrant is faxed to the Vancouver City 
               
               
                   
                   
                   
                 Police and will alert them to the patient&#39;s absence from the unit. 
               
               
                 120 
                 Discharge 
                 Discharge 
                 Formal documentation that needs to be completed when a patient is discharged. This will 
               
               
                   
                 Paperwork General 
                 Paperwork General 
                 include the patient&#39;s personal details, their condition, their length of stay etc. 
               
               
                 120 
                 Discharge 
                 Discharge 
                 A paper based form the professional uses to document findings from rounds. This document is 
               
               
                   
                 Planning Sheet 
                 Planning Sheet 
                 maintained in the patient chart. 
               
               
                 120 
                 Doctors/Physicians 
                 Doctors/Physicians 
                 Requests for patient treatment from the doctor, including treatment specifics, medication 
               
               
                   
                 Orders 
                 Orders 
                 doses, referrals etc. There is often a specific form for this in the patient chart. 
               
               
                 120 
                 Document - 
                 Document - 
                 The professional is handling multiple documents at one time. 
               
               
                   
                 Multiple 
                 Multiple 
               
               
                 120 
                 Incident 
                 Incident 
                 If there has been an incident (injury, error) that has involved an employee it must be 
               
               
                   
                 Report - 
                 Report - 
                 documented on the Employee Incident Form. The professional is required to describe the 
               
               
                   
                 Employee 
                 Employee 
                 incident, who was involved, date, contributing factors etc. 
               
               
                 120 
                 Incident 
                 Incident 
                 If there has been an accident or error (e.g. medication) involving a patient and/or a 
               
               
                   
                 Report - 
                 Report - 
                 professional this must be documented on an incident reporting form. The professional is 
               
               
                   
                 Patient 
                 Patient 
                 required to describe the incident, who was involved, date, contributing factors etc. 
               
               
                 120 
                 Informal Notes 
                 Informal Notes 
                 Staff have various ways of making notes or making reminders to themselves. These include 
               
               
                   
                   
                   
                 sticky notes, notepads etc. 
               
               
                 120 
                 Kardex 
                 Kardex 
                 The Kardex records the initial plan of care, and is an ongoing updated form regarding 
               
               
                   
                   
                   
                 the current care status of patients. The Kardex is continually erased and updated over 
               
               
                   
                   
                   
                 time, while the patient chart is the permanent record. 
               
               
                 120 
                 Lab Report/ 
                 Lab Report/ 
                 Documentation and/or review of the patient&#39;s tests results such as Lab tests, 
               
               
                   
                 Test Results 
                 Test Results 
                 CT Scans, EEGs - may be paper-based or on the computer. 
               
               
                 120 
                 MAR 
                 MAR 
                 A document called the Medication Assessment Record where all medication needs and 
               
               
                   
                   
                   
                 administrations are recorded. 
               
               
                 120 
                 Mentl Health 
                 Mental Health 
                 The main purpose of the Mental Health Act is to provide authority, criteria and 
               
               
                   
                 Act Fms -Other 
                 Act Forms -Other 
                 procedures for involuntary admission and treatment. However, the Act also contains 
               
               
                   
                   
                   
                 protections to ensure that these provisions are applied in an appropriate and lawful 
               
               
                   
                   
                   
                 manner. Safeguards for the rights of people involuntarily admitted to a psychiatric 
               
               
                   
                   
                   
                 facility include rights notification, medical examinations at specified time periods, 
               
               
                   
                   
                   
                 second medical opinions on proposed treatment and access to review panels and the court. 
               
               
                 120 
                 Nursing 
                 Nursing 
                 Nursing Admission Assessment: is an initial assessment paper based form used to 
               
               
                   
                 Admission 
                 Admission 
                 gather baseline information on the patient. This assessment documents the patient&#39;s 
               
               
                   
                 Assessment 
                 Assessment 
                 physical symptoms, ADLs, substance use, general appearance, cognitive functioning, symptoms 
               
               
                   
                   
                   
                 (delusions, hallucinations, personal history etc.) 
               
               
                 120 
                 Pass Tool 
                 Pass Tool 
                 A Pass Tool must be prepared for every patient each time they leave the unit (15 
               
               
                   
                   
                   
                 minutes, 1 hour, overnight). The Pass Tool documents what the patient was wearing, contact 
               
               
                   
                   
                   
                 information, time the patient left etc. 
               
               
                 120 
                 Patient Chart 
                 Patient Chart 
                 This is a permanent record stored in a binder that includes several different forms in 
               
               
                   
                   
                   
                 it such as screening form, fluid balance, vital signs, assessment sheet, patient progress 
               
               
                   
                   
                   
                 notes, nursing notes, doctor&#39;s orders, and allied health notes. The patient charts 
               
               
                   
                   
                   
                 are usually found at the nursing station. 
               
               
                 120 
                 Patient List 
                 Patient List 
                 This is a list of all the patients on the ward that day. The list includes the patient 
               
               
                   
                   
                   
                 name, room number, age, diagnosis etc. The professional may document informal notes related 
               
               
                   
                   
                   
                 to the patient on this form. 
               
               
                 120 
                 Referral 
                 Referral 
                 Any document relating to referrals - the method whereby the professional directs a patient 
               
               
                   
                 Document 
                 Document 
                 to the services of another health professional or facility. This is the act of filling out 
               
               
                   
                   
                   
                 forms AFTER they have been through the discharge planning and a decision has been made. 
               
               
                 120 
                 Requisition 
                 Requisition 
                 This is any paperwork that formally requests something for the patient. It may be 
               
               
                   
                 Document 
                 Document 
                 requesting blood work, transport, dietary needs etc. 
               
               
                 120 
                 Rounds 
                 Rounds 
                 The professional documents when they have finished their observational rounds noting which 
               
               
                   
                 Paperwork 
                 Paperwork 
                 patients have been seen. 
               
               
                 120 
                 Staff -Assist 
                 Staff -Assist 
                 The professional assists another professional with their documentation. Specify who they 
               
               
                   
                   
                   
                 are assisting in level five. 
               
               
                 120 
                 Staff -Mentor 
                 Staff -Mentor 
                 The professional watches another professional document and gives them instruction. Specify 
               
               
                   
                   
                   
                 who they are teaching in level five. 
               
               
                 120 
                 Staff -Observe 
                 Staff -Observe 
                 The professional observes another professional while documenting. Specify who they are 
               
               
                   
                   
                   
                 observing in level five. 
               
               
                 120 
                 Staff Schedule 
                 Staff Schedule 
                 The staff schedule indentify the daily staff (Nurses, Unit Clerk etc) scheduled to work 
               
               
                   
                   
                   
                 on the unit. The professional will review these sheets to see who is working and/or to 
               
               
                   
                   
                   
                 determine whether there is sufficient coverage for the day. 
               
               
                 120 
                 Transfer 
                 Transfer 
                 Any documentation in regards to the transfer of a patient. This includes transfers on the 
               
               
                   
                 Paperwork 
                 Paperwork 
                 floor as well as off the floor. 
               
               
                 120 
                 Workload 
                 Workload 
                 The professional records time spent (each interaction) with each patient. 
               
               
                   
                 Recording Form 
                 Recording Form 
               
               
                 120 
                 Documentation 
                 Documentation 
                 A document that is not listed here. Please specify on corrections sheet. 
               
               
                   
                 Other 
                 Other 
               
               
                 130 
                 Down Time 
                 Down Time 
                 During slow periods there may be nothing for the professional to do. This would be coded 
               
               
                   
                   
                   
                 as downtime and is not to be confused with social conversation or personal. 
               
               
                 130 
                 Misc Other 
                 Misc Other 
                 A miscellaneous activity that does not fit anywhere within the field list. 
               
               
                   
                   
                   
                 Please specify on corrections sheet. 
               
               
                 131 
                 Calibrate 
                 Calibrate 
                 The blood sugar testing machine will be reset to ensure the most accurate results. 
               
               
                   
                 ACCU Check 
                 ACCU Check 
               
               
                 131 
                 Equip -Check 
                 Equipment -Check 
                 The professional checks the equipment to ensure that it is working properly. 
               
               
                 131 
                 Staff -Assist 
                 Staff -Assist 
                 The professional assists another professional with equipment related activities. 
               
               
                   
                   
                   
                 Specify who they are assisting in level five. 
               
               
                 131 
                 Equip Other 
                 Equipment Other 
                 An equipment related activity that is not listed here. Please specify on corrections sheet. 
               
               
                 132 
                 Check Patient&#39;s 
                 Check Patient&#39;s 
                 The professional will check through the patient&#39;s belongings looking for sharp items, 
               
               
                   
                 Belongings 
                 Belongings 
                 belts, other medications etc. This task will occur when a new patient has arrived on the unit. 
               
               
                 132 
                 Discharge/ 
                 Discharge/ 
                 Prior to discharge the professional pulls together supplies and packs up the patient&#39;s 
               
               
                   
                 Transfer Prep 
                 Transfer Prep 
                 clothes and other valuables ready for their discharge or transfer. 
               
               
                 132 
                 Empty Laundry 
                 Empty Laundry 
                 The professional will remove full bags of dirty linen and replace them with new bags. 
               
               
                   
                 Carts 
                 Carts 
               
               
                 132 
                 Empty/Replace 
                 Empty/Replace 
                 The professional will remove the entire used syringe and needle garbage and replace it 
               
               
                   
                 Sharp Contain 
                 Sharp Container 
                 with a new one. This is usually a yellow container with biomedical warnings on it. 
               
               
                 132 
                 Housekeeping 
                 Housekeeping 
                 The professional cleans the patient&#39;s room. This could involve mopping up spills, 
               
               
                   
                 Pts Room 
                 Patients Room 
                 taking out the garbage etc. 
               
               
                 132 
                 Laundry 
                 Laundry 
                 The professional launders the patient&#39;s clothes. 
               
               
                 132 
                 Lock/unlock 
                 Lock/unlock 
                 The professional will lock/unlock doors (e.g. Tub room, bathroom). 
               
               
                   
                 doors 
                 doors 
               
               
                 132 
                 Set up Room 
                 Set up Room 
                 The professional assists a NEW patient to settle into their room -hang clothes, 
               
               
                   
                   
                   
                 set photos out etc. 
               
               
                 132 
                 Space 
                 Space 
                 The professional organizes or rearrange a patient&#39;s room. 
               
               
                   
                 Organization 
                 Organization 
               
               
                   
                 Pt Room 
                 Pt Room 
               
               
                 132 
                 Space 
                 Space 
                 The professional organizes or rearranges their workspace. 
               
               
                   
                 Orgnization 
                 Organization 
               
               
                   
                 Workspace 
                 Workspace 
               
               
                 132 
                 Staff -Assist 
                 Staff -Assist 
                 The professional assists another professional with housekeeping related activities. 
               
               
                   
                   
                   
                 Specify who they are assisting in level five. 
               
               
                 132 
                 Strip/Make Bed 
                 Strip/Make Bed 
                 The professional strips the sheets from a patient&#39;s bed and/or makes the bed. This 
               
               
                   
                   
                   
                 includes changing the bed pad (if necessary), sheet and blanket. 
               
               
                 132 
                 Housekeeping 
                 Housekeeping 
                 A housekeeping activity that is not listed here. Please specify on corrections sheet. 
               
               
                   
                 Other 
                 Other 
               
               
                 280 
                 In-box Related 
                 In-box Related 
                 Any activities related to the professional&#39;s in-box whether paper-based or online (email). 
               
               
                   
                   
                   
                 Specify in level four if they are emailing if online, or checking, filing, etc if offline. 
               
               
                 280 
                 Staff -Assist 
                 Staff -Assist 
                 The professional assists another professional with administrative activities. Specify 
               
               
                   
                   
                   
                 who they are assisting in level five. 
               
               
                 280 
                 Whiteboard/ 
                 Whiteboard/ 
                 The professional may review or update a whiteboard/assignment board. Specify whether it is 
               
               
                   
                 Assignment Board 
                 Assignment Board 
                 reviewing or updating in level four. 
               
               
                 280 
                 Admin Other 
                 Admin Other 
                 An administrative activity that is not listed here. Please specify on corrections sheet. 
               
               
                 300 
                 Equipment 
                 Equipment 
                 The professional looks for any type of equipment. 
               
               
                 300 
                 Food 
                 Food 
                 The professional looks for food. Typically for the patient. 
               
               
                 300 
                 Found 
                 Found 
                 Use this field if the professional finds the item they are looking for. 
               
               
                 300 
                 Medication 
                 Medication 
                 The professional looks for medication. 
               
               
                 300 
                 Not Found 
                 Not Found 
                 Use this field if the professional does not find what they are looking for. 
               
               
                 300 
                 Patient 
                 Patient 
                 The professional looks for the patient. 
               
               
                 300 
                 Patient Chart 
                 Patient Chart 
                 The professional looks for the patient chart. 
               
               
                 300 
                 Pts 
                 Patients 
                 The professional looks for an item that belongs to the patient. 
               
               
                   
                 Belongings 
                 Belongings 
               
               
                 300 
                 Staff 
                 Staff 
                 The professional looks for a staff member. 
               
               
                 300 
                 Supplies 
                 Supplies 
                 The professional looks for supplies. 
               
               
                 300 
                 Document Other 
                 Document Other 
                 The professional looks for any documentation that is NOT the patient chart. 
               
               
                 300 
                 Look Other 
                 Look Other 
                 The professional looks for something that is not listed here. Please specify on 
               
               
                   
                   
                   
                 corrections sheet. 
               
               
                 450 
                 Therapy Other 
                 Therapy Other 
                 A therapy activity that is not listed here. Please specify on corrections sheet. 
               
               
                   
               
             
          
         
       
     
         [0000]    
       
         
               
             
               
               
             
           
               
                   
               
               
                 Level 3: Patient Details 
               
             
          
           
               
                 Field Name 
                 Field Description 
               
               
                   
               
               
                 Not 
                 The professional is involved in work NOT related to a specific patient(s), such as stocking 
               
               
                 Applicable 
                 supplies or professional development etc. 
               
               
                 Patient 
                 The professional is talking about a patient who has been discharged or transferred from the 
               
               
                 Discharge 
                 floor/hospital. 
               
               
                 Patient 
                 The professional is talking to more than one patient at a time. Do not use this if they refer 
               
               
                 Group 
                 to several patients in one conversation. Keep switching level 3 accordingly. Patient Group 
               
               
                   
                 may be a combination of Consent and Non Consent patients. Therefore in may not be possible to 
               
               
                   
                 collect data all the way to Level Six. 
               
               
                 Patient 
                 The patient has just arrived on the ward but has not yet been approached regarding consent 
               
               
                 New 
                 (e.g. perhaps they are sleeping). Treat this field the same way you would a Patient No Consent. 
               
               
                 Patient 
                 No consent has been given for this patient and as such you will not collect any information 
               
               
                 No Consent 
                 while the professional is in direct face to face contact with the patient(s). However if 2 
               
               
                   
                 professionals are discussing a no consent patient, you would code Patient No Consent in Level 
               
               
                   
                 3 and continue through to Level 6 and collect the topic of communication. In addition, if 
               
               
                   
                 the professional is documenting on a patient no consent you may collect data up to and 
               
               
                   
                 including Level 4. 
               
               
                 Patient 
                 At times it may be impossible to obtain the patient&#39;s name, in which case, please use 
               
               
                 Unknown 
                 this field for coding. You can use this field to allow you to capture the data in the subsequent 
               
               
                   
                 fields. Where possible find out the patient number and mark this on your corrections sheet. 
               
               
                 Patient 1 
                 Patient with assigned number 
               
               
                 Patient 2 
                 Patient with assigned number 
               
               
                 Patient 3 
                 Patient with assigned number 
               
               
                 Patient 4 
                 Patient with assigned number 
               
               
                 Patient 5 
                 Patient with assigned number 
               
               
                 Patient 6 
                 Patient with assigned number 
               
               
                 Patient 7 
                 Patient with assigned number 
               
               
                 Patient 8 
                 Patient with assigned number 
               
               
                 Patient 9 
                 Patient with assigned number 
               
               
                 Patient 10 
                 Patient with assigned number 
               
               
                 Patient 11 
                 Patient with assigned number 
               
               
                 Patient 12 
                 Patient with assigned number 
               
               
                 Patient 13 
                 Patient with assigned number 
               
               
                 Patient 14 
                 Patient with assigned number 
               
               
                 Patient 15 
                 Patient with assigned number 
               
               
                 Patient 16 
                 Patient with assigned number 
               
               
                 Patient 17 
                 Patient with assigned number 
               
               
                 Patient 18 
                 Patient with assigned number 
               
               
                 Patient 19 
                 Patient with assigned number 
               
               
                 Patient 20 
                 Patient with assigned number 
               
               
                 Patient 21 
                 Patient with assigned number 
               
               
                 Patient 22 
                 Patient with assigned number 
               
               
                 Patient 23 
                 Patient with assigned number 
               
               
                 Patient 24 
                 Patient with assigned number 
               
               
                 Patient 25 
                 Patient with assigned number 
               
               
                 Patient 26 
                 Patient with assigned number 
               
               
                 Patient 27 
                 Patient with assigned number 
               
               
                 Patient 28 
                 Patient with assigned number 
               
               
                 Patient 29 
                 Patient with assigned number 
               
               
                 Patient 30 
                 Patient with assigned number 
               
               
                 Patient 31 
                 Patient with assigned number 
               
               
                 Patient 32 
                 Patient with assigned number 
               
               
                 Patient 33 
                 Patient with assigned number 
               
               
                 Patient 34 
                 Patient with assigned number 
               
               
                 Patient 35 
                 Patient with assigned number 
               
               
                 Patient 36 
                 Patient with assigned number 
               
               
                 Patient 37 
                 Patient with assigned number 
               
               
                 Patient 38 
                 Patient with assigned number 
               
               
                 Patient 39 
                 Patient with assigned number 
               
               
                 Patient 40 
                 Patient with assigned number 
               
               
                 Patient 41 
                 Patient with assigned number 
               
               
                 Patient 42 
                 Patient with assigned number 
               
               
                 Patient 43 
                 Patient with assigned number 
               
               
                 Patient 44 
                 Patient with assigned number 
               
               
                 Patient 45 
                 Patient with assigned number 
               
               
                 Patient 46 
                 Patient with assigned number 
               
               
                 Patient 47 
                 Patient with assigned number 
               
               
                 Patient 48 
                 Patient with assigned number 
               
               
                 Patient 49 
                 Patient with assigned number 
               
               
                 Patient 50 
                 Patient with assigned number 
               
               
                 Patient 51 
                 Patient with assigned number 
               
               
                 Patient 52 
                 Patient with assigned number 
               
               
                 Patient 53 
                 Patient with assigned number 
               
               
                 Patient 54 
                 Patient with assigned number 
               
               
                 Patient 55 
                 Patient with assigned number 
               
               
                 Patient 56 
                 Patient with assigned number 
               
               
                 Patient 57 
                 Patient with assigned number 
               
               
                 Patient 58 
                 Patient with assigned number 
               
               
                 Patient 59 
                 Patient with assigned number 
               
               
                 Patient 60 
                 Patient with assigned number 
               
               
                 Patient 61 
                 Patient with assigned number 
               
               
                 Patient 62 
                 Patient with assigned number 
               
               
                 Patient 63 
                 Patient with assigned number 
               
               
                 Patient 64 
                 Patient with assigned number 
               
               
                 Patient 65 
                 Patient with assigned number 
               
               
                 Patient 66 
                 Patient with assigned number 
               
               
                 Patient 67 
                 Patient with assigned number 
               
               
                 Patient 68 
                 Patient with assigned number 
               
               
                 Patient 69 
                 Patient with assigned number 
               
               
                 Patient 70 
                 Patient with assigned number 
               
               
                 Patient 71 
                 Patient with assigned number 
               
               
                 Patient 72 
                 Patient with assigned number 
               
               
                 Patient 73 
                 Patient with assigned number 
               
               
                 Patient 74 
                 Patient with assigned number 
               
               
                 Patient 75 
                 Patient with assigned number 
               
               
                 Patient 76 
                 Patient with assigned number 
               
               
                 Patient 77 
                 Patient with assigned number 
               
               
                 Patient 78 
                 Patient with assigned number 
               
               
                 Patient 79 
                 Patient with assigned number 
               
               
                 Patient 80 
                 Patient with assigned number 
               
               
                 Patient 81 
                 Patient with assigned number 
               
               
                 Patient 82 
                 Patient with assigned number 
               
               
                 Patient 83 
                 Patient with assigned number 
               
               
                 Patient 84 
                 Patient with assigned number 
               
               
                 Patient 85 
                 Patient with assigned number 
               
               
                 Patient 86 
                 Patient with assigned number 
               
               
                 Patient 87 
                 Patient with assigned number 
               
               
                 Patient 88 
                 Patient with assigned number 
               
               
                 Patient 89 
                 Patient with assigned number 
               
               
                 Patient 90 
                 Patient with assigned number 
               
               
                 Patient 91 
                 Patient with assigned number 
               
               
                 Patient 92 
                 Patient with assigned number 
               
               
                 Patient 93 
                 Patient with assigned number 
               
               
                 Patient 94 
                 Patient with assigned number 
               
               
                 Patient 95 
                 Patient with assigned number 
               
               
                 Patient 96 
                 Patient with assigned number 
               
               
                 Patient 97 
                 Patient with assigned number 
               
               
                 Patient 98 
                 Patient with assigned number 
               
               
                 Patient 99 
                 Patient with assigned number 
               
               
                   
               
             
          
         
       
     
         [0000]    
       
         
               
             
               
               
             
           
               
                   
               
               
                 Level 4: Mode of Main Activity 
               
             
          
           
               
                 Field Name 
                 Field Description 
               
               
                   
               
               
                 Info 
                 A professional is recording and/or updating on the computer. For example, recording 
               
               
                 Record -Computer 
                 on the Clinical Profile, preparing a consult summary on a template etc. 
               
               
                 Info 
                 A professional is recording and/or updating a paper based document 
               
               
                 Record -Offline 
               
               
                 Info 
                 The professional reads on a computer. 
               
               
                 Review -Computer 
               
               
                 Info 
                 The professional reads through paper based documents. 
               
               
                 Review -Offline 
               
               
                 Document - 
                 The professional is handing over document, form, chart or any other paper work to 
               
               
                 Handoff 
                 another professional, patient, community agency or individual etc. 
               
               
                 Email -Read 
                 The professional reads emails. 
               
               
                 Email -Write 
                 The professional writes an email to send. 
               
               
                 Face to Face 
                 The activity in Level 2 is taking place face to face with someone. 
               
               
                 Fax 
                 A fax is being sent or received. 
               
               
                 Filing 
                 The professional files away documents/charts/mail etc. 
               
               
                 Intercom 
                 Contacting someone via the intercom. 
               
               
                 Not Applicable 
                 Use this field when no mode listed here applies, but you need to enter data 
               
               
                   
                 on Level 5 and Level 6. 
               
               
                 Other 
                 Please specify on Corrections Sheet. 
               
               
                 Pager 
                 Contacting someone on their pager. 
               
               
                 Photocopy 
                 When the professional photocopies something. What they are photocopying 
               
               
                   
                 will be coded in level 2. 
               
               
                 Print 
                 The professional prints something off the computer. 
               
               
                 Research -Computer 
                 The professional researches something on the computer. 
               
               
                 Research -Paper 
                 The professional researches something in books or documents. 
               
               
                 based 
               
               
                 Take Out/Return 
                 The professional will take out/return paperwork from a folder. Chose the 
               
               
                 Paperwork 
                 folder it applies to in Level Two. 
               
               
                 Telephone - 
                 The professional receives an incoming call and transfers the call to another location 
               
               
                 Transfer call 
                 (e.g. Doctor&#39;s office, patient&#39;s pay phone). 
               
               
                 Telephone In 
                 The professional takes an incoming call. 
               
               
                 Telephone In - 
                 The professional takes a message from the incoming caller. 
               
               
                 take message 
               
               
                 Telephone On Hold 
                 The professional is on hold. 
               
               
                 Telephone Out 
                 The professional makes a phone call out. 
               
               
                 Telephone 
                 The professional makes a phone call but no one picks up at the other end. 
               
               
                 Unanswered 
               
               
                 Transcribe 
                 The professional transcribes or transfers the doctor&#39;s orders onto another 
               
               
                 Doctors Orders 
                 document (e.g. patient chart) 
               
               
                 Voicemail 
                 The professional checks the voicemail. 
               
               
                   
               
             
          
         
       
     
         [0000]    
       
         
               
             
               
               
             
           
               
                   
               
               
                 Level 5: Communication with Whom 
               
             
          
           
               
                 Field Name 
                 Field Description 
               
               
                   
               
               
                 Care Management 
                 This professional is responsible for the coordination of day-to-day operations and quality 
               
               
                 Leader 
                 patient care within a designated clinical area(s). This position supports the seamless 
               
               
                   
                 movement (patient flow) of patients through the healthcare system and in accessing appropriate 
               
               
                   
                 resources. 
               
               
                 Doctor - GP 
                 The professional is communicating with a GP (General Practitioner). 
               
               
                 Family Meeting 
                 This meeting will may include family members, patient, doctor, nursing staff, other hospital 
               
               
                   
                 staff (social worker, OT) and medical resident. 
               
               
                 Hospital Security 
                 The professional will contact hospital security if they require assistance with a patient 
               
               
                   
                 and/or there has been a crisis incident on the unit. 
               
               
                 Med Student/ 
                 A medical student, or a physician who is receiving specialist training in the hospital. 
               
               
                 Resident 
               
               
                 Occupational 
                 Occupational Therapists (OT) help people improve their ability to perform tasks in their 
               
               
                 Therapist (OT) 
                 daily living and working environments. They work with individuals who have conditions that 
               
               
                   
                 are mentally, physically, developmentally, or emotionally disabling. They also help them to 
               
               
                   
                 develop, recover, or maintain daily living and work skills. 
               
               
                 Patient 
                 A conversation is taking place with the patient. 
               
               
                 Patient Group 
                 The professional is talking to more than one patient at a time. Do not use this if they 
               
               
                   
                 refer to several patients in one conversation. Keep switching level 3 accordingly. 
               
               
                 Psychiatrist 
                 A physician who specializes in the prevention, diagnosis and treatment of mental illness. 
               
               
                 Psychologist 
                 A person trained and educated to perform psychological research, testing, and therapy. 
               
               
                 Rehab Assistant 
                 The Rehab Assistant (RA) will, under the supervision of the OT, assist with patients 
               
               
                   
                 with assigned rehabilitation activities. 
               
               
                 Registered 
                 Registered Nurse (RN). Responsible for the assessment, planning, implementation and 
               
               
                 Nurse (RN) 
                 evaluation of client care. Working in collaboration with the interdisciplinary team, 
               
               
                   
                 the RN ensures the delivery of client-centred care by assisting individual clients 
               
               
                   
                 and their families respond to changing health care needs. 
               
               
                 Social Worker 
                 Social workers (SWs) provide services to patients and their families to meet their 
               
               
                   
                 medically related social and emotional needs as they impinge on their medical condition, 
               
               
                   
                 treatment, recovery, and safe transition from one care environment to another. 
               
               
                 Staff Group 
                 Communication with more than one staff member at a time. This will be used for 
               
               
                   
                 general conversations, unit meetings or consultations. 
               
               
                 Student Nurse 
                 Students nurses. This includes the Employed Student Nurse. 
               
               
                 Unit Clerk 
                 The UC is responsible for the daily operation of the unit, overseeing the processing/ 
               
               
                   
                 implementation of doctor&#39;s orders, providing support to the team of professionals, 
               
               
                   
                 managing the administrative/clerical functions related to the unit, maintaining unit 
               
               
                   
                 records, and managing phone calls. 
               
               
                 Ambulance Service 
                 Any professional that works with the ambulance service, such as paramedics, and 
               
               
                   
                 dispatchers. 
               
               
                 Central Processing 
                 This hospital department&#39;s activities include decontamination, inspection, 
               
               
                   
                 assembly, sterilization and distribution of instruments, supplies and equipment. 
               
               
                   
                 The professional will contact Central Processing if they require equipment 
               
               
                   
                 and/or supplies for the unit. 
               
               
                 Clinical Nurse 
                 Professional responsible for developing, coordinating and providing programs 
               
               
                 Educator 
                 to maintain and improve competencies of nursing staff. If there are students on 
               
               
                   
                 the ward, be careful not to confuse this with the Student Instructor. 
               
               
                 Clinical Nurse 
                 This professional has clinical expertise in the diagnosis and treatment of 
               
               
                 Specialist 
                 illness and the delivery of evidence based interventions. 
               
               
                 Community Transition 
                 The CCT assists individuals ready for discharge from the hospital who need 
               
               
                 Team (CTT) 
                 support during the post discharge period 
               
               
                 Community Case 
                 As part of a therapeutic team, the case manager is responsible for providing 
               
               
                 Manager 
                 primary therapeutic, case management and mental health support services to assigned 
               
               
                   
                 clients in hospital, residential or community settings. 
               
               
                 Community Mental 
                 Community Mental Health Teams service individuals who have a diagnosis of major 
               
               
                 Health Team 
                 mental illness schizophrenia and other psychotic disorders mood disorders (bipolar, 
               
               
                   
                 major depression) and experience problems that interfere with their functioning. 
               
               
                 Dietician/ 
                 A registered dietician/nutritionist is uniquely prepared for the practice of 
               
               
                 Nutritionist 
                 nutrition and therapeutic nutrition care through the study of food and nutrition, 
               
               
                   
                 as well as, biological, social and management sciences. 
               
               
                 Emergency 
                 The number dialled for emergency services. 
               
               
                 Services - 911 
               
               
                 ER 
                 The Emergency Room is the section of a health care facility for providing rapid 
               
               
                   
                 treatment to victims of sudden illness or trauma. 
               
               
                 Food Services 
                 The food services department provides the meals for the patients in the hospital. 
               
               
                 Department 
                 The professional may phone them about a patient&#39;s missing meal. 
               
               
                 Friends/Family 
                 Friends or family of a patient. 
               
               
                 of Patient 
               
               
                 Hospital Staff Other 
                 Staff that work at the hospital but are not specifically listed here. 
               
               
                 Hospital Ward Clerk 
                 The professional who stocks up the ward. (e.g. Linens) 
               
               
                 Housekeeping 
                 The cleaning staff in the hospital. 
               
               
                 IT 
                 The professionals responsible for fixing and maintaining the information technology 
               
               
                   
                 in the hospital. 
               
               
                 Lab 
                 The department responsible for the analysis of patient test results (e.g. specimen analysis). 
               
               
                 Manager 
                 The Program Manager oversees all of the Acute Treatment Services. 
               
               
                 Medical Records 
                 This hospital department stores patient information (e.g. Patient charts). 
               
               
                   
                 The professional will contact Medical Records if an “old chart” is 
               
               
                   
                 needed for review on the unit. 
               
               
                 Multi-disciplinary 
                 A team of health care professionals (OT, PT, SW, Community/Hospital Worker, 
               
               
                 Team 
                 and Doctor). This field is to be used for rounds and family conferences. 
               
               
                 NON VGH Services 
                 The professional is speaking with staff from a NON VGH service (e.g. Red Cross). 
               
               
                 Pastoral Care 
                 Pastoral care is a term applied where people offer help and caring to patients 
               
               
                   
                 in the hospital setting. Pastoral care in this sense can be applied to listening, 
               
               
                   
                 supporting, encouraging and befriending. 
               
               
                 Patient and 
                 A conversation is taking place with a patient and their family/friends. 
               
               
                 Family/Friends 
               
               
                 Patient and Staff 
                 A conversation is taking place with a patient and another staff member. 
               
               
                 Patient and Student 
                 A conversation is taking place with a patient and a student. 
               
               
                 Peer Support 
                 An individual who has experienced mental health issues and is now assisting/ 
               
               
                 Worker 
                 supporting patients in their recovery process. 
               
               
                 Pharmacy 
                 A professional that works at the pharmacy. 
               
               
                 Plant Maintenance 
                 Plant Maintenance work to maintain the hospital. For example, they will be contacted 
               
               
                   
                 if a bed is broken or toilet is plugged on the floor. 
               
               
                 Police 
                 The Police Department maintains peace, order and public safety through crime 
               
               
                   
                 prevention and law enforcement. The professional will contact the City Police 
               
               
                   
                 when a patient is AWOL from the unit. 
               
               
                 Porter 
                 Staff that move patients, equipment, and supplies between different departments 
               
               
                   
                 within the hospital. In addition they can transport materials such as blood products, 
               
               
                   
                 lab specimens, X-ray results, and charts. 
               
               
                 Review Panel 
                 A patient may request a review and decision regarding their “certification”. 
               
               
                   
                 A certified patient is one who is not voluntarily admitted to the unit, a physician 
               
               
                   
                 has determined or certified that the individual has a serious mental illness which 
               
               
                   
                 is substantially interfering or limiting one or more areas of their life. A 
               
               
                   
                 patient can request the review panel to re- examine their case. If the patient is 
               
               
                   
                 successful, they are no longer compelled to remain on the unit. 
               
               
                 Staffing 
                 Department responsible for providing adequate shift coverage and finding 
               
               
                   
                 replacements as necessary. 
               
               
                 Student Instructor 
                 The professional responsible for the education of student nurses. They will generally 
               
               
                   
                 be working with the students while they are assigned to the ward. 
               
               
                 VGH Other 
                 The professional is speaking with a VGH staff person. For example, Professional 
               
               
                   
                 Practice. 
               
               
                 VGH Services 
                 The professional is communicating with staff from other VGH programs, services 
               
               
                   
                 and/or teams (e.g. ACT—community outreach team). 
               
               
                 Other 
                 Please specify on Corrections Sheet. 
               
               
                 Unknown 
                 It is not possible to identify who the professional is talking to. If you find 
               
               
                   
                 out later, please make a note on the correct sheet. 
               
               
                 Volunteer 
                 Hospital volunteers work in the health care setting performing tasks and activities 
               
               
                   
                 under the direction of a health care professional (e.g. OT). 
               
               
                   
               
             
          
         
       
     
         [0000]    
       
         
               
             
               
               
             
           
               
                   
               
               
                 Level 6: Topic of Communication 
               
             
          
           
               
                 Field Name 
                 Field Description 
               
               
                   
               
               
                 ADL -General 
                 Any conversations related to the patient activities of daily living. For example, the 
               
               
                   
                 professional may discuss the patient&#39;s ability to get dressed, wash up etc with 
               
               
                   
                 another colleague. 
               
               
                 ADL -Patient 
                 Relates to a patient&#39;s personal hygiene. This could include brushing teeth, 
               
               
                 Hygiene 
                 combing hair, trimming nails, and shaving. 
               
               
                 Administrative 
                 The professional discusses any administrative activities. These could include filing, 
               
               
                   
                 faxing, photocopying, or printing. It also includes the discussion around meetings 
               
               
                   
                 and documentation. 
               
               
                 ALC—Alternative 
                 ALC may be defined as when a patient is occupying a bed in a hospital and does not 
               
               
                 Level of Care 
                 require the intensity of resources/services provided in this care setting (Acute, 
               
               
                   
                 Complex Continuing Care, Mental Health or Rehabilitation), the patient must be 
               
               
                   
                 designated Alternate Level of Care (ALC) at that time by the physician or her/his 
               
               
                   
                 delegate. The ALC wait period starts at the time of designation and ends at the 
               
               
                   
                 time of discharge/transfer to a discharge destination (or when the patient&#39;s 
               
               
                   
                 needs or condition changes and the designation of ALC no longer applies). 
               
               
                 Appoint/Test 
                 A patient may undergo several tests during their hospital stay. The professional 
               
               
                   
                 could discuss these tests with the patient, with the professional or with another 
               
               
                   
                 department. 
               
               
                 Arrange/Rearrange 
                 For example, the professional may contact members of the multi-disciplinary team as 
               
               
                 Meeting/Conference 
                 well as family members to schedule (time, date, location) a family conference with 
               
               
                   
                 patient. 
               
               
                 Arrange Peer 
                 Any conversations related to arranging for the patient to see a peer support worker. 
               
               
                 Support 
                 i.e. Professionals may be discussing the benefits of the arrangement, the logistics etc. 
               
               
                 Assessment 
                 Only use this field for general discussions on assessments. You may need to change 
               
               
                   
                 to more detailed fields such as Pt Addiction, Physical Routine Vitals, Pt Physical 
               
               
                   
                 Activity etc. 
               
               
                 Bed Availability 
                 The professional is discussing the availability of beds on the unit. “Do we 
               
               
                   
                 have any beds available?” 
               
               
                 Bowel Care 
                 A discussion about the management plan for keeping a healthy bowel. This includes 
               
               
                   
                 addressing diet, exercise, medications and fluids etc. 
               
               
                 Bowel Habits 
                 A discussion about a patient&#39;s bowel movements. This may involve describing 
               
               
                   
                 the last movement or when it was. 
               
               
                 Care Plan 
                 A Care Plan will review a patient&#39;s individual needs and design appropriate 
               
               
                   
                 patient care outcomes in an effort to facilitate the patient&#39;s discharge from 
               
               
                   
                 the hospital. An essential portion of each care plan is to determine a patient&#39;s 
               
               
                   
                 treatment by nurses, doctors and other healthcare professionals. 
               
               
                 Census/Bed 
                 A discussion about which beds are assigned to specific patients on the ward and 
               
               
                 Assignment 
                 coordinating any necessary changes due to admissions, transfer and discharges. The 
               
               
                   
                 professional will also discuss the number of patients on the unit. The unit could 
               
               
                   
                 be “over census” - meaning patients are in overflow beds or “under census” - 
               
               
                   
                 meaning there are beds available on the unit. 
               
               
                 Concerns and 
                 Regarding any patient, family, or staff concerns or complaints. 
               
               
                 Complaints 
               
               
                 Cueing Action 
                 The professional advises another professional or student that they are about 
               
               
                 with Staff/Student 
                 to perform a specific action. 
               
               
                 Cueing Action 
                 This code is to be entered when the professional is involved in cueing activities 
               
               
                 with Patient 
                 not related to IADLs. For example, the professional advises a patient that they 
               
               
                   
                 are about to perform an action such as check their pulse or take their blood pressure. 
               
               
                 Death Related 
                 Use this code to capture death related conversations. 
               
               
                 Diet -Nutrition 
                 The professional discusses a patient&#39;s diet and nutritional care. 
               
               
                 Diet -Patient Meals 
                 The professional discusses a patient&#39;s meal. This may be the whereabouts of 
               
               
                   
                 the meal, when it is arriving or if a patient has eaten their meal. 
               
               
                 Directions 
                 The professional provides directions to patients, staff, or family. 
               
               
                 Discharge 
                 Planning considers the patient&#39;s needs after the hospital stay. Depending 
               
               
                 Options/Planning 
                 on the care needs of the patient, there are a variety of possible options for 
               
               
                   
                 discharge. For example, Home alone with family support, Home with private agency 
               
               
                   
                 supports, Home with support from community agencies, Residential care etc. They 
               
               
                   
                 are discussing the patient&#39;s options and should be distinguished from 999 
               
               
                   
                 Referral - Home/Community Care where the decision has already been made. 
               
               
                 Doctors Orders 
                 The professional discusses the doctor&#39;s orders - what they are requesting 
               
               
                   
                 or any changes they have made. 
               
               
                 Doctors Orders -clarify 
                 The professional asks another staff member to assist in clarifying/deciphering 
               
               
                   
                 the doctor&#39;s orders. 
               
               
                 Domestic Violence 
                 Domestic violence, also known as domestic abuse, spousal abuse, child abuse or 
               
               
                   
                 intimate partner violence (IPV), can be broadly defined as a pattern of abusive 
               
               
                   
                 behaviours by one or both partners in an intimate relationship such as marriage, 
               
               
                   
                 dating, family, friends or cohabitation. [1] Domestic violence has many 
               
               
                   
                 forms including physical aggression (hitting, kicking, biting, shoving, restraining, 
               
               
                   
                 throwing objects), or threats thereof; sexual abuse; emotional abuse; controlling 
               
               
                   
                 or domineering; intimidation; stalking; passive/covert abuse (e.g., neglect); and 
               
               
                   
                 economic deprivation. 
               
               
                 Emotional Support 
                 Providing emotional support for the patient and their family. 
               
               
                 for Patient/Family 
               
               
                 Encourage and 
                 The professional will encourage and/or motivate the patient at any point throughout 
               
               
                 Motivate Patient 
                 the day. For example the professional may remind the patient of their upcoming group 
               
               
                   
                 session; or a professional (OT) may encourage the patient to continue an activity 
               
               
                   
                 while in a therapeutic group session; or to continue a discussion while in a client/ 
               
               
                   
                 family meeting. 
               
               
                 Equipment/ 
                 A discussion about administrative equipment and supplies such as paper, ink, 
               
               
                 Supplies -Admin 
                 staplers etc. 
               
               
                 Equipment/ 
                 A discussion about equipment or supplies that they cannot find or have run out. 
               
               
                 Supplies -Missing 
               
               
                 Equipment/ 
                 A discussion about equipment or supplies relating to the patient such as 
               
               
                 Supplies -Patient 
                 bandages, vitals machine, wheelchairs etc. 
               
               
                 Hospital Maintenance 
                 A discussion about hospital maintenance. This could be about a broken bed, 
               
               
                   
                 blocked toilet etc. 
               
               
                 Hospital Policies 
                 Any conversation related to hospital organizational policies and procedures. 
               
               
                 Hospital Security 
                 A discussion about hospital security. 
               
               
                 Housekeeping - Unit 
                 A discussion about the cleaning and tidying of the ward. 
               
               
                 Housekeeping -Patient 
                 A discussion about the cleaning and tidying the patient&#39;s room. 
               
               
                 Room 
               
               
                 Housing 
                 The professional will discuss issues related to housing (independent living) 
               
               
                   
                 such as availability, suitable housing, location of housing, income assistance, 
               
               
                   
                 eviction etc. 
               
               
                 Infection Control 
                 Any discussion around infection control such as washing hands, infection control 
               
               
                   
                 attire etc. 
               
               
                 IT issues 
                 Any conversation related to IT problems such as computer problems, printer 
               
               
                   
                 problems etc. 
               
               
                 Lab/Test Results 
                 The professional discusses lab and test results for a patient. 
               
               
                 Medication - New 
                 Any discussion related to a medication change for the patient. For example, 
               
               
                   
                 the professional may discuss how the patient is tolerating the change (medication 
               
               
                   
                 side effects) or what type of behavioural changes might be anticipated. 
               
               
                 Medication - PRN 
                 Requests for PRN medication. PRN refers to medications taken only as needed. 
               
               
                 Request 
                 For example, pain medication, sleeping pills and cough medicine. 
               
               
                 Medication -Administer 
                 Conversations regarding the administering of medications. 
               
               
                 Medication -Errors 
                 Conversation around errors made with a patient&#39;s medication. 
               
               
                 Medication -General 
                 General conversations about medication that are not already covered. 
               
               
                 Medication -History 
                 Regarding the medications the patient has been taking prior to their hospital stay. 
               
               
                 Medication -Missing 
                 Related to missing drugs or curative substances. Medications may be missing from the 
               
               
                   
                 med room or computerized medication dispenser. 
               
               
                 Medication -Order New 
                 The professional orders new medication. 
               
               
                 Mentor Staff/Student 
                 The professional teaches and mentors another professional in relation to general 
               
               
                   
                 health care such as certain documentation (e.g. Care plan) procedures, equipment 
               
               
                   
                 use, medications etc. 
               
               
                 Monitoring 
                 The professional is discussing the monitoring or observational requirements 
               
               
                 Requirements 
                 related to a patient or patients on the unit. For example, the professional may 
               
               
                   
                 discuss increasing the frequency of observing the patient from once every 30 
               
               
                   
                 minutes to every 15 minutes. 
               
               
                 New Admissions 
                 A conversation regarding a new patient(s) that has been admitted to the ward 
               
               
                   
                 or is going to be admitted to the ward. 
               
               
                 Orientation of 
                 Any conversation related to orienting the new patient to the unit. For example, 
               
               
                 New Patient 
                 the professional will take the patient on a tour of the unit, show them their 
               
               
                   
                 room, where their belongings will be kept etc. 
               
               
                 Other 
                 Please specify on Corrections Sheet. 
               
               
                 Page Patient/ 
                 Individuals will be paged (over intercom) to attend group, answer the phone, 
               
               
                 Staff/Other 
                 come to the nursing station etc. 
               
               
                 Patient Diagnosis 
                 A discussion about a patient&#39;s diagnosis. 
               
               
                 Patient Flow 
                 Conversations related to patient movement throughout the hospital 
               
               
                 Patient ID 
                 Conversations related to the patient&#39;s identification. The patient may have 
               
               
                   
                 lost their ID and the professional is discussing finding or replacing these documents. 
               
               
                 Patient Sleep 
                 Any discussions related to a patient&#39;s ability to sleep, to stay asleep, 
               
               
                   
                 medications to assist in sleep etc. 
               
               
                 Patient Stressors 
                 Any conversations related to stress factors which might be affecting the patient&#39;s 
               
               
                   
                 mood, behaviour etc. (e.g. Family is having difficulty with the patient&#39;s mental 
               
               
                   
                 illness and this is causing stress for the patient) 
               
               
                 Physical Routine 
                 A conversation regarding a patient&#39;s physical routine vitals. This includes their 
               
               
                 Vitals 
                 temperature, respiratory rate, heart beat (pulse), and blood pressure etc. 
               
               
                 Prioritize Patients 
                 The professional discusses the most urgent patients in need of care and prioritizes them. 
               
               
                 Patient Addiction 
                 Any conversation related to the patient&#39;s addiction or substance abuse (e.g. 
               
               
                   
                 alcohol, drugs over the counter medications). 
               
               
                 Patient Agitation 
                 A conversation related to the heightened emotional/behavioural state of a patient. 
               
               
                 Patient Absent 
                 Any discussion related to a patient being AWOL (Absent Without Leave) from the unit. 
               
               
                 Without Leave (AWOL) 
               
               
                 Patient Behaviour 
                 A general overview of the patient&#39;s behaviour on and off the unit, in group etc. 
               
               
                 Patient Belongings 
                 A discussion on a patient&#39;s personal possessions. It may focus on where a 
               
               
                   
                 patient&#39;s items have gone after they were admitted to the hospital. It could 
               
               
                   
                 also be about a patient&#39;s possessions when they are in the hospital. Some items 
               
               
                   
                 are stored in their room, and others are kept at the nursing station and/or in 
               
               
                   
                 the dirty utility room. 
               
               
                 Patient Certification/ 
                 Any conversation related to the patient&#39;s certification/recertification or 
               
               
                 Recertification 
                 involuntary status on the unit. 
               
               
                 Patient Cognitive 
                 A conversation related to the patient&#39;s cognitive status. The patient&#39;s 
               
               
                 Status 
                 cognitive status can be assessed by the professional through a mini-mental exam 
               
               
                   
                 or series of questions related to orientation (place and time) or memory. It may 
               
               
                   
                 also be determined by informal questions such as “How are you feeling today?”, 
               
               
                   
                 “How did you sleep?”, “Do you know where you are/what day it is?” 
               
               
                 Patient Condition 
                 A discussion regarding a patient whose mental health condition is getting worse. 
               
               
                 Deteriorating 
               
               
                 Patient Current 
                 A discussion regarding a patient&#39;s current physical health (i.e. conversations 
               
               
                 Physical Health 
                 related to the patient&#39;s respiratory system, cardiovascular system, dental 
               
               
                   
                 issues, wounds or other skin conditions etc). 
               
               
                 Patient Discharge 
                 Any conversation related to the patient&#39;s discharge from the unit. For example, 
               
               
                   
                 the professional may be informing another hospital department that the patient 
               
               
                   
                 has been discharged. 
               
               
                 Patient Family 
                 Discussions about the patient&#39;s family. For example, the professional may ask 
               
               
                   
                 whether they have talked to their family recently, or enquire about the next time 
               
               
                   
                 they are coming to visit. 
               
               
                 Patient Financial 
                 Patients can be experiencing financial hardship. The professional may discuss 
               
               
                 Issues 
                 strategies to address this issue with another professional or may listen to the 
               
               
                   
                 patient as they explain their personal situation. 
               
               
                 Patient Fluid 
                 All of the body&#39;s processes (respiration, metabolism, digestion, exertion etc) 
               
               
                 Balance 
                 are affected by the volume of body fluid present as well as its specific composition. 
               
               
                   
                 Disturbances in the fluid or the electrolyte balance may lead to cellular dysfunction 
               
               
                   
                 and can seriously jeopardize a patient&#39;s life. 
               
               
                 Patient Glucose 
                 Discussions about a patient&#39;s blood sugar level. 
               
               
                 Level 
               
               
                 Patient Legal 
                 Any conversation related to patient past, current or future legal issues. For example, 
               
               
                 Issues 
                 the discussion may be about a patient&#39;s upcoming court appearance or warrant. 
               
               
                 Patient Mental 
                 Any conversation related to the details of the patient&#39;s mental illness. For example, 
               
               
                 Health 
                 the professional may be discussing the patient&#39;s symptoms, whether the patient is 
               
               
                   
                 stable or not, the patient&#39;s mood, anxiety, depression, isolation, etc. The term 
               
               
                   
                 mental illness actually encompasses numerous psychiatric disorders, and just like 
               
               
                   
                 illnesses that affect other parts of the body they can vary in severity. Many people 
               
               
                   
                 suffering from mental illness may not look as though they are ill or that something 
               
               
                   
                 is wrong, while others may appear to be confused, agitated, or withdrawn. Mental 
               
               
                   
                 illnesses are often disorders of the brain that disrupt a person&#39;s thinking, feeling, 
               
               
                   
                 mood, unrelieved anxiety, or an inability to cope with the ordinary demands of life. 
               
               
                 Patient 
                 Discussions around the promotion of patient movement and functionality. 
               
               
                 Mobilization 
               
               
                 Patient Needs/ 
                 Related to anything the patient may request. For example, patient pass or personal 
               
               
                 Privileges 
                 items such as a razor, or cigarettes, drink, snack, or blanket. 
               
               
                 Patient Pain 
                 Related to the degree of patient pain. The professional may ask the patient to rate 
               
               
                   
                 their level of pain or discuss it with another professional. 
               
               
                 Patient Personal 
                 This is a discussion about the patient&#39;s personal treatment/therapy goals in 
               
               
                 Goals 
                 hospital or post discharge. For example, the patient may state that living independently 
               
               
                   
                 and having employment is their goal or completing their GED, volunteering, getting 
               
               
                   
                 more involved with leisure activities etc. 
               
               
                 Patient Physical 
                 As part of the patient&#39;s assessment the professional will discuss the patient&#39;s 
               
               
                 and Mental Health 
                 past physical and mental health history which may include, but is not limited to: 
               
               
                 History 
                 conversations related to the psychological and/or social factors which have contributed 
               
               
                   
                 to the health and well being of the patient (e.g. psychological factors may include 
               
               
                   
                 childhood trauma or loss of a loved one; social factors may include feelings of low 
               
               
                   
                 self esteem, stress of unemployment or poverty), substance abuse information, history 
               
               
                   
                 of mental illness, past and current health conditions (e.g. cardiovascular, respiratory, 
               
               
                   
                 renal). 
               
               
                 Patient Physical 
                 The patient&#39;s level of physical activity and fitness are discussed. Do you 
               
               
                 Activity 
                 walk? How far? How often? 
               
               
                 Patient Progress 
                 This is a discussion with others about the patient&#39;s change in health status 
               
               
                   
                 and the progress they have made. 
               
               
                 Patient Refuses 
                 The professional has a conversation with a patient who declines to receive any type of 
               
               
                 Care/Group Activities 
                 care or attend any therapeutic group activity. They could also be discussing this fact 
               
               
                   
                 with another professional. 
               
               
                 Patient Rule 
                 Any conversations related to patients on the unit complying or not complying with the 
               
               
                 Adherence 
                 rules or regulations as directed by management/staff. For example, the professional 
               
               
                   
                 may discuss the rules related to a patient receiving a weekend pass, a fresh air break 
               
               
                   
                 or consequences of not attending therapeutic group sessions etc. 
               
               
                 Patient Safety 
                 The professional may discuss patient&#39;s safety on the unit. For example, is the 
               
               
                   
                 patient at risk to him/her self (does the patient feel safe) or to other patients on 
               
               
                   
                 the unit? 
               
               
                 Patient Support 
                 The professional discusses what community supports (i.e. programs, services) are 
               
               
                 in Community 
                 available and/or recommended to the patient after discharge from the hospital. 
               
               
                 Patient Support 
                 The professional discusses what support a patient will have when they are back 
               
               
                 in Home 
                 at home with their family/friends. 
               
               
                 Patient Violent 
                 Regarding the violent behaviour of a patient. 
               
               
                 Behaviour 
               
               
                 Patient Whereabouts 
                 The professional discusses the whereabouts of a patient. 
               
               
                 Rapport Building 
                 This is when the professional is building a relationship with another professional, 
               
               
                   
                 patient or their family. Rapport building establishes a connection between 2 people 
               
               
                   
                 and will usually occur at the beginning of a conversation. 
               
               
                 Referral -Home/ 
                 The professional discusses the patient&#39;s referral to a home or community care 
               
               
                 Community Care 
                 facility. The decision on which option they are taking has been made and they are 
               
               
                   
                 now discussing the details of the referral. 
               
               
                 Referral -In Hospital 
                 The professional discusses the patient&#39;s referral within the hospital. 
               
               
                 Request Assistance 
                 The professional requests help from another staff member to complete a particular task. 
               
               
                 Research 
                 The professional discusses research topics such as a patient&#39;s condition, 
               
               
                   
                 medication etc. 
               
               
                 Restraining Patient 
                 The professional discusses the act or need to restrain a patient. 
               
               
                 Review Panel 
                 Any conversations related to the details of the patient&#39;s ‘certification’ 
               
               
                   
                 Review Panel Process. For example, the professional may discuss the review process 
               
               
                   
                 with the patient. 
               
               
                 Social Conversation 
                 This is when professionals are chatting amongst themselves about non-health 
               
               
                   
                 related topics (e.g. weather, vacations, personal life etc). 
               
               
                 Specimen Collection 
                 A conversation related to the collection of blood, sputum, urine or stool samples. 
               
               
                 Staff - Absence/ 
                 Conversations related to a professional&#39;s absence from work due to illness, 
               
               
                 Vacation 
                 injury, family issues, short or long term leaves etc. and/or conversations 
               
               
                   
                 related to a professional&#39;s vacation time from work. 
               
               
                 Staff - Safety/ 
                 Any conversation related to the safety and security of the staff on the unit. 
               
               
                 Security 
                 For example, a professional may require the assistance of hospital security 
               
               
                   
                 because the patient&#39;s current condition makes it unsafe for the professional 
               
               
                   
                 to be alone with this individual. 
               
               
                 Staff -General 
                 Any discussion around staff that is not already listed here. 
               
               
                 Staff -Injuries 
                 A discussion about a staff member who has injured themselves. 
               
               
                 Staff -Overtime 
                 Any discussion around staff overtime. It could be a professional discussing 
               
               
                   
                 the fact that they are working overtime or it could be the professional putting 
               
               
                   
                 the schedule together discussing overtime. 
               
               
                 Staff -Professional 
                 The professional discusses their professional development or the professional 
               
               
                 Development 
                 development of another staff member. 
               
               
                 Staff -Scheduling 
                 Conversations related to staff scheduling. This could involve topics such as 
               
               
                   
                 staff coverage, replacements needed, rearranging staff among units, etc. 
               
               
                 Staff -Shifts/Breaks 
                 The professional discusses when they are scheduled to work or when they are 
               
               
                   
                 going to go on break. 
               
               
                 Staff -Stress 
                 The professional discusses their stress levels or the stress levels of another 
               
               
                   
                 staff member. 
               
               
                 Staff -Whereabouts 
                 The professional discusses the whereabouts of a staff member. 
               
               
                 Student Placement 
                 Any conversation related to a student&#39;s (nurse, OT, other) placement on the unit. 
               
               
                   
                 Conversation topics may include scheduling, resources required or recommended etc. 
               
               
                 Students\Residents 
                 The professional is discussing and/or coordinating the students/medical residents 
               
               
                   
                 on the floor. 
               
               
                 Teach Patient IADL - 
                 Conversations related to the patient keeping their room tidy, their bed made, clothes 
               
               
                 Housekeeping 
                 hung up and laundry clean/folded/put away. The professional may cue, teach or assist 
               
               
                   
                 patient with these tasks. For example the professional may ask “have you made 
               
               
                   
                 your bed this morning?” 
               
               
                 Teach Patient IADL - 
                 Conversations related to taking prescribed medication dosages at correct time and/or 
               
               
                 Medication 
                 keeping track of medications. The professional may prompt, cue or remind the patient. 
               
               
                 Teach Patient IADL - 
                 Conversations related to traveling to the store and purchasing items for the patient. 
               
               
                 Shopping 
                 The professional may prompt, cue or remind the patient. 
               
               
                 Teach Patient IADL- 
                 Conversations related to the patients finances. They could be basic (banking, pay bills), 
               
               
                 Financial 
                 complex (pay taxes) or any other aspect related to the patient&#39;s financial 
               
               
                   
                 management. The professional may cue or signal, such as a word or action, used to 
               
               
                   
                 prompt the patient. For example, the professional may ask “Did you deposit your 
               
               
                   
                 cheque?”, or Have you paid your bills?” 
               
               
                 Teach Patient Other 
                 Any conversation where the professional teaches the patient about a topic that 
               
               
                   
                 is not already listed here. 
               
               
                 Teach Patient 
                 Psycho education refers to the education offered to people who live with a 
               
               
                 Psycho-education 
                 psychological disturbance (e.g. patients with schizophrenia, clinical depression, 
               
               
                   
                 anxiety disorders, and psychotic illnesses). Family members can also be included. A 
               
               
                   
                 goal is for the patient and family to understand and be better able to deal with 
               
               
                   
                 the presenting illness. Also, the patient&#39;s own strengths, resources and coping 
               
               
                   
                 skills are reinforced, in order to avoid relapse and contribute to their own health 
               
               
                   
                 and wellness on a long-term basis. 
               
               
                 Therapeutic Group 
                 Patients will be scheduled to attend a variety of therapeutic group activities 
               
               
                 Activity 
                 aimed at stabilization, skill development and health promotion throughout the day. 
               
               
                   
                 The professional may discuss how the patient felt about the session or other issues 
               
               
                   
                 related to the patient&#39;s attendance, absence or schedule of this activity. It 
               
               
                   
                 may also include general topics of discussion such as: what activity groups particular 
               
               
                   
                 patients are scheduled to attend, what is working well in group session, and new 
               
               
                   
                 activities to add to group sessions. 
               
               
                 Transfer Patient 
                 A discussion about the transfer of a patient. This includes transfers within the 
               
               
                   
                 ward as well as off the ward. 
               
               
                 Transportation 
                 The professional discusses transportation for a patient. It could be related 
               
               
                   
                 to the patient being taken home from the hospital, taken to another hospital or 
               
               
                   
                 care facility, and how they are going to get there. 
               
               
                 Treatment 
                 Discussions relating to the treatment the patient is currently receiving which 
               
               
                   
                 could include group sessions, medication, therapy, counselling etc. It will also 
               
               
                   
                 include a patient&#39;s response to treatment, for example, the patient may 
               
               
                   
                 become more stable, as a result of his treatment. 
               
               
                 Treatment -Tubes 
                 Related to the tubes, lines and/or bags that the patients may require or are 
               
               
                 Lines Bags 
                 already using. 
               
               
                 Treatment -Wound 
                 Treatment of patient sores and openings, often requiring cleaning, bandaging 
               
               
                 Care 
                 and maintenance of the site. 
               
               
                 Unknown 
                 It is not possible to identify the topic of conversation. The professional 
               
               
                   
                 may have entered a room and you have been asked to remain outside the door. 
               
               
                   
                 This may occur even if the patient has consented. 
               
               
                 Unusual Incident 
                 Any conversation related to an unusual incident occurrence on the unit. The 
               
               
                   
                 professional may be discussing a patient&#39;s actions, an accident, an error, 
               
               
                   
                 follow-up or incident outcome with another professional or patient. 
               
               
                 VGH/MHAS 
                 Conversations related specifically to the organization. For example, discussions 
               
               
                 Organizational 
                 around current PHC strategic initiatives, polices, budget planning, procedures, 
               
               
                 Issues 
                 committees, advisory groups etc. 
               
               
                 X-Ray and Imaging 
                 Discussions related to medical imaging such as X-Rays, Ultrasounds, CT or MRI scans. 
               
               
                   
               
             
          
         
       
     
         [0000]    
       
         
               
             
               
               
               
             
               
               
               
               
             
               
               
               
             
               
               
               
               
             
               
               
               
             
           
               
                   
               
               
                 Level One 
               
             
          
           
               
                 Code 
                 Name 
                 Level One Heading 
               
               
                   
               
             
          
           
               
                 10 
                 Wash Hands* 
                 10 
                 Wash Hands* 
               
               
                 20 
                 Infection Control 
                 20 
                 Infection Control 
               
               
                 30 
                 Interruption 
                 30 
                 Interruption 
               
               
                 50 
                 Communication 
                 50 
                 Communication 
               
               
                 60 
                 Travel 
                 60 
                 Travel 
               
               
                 70 
                 Assess Evaluate 
                 70 
                 Assess Evaluate 
               
               
                 80 
                 Patient Needs 
                 80 
                 Patient Needs 
               
               
                 90 
                 ADL 
                 90 
                 ADL 
               
               
                 91 
                 IADLS 
                 91 
                 IADLS 
               
               
                 100 
                 Medication 
                 100 
                 Medication 
               
               
                 110 
                 Treatment 
                 110 
                 Treatment 
               
               
                 120 
                 Documentation 
                 120 
                 Documentation 
               
               
                 130 
                 Miscellaneous 
                 130 
                 Miscellaneous 
               
               
                 131 
                 Equipment 
                 131 
                 Equipment 
               
               
                 132 
                 Housekeeping 
                 132 
                 Housekeeping 
               
               
                 170 
                 Call Bell Respond* 
                 170 
                 Call Bell Respond* 
               
               
                 190 
                 Listening/Waiting* 
                 190 
                 Listening/Waiting* 
               
               
                 200 
                 Lunch/Dinner/Break* 
                 200 
                 Lunch/Dinner/Break* 
               
               
                 210 
                 Pause* 
                 210 
                 Pause* 
               
               
                 220 
                 Personal* 
                 220 
                 Personal* 
               
               
                 230 
                 Code Situation* 
                 230 
                 Code Situation* 
               
             
          
           
               
                 #REF! 
                 #REF! 
                 #REF! 
               
             
          
           
               
                 240 
                 End of Data Collection* 
                 240 
                 End of Data Collection* 
               
               
                 270 
                 Patient No Consent* 
                 270 
                 Patient No Consent* 
               
               
                 280 
                 Administration 
                 280 
                 Administration 
               
               
                 300 
                 Look For 
                 300 
                 Look For 
               
               
                 450 
                 Therapy 
                 450 
                 Therapy 
               
               
                 530 
                 Conduct Activities 
                 530 
                 Conduct Activities 
               
               
                   
                 Off Flo#,z899; 
                   
                 Off Floor* 
               
               
                 540 
                 FA Research Project* 
                 540 
                 FA Research Project* 
               
             
          
           
               
                 #REF! 
                 #REF! 
                 #REF! 
               
               
                   
               
             
          
         
       
     
         [0000]    
       
         
               
             
               
               
             
           
               
                   
               
               
                 Codes 
               
               
                   
               
             
             
               
                   
               
             
          
           
               
                 10 
                 Wash Hands* 
               
               
                 20 
                 Infection Control 
               
               
                 30 
                 Interruption 
               
               
                 50 
                 Communication 
               
               
                 60 
                 Travel 
               
               
                 70 
                 Assess Evaluate 
               
               
                 80 
                 Patient Needs 
               
               
                 90 
                 ADL 
               
               
                 91 
                 IADLS 
               
               
                 100 
                 Medication 
               
               
                 110 
                 Treatment 
               
               
                 120 
                 Documentation 
               
               
                 130 
                 Miscellaneous 
               
               
                 131 
                 Equipment 
               
               
                 132 
                 Housekeeping 
               
               
                 190 
                 Waiting* 
               
               
                 200 
                 Lunch/Dinner/Break* 
               
               
                 210 
                 Pause* 
               
               
                 220 
                 Personal* 
               
               
                 230 
                 Unusual Incident - Patient* 
               
               
                 231 
                 Unusual Incident - Staff* 
               
               
                 240 
                 End of Data Collection* 
               
               
                 270 
                 Patient No Consent* 
               
               
                 280 
                 Administration 
               
               
                 300 
                 Look For 
               
               
                 450 
                 Therapy 
               
               
                 530 
                 Conduct Activites Off Floor* 
               
               
                 540 
                 Research Project* 
               
               
                 20 
                 Put on glove/gown/mask 
               
               
                 20 
                 Request Assistance 
               
               
                 20 
                 Take off glove/gown/mask 
               
               
                 20 
                 IC Other 
               
               
                 30 
                 Knowledge Exchange 
               
               
                 50 
                 Greeting patients/visitors 
               
               
                 50 
                 Interview - Patient 
               
               
                 50 
                 Knowledge Exchange 
               
               
                 50 
                 Meeting - Family 
               
               
                 50 
                 Meeting -Other 
               
               
                 50 
                 Meeting -Rounds 
               
               
                 50 
                 Report 
               
               
                 50 
                 Verbal/Status Update 
               
               
                 60 
                 Med Room - E1 
               
               
                 60 
                 Med Room - W1 
               
               
                 60 
                 Nursing Station - E1 
               
               
                 60 
                 Nursing Station - W1 
               
               
                 60 
                 Pt Room 
               
               
                 60 
                 Supply/Storage Rooms 
               
               
                 60 
                 Building Services Room - W1 
               
               
                 60 
                 Dining Room - W1 
               
               
                 60 
                 Documntatn Educatn Rm - W1 
               
               
                 60 
                 Games Room 
               
               
                 60 
                 Hall 
               
               
                 60 
                 Hallway Interview Chairs - E1 
               
               
                 60 
                 Hallway Interview Chairs - W1 
               
               
                 60 
                 Interview (Seclusion) Rm - E1 
               
               
                 60 
                 Interview (Seclusion) Rm - W1 
               
               
                 60 
                 Kitchen - E1 
               
               
                 60 
                 Linen Cart - E1 
               
               
                 60 
                 Linen Cart - W1 
               
               
                 60 
                 Lounge TV Room - E1 
               
               
                 60 
                 Nursing Conference Room - E1 
               
               
                 60 
                 Nursing Lounge - W1 
               
               
                 999 
                 Not Applicable 
               
               
                 999 
                 Patient Discharge 
               
               
                 999 
                 Patient Group 
               
               
                 999 
                 Patient New 
               
               
                 999 
                 Patient No Consent 
               
               
                 999 
                 Patient Unknown 
               
               
                 999 
                 Patient 1 
               
               
                 999 
                 Patient 2 
               
               
                 999 
                 Patient 3 
               
               
                 999 
                 Patient 4 
               
               
                 999 
                 Patient 5 
               
               
                 999 
                 Patient 6 
               
               
                 999 
                 Patient 7 
               
               
                 999 
                 Patient 8 
               
               
                 999 
                 Patient 9 
               
               
                 999 
                 Patient 10 
               
               
                 999 
                 Patient 11 
               
               
                 999 
                 Patient 12 
               
               
                 999 
                 Patient 13 
               
               
                 999 
                 Patient 14 
               
               
                 999 
                 Patient 15 
               
               
                 999 
                 Patient 16 
               
               
                 999 
                 Patient 17 
               
               
                 999 
                 Patient 18 
               
               
                 999 
                 Patient 19 
               
               
                 999 
                 Patient 20 
               
               
                 999 
                 Patient 21 
               
               
                 999 
                 Patient 22 
               
               
                 999 
                 Patient 23 
               
               
                 999 
                 Patient 24 
               
               
                 999 
                 Patient 25 
               
               
                 999 
                 Patient 26 
               
               
                 999 
                 Patient 27 
               
               
                 999 
                 Patient 28 
               
               
                 999 
                 Info Record -Computer 
               
               
                 999 
                 Info Record -Offline 
               
               
                 999 
                 Info Review -Computer 
               
               
                 999 
                 Info Review -Offline 
               
               
                 999 
                 Document - Handoff 
               
               
                 999 
                 Email -Read 
               
               
                 999 
                 Email -Write 
               
               
                 999 
                 Face to Face 
               
               
                 999 
                 Fax 
               
               
                 999 
                 Filing 
               
               
                 999 
                 Intercom 
               
               
                 999 
                 Not Applicable 
               
               
                 999 
                 Other 
               
               
                 999 
                 Pager 
               
               
                 999 
                 Photocopy 
               
               
                 999 
                 Print 
               
               
                 999 
                 Research -Computer 
               
               
                 999 
                 Research -Paper based 
               
               
                 999 
                 Take Out/Return Paperwork 
               
               
                 999 
                 Telephone - Transfer call 
               
               
                 999 
                 Telephone In 
               
               
                 999 
                 Telephone In - take message 
               
               
                 999 
                 Telephone On Hold 
               
               
                 999 
                 Telephone Out 
               
               
                 999 
                 Telephone Unanswered 
               
               
                 999 
                 Transcribe Doctors Orders 
               
               
                 999 
                 Voicemail 
               
               
                 999 
                 Care Management Leader 
               
               
                 999 
                 Doctor - GP 
               
               
                 999 
                 Family Meeting 
               
               
                 999 
                 Hospital Security 
               
               
                 999 
                 Med Student/Resident 
               
               
                 999 
                 OT 
               
               
                 999 
                 Patient 
               
               
                 999 
                 Patient Group 
               
               
                 999 
                 Psychiatrist 
               
               
                 999 
                 Psychologist 
               
               
                 999 
                 Rehab Assistant 
               
               
                 999 
                 RN 
               
               
                 999 
                 Social Worker 
               
               
                 999 
                 Staff Group 
               
               
                 999 
                 Student Nurse 
               
               
                 999 
                 Unit Clerk 
               
               
                 999 
                 Ambulance Service 
               
               
                 999 
                 Central Processing 
               
               
                 999 
                 Clinical Nurse Educator 
               
               
                 999 
                 Clinical Nurse Specialist 
               
               
                 999 
                 Commity Transition Tm (CTT) 
               
               
                 999 
                 Community Case Manager 
               
               
                 999 
                 Community Mental Health Tm 
               
               
                 999 
                 Dietician/Nutritionist 
               
               
                 999 
                 Emergency Services - 911 
               
               
                 999 
                 ER 
               
               
                 999 
                 Food Services Department 
               
               
                 999 
                 Friends/Family of Patient 
               
               
                 999 
                 Hospital Staff Other 
               
               
                 999 
                 Hospital Ward Clerk 
               
               
                 999 
                 Housekeeping 
               
               
                 999 
                 IT 
               
               
                 999 
                 Lab 
               
               
                 999 
                 Manager 
               
               
                 999 
                 ADL -General 
               
               
                 999 
                 ADL -Patient Hygiene 
               
               
                 999 
                 Administrative 
               
               
                 999 
                 ALC 
               
               
                 999 
                 Appoint/Test 
               
               
                 999 
                 Arrange Meeting/Conference 
               
               
                 999 
                 Arrange Peer Support 
               
               
                 999 
                 Assessment 
               
               
                 999 
                 Bed Availability 
               
               
                 999 
                 Bowel Care 
               
               
                 999 
                 Bowel Habits 
               
               
                 999 
                 Care Plan 
               
               
                 999 
                 Census/Bed Assignment 
               
               
                 999 
                 Concerns and Complaints 
               
               
                 999 
                 Cueing Actin wth Staff/Stdnt 
               
               
                 999 
                 Cueing Action with Patient 
               
               
                 999 
                 Death Related 
               
               
                 999 
                 Diet -Nutrition 
               
               
                 999 
                 Diet -Pt Meals 
               
               
                 999 
                 Directions 
               
               
                 999 
                 Discharge Options/Planning 
               
               
                 999 
                 Doctors Orders 
               
               
                 999 
                 Doctors Orders -clarify 
               
               
                 999 
                 Domestic Violence 
               
               
                 999 
                 Emotionl Supprt for Pt/Famly 
               
               
                 999 
                 Encourage and Motivate Pt 
               
               
                 999 
                 Equip/Supplies -Admin 
               
               
                 999 
                 Equip/Supplies -Missing 
               
               
                 999 
                 Equip/Supplies -Patient 
               
               
                 999 
                 Hospital Maintenance 
               
               
                 999 
                 Hospital Policies 
               
               
                 999 
                 Hospital Security 
               
               
                 999 
                 Housekeeping - Unit 
               
               
                 999 
                 Housekeeping -Pt Room 
               
               
                   
               
             
          
         
       
     
         [0000]    
       
         
               
             
               
               
             
               
             
               
               
             
           
               
                   
               
               
                 Field List part 1 
               
               
                   
               
             
             
               
                 1—Main Role and Function 
               
             
          
           
               
                 10 
                 Wash Hands* 
               
               
                 20 
                 Infection Control 
               
               
                 30 
                 interruption 
               
               
                 50 
                 Communication 
               
               
                 60 
                 Travel 
               
               
                 70 
                 Assess Evaluate 
               
               
                 80 
                 Patient Needs 
               
               
                 90 
                 ADL 
               
               
                 91 
                 IADLS 
               
               
                 100 
                 Medication 
               
               
                 110 
                 Treatment 
               
               
                 120 
                 Documentation 
               
               
                 130 
                 Miscellaneous 
               
               
                 131 
                 Equipment 
               
               
                 132 
                 Housekeeping 
               
               
                 190 
                 Waiting* 
               
               
                 200 
                 Lunch/Dinner/Break* 
               
               
                 210 
                 Pause* 
               
               
                 220 
                 Personal* 
               
               
                 230 
                 Unusual Incident - Patient* 
               
               
                 231 
                 Unusual Incident - Staff* 
               
               
                 240 
                 End of Data Collection* 
               
               
                 270 
                 Patient No Consent* 
               
               
                 280 
                 Administration 
               
               
                 300 
                 Look for 
               
               
                 450 
                 Therapy 
               
               
                 530 
                 Conduct Activites Off Floor* 
               
             
          
           
               
                 2—Sub-activities 
               
             
          
           
               
                 20 
                 Put on glove/gown/mask 
               
               
                 20 
                 Request Assistance 
               
               
                 20 
                 Take off glove/gown/mask 
               
               
                 20 
                 IC Other 
               
               
                 30 
                 Knowledge Exchange 
               
               
                 50 
                 Greeting patients/visitors 
               
               
                 50 
                 Interview - Patient 
               
               
                 50 
                 Knowledge Exchange 
               
               
                 50 
                 Meeting - Family 
               
               
                 50 
                 Meeting -Other 
               
               
                 50 
                 Meeting -Rounds 
               
               
                 50 
                 Report 
               
               
                 50 
                 Verbal/Status Update 
               
               
                 60 
                 Med Room - E1 
               
               
                 60 
                 Med Room - W1 
               
               
                 60 
                 Nursing Station - E1 
               
               
                 60 
                 Nursing Station - W1 
               
               
                 60 
                 Pt Room 
               
               
                 60 
                 Supply/Storage Rooms 
               
               
                 60 
                 Building Services Room - W1 
               
               
                 60 
                 Dining Room - W1 
               
               
                 60 
                 Documntatn Educatn Rm - W1 
               
               
                 60 
                 Games Room 
               
               
                 60 
                 Hall 
               
               
                 60 
                 Hallway Interview Chairs - E1 
               
               
                 60 
                 Hallway Interview Chairs - W1 
               
               
                 60 
                 Interview (Seclusion) Rm - E1 
               
               
                 70 
                 Staff -Assist 
               
               
                 70 
                 Staff -Mentor 
               
               
                 70 
                 Staff -Observe 
               
               
                 70 
                 Unit Observation 
               
               
                 70 
                 Weigh Patient 
               
               
                 70 
                 Assess Other 
               
               
                 80 
                 Dispose Dirty Linen/Materials 
               
               
                 80 
                 Drop off Drink/Meal/Snack 
               
               
                 80 
                 Drop off Equipment 
               
               
                 80 
                 Drop off Linen/Blankt/laundy 
               
               
                 80 
                 Drop off OTHER 
               
               
                 80 
                 Drop off Patient Belongings 
               
               
                 80 
                 Drop off Supplies 
               
               
                 80 
                 Hand Out Pt Privileges/Needs 
               
               
                 80 
                 Make Snack/Meal 
               
               
                 80 
                 Pick up Drink/Meal/Snack 
               
               
                 80 
                 Pick up Equipment 
               
               
                 80 
                 Pick up Linen/Blankt/Laundy 
               
               
                 80 
                 Pick up OTHER 
               
               
                 80 
                 Pick Up Patient Belongings 
               
               
                 80 
                 Pick up Supplies 
               
               
                 80 
                 Needs Other 
               
               
                 90 
                 Bath/Shower 
               
               
                 90 
                 Dress Patient 
               
               
                 90 
                 Lilt Manual -Alone 
               
               
                 90 
                 Personal Hygiene 
               
               
                 90 
                 Prep for Bath/Shower 
               
               
                 120 
                 Book Manual 
               
               
                 120 
                 Care Plan 
               
               
                 120 
                 Directors Warrant 
               
               
                 120 
                 Discharge Paperwork General 
               
               
                 020 
                 Discharge Planning Sheet 
               
               
                 120 
                 Doctors/Physicians Orders 
               
               
                 120 
                 Document - Multiple 
               
               
                 120 
                 Incident Report - Employee 
               
               
                 120 
                 Incident Report - Patient 
               
               
                 120 
                 Informal Notes 
               
               
                 120 
                 Kardex 
               
               
                 120 
                 Lab Report/Test Results 
               
               
                 120 
                 MAR 
               
               
                 120 
                 Mentl Health Act Fms -Other 
               
               
                 120 
                 Nursing Admission Assessment 
               
               
                 120 
                 Pass Tool 
               
               
                 120 
                 Patient Chart 
               
               
                 120 
                 Patient List 
               
               
                 120 
                 Referral Document 
               
               
                 120 
                 Requisition Document 
               
               
                 120 
                 Rounds Paperwork 
               
               
                 120 
                 Staff -Assist 
               
               
                 120 
                 Staff -Mentor 
               
               
                 120 
                 Staff -Observe 
               
               
                 120 
                 Staff Schedule 
               
               
                 120 
                 Transfer Paperwork 
               
               
                 120 
                 Workload Recording Form 
               
               
                 300 
                 Supplies 
               
               
                 300 
                 Document Other 
               
               
                 300 
                 Look Other 
               
               
                 450 
                 Therapy Other 
               
               
                   
               
             
          
         
       
     
         [0000]    
       
         
               
             
               
               
             
               
             
               
               
             
               
             
               
               
             
               
             
               
               
             
           
               
                   
               
               
                 Field List part 2 
               
               
                   
               
             
             
               
                 3—Patient Details 
               
             
          
           
               
                 999 
                 Not Applicable 
               
               
                 999 
                 Patient Discharge 
               
               
                 999 
                 Patient Group 
               
               
                 999 
                 Patient New 
               
               
                 999 
                 Patient No Consent 
               
               
                 999 
                 Patient Unknown 
               
               
                 999 
                 Patient 1 
               
               
                 999 
                 Patient 2 
               
               
                 999 
                 Patient 3 
               
               
                 999 
                 Patient 4 
               
               
                 999 
                 Patient 5 
               
               
                 999 
                 Patient 6 
               
               
                 999 
                 Patient 7 
               
               
                 999 
                 Patient 8 
               
               
                 999 
                 Patient 9 
               
               
                 999 
                 Patient 10 
               
               
                 999 
                 Patient 11 
               
               
                 999 
                 Patient 12 
               
               
                 999 
                 Patient 13 
               
               
                 999 
                 Patient 14 
               
               
                 999 
                 Patient 15 
               
               
                 999 
                 Patient 16 
               
               
                 999 
                 Patient 17 
               
               
                 999 
                 Patient 18 
               
               
                 999 
                 Patient 19 
               
               
                 999 
                 Patient 20 
               
               
                 999 
                 Patient 21 
               
             
          
           
               
                 4—Mode of Main Activity 
               
             
          
           
               
                 999 
                 Into Record -Computer 
               
               
                 999 
                 Info Record -Offline 
               
               
                 999 
                 Info Review -Computer 
               
               
                 999 
                 Into Review -Offline 
               
               
                 999 
                 Document - Handoff 
               
               
                 999 
                 Email -Read 
               
               
                 999 
                 Email -Write 
               
               
                 999 
                 Face to Face 
               
               
                 999 
                 Fax 
               
               
                 999 
                 Filing 
               
               
                 999 
                 Intercom 
               
               
                 999 
                 Not Applicable 
               
               
                 999 
                 Other 
               
               
                 999 
                 Pager 
               
               
                 999 
                 Photocopy 
               
               
                 999 
                 Print 
               
               
                 999 
                 Research -Computer 
               
               
                 999 
                 Research -Paper based 
               
               
                 999 
                 Take Out/Return Paperwork 
               
               
                 999 
                 Telephone - Transfer call 
               
               
                 999 
                 Telephone In 
               
               
                 999 
                 Telephone In - take message 
               
               
                 999 
                 Telephone On Hold 
               
               
                 999 
                 Telephone Out 
               
               
                 999 
                 Telephone Unanswered 
               
               
                 999 
                 Transcribe Doctors Orders 
               
               
                 999 
                 Voicemail 
               
             
          
           
               
                 5—Communication with Whom 
               
             
          
           
               
                 999 
                 Care Management Leader 
               
               
                 999 
                 Doctor - GP 
               
               
                 999 
                 Family Meeting 
               
               
                 999 
                 Hospital Security 
               
               
                 999 
                 Med Student/Resident 
               
               
                 999 
                 OT 
               
               
                 999 
                 Patient 
               
               
                 999 
                 Patient Group 
               
               
                 999 
                 Psychiatrist 
               
               
                 999 
                 Psychologist 
               
               
                 999 
                 Rehab Assistant 
               
               
                 999 
                 RN 
               
               
                 999 
                 Social Worker 
               
               
                 999 
                 Staff Group 
               
               
                 999 
                 Student Nurse 
               
               
                 999 
                 Unit Clerk 
               
               
                 999 
                 Ambulance Service 
               
               
                 999 
                 Central Processing 
               
               
                 999 
                 Clinical Nurse Educator 
               
               
                 999 
                 Clinical Nurse Specialist 
               
               
                 999 
                 Comrnity Transition Tm (CTT) 
               
               
                 999 
                 Community Case Manager 
               
               
                 999 
                 Community Mental Health Tm 
               
               
                 999 
                 Dietician/Nutritionist 
               
               
                 999 
                 Emergency Services - 911 
               
               
                 999 
                 ER 
               
               
                 999 
                 Food Services Department 
               
             
          
           
               
                 6—Topic of Communication 
               
             
          
           
               
                 999 
                 AOL-General 
               
               
                 999 
                 ADL -Patient Hygiene 
               
               
                 999 
                 Administrative 
               
               
                 999 
                 ALC 
               
               
                 999 
                 Appoint/Test 
               
               
                 999 
                 Arrange Meeting/Conference 
               
               
                 999 
                 Arrange Peer Support 
               
               
                 999 
                 Assessment 
               
               
                 999 
                 Bed Availability 
               
               
                 999 
                 Bowel Care 
               
               
                 999 
                 Bowel Habits 
               
               
                 999 
                 Care Plan 
               
               
                 999 
                 Census/Bed Assignment 
               
               
                 999 
                 Concerns and Complaints 
               
               
                 999 
                 Cueing Actin wth Staff/Stdnt 
               
               
                 999 
                 Cueing Action with Patient 
               
               
                 999 
                 Death Related 
               
               
                 999 
                 Diet -Nutrition 
               
               
                 999 
                 Diet -Pt Meals 
               
               
                 999 
                 Directions 
               
               
                 999 
                 Discharge Options/Planning 
               
               
                 999 
                 Doctors Orders 
               
               
                 999 
                 Doctors Orders -clarify 
               
               
                 999 
                 Domestic Violence 
               
               
                 999 
                 Emotionl Supprt for Pt/Famly 
               
               
                 999 
                 Encourage and Motivate Pt 
               
               
                 999 
                 Equip/Supplies -Admin 
               
               
                 999 
                 Pt AWOL 
               
               
                 999 
                 Pt Behaviour 
               
               
                 999 
                 Pt Belongings 
               
               
                 999 
                 Pt Certifion/Recerifion 
               
               
                 999 
                 Pt Cognitive Status 
               
               
                 999 
                 Pt Condition Deteriorating 
               
               
                 999 
                 Pt Current Phy Health 
               
               
                 999 
                 Pt Discharge 
               
               
                 999 
                 Pt Family 
               
               
                 999 
                 Pt Financial Issues 
               
               
                 999 
                 Pt Fluid Balance 
               
               
                 999 
                 Pt Glucose Level 
               
               
                 999 
                 Pt Legal Issues 
               
               
                 999 
                 Pt Mental Health 
               
               
                 999 
                 Pt Mobilization 
               
               
                 999 
                 Pt Needs/Privileges 
               
               
                 999 
                 Pt Pain 
               
               
                 999 
                 Pt Personal Goals 
               
               
                 999 
                 Pt Phys and Mentl Hlth Histy 
               
               
                 999 
                 Pt Physical Activity 
               
               
                 999 
                 Pt Progress 
               
               
                 999 
                 Pt Refuse Care/Grp Activites 
               
               
                 999 
                 Pt Rule Adherence 
               
               
                 999 
                 Pt Safety 
               
               
                 999 
                 Pt Support in Community 
               
               
                 999 
                 Pt Support in Home 
               
               
                 999 
                 Pt Violent Behaviour 
               
               
                   
               
             
          
         
       
     
         [0000]    
       
         
               
             
               
               
               
               
               
               
               
             
               
               
               
               
               
               
               
               
               
             
           
               
                   
               
               
                 RN_Rank table 
               
             
          
           
               
                 Level 1 Category 
                 Code 
                 Field Name 
                 Field Description 
                 CSV Name 
                 Level 
                 RN_Rank 
               
               
                   
               
             
          
           
               
                 10 
                 Wash Hands* 
                 10 
                 Wash Hands* 
                 It is important 
                 10 
                 Wash Hands* 
                 1 
                 top 
               
               
                 20 
                 Infection Control 
                 20 
                 Infection Control 
                 Infection Contr 
                 20 
                 Infection Control 
                 1 
                 top 
               
               
                 30 
                 Interruption 
                 30 
                 Interruption 
                 Actions on the 
                 30 
                 Interruption 
                 1 
                 top 
               
               
                 50 
                 Communication 
                 50 
                 Communication 
                 Professionals w 
                 50 
                 Communication 
                 1 
                 top 
               
               
                 60 
                 Travel 
                 60 
                 Travel 
                 This section re 
                 60 
                 Travel 
                 1 
                 top 
               
               
                 70 
                 Assess Evaluate 
                 70 
                 Assess Evaluate 
                 Identification b 
                 70 
                 Assess Evaluate 
                 1 
                 top 
               
               
                 80 
                 Patient Needs 
                 80 
                 Patient Needs 
                 There are a num 
                 80 
                 Patient Needs 
                 1 
                 top 
               
               
                 90 
                 ADL 
                 90 
                 ADL 
                 Activities of dai 
                 90 
                 ADL 
                 1 
                 top 
               
               
                 91 
                 IADLS 
                 91 
                 IADLS 
                 Instrumental A 
                 91 
                 IADLS 
                 1 
                 main 
               
               
                 100 
                 Medication 
                 100 
                 Medication 
                 Related to the 
                 100 
                 Medication 
                 1 
                 main 
               
               
                 110 
                 Treatment 
                 110 
                 Treatment 
                 Related to spec 
                 110 
                 Treatment 
                 1 
                 main 
               
               
                 120 
                 Documentation 
                 120 
                 Documentation 
                 Any document 
                 120 
                 Documentation 
                 1 
                 main 
               
               
                 130 
                 Miscellaneous 
                 130 
                 Miscellaneous 
                 Activities that f 
                 130 
                 Miscellaneous 
                 1 
                 main 
               
               
                 131 
                 Equipment 
                 131 
                 Equipment 
                 A number of ac 
                 131 
                 Equipment 
                 1 
                 main 
               
               
                 132 
                 Housekeeping 
                 132 
                 Housekeeping 
                 A number of ac 
                 132 
                 Housekeeping 
                 1 
                 main 
               
               
                 190 
                 Waiting* 
                 190 
                 Waiting* 
                 Select this option 
                 190 
                 Waiting* 
                 1 
                 main 
               
               
                 200 
                 Lunch/Dinner/Break* 
                 200 
                 Lunch/Dinner/Break* 
                 The profession 
                 200 
                 Lunch/Dinner/Break* 
                 1 
                 main 
               
               
                 210 
                 Pause* 
                 210 
                 Pause* 
                 If the person yo 
                 210 
                 Pause* 
                 1 
                 main 
               
               
                 220 
                 Personal* 
                 220 
                 Personal* 
                 Personal activit 
                 220 
                 Personal* 
                 1 
                 main 
               
               
                 230 
                 Unusual Incident - Patient* 
                 230 
                 Unusual Incident - Patient* 
                 This is when yo 
                 230 
                 Unusual Incident - Patient* 
                 1 
                 main 
               
               
                 231 
                 Unusual Incident - Staff* 
                 231 
                 Unusual Incident - Staff* 
                 This is when yo 
                 231 
                 Unusual Incident - Staff* 
                 1 
                 main 
               
               
                 240 
                 End of Data Collection* 
                 240 
                 End of Data Collection* 
                 This is the last 
                 240 
                 End of Data Collection* 
                 1 
                 main 
               
               
                 270 
                 Patient No Consent* 
                 270 
                 Patient No Consent* 
                 This field should 
                 270 
                 Patient No Consent* 
                 1 
                 main 
               
               
                 280 
                 Administration 
                 280 
                 Administration 
                 The professional 
                 280 
                 Administration 
                 1 
                 main 
               
               
                 300 
                 Look For 
                 300 
                 Look For 
                 The professional 
                 300 
                 Look For 
                 1 
                 main 
               
               
                 450 
                 Therapy 
                 450 
                 Therapy 
                 The professional 
                 450 
                 Therapy 
                 1 
                 main 
               
               
                 530 
                 Conduct Activities 
                 530 
                 Conduct Activities 
                 It may not be p 
                 530 
                 Conduct Activites 
                 1 
                 main 
               
               
                   
                 Off Floor* 
                   
                 Off Floor* 
                   
                   
                 Off Floor* 
               
               
                 540 
                 Research Project* 
                 540 
                 Research Project* 
                 Select this anyt 
                 540 
                 Research Project* 
                 1 
                 main 
               
               
                 20 
                 Infection Control 
                 20 
                 Put on glove/gown/mask 
                 The professional 
                 20 
                 Put on glove/gown/mask 
                 2 
                 main 
               
               
                 20 
                 Infection Control 
                 20 
                 Request Assistance 
                 A professional 
                 20 
                 Request Assistance 
                 2 
                 main 
               
               
                 20 
                 Infection Control 
                 20 
                 Take off glove/gown/mask 
                 The professional 
                 20 
                 Take off glove/gown/mask 
                 2 
                 main 
               
               
                 20 
                 Infection Control 
                 20 
                 IC Other 
                 An infection co 
                 20 
                 IC Other 
                 2 
                 bottom 
               
               
                 30 
                 Interruption 
                 30 
                 Knowledge Exchange 
                 After an interru 
                 30 
                 Knowledge Exchange 
                 2 
                 main 
               
               
                   
               
             
          
         
       
     
         [0000]    
       
         
               
             
               
               
               
               
               
               
               
             
               
               
               
               
               
               
               
               
               
             
           
               
                   
               
               
                 UC_Rank table 
               
             
          
           
               
                 Level 1 Category 
                 Code 
                 Field Name 
                 Field Description 
                 CSV Name 
                 Level 
                 UC_Rank 
               
               
                   
               
             
          
           
               
                 10 
                 Wash Hands* 
                 10 
                 Wash Hands* 
                 It is important to cap 
                 10 
                 Wash Hands* 
                 1 
                 top 
               
               
                 20 
                 Infection Control 
                 20 
                 Infection Control 
                 Infection Control cov 
                 20 
                 Infection Control 
                 1 
                 main 
               
               
                 30 
                 Interruption 
                 30 
                 Interruption 
                 Actions on the part c 
                 30 
                 Interruption 
                 1 
                 top 
               
               
                 50 
                 Communication 
                 50 
                 Communication 
                 Professionals will eng 
                 50 
                 Communication 
                 1 
                 main 
               
               
                 60 
                 Travel 
                 60 
                 Travel 
                 This section records 
                 60 
                 Travel 
                 1 
                 main 
               
               
                 70 
                 Assess Evaluate 
                 70 
                 Assess Evaluate 
                 Identification by a pr 
                 70 
                 Assess Evaluate 
                 1 
                 main 
               
               
                 80 
                 Patient Needs 
                 80 
                 Patient Needs 
                 There are a number 
                 80 
                 Patient Needs 
                 1 
                 main 
               
               
                 120 
                 Documentation 
                 120 
                 Documentation 
                 Any documentation 
                 120 
                 Documentation 
                 1 
                 main 
               
               
                 130 
                 Miscellaneous 
                 130 
                 Miscellaneous 
                 Activities that fit out 
                 130 
                 Miscellaneous 
                 1 
                 main 
               
               
                 131 
                 Equipment 
                 131 
                 Equipment 
                 A number of activitie 
                 131 
                 Equipment 
                 1 
                 main 
               
               
                 132 
                 Housekeeping 
                 132 
                 Housekeeping 
                 A number of activitie 
                 132 
                 Housekeeping 
                 1 
                 main 
               
               
                 190 
                 Waiting* 
                 190 
                 Waiting* 
                 Select this option if y 
                 190 
                 Waiting* 
                 1 
                 main 
               
               
                 200 
                 Lunch/Dinner/Break* 
                 200 
                 Lunch/Dinner/Break* 
                 The professional take 
                 200 
                 Lunch/Dinner/Break* 
                 1 
                 main 
               
               
                 210 
                 Pause* 
                 210 
                 Pause* 
                 If the person you are 
                 210 
                 Pause* 
                 1 
                 main 
               
               
                 220 
                 Personal* 
                 220 
                 Personal* 
                 Personal activities ar 
                 220 
                 Personal* 
                 1 
                 main 
               
               
                 230 
                 Unusual Incident - Patient* 
                 230 
                 Unusual Incident - Patient* 
                 This is when your pro 
                 230 
                 Unusual Incident - Patient* 
                 1 
                 main 
               
               
                 231 
                 Unusual Incident - Staff* 
                 231 
                 Unusual Incident - Staff* 
                 This is when your pro 
                 231 
                 Unusual Incident - Staff* 
                 1 
                 main 
               
               
                 240 
                 End of Data Collection* 
                 240 
                 End of Data Collection* 
                 This is the last entry 
                 240 
                 End of Data Collection* 
                 1 
                 main 
               
               
                 270 
                 Patient No Consent* 
                 270 
                 Patient No Consent* 
                 This field should be u 
                 270 
                 Patient No Consent* 
                 1 
                 main 
               
               
                 280 
                 Administration 
                 280 
                 Administration 
                 The professional may 
                 280 
                 Administration 
                 1 
                 main 
               
               
                 300 
                 Look For 
                 300 
                 Look For 
                 The professional may 
                 300 
                 Look For 
                 1 
                 main 
               
               
                 530 
                 Conduct Activities 
                 530 
                 Conduct Activities 
                 It may not be possibl 
                 530 
                 Conduct Activites 
                 1 
                 main 
               
               
                   
                 Off Floor* 
                   
                 Off Floor* 
                   
                   
                 Off Floor* 
               
               
                 540 
                 Research Project* 
                 540 
                 Research Project* 
                 Select this anytime a 
                 540 
                 Research Project* 
                 1 
                 main 
               
               
                 20 
                 Infection Control 
                 20 
                 Put on glove/gown/mask 
                 The professional put 
                 20 
                 Put on glove/gown/mask 
                 2 
                 main 
               
               
                 20 
                 Infection Control 
                 20 
                 Take off glove/gown/mask 
                 The professional take 
                 20 
                 Take off glove/gown/mask 
                 2 
                 main 
               
               
                 30 
                 Interruption 
                 30 
                 Knowledge Exchange 
                 After an interruption 
                 30 
                 Knowledge Exchange 
                 2 
                 main 
               
               
                 50 
                 Communication 
                 50 
                 Greeting patients/visitors 
                 The professional quic 
                 50 
                 Greeting patients/visitors 
                 2 
                 main 
               
               
                   
               
             
          
         
       
     
         [0000]    
       
         
               
             
               
               
               
               
               
             
               
               
               
               
               
               
             
           
               
                   
               
               
                 CNL_Rank table 
               
             
          
           
               
                 Field Name 
                 Field Description 
                 CSV Name 
                 Level 
                 CNL_Rank 
               
               
                   
               
             
          
           
               
                 Wash Hands* 
                 It is important to capture the extent to 
                 10 
                 Wash Hands* 
                 1 
                 main 
               
               
                 Infection Control 
                 Infection Control covers activities relat 
                 20 
                 Infection Control 
                 1 
                 main 
               
               
                 Interruption 
                 Actions on the part of another individu 
                 30 
                 Interruption 
                 1 
                 main 
               
               
                 Communication 
                 Professionals will engage in communic 
                 50 
                 Communication 
                 1 
                 main 
               
               
                 Travel 
                 This section records the travelling a pro 
                 60 
                 Travel 
                 1 
                 main 
               
               
                 Assess Evaluate 
                 Identification by a professional of the r 
                 70 
                 Assess Evaluate 
                 1 
                 main 
               
               
                 Patient Needs 
                 There are a number of tasks and activit 
                 80 
                 Patient Needs 
                 1 
                 main 
               
               
                 ADL 
                 Activities of daily living (ADLs): The thir 
                 90 
                 ADL 
                 1 
                 main 
               
               
                 IADLS 
                 Instrumental Activities of Daily Living (I 
                 91 
                 IADLS 
                 1 
                 main 
               
               
                 Medication 
                 Related to the drugs or curative substa 
                 100 
                 Medication 
                 1 
                 main 
               
               
                 Treatment 
                 Related to specific patient care and wil 
                 110 
                 Treatment 
                 1 
                 main 
               
               
                 Documentation 
                 Any documentation including charting, 
                 120 
                 Documentation 
                 1 
                 main 
               
               
                 Miscellaneous 
                 Activities that fit outside the other mai 
                 130 
                 Miscellaneous 
                 1 
                 main 
               
               
                 Housekeeping 
                 A number of activities that are related 
                 132 
                 Housekeeping 
                 1 
                 main 
               
               
                 Waiting* 
                 Select this option if your professional is 
                 190 
                 Waiting* 
                 1 
                 main 
               
               
                 Lunch/Dinner/Break* 
                 The professional takes a scheduled lun 
                 200 
                 Lunch/Dinner/Break* 
                 1 
                 main 
               
               
                 Pause* 
                 If the person you are observing needs t 
                 210 
                 Pause* 
                 1 
                 main 
               
               
                 Personal* 
                 Personal activities are not related to ar 
                 220 
                 Personal* 
                 1 
                 main 
               
               
                 Unusual Incident - Patient* 
                 This is when your professional is direct 
                 230 
                 Unusual Incident - Patient* 
                 1 
                 main 
               
               
                 Unusual Incident - Staff* 
                 This is when your professional is direct 
                 231 
                 Unusual Incident - Staff* 
                 1 
                 main 
               
               
                 End of Data Collection* 
                 This is the last entry for your day of da 
                 240 
                 End of Data Collection* 
                 1 
                 main 
               
               
                 Patient No Consent* 
                 This field should be used when a patien 
                 270 
                 Patient No Consent* 
                 1 
                 main 
               
               
                 Administration 
                 The professional may conduct a numbe 
                 280 
                 Administration 
                 1 
                 main 
               
               
                 Look For 
                 The professional may look for a numbe 
                 300 
                 Look For 
                 1 
                 main 
               
               
                 Conduct Activities Off Floor* 
                 It may not be possible to capture some 
                 530 
                 Conduct Activites Off Floor* 
                 1 
                 main 
               
               
                 Research Project* 
                 Select this anytime a professional is pa 
                 540 
                 Research Project* 
                 1 
                 main 
               
               
                 Put on glove/gown/mask 
                 The professional puts on gloves, gown 
                 20 
                 Put on glove/gown/mask 
                 2 
                 main 
               
               
                   
               
             
          
         
       
     
         [0000]    
       
         
               
             
               
               
               
               
               
               
               
             
               
               
               
               
               
               
               
               
               
             
           
               
                   
               
               
                 Ward Aide table 
               
             
          
           
               
                   
                   
                   
                   
                   
                   
                 Ward 
               
               
                 Level 1 Category 
                 Code 
                 Field Name 
                 Field Description 
                 CSV Name 
                 Level 
                 Aide —   
               
               
                   
               
             
          
           
               
                 10 
                 Wash Hands* 
                 10 
                 Wash Hands* 
                 It is important to capture the 
                 10 
                 Wash Hands* 
                 1 
                 main 
               
               
                 20 
                 Infection Control 
                 20 
                 Infection Control 
                 Infection Control covers activ 
                 20 
                 Infection Control 
                 1 
                 main 
               
               
                 30 
                 Interruption 
                 30 
                 Interruption 
                 Actions on the part of anothe 
                 30 
                 Interruption 
                 1 
                 main 
               
               
                 50 
                 Communication 
                 50 
                 Communication 
                 Professionals will engage in c 
                 50 
                 Communication 
                 1 
                 main 
               
               
                 60 
                 Travel 
                 60 
                 Travel 
                 This section records the trave 
                 60 
                 Travel 
                 1 
                 main 
               
               
                 70 
                 Assess Evaluate 
                 70 
                 Assess Evaluate 
                 Identification by a profession 
                 70 
                 Assess Evaluate 
                 1 
                 main 
               
               
                 120 
                 Documentation 
                 120 
                 Documentation 
                 Any documentation including 
                 120 
                 Documentation 
                 1 
                 main 
               
               
                 130 
                 Miscellaneous 
                 130 
                 Miscellaneous 
                 Activities that fit outside the 
                 130 
                 Miscellaneous 
                 1 
                 main 
               
               
                 132 
                 Housekeeping 
                 132 
                 Housekeeping 
                 A number of activities that ar 
                 132 
                 Housekeeping 
                 1 
                 main 
               
               
                 190 
                 Waiting* 
                 190 
                 Waiting* 
                 Select this option if your prof 
                 190 
                 Waiting* 
                 1 
                 main 
               
               
                 200 
                 Lunch/Dinner/Break* 
                 200 
                 Lunch/Dinner/Break* 
                 The professional takes a sche 
                 200 
                 Lunch/Dinner/Brea 
                 1 
                 main 
               
               
                 210 
                 Pause* 
                 210 
                 Pause* 
                 If the person you are observin 
                 210 
                 Pause* 
                 1 
                 main 
               
               
                 220 
                 Personal* 
                 220 
                 Personal* 
                 Personal activities are not rel 
                 220 
                 Personal* 
                 1 
                 main 
               
               
                 230 
                 Unusual Incident - Patient* 
                 230 
                 Unusual Incident - Patient* 
                 This is when your professiona 
                 230 
                 Unusual Incident - P 
                 1 
                 main 
               
               
                 231 
                 Unusual Incident - Staff* 
                 231 
                 Unusual Incident - Staff* 
                 This is when your professiona 
                 231 
                 Unusual Incident -S 
                 1 
                 main 
               
               
                 240 
                 End of Data Collection* 
                 240 
                 End of Data Collection* 
                 This is the last entry for your 
                 240 
                 End of Data Collect 
                 1 
                 main 
               
               
                 270 
                 Patient No Consent* 
                 270 
                 Patient No Consent* 
                 This field should be used whe 
                 270 
                 Patient No Consent 
                 1 
                 main 
               
               
                 280 
                 Administration 
                 280 
                 Administration 
                 The professional may conduc 
                 280 
                 Administration 
                 1 
                 main 
               
               
                 300 
                 Look For 
                 300 
                 Look For 
                 The professional may look for 
                 300 
                 Look For 
                 1 
                 main 
               
               
                 450 
                 Therapy 
                 450 
                 Therapy 
                 The professional may conduc 
                 450 
                 Therapy 
                 1 
                 main 
               
               
                 530 
                 Conduct Activities 
                 530 
                 Conduct Activities 
                 It may not be possible to 
                 530 
                 Conduct Activites O 
                 1 
                 main 
               
               
                   
                 Off Floor* 
                   
                 Off Floor* 
                 capt 
               
               
                 540 
                 Research Project* 
                 540 
                 Research Project* 
                 Select this anytime a professi 
                 540 
                 Research Project* 
                 1 
                 main 
               
               
                 20 
                 Infection Control 
                 20 
                 Request Assistance 
                 A professional may need help 
                 20 
                 Request Assistance 
                 2 
                 main 
               
               
                 30 
                 Interruption 
                 30 
                 Knowledge Exchange 
                 After an interruption the prof 
                 30 
                 Knowledge Exchange 
                 2 
                 main 
               
               
                 50 
                 Communication 
                 50 
                 Greeting patients/visitors 
                 The professional quickly gree 
                 50 
                 Greeting patients/vis 
                 2 
                 main 
               
               
                 50 
                 Communication 
                 50 
                 Knowledge Exchange 
                 The professional may exchan 
                 50 
                 Knowledge Exchange 
                 2 
                 main 
               
               
                 50 
                 Communication 
                 50 
                 Meeting -Other 
                 Use this form of communicat 
                 50 
                 Meeting -Other 
                 2 
                 main 
               
               
                   
               
             
          
         
       
     
         [0000]    
       
         
               
             
               
               
               
               
               
               
               
             
               
               
               
               
               
               
               
               
               
             
           
               
                   
               
               
                 Physician table 
               
             
          
           
               
                 Level 1 Category 
                 Code 
                 Field Name 
                 Field Description 
                 CSV Name 
                 Level 
                 Physician —   
               
               
                   
               
             
          
           
               
                 10 
                 Wash Hands* 
                 10 
                 Wash Hands* 
                 It is important t 
                 10 
                 Wash Hands* 
                 1 
                 main 
               
               
                 20 
                 Infection Control 
                 20 
                 Infection Control 
                 Infection Contro 
                 20 
                 Infection Control 
                 1 
                 main 
               
               
                 30 
                 Interruption 
                 30 
                 Interruption 
                 Actions on the 
                 30 
                 Interruption 
                 1 
                 main 
               
               
                 50 
                 Communication 
                 50 
                 Communication 
                 Professionals w 
                 50 
                 Communication 
                 1 
                 main 
               
               
                 60 
                 Travel 
                 60 
                 Travel 
                 This section rec 
                 60 
                 Travel 
                 1 
                 main 
               
               
                 70 
                 Assess Evaluate 
                 70 
                 Assess Evaluate 
                 Identification b 
                 70 
                 Assess Evaluate 
                 1 
                 main 
               
               
                 110 
                 Treatment 
                 110 
                 Treatment 
                 Related to spec 
                 110 
                 Treatment 
                 1 
                 main 
               
               
                 120 
                 Documentation 
                 120 
                 Documentation 
                 Any documents 
                 120 
                 Documentation 
                 1 
                 main 
               
               
                 130 
                 Miscellaneous 
                 130 
                 Miscellaneous 
                 Activities that f 
                 130 
                 Miscellaneous 
                 1 
                 main 
               
               
                 132 
                 Housekeeping 
                 132 
                 Housekeeping 
                 A number of ac 
                 132 
                 Housekeeping 
                 1 
                 main 
               
               
                 190 
                 Waiting* 
                 190 
                 Waiting* 
                 Select this optio 
                 190 
                 Waiting* 
                 1 
                 main 
               
               
                 200 
                 Lunch/Dinner/Break* 
                 200 
                 Lunch/Dinner/Break* 
                 The professiona 
                 200 
                 Lunch/Dinner/Break* 
                 1 
                 main 
               
               
                 210 
                 Pause* 
                 210 
                 Pause* 
                 If the person yo 
                 210 
                 Pause* 
                 1 
                 main 
               
               
                 220 
                 Personal* 
                 220 
                 Personal* 
                 Personal activit 
                 220 
                 Personal* 
                 1 
                 main 
               
               
                 230 
                 Unusual Incident - Patient* 
                 230 
                 Unusual Incident - Patient* 
                 This is when yo 
                 230 
                 Unusual Incident - Patient* 
                 1 
                 main 
               
               
                 231 
                 Unusual Incident - Staff* 
                 231 
                 Unusual Incident - Staff* 
                 This is when yo 
                 231 
                 Unusual Incident - Staff* 
                 1 
                 main 
               
               
                 240 
                 End of Data Collection* 
                 240 
                 End of Data Collection* 
                 This is the last e 
                 240 
                 End of Data Collection* 
                 1 
                 main 
               
               
                 270 
                 Patient No Consent* 
                 270 
                 Patient No Consent* 
                 This field should 
                 270 
                 Patient No Consent* 
                 1 
                 main 
               
               
                 280 
                 Administration 
                 280 
                 Administration 
                 The professiona 
                 280 
                 Administration 
                 1 
                 main 
               
               
                 300 
                 Look For 
                 300 
                 Look For 
                 The professiona 
                 300 
                 Look For 
                 1 
                 main 
               
               
                 530 
                 Conduct Activities 
                 530 
                 Conduct Activities 
                 It may not be p 
                 530 
                 Conduct Activites 
                 1 
                 main 
               
               
                   
                 Off Floor* 
                   
                 Off Floor* 
                   
                   
                 Off Floor* 
               
               
                 540 
                 Research Project* 
                 540 
                 Research Project* 
                 Select this anyt 
                 540 
                 Research Project* 
                 1 
                 main 
               
               
                 20 
                 Infection Control 
                 20 
                 Put on glove/gown/mask 
                 The professiona 
                 20 
                 Put on glove/gown/mask 
                 2 
                 main 
               
               
                 20 
                 Infection Control 
                 20 
                 Take off glove/gown/mask 
                 The professiona 
                 20 
                 Take off glove/gown/mask 
                 2 
                 main 
               
               
                 30 
                 Interruption 
                 30 
                 Knowledge Exchange 
                 After an interru 
                 30 
                 Knowledge Exchange 
                 2 
                 main 
               
               
                 50 
                 Communication 
                 50 
                 Greeting patients/visitors 
                 The professiona 
                 50 
                 Greeting patients/visitors 
                 2 
                 main 
               
               
                 50 
                 Communication 
                 50 
                 Knowledge Exchange 
                 The professiona 
                 50 
                 Knowledge Exchange 
                 2 
                 main 
               
               
                   
               
             
          
         
       
     
         [0000]    
       
         
               
             
               
               
               
               
               
               
               
             
               
               
               
               
               
               
               
               
               
             
           
               
                   
               
               
                 Therapist table 
               
             
          
           
               
                 Level 1 Category 
                 Code 
                 Field Name 
                 Field Description 
                 CSV Name 
                 Level 
                 Therapist —   
               
               
                   
               
             
          
           
               
                 10 
                 Wash Hands* 
                 10 
                 Wash Hands* 
                 It is important t 
                 10 
                 Wash Hands* 
                 1 
                 main 
               
               
                 20 
                 Infection Control 
                 20 
                 Infection Control 
                 Infection Contro 
                 20 
                 Infection Control 
                 1 
                 main 
               
               
                 30 
                 Interruption 
                 30 
                 Interruption 
                 Actions on the p 
                 30 
                 Interruption 
                 1 
                 main 
               
               
                 50 
                 Communication 
                 50 
                 Communic ation 
                 Professionals w 
                 50 
                 Communication 
                 1 
                 main 
               
               
                 60 
                 Travel 
                 60 
                 Travel 
                 This section rec 
                 60 
                 Travel 
                 1 
                 main 
               
               
                 70 
                 Assess Evaluate 
                 70 
                 Assess Evaluate 
                 Identification by 
                 70 
                 Assess Evaluate 
                 1 
                 main 
               
               
                 90 
                 ADL 
                 90 
                 ADL 
                 Activities of dai 
                 90 
                 ADL 
                 1 
                 main 
               
               
                 91 
                 IADLS 
                 91 
                 IADLS 
                 Instrumental Ac 
                 91 
                 IADLS 
                 1 
                 main 
               
               
                 120 
                 Documentation 
                 120 
                 Documentation 
                 Any documenta 
                 120 
                 Documentation 
                 1 
                 main 
               
               
                 130 
                 Miscellaneous 
                 130 
                 Miscellaneous 
                 Activities that fi 
                 130 
                 Miscellaneous 
                 1 
                 main 
               
               
                 132 
                 Housekeeping 
                 132 
                 Housekeeping 
                 A number of ac 
                 132 
                 Housekeeping 
                 1 
                 main 
               
               
                 190 
                 Waiting* 
                 190 
                 Waiting* 
                 Select this optio 
                 190 
                 Waiting* 
                 1 
                 main 
               
               
                 200 
                 Lunch/Dinner/Break* 
                 200 
                 Lunch/Dinner/Break* 
                 The professiona 
                 200 
                 Lunch/Dinner/Break* 
                 1 
                 main 
               
               
                 210 
                 Pause* 
                 210 
                 Pause* 
                 If the person yo 
                 210 
                 Pause* 
                 1 
                 main 
               
               
                 220 
                 Personal* 
                 220 
                 Personal* 
                 Personal activit 
                 220 
                 Personal* 
                 1 
                 main 
               
               
                 230 
                 Unusual Incident - Patient* 
                 230 
                 Unusual Incident - Patient* 
                 This is when you 
                 230 
                 Unusual Incident - Patient* 
                 1 
                 main 
               
               
                 231 
                 Unusual Incident - Staff* 
                 231 
                 Unusual Incident - Staff* 
                 This is when you 
                 231 
                 Unusual Incident - Staff* 
                 1 
                 main 
               
               
                 240 
                 End of Data Collection* 
                 240 
                 End of Data Collection* 
                 This is the last e 
                 240 
                 End of Data Collection* 
                 1 
                 main 
               
               
                 270 
                 Patient No Consent* 
                 270 
                 Patient No Consent* 
                 This field should 
                 270 
                 Patient No Consent* 
                 1 
                 main 
               
               
                 280 
                 Administration 
                 280 
                 Administration 
                 The professiona 
                 280 
                 Administration 
                 1 
                 main 
               
               
                 300 
                 Look For 
                 300 
                 Look For 
                 The professiona 
                 300 
                 Look For 
                 1 
                 main 
               
               
                 450 
                 Therapy 
                 450 
                 Therapy 
                 The professiona 
                 450 
                 Therapy 
                 1 
                 main 
               
               
                 530 
                 Conduct Activities 
                 530 
                 Conduct Activities 
                 It may not be po 
                 530 
                 Conduct Activites 
                 1 
                 main 
               
               
                   
                 Off Floor* 
                   
                 Off Floor* 
                   
                   
                 Off Floor* 
               
               
                 540 
                 Research Project* 
                 540 
                 Research Project* 
                 Select this anyti 
                 540 
                 Research Project* 
                 1 
                 main 
               
               
                 20 
                 Infection Control 
                 20 
                 Put on glove/gown/mask 
                 The professiona 
                 20 
                 Put on glove/gown/mask 
                 2 
                 main 
               
               
                 20 
                 Infection Control 
                 20 
                 Take off glove/gown/mask 
                 The professiona 
                 20 
                 Take off glove/gown/mask 
                 2 
                 main 
               
               
                 30 
                 Interruption 
                 30 
                 Knowledge Exchange 
                 After an interru 
                 30 
                 Knowledge Exchange 
                 2 
                 main 
               
               
                   
               
             
          
         
       
     
         [0000]    
       
         
               
             
               
               
               
               
               
               
               
             
               
               
               
               
               
               
               
               
               
             
           
               
                   
               
               
                 SW_Rank table 
               
             
          
           
               
                 Level 1 Category 
                 Code 
                 Field Name 
                 Field Description 
                 CSV Name 
                 Level 
                 SW_Rank 
               
               
                   
               
             
          
           
               
                 10 
                 Wash Hands* 
                 10 
                 Wash Hands* 
                 It is important t 
                 10 
                 Wash Hands* 
                 1 
                 main 
               
               
                 20 
                 Infection Control 
                 20 
                 Infection Control 
                 Infection Contro 
                 20 
                 Infection Control 
                 1 
                 main 
               
               
                 30 
                 Interruption 
                 30 
                 Interruption 
                 Actions on the p 
                 30 
                 Interruption 
                 1 
                 main 
               
               
                 50 
                 Communication 
                 50 
                 Communication 
                 Professionals w 
                 50 
                 Communication 
                 1 
                 main 
               
               
                 60 
                 Travel 
                 60 
                 Travel 
                 This section rec 
                 60 
                 Travel 
                 1 
                 main 
               
               
                 70 
                 Assess Evaluate 
                 70 
                 Assess Evaluate 
                 Identification by 
                 70 
                 Assess Evaluate 
                 1 
                 main 
               
               
                 90 
                 ADL 
                 90 
                 ADL 
                 Activities of dail 
                 90 
                 ADL 
                 1 
                 main 
               
               
                 91 
                 IADLS 
                 91 
                 IADLS 
                 Instrumental Ac 
                 91 
                 IADLS 
                 1 
                 main 
               
               
                 120 
                 Documentation 
                 120 
                 Documentation 
                 Any documenta 
                 120 
                 Documentation 
                 1 
                 main 
               
               
                 130 
                 Miscellaneous 
                 130 
                 Miscellaneous 
                 Activities that fi 
                 130 
                 Miscellaneous 
                 1 
                 main 
               
               
                 132 
                 Housekeeping 
                 132 
                 Housekeeping 
                 A number of act 
                 132 
                 Housekeeping 
                 1 
                 main 
               
               
                 190 
                 Waiting* 
                 190 
                 Waiting* 
                 Select this optio 
                 190 
                 Waiting* 
                 1 
                 main 
               
               
                 200 
                 Lunch/Dinner/Break* 
                 200 
                 Lunch/Dinner/Break* 
                 The professiona 
                 200 
                 Lunch/Dinner/Break* 
                 1 
                 main 
               
               
                 210 
                 Pause* 
                 210 
                 Pause* 
                 If the person yo 
                 210 
                 Pause* 
                 1 
                 main 
               
               
                 220 
                 Personal* 
                 220 
                 Personal* 
                 Personal activiti 
                 220 
                 Personal* 
                 1 
                 main 
               
               
                 230 
                 Unusual Incident - Patient* 
                 230 
                 Unusual Incident - Patient* 
                 This is when you 
                 230 
                 Unusual Incident - Patient* 
                 1 
                 main 
               
               
                 231 
                 Unusual Incident - Staff* 
                 231 
                 Unusual Incident - Staff* 
                 This is when you 
                 231 
                 Unusual Incident - Staff* 
                 1 
                 main 
               
               
                 240 
                 End of Data Collection* 
                 240 
                 End of Data Collection* 
                 This is the last e 
                 240 
                 End of Data Collection* 
                 1 
                 main 
               
               
                 270 
                 Patient No Consent* 
                 270 
                 Patient No Consent* 
                 This field should 
                 270 
                 Patient No Consent* 
                 1 
                 main 
               
               
                 280 
                 Administration 
                 280 
                 Administration 
                 The professiona 
                 280 
                 Administration 
                 1 
                 main 
               
               
                 300 
                 Look For 
                 300 
                 Look For 
                 The professiona 
                 300 
                 Look For 
                 1 
                 main 
               
               
                 450 
                 Therapy 
                 450 
                 Therapy 
                 The professiona 
                 450 
                 Therapy 
                 1 
                 main 
               
               
                 530 
                 Conduct Activities 
                 530 
                 Conduct Activities 
                 It may not be po 
                 530 
                 Conduct Activites 
                 1 
                 main 
               
               
                   
                 Off Floor 
                   
                 Off Floor* 
                   
                   
                 Off Floor* 
               
               
                 540 
                 Research Project* 
                 540 
                 Research Project* 
                 Select this anyti 
                 540 
                 Research Project* 
                 1 
                 main 
               
               
                 20 
                 Infection Control 
                 20 
                 Put on glove/gown/mask 
                 The professiona 
                 20 
                 Put on glove/gown/mask 
                 2 
                 main 
               
               
                 20 
                 Infection Control 
                 20 
                 Take off glove/gown/mask 
                 The professiona 
                 20 
                 Take off glove/gown/mask 
                 2 
                 main 
               
               
                   
               
             
          
         
       
     
         [0000]    
       
         
               
             
               
               
             
           
               
                   
               
               
                 Codes 
               
               
                   
               
             
             
               
                   
               
             
          
           
               
                 10 
                 Wash Hands* 
               
               
                 20 
                 Infection Control 
               
               
                 30 
                 Interruption 
               
               
                 50 
                 Communication 
               
               
                 60 
                 Travel 
               
               
                 70 
                 Assess Evaluate 
               
               
                 80 
                 Patient Needs 
               
               
                 90 
                 ADL 
               
               
                 91 
                 IADLS 
               
               
                 100 
                 Medication 
               
               
                 110 
                 Treatment 
               
               
                 120 
                 Documentation 
               
               
                 130 
                 Miscellaneous 
               
               
                 131 
                 Equipment 
               
               
                 132 
                 Housekeeping 
               
               
                 190 
                 Waiting* 
               
               
                 200 
                 Lunch/Dinner/Break* 
               
               
                 210 
                 Pause* 
               
               
                 220 
                 Personal* 
               
               
                 230 
                 Unusual Incident - Patient* 
               
               
                 231 
                 Unusual Incident - Staff* 
               
               
                 240 
                 End of Data Collection* 
               
               
                 270 
                 Patient No Consent* 
               
               
                 280 
                 Administration 
               
               
                 300 
                 Look For 
               
               
                 450 
                 Therapy 
               
               
                 530 
                 Conduct Activites Off Floor* 
               
               
                 540 
                 Research Project* 
               
               
                 20 
                 Put on glove/gown/mask 
               
               
                 20 
                 Request Assistance 
               
               
                 20 
                 Take off glove/gown/mask 
               
               
                 20 
                 IC Other 
               
               
                 30 
                 Knowledge Exchange 
               
               
                 50 
                 Greeting patients/visitors 
               
               
                 50 
                 Interview - Patient 
               
               
                 50 
                 Knowledge Exchange 
               
               
                 50 
                 Meeting - Family 
               
               
                 50 
                 Meeting -Other 
               
               
                 50 
                 Meeting -Rounds 
               
               
                 50 
                 Report 
               
               
                 50 
                 Verbal/Status Update 
               
               
                 60 
                 Med Room - E1 
               
               
                 60 
                 Med Room - W1 
               
               
                 60 
                 Nursing Station - E1 
               
               
                 60 
                 Nursing Station - W1 
               
               
                 60 
                 Pt Room 
               
               
                 60 
                 Supply/Storage Rooms 
               
               
                 60 
                 Building Services Room - W1 
               
               
                 60 
                 Dining Room - W1 
               
               
                 60 
                 Documntatn Educatn Rm - W1 
               
               
                 60 
                 Games Room 
               
               
                 60 
                 Hall 
               
               
                 60 
                 Hallway Interview Chairs - E1 
               
               
                 60 
                 Hallway Interview Chairs - W1 
               
               
                 60 
                 Interview (Seclusion) Rm - E1 
               
               
                 60 
                 Interview (Seclusion) Rm - W1 
               
               
                 999 
                 Not Applicable 
               
               
                 999 
                 Patient Discharge 
               
               
                 999 
                 Patient Group 
               
               
                 999 
                 Patient New 
               
               
                 999 
                 Patient No Consent 
               
               
                 999 
                 Patient Unknown 
               
               
                 999 
                 Patient 1 
               
               
                 999 
                 Patient 2 
               
               
                 999 
                 Patient 3 
               
               
                 999 
                 Patient 4 
               
               
                 999 
                 Patient 5 
               
               
                 999 
                 Patient 6 
               
               
                 999 
                 Patient 7 
               
               
                 999 
                 Patient 8 
               
               
                 999 
                 Patient 9 
               
               
                 999 
                 Patient 10 
               
               
                 999 
                 Patient 11 
               
               
                 999 
                 Patient 12 
               
               
                 999 
                 Patient 13 
               
               
                 999 
                 Patient 14 
               
               
                 999 
                 Patient 15 
               
               
                 999 
                 Patient 16 
               
               
                 999 
                 Patient 17 
               
               
                 999 
                 Patient 18 
               
               
                 999 
                 Patient 19 
               
               
                 999 
                 Patient 20 
               
               
                 999 
                 Patient 21 
               
               
                 999 
                 Patient 22 
               
               
                 999 
                 Info Record -Computer 
               
               
                 999 
                 Info Record -Offline 
               
               
                 999 
                 Info Review -Computer 
               
               
                 999 
                 Info Review -Offline 
               
               
                 999 
                 Document - Handoff 
               
               
                 999 
                 Email -Read 
               
               
                 999 
                 Email -Write 
               
               
                 999 
                 Face to Face 
               
               
                 999 
                 Fax 
               
               
                 999 
                 Filing 
               
               
                 999 
                 Intercom 
               
               
                 999 
                 Not Applicable 
               
               
                 999 
                 Other 
               
               
                 999 
                 Pager 
               
               
                 999 
                 Photocopy 
               
               
                 999 
                 Print 
               
               
                 999 
                 Research -Computer 
               
               
                 999 
                 Research -Paper based 
               
               
                 999 
                 Take Out/Return Paperwork 
               
               
                 999 
                 Telephone - Transfer call 
               
               
                 999 
                 Telephone In 
               
               
                 999 
                 Telephone In - take message 
               
               
                 999 
                 Telephone On Hold 
               
               
                 999 
                 Telephone Out 
               
               
                 999 
                 Telephone Unanswered 
               
               
                 999 
                 Transcribe Doctors Orders 
               
               
                 999 
                 Voicemail 
               
               
                 999 
                 Care Management Leader 
               
               
                 999 
                 Doctor - GP 
               
               
                 999 
                 Family Meeting 
               
               
                 999 
                 Hospital Security 
               
               
                 999 
                 Med Student/Resident 
               
               
                 999 
                 OT 
               
               
                 999 
                 Patient 
               
               
                 999 
                 Patient Group 
               
               
                 999 
                 Psychiatrist 
               
               
                 999 
                 Psychologist 
               
               
                 999 
                 Rehab Assistant 
               
               
                 999 
                 RN 
               
               
                 999 
                 Social Worker 
               
               
                 999 
                 Staff Group 
               
               
                 999 
                 Student Nurse 
               
               
                 999 
                 Unit Clerk 
               
               
                 999 
                 Ambulance Service 
               
               
                 999 
                 Central Processing 
               
               
                 999 
                 Clinical Nurse Educator 
               
               
                 999 
                 Clinical Nurse Specialist 
               
               
                 999 
                 Commity Transition Tm (CTT) 
               
               
                 999 
                 Community Case Manager 
               
               
                 999 
                 Community Mental Health Tm 
               
               
                 999 
                 Dietician/Nutritionist 
               
               
                 999 
                 Emergency Services - 911 
               
               
                 999 
                 ER 
               
               
                 999 
                 Food Services Department 
               
               
                 999 
                 Friends/Family of Patient 
               
               
                 999 
                 ADL -General 
               
               
                 999 
                 ADL -Patient Hygiene 
               
               
                 999 
                 Administrative 
               
               
                 999 
                 ALC 
               
               
                 999 
                 Appoint/Test 
               
               
                 999 
                 Arrange Meeting/Conference 
               
               
                 999 
                 Arrange Peer Support 
               
               
                 999 
                 Assessment 
               
               
                 999 
                 Bed Availability 
               
               
                 999 
                 Bowel Care 
               
               
                 999 
                 Bowel Habits 
               
               
                 999 
                 Care Plan 
               
               
                 999 
                 Census/Bed Assignment 
               
               
                 999 
                 Concerns and Complaints 
               
               
                 999 
                 Cueing Actin wth Staff/Stdnt 
               
               
                 999 
                 Cueing Action with Patient 
               
               
                 999 
                 Death Related 
               
               
                 999 
                 Diet -Nutrition 
               
               
                 999 
                 Diet -Pt Meals 
               
               
                 999 
                 Directions 
               
               
                 999 
                 Discharge Options/Planning 
               
               
                 999 
                 Doctors Orders 
               
               
                 999 
                 Doctors Orders -clarify 
               
               
                 999 
                 Domestic Violence 
               
               
                 999 
                 Emotionl Supprt for Pt/Famly 
               
               
                 999 
                 Encourage and Motivate Pt 
               
               
                 999 
                 Equip/Supplies -Admin 
               
               
                 999 
                 Equip/Supplies -Missing 
               
               
                   
               
             
          
         
       
     
         [0000]    
       
         
               
             
               
               
             
           
               
                   
               
               
                 Codes 
               
               
                   
               
             
             
               
                   
               
             
          
           
               
                 10 
                 Wash Hands* 
               
               
                 20 
                 Infection Control 
               
               
                 30 
                 Interruption 
               
               
                 50 
                 Communication 
               
               
                 60 
                 Travel 
               
               
                 70 
                 Assess Evaluate 
               
               
                 80 
                 Patient Needs 
               
               
                 120 
                 Documentation 
               
               
                 130 
                 Miscellaneous 
               
               
                 131 
                 Equipment 
               
               
                 132 
                 Housekeeping 
               
               
                 190 
                 Waiting* 
               
               
                 200 
                 Lunch/Dinner/Break* 
               
               
                 210 
                 Pause* 
               
               
                 220 
                 Personal* 
               
               
                 230 
                 Unusual Incident - Patient* 
               
               
                 231 
                 Unusual Incident - Staff* 
               
               
                 240 
                 End of Data Collection* 
               
               
                 270 
                 Patient No Consent* 
               
               
                 280 
                 Administration 
               
               
                 300 
                 Look For 
               
               
                 530 
                 Conduct Activites Off Floor* 
               
               
                 540 
                 Research Project* 
               
               
                 20 
                 Put on glove/gown/mask 
               
               
                 20 
                 Take off glove/gown/mask 
               
               
                 30 
                 Knowledge Exchange 
               
               
                 50 
                 Greeting patients/visitors 
               
               
                 50 
                 Knowledge Exchange 
               
               
                 50 
                 Meeting -Other 
               
               
                 50 
                 Verbal/Status Update 
               
               
                 60 
                 Med Room - E1 
               
               
                 60 
                 Med Room - W1 
               
               
                 60 
                 Nursing Station - E1 
               
               
                 60 
                 Nursing Station - W1 
               
               
                 60 
                 Pt Room 
               
               
                 60 
                 Supply/Storage Rooms 
               
               
                 60 
                 Building Services Room - W1 
               
               
                 60 
                 Dining Room - W1 
               
               
                 60 
                 Documntatn Educatn Rm - W1 
               
               
                 60 
                 Games Room 
               
               
                 60 
                 Hall 
               
               
                 60 
                 Hallway Interview Chairs - E1 
               
               
                 60 
                 Hallway Interview Chairs - W1 
               
               
                 60 
                 Interview (Seclusion) Rm - E1 
               
               
                 60 
                 Interview (Seclusion) Rm - W1 
               
               
                 60 
                 Kitchen - E1 
               
               
                 60 
                 Linen Cart - E1 
               
               
                 60 
                 Linen Cart - W1 
               
               
                 60 
                 Lounge TV Room - E1 
               
               
                 60 
                 Nursing Conference Room - E1 
               
               
                 60 
                 Nursing Lounge - W1 
               
               
                 999 
                 Not Applicable 
               
               
                 999 
                 Patient Discharge 
               
               
                 999 
                 Patient Group 
               
               
                 999 
                 Patient New 
               
               
                 999 
                 Patient No Consent 
               
               
                 999 
                 Patient Unknown 
               
               
                 999 
                 Patient 1 
               
               
                 999 
                 Patient 2 
               
               
                 999 
                 Patient 3 
               
               
                 999 
                 Patient 4 
               
               
                 999 
                 Patient 5 
               
               
                 999 
                 Patient 6 
               
               
                 999 
                 Patient 7 
               
               
                 999 
                 Patient 8 
               
               
                 999 
                 Patient 9 
               
               
                 999 
                 Patient 10 
               
               
                 999 
                 Patient 11 
               
               
                 999 
                 Patient 12 
               
               
                 999 
                 Patient 13 
               
               
                 999 
                 Patient 14 
               
               
                 999 
                 Patient 15 
               
               
                 999 
                 Patient 16 
               
               
                 999 
                 Patient 17 
               
               
                 999 
                 Patient 18 
               
               
                 999 
                 Patient 19 
               
               
                 999 
                 Patient 20 
               
               
                 999 
                 Patient 21 
               
               
                 999 
                 Patient 22 
               
               
                 999 
                 Audit Documents 
               
               
                 999 
                 Info Record -Computer 
               
               
                 999 
                 Info Record -Offline 
               
               
                 999 
                 Info Review -Computer 
               
               
                 999 
                 Info Review -Offline 
               
               
                 999 
                 Print 
               
               
                 999 
                 Chart -Assemble 
               
               
                 999 
                 Chart -Take Apart 
               
               
                 999 
                 Chart -Thin 
               
               
                 999 
                 Document - Handoff 
               
               
                 999 
                 Email -Read 
               
               
                 999 
                 Email -Write 
               
               
                 999 
                 Face to Face 
               
               
                 999 
                 Fax 
               
               
                 999 
                 Filing 
               
               
                 999 
                 Intercom 
               
               
                 999 
                 Not Applicable 
               
               
                 999 
                 Other 
               
               
                 999 
                 Pager 
               
               
                 999 
                 Photocopy 
               
               
                 999 
                 Print 
               
               
                 999 
                 Research -Computer 
               
               
                 999 
                 Research -Paper based 
               
               
                 999 
                 Take Out/Return Paperwork 
               
               
                 999 
                 Telephone - Transfer call 
               
               
                 999 
                 Telephone In 
               
               
                 999 
                 Telephone In - take message 
               
               
                 999 
                 Telephone On Hold 
               
               
                 999 
                 Care Management Leader 
               
               
                 999 
                 Doctor - GP 
               
               
                 999 
                 Family Meeting 
               
               
                 999 
                 Hospital Security 
               
               
                 999 
                 Med Student/Resident 
               
               
                 999 
                 OT 
               
               
                 999 
                 Patient 
               
               
                 999 
                 Patient Group 
               
               
                 999 
                 Psychiatrist 
               
               
                 999 
                 Psychologist 
               
               
                 999 
                 Rehab Assistant 
               
               
                 999 
                 RN 
               
               
                 999 
                 Social Worker 
               
               
                 999 
                 Staff Group 
               
               
                 999 
                 Student Nurse 
               
               
                 999 
                 Unit Clerk 
               
               
                 999 
                 Ambulance Service 
               
               
                 999 
                 Central Processing 
               
               
                 999 
                 Clinical Nurse Educator 
               
               
                 999 
                 Clinical Nurse Specialist 
               
               
                 999 
                 Commity Transition Tm (CTT) 
               
               
                 999 
                 Community Case Manager 
               
               
                 999 
                 Community Mental Health Tm 
               
               
                 999 
                 Dietician/Nutritionist 
               
               
                 999 
                 Emergency Services - 911 
               
               
                 999 
                 ER 
               
               
                 999 
                 Food Services Department 
               
               
                 999 
                 Administrative 
               
               
                 999 
                 ALC 
               
               
                 999 
                 Appoint/Test 
               
               
                 999 
                 Arrange Meeting/Conference 
               
               
                 999 
                 Arrange Peer Support 
               
               
                 999 
                 Bed Availability 
               
               
                 999 
                 Census/Bed Assignment 
               
               
                 999 
                 Concerns and Complaints 
               
               
                 999 
                 Death Related 
               
               
                 999 
                 Diet -Nutrition 
               
               
                 999 
                 Diet -Pt Meals 
               
               
                 999 
                 Directions 
               
               
                 999 
                 Doctors Orders 
               
               
                 999 
                 Doctors Orders -clarify 
               
               
                 999 
                 Equip/Supplies -Admin 
               
               
                 999 
                 Equip/Supplies -Missing 
               
               
                 999 
                 Equip/Supplies -Patient 
               
               
                 999 
                 Hospital Maintenance 
               
               
                 999 
                 Hospital Policies 
               
               
                 999 
                 Hospital Security 
               
               
                 999 
                 Housekeeping - Unit 
               
               
                 999 
                 Housekeeping -Pt Room 
               
               
                 999 
                 Infection Control 
               
               
                 999 
                 IT issues 
               
               
                 999 
                 Lab/Test Results 
               
               
                 999 
                 Medication - New 
               
               
                 999 
                 Medication - PRN Request 
               
               
                   
               
             
          
         
       
     
         [0000]    
       
         
               
             
               
               
             
           
               
                   
               
               
                 Codes 
               
               
                   
               
             
             
               
                   
               
             
          
           
               
                 10 
                 Wash Hands* 
               
               
                 20 
                 Infection Control 
               
               
                 30 
                 Interruption 
               
               
                 50 
                 Communication 
               
               
                 60 
                 Travel 
               
               
                 70 
                 Assess Evaluate 
               
               
                 80 
                 Patient Needs 
               
               
                 90 
                 ADL 
               
               
                 91 
                 IADLS 
               
               
                 100 
                 Medication 
               
               
                 110 
                 Treatment 
               
               
                 120 
                 Documentation 
               
               
                 130 
                 Miscellaneous 
               
               
                 132 
                 Housekeeping 
               
               
                 190 
                 Waiting* 
               
               
                 200 
                 Lunch/Dinner/Break* 
               
               
                 210 
                 Pause* 
               
               
                 220 
                 Personal* 
               
               
                 230 
                 Unusual Incident - Patient* 
               
               
                 231 
                 Unusual Incident - Staff* 
               
               
                 240 
                 End of Data Collection* 
               
               
                 270 
                 Patient No Consent* 
               
               
                 280 
                 Administration 
               
               
                 300 
                 Look For 
               
               
                 530 
                 Conduct Activites Off Floor* 
               
               
                 540 
                 Research Project* 
               
               
                 20 
                 Put on glove/gown/mask 
               
               
                 20 
                 Take off glove/gown/mask 
               
               
                 20 
                 IC Other 
               
               
                 30 
                 Knowledge Exchange 
               
               
                 50 
                 Greeting patients/visitors 
               
               
                 50 
                 Knowledge Exchange 
               
               
                 50 
                 Meeting - Family 
               
               
                 50 
                 Meeting -Other 
               
               
                 50 
                 Meeting -Rounds 
               
               
                 50 
                 Report 
               
               
                 50 
                 Verbal/Status Update 
               
               
                 60 
                 Med Room - E1 
               
               
                 60 
                 Med Room - W1 
               
               
                 60 
                 Nursing Station - E1 
               
               
                 60 
                 Nursing Station - W1 
               
               
                 60 
                 Pt Room 
               
               
                 60 
                 Building Services Room - W1 
               
               
                 60 
                 Dining Room - W1 
               
               
                 60 
                 Documntatn Educatn Rm - W1 
               
               
                 60 
                 Games Room 
               
               
                 60 
                 Hall 
               
               
                 60 
                 Hallway Interview Chairs - E1 
               
               
                 60 
                 Hallway Interview Chairs - W1 
               
               
                 60 
                 Interview (Seclusion) Rm - E1 
               
               
                 60 
                 Interview (Seclusion) Rm - W1 
               
               
                 60 
                 Kitchen - E1 
               
               
                 60 
                 Linen Cart - E1 
               
               
                 60 
                 Linen Cart - W1 
               
               
                 60 
                 Lounge TV Room - E1 
               
               
                 999 
                 Not Applicable 
               
               
                 999 
                 Patient Discharge 
               
               
                 999 
                 Patient Group 
               
               
                 999 
                 Patient New 
               
               
                 999 
                 Patient No Consent 
               
               
                 999 
                 Patient Unknown 
               
               
                 999 
                 Patient 1 
               
               
                 999 
                 Patient 2 
               
               
                 999 
                 Patient 3 
               
               
                 999 
                 Patient 4 
               
               
                 999 
                 Patient 5 
               
               
                 999 
                 Patient 6 
               
               
                 999 
                 Patient 7 
               
               
                 999 
                 Patient 8 
               
               
                 999 
                 Patient 9 
               
               
                 999 
                 Patient 10 
               
               
                 999 
                 Patient 11 
               
               
                 999 
                 Patient 12 
               
               
                 999 
                 Patient 13 
               
               
                 999 
                 Patient 14 
               
               
                 999 
                 Patient 15 
               
               
                 999 
                 Patient 16 
               
               
                 999 
                 Patient 17 
               
               
                 999 
                 Patient 18 
               
               
                 999 
                 Patient 19 
               
               
                 999 
                 Patient 20 
               
               
                 999 
                 Patient 21 
               
               
                 999 
                 Patient 22 
               
               
                 999 
                 Patient 23 
               
               
                 999 
                 Audit Documents 
               
               
                 999 
                 Info Record -Computer 
               
               
                 999 
                 Info Record -Offline 
               
               
                 999 
                 Info Review -Computer 
               
               
                 999 
                 Info Review -Offline 
               
               
                 999 
                 Document - Handoff 
               
               
                 999 
                 Email -Read 
               
               
                 999 
                 Email -Write 
               
               
                 999 
                 Face to Face 
               
               
                 999 
                 Fax 
               
               
                 999 
                 Filing 
               
               
                 999 
                 Intercom 
               
               
                 999 
                 Not Applicable 
               
               
                 999 
                 Other 
               
               
                 999 
                 Pager 
               
               
                 999 
                 Photocopy 
               
               
                 999 
                 Print 
               
               
                 999 
                 Research -Computer 
               
               
                 999 
                 Research -Paper based 
               
               
                 999 
                 Sorting/Distributing 
               
               
                 999 
                 Take Out/Return Paperwork 
               
               
                 999 
                 Telephone - Transfer call 
               
               
                 999 
                 Telephone In 
               
               
                 999 
                 Telephone In - take message 
               
               
                 999 
                 Telephone On Hold 
               
               
                 999 
                 Telephone Out 
               
               
                 999 
                 Telephone Unanswered 
               
               
                 999 
                 Voicemail 
               
               
                 999 
                 Care Management Leader 
               
               
                 999 
                 Doctor - GP 
               
               
                 999 
                 Family Meeting 
               
               
                 999 
                 Hospital Security 
               
               
                 999 
                 Med Student/Resident 
               
               
                 999 
                 OT 
               
               
                 999 
                 Patient 
               
               
                 999 
                 Patient Group 
               
               
                 999 
                 Psychiatrist 
               
               
                 999 
                 Psychologist 
               
               
                 999 
                 Rehab Assistant 
               
               
                 999 
                 RN 
               
               
                 999 
                 Social Worker 
               
               
                 999 
                 Staff Group 
               
               
                 999 
                 Student Nurse 
               
               
                 999 
                 Unit Clerk 
               
               
                 999 
                 VGH Other 
               
               
                 999 
                 Bed Flow Coordinator 
               
               
                 999 
                 Central Processing 
               
               
                 999 
                 Clinical Nurse Educator 
               
               
                 999 
                 Clinical Nurse Specialist 
               
               
                 999 
                 Commity Transition Tm (CU) 
               
               
                 999 
                 Community Case Manager 
               
               
                 999 
                 Community Mental Health Tm 
               
               
                 999 
                 Dietician/Nutritionist 
               
               
                 999 
                 Emergency Services - 911 
               
               
                 999 
                 ER 
               
               
                 999 
                 Food Services Department 
               
               
                 999 
                 Friends/Family of Patient 
               
               
                 999 
                 Bed Availability 
               
               
                 999 
                 Concerns and Complaints 
               
               
                 999 
                 Staff - Absence/Vacation 
               
               
                 999 
                 Staff -General 
               
               
                 999 
                 Staff -Injuries 
               
               
                 999 
                 Staff -Overtime 
               
               
                 999 
                 Staff -Performance 
               
               
                 999 
                 Staff -Professinal Develpmnt 
               
               
                 999 
                 Staff -Scheduling 
               
               
                 999 
                 Staff -Shifts/Breaks 
               
               
                 999 
                 Staff -Stress 
               
               
                 999 
                 Staff -Whereabouts 
               
               
                 999 
                 VGH/MHAS Organiznal Issues 
               
               
                 999 
                 ADL -General 
               
               
                 999 
                 ADL -Patient Hygiene 
               
               
                 999 
                 Administrative 
               
               
                 999 
                 ALC 
               
               
                 999 
                 Appoint/Test 
               
               
                 999 
                 Arrange Peer Support 
               
               
                 999 
                 Assessment 
               
               
                 999 
                 Care Plan 
               
               
                 999 
                 Census/Bed Assignment 
               
               
                 999 
                 Committee Work 
               
               
                 999 
                 Death Related 
               
               
                 999 
                 Diet -Nutrition 
               
               
                 999 
                 Directions 
               
               
                 999 
                 Discharge Options/Planning 
               
               
                 999 
                 Doctors Orders 
               
               
                 999 
                 Doctors Orders -clarify 
               
               
                   
               
             
          
         
       
     
         [0000]    
       
         
               
             
               
               
             
           
               
                   
               
               
                 Codes 
               
               
                   
               
             
             
               
                   
               
             
          
           
               
                 10 
                 Wash Hands* 
               
               
                 20 
                 Infection Control 
               
               
                 30 
                 Interruption 
               
               
                 50 
                 Communication 
               
               
                 60 
                 Travel 
               
               
                 70 
                 Assess Evaluate 
               
               
                 120 
                 Documentation 
               
               
                 130 
                 Miscellaneous 
               
               
                 132 
                 Housekeeping 
               
               
                 190 
                 Waiting* 
               
               
                 200 
                 Lunch/Dinner/Break* 
               
               
                 210 
                 Pause* 
               
               
                 220 
                 Personal* 
               
               
                 230 
                 Unusual Incident - Patient* 
               
               
                 231 
                 Unusual Incident - Staff* 
               
               
                 240 
                 End of Data Collection* 
               
               
                 270 
                 Patient No Consent* 
               
               
                 280 
                 Administration 
               
               
                 300 
                 Look For 
               
               
                 450 
                 Therapy 
               
               
                 530 
                 Conduct Activites Off Floor* 
               
               
                 540 
                 Research Project* 
               
               
                 20 
                 Request Assistance 
               
               
                 30 
                 Knowledge Exchange 
               
               
                 50 
                 Greeting patients/visitors 
               
               
                 50 
                 Knowledge Exchange 
               
               
                 50 
                 Meeting -Other 
               
               
                 50 
                 Meeting -Rounds 
               
               
                 50 
                 Verbal/Status Update 
               
               
                 60 
                 Nursing Station - E1 
               
               
                 60 
                 Nursing Station - W1 
               
               
                 60 
                 Psychologist Office 
               
               
                 60 
                 Building Services Room - W1 
               
               
                 60 
                 Dining Room - W1 
               
               
                 60 
                 Documntatn Educatn Rm - W1 
               
               
                 60 
                 E1- Other 
               
               
                 60 
                 Games Room 
               
               
                 60 
                 Hall 
               
               
                 60 
                 Hallway Interview Chairs - E1 
               
               
                 60 
                 Hallway Interview Chairs - W1 
               
               
                 60 
                 Interview (Seclusion) Rm - E1 
               
               
                 60 
                 Interview (Seclusion) Rm - W1 
               
               
                 60 
                 Kitchen - E1 
               
               
                 60 
                 Linen Cart -E1 
               
               
                 60 
                 Linen Cart - W1 
               
               
                 60 
                 Lobby 
               
               
                 60 
                 Lounge TV Room - E1 
               
               
                 60 
                 Med Room - E1 
               
               
                 60 
                 Med Room - W1 
               
               
                 60 
                 Nursing Conference Room - E1 
               
               
                 999 
                 Not Applicable 
               
               
                 999 
                 Patient Discharge 
               
               
                 999 
                 Patient Group 
               
               
                 999 
                 Patient New 
               
               
                 999 
                 Patient No Consent 
               
               
                 999 
                 Patient Unknown 
               
               
                 999 
                 Patient 1 
               
               
                 999 
                 Patient 2 
               
               
                 999 
                 Patient 3 
               
               
                 999 
                 Patient 4 
               
               
                 999 
                 Patient 5 
               
               
                 999 
                 Patient 6 
               
               
                 999 
                 Patient 7 
               
               
                 999 
                 Patient 8 
               
               
                 999 
                 Patient 9 
               
               
                 999 
                 Patient 10 
               
               
                 999 
                 Patient 11 
               
               
                 999 
                 Patient 12 
               
               
                 999 
                 Patient 13 
               
               
                 999 
                 Patient 14 
               
               
                 999 
                 Patient 15 
               
               
                 999 
                 Patient 16 
               
               
                 999 
                 Patient 17 
               
               
                 999 
                 Patient 18 
               
               
                 999 
                 Patient 19 
               
               
                 999 
                 Patient 20 
               
               
                 999 
                 Patient 21 
               
               
                 999 
                 Patient 22 
               
               
                 999 
                 Info Record -Computer 
               
               
                 999 
                 Info Record -Offline 
               
               
                 999 
                 Info Review -Computer 
               
               
                 999 
                 Info Review -Offline 
               
               
                 999 
                 Document - Handoff 
               
               
                 999 
                 Email -Read 
               
               
                 999 
                 Email -Write 
               
               
                 999 
                 Face to Face 
               
               
                 999 
                 Fax 
               
               
                 999 
                 Filing 
               
               
                 999 
                 Not Applicable 
               
               
                 999 
                 Other 
               
               
                 999 
                 Photocopy 
               
               
                 999 
                 Print 
               
               
                 999 
                 Research -Computer 
               
               
                 999 
                 Research -Paper based 
               
               
                 999 
                 Score Assessment/Test 
               
               
                 999 
                 Sorting/Distributing 
               
               
                 999 
                 Take Out/Return Paperwork 
               
               
                 999 
                 Telephone - Transfer call 
               
               
                 999 
                 Telephone In 
               
               
                 999 
                 Telephone On Hold 
               
               
                 999 
                 Telephone Out 
               
               
                 999 
                 Telephone Unanswered 
               
               
                 999 
                 Voicemail 
               
               
                 999 
                 Care Management Leader 
               
               
                 999 
                 Doctor - GP 
               
               
                 999 
                 Family Meeting 
               
               
                 999 
                 Hospital Security 
               
               
                 999 
                 Med Student/Resident 
               
               
                 999 
                 OT 
               
               
                 999 
                 Patient 
               
               
                 999 
                 Psychiatrist 
               
               
                 999 
                 Psychologist 
               
               
                 999 
                 RN 
               
               
                 999 
                 Social Worker 
               
               
                 999 
                 Unit Clerk 
               
               
                 999 
                 Clinical Nurse Educator 
               
               
                 999 
                 Clinical Nurse Specialist 
               
               
                 999 
                 Commity Transition Tm (CTT) 
               
               
                 999 
                 Community Case Manager 
               
               
                 999 
                 Community Mental Health Tm 
               
               
                 999 
                 Community Res/Progs - Other 
               
               
                 999 
                 Dietician/Nutritionist 
               
               
                 999 
                 ER 
               
               
                 999 
                 Friends/Family of Patient 
               
               
                 999 
                 Hospital Staff Other 
               
               
                 999 
                 Hospital Ward Clerk 
               
               
                 999 
                 ADL -General 
               
               
                 999 
                 ADL -Patient Hygiene 
               
               
                 999 
                 Administrative 
               
               
                 999 
                 ALC 
               
               
                 999 
                 Appoint/Test 
               
               
                 999 
                 Arrange Meeting/Conference 
               
               
                 999 
                 Assessment 
               
               
                 999 
                 Care Plan 
               
               
                 999 
                 Concerns and Complaints 
               
               
                 999 
                 Cueing Actin wth Staff/Stdnt 
               
               
                 999 
                 Discharge Options/Planning 
               
               
                 999 
                 Doctors Orders 
               
               
                 999 
                 Emotionl Supprt for Pt/Famly 
               
               
                 999 
                 Encourage and Motivate Pt 
               
               
                 999 
                 Grp Progrm Devlopmt 
               
               
                 999 
                 Hospital Policies 
               
               
                 999 
                 Hospital Security 
               
               
                 999 
                 Housing 
               
               
                 999 
                 IT issues 
               
               
                 999 
                 Lab/Test Results 
               
               
                 999 
                 Medication - New 
               
               
                 999 
                 Medication -General 
               
               
                 999 
                 Medication -History 
               
               
                   
               
             
          
         
       
     
         [0000]    
       
         
               
             
               
               
             
               
             
               
               
             
           
               
                   
               
               
                 Field List part 1 
               
               
                   
               
             
             
               
                 1—Main Role and Function 
               
             
          
           
               
                 10 
                 Wash Hands* 
               
               
                 20 
                 Infection Control 
               
               
                 30 
                 interruption 
               
               
                 50 
                 Communication 
               
               
                 60 
                 Travel 
               
               
                 70 
                 Assess Evaluate 
               
               
                 80 
                 Patient Needs 
               
               
                 90 
                 ADL 
               
               
                 91 
                 IADLS 
               
               
                 100 
                 Medication 
               
               
                 110 
                 Treatment 
               
               
                 120 
                 Documentation 
               
               
                 130 
                 Miscellaneous 
               
               
                 131 
                 Equipment 
               
               
                 132 
                 Housekeeping 
               
               
                 190 
                 Waiting* 
               
               
                 200 
                 Lunch/Dinner/Break* 
               
               
                 210 
                 Pause* 
               
               
                 220 
                 Personal* 
               
               
                 230 
                 Unusual Incident - Patient* 
               
               
                 231 
                 Unusual Incident - Staff* 
               
               
                 240 
                 End of Data Collection* 
               
               
                 270 
                 Patient No Consent* 
               
               
                 280 
                 Administration 
               
               
                 300 
                 Look for 
               
               
                 450 
                 Therapy 
               
             
          
           
               
                 2—Sub-activities 
               
             
          
           
               
                 20 
                 Put on glove/gown/mask 
               
               
                 20 
                 Request Assistance 
               
               
                 20 
                 Take off glove/gown/mask 
               
               
                 20 
                 IC Other 
               
               
                 30 
                 Knowledge Exchange 
               
               
                 50 
                 Greeting patients/visitors 
               
               
                 50 
                 Interview - Patient 
               
               
                 50 
                 Knowledge Exchange 
               
               
                 50 
                 Meeting - Family 
               
               
                 50 
                 Meeting -Other 
               
               
                 50 
                 Meeting -Rounds 
               
               
                 50 
                 Report 
               
               
                 50 
                 Verbal/Status Update 
               
               
                 60 
                 Med Room - E1 
               
               
                 60 
                 Med Room - W1 
               
               
                 60 
                 Nursing Station - E1 
               
               
                 60 
                 Nursing Station - W1 
               
               
                 60 
                 Pt Room 
               
               
                 60 
                 Supply/Storage Rooms 
               
               
                 60 
                 Building Services Room - W1 
               
               
                 60 
                 Dining Room - W1 
               
               
                 60 
                 Documntatn Educatn Rm - W1 
               
               
                 60 
                 Games Room 
               
               
                 60 
                 Hall 
               
               
                 60 
                 Hallway Interview Chairs - E1 
               
               
                 60 
                 Hallway Interview Chairs - W1 
               
               
                 70 
                 Staff -Assist 
               
               
                 70 
                 Staff -Mentor 
               
               
                 70 
                 Staff -Observe 
               
               
                 70 
                 Unit Observation 
               
               
                 70 
                 Weigh Patient 
               
               
                 70 
                 Assess Other 
               
               
                 80 
                 Dispose Dirty Linen/Materials 
               
               
                 80 
                 Drop off Drink/Meal/Snack 
               
               
                 80 
                 Drop off Equipment 
               
               
                 80 
                 Drop off Linen/Blankt/laundy 
               
               
                 80 
                 Drop off OTHER 
               
               
                 80 
                 Drop off Patient Belongings 
               
               
                 80 
                 Drop off Supplies 
               
               
                 80 
                 Hand Out Pt Privileges/Needs 
               
               
                 80 
                 Make Snack/Meal 
               
               
                 80 
                 Pick up Drink/Meal/Snack 
               
               
                 80 
                 Pick up Equipment 
               
               
                 80 
                 Pick up Linen/Blankt/Laundy 
               
               
                 80 
                 Pick up OTHER 
               
               
                 80 
                 Pick Up Patient Belongings 
               
               
                 80 
                 Pick up Supplies 
               
               
                 80 
                 Needs Other 
               
               
                 90 
                 Bath/Shower 
               
               
                 90 
                 Dress Patient 
               
               
                 90 
                 Lilt Manual -Alone 
               
               
                 90 
                 Personal Hygiene 
               
               
                 120 
                 Book Manual 
               
               
                 120 
                 Care Plan 
               
               
                 120 
                 Directors Warrant 
               
               
                 120 
                 Discharge Paperwork General 
               
               
                 020 
                 Discharge Planning Sheet 
               
               
                 120 
                 Doctors/Physicians Orders 
               
               
                 120 
                 Document - Multiple 
               
               
                 120 
                 Incident Report - Employee 
               
               
                 120 
                 Incident Report - Patient 
               
               
                 120 
                 Informal Notes 
               
               
                 120 
                 Kardex 
               
               
                 120 
                 Lab Report/Test Results 
               
               
                 120 
                 MAR 
               
               
                 120 
                 Mentl Health Act Fms -Other 
               
               
                 120 
                 Nursing Admission Assessment 
               
               
                 120 
                 Pass Tool 
               
               
                 120 
                 Patient Chart 
               
               
                 120 
                 Patient List 
               
               
                 120 
                 Referral Document 
               
               
                 120 
                 Requisition Document 
               
               
                 120 
                 Rounds Paperwork 
               
               
                 120 
                 Staff -Assist 
               
               
                 120 
                 Staff -Mentor 
               
               
                 120 
                 Staff -Observe 
               
               
                 120 
                 Staff Schedule 
               
               
                 120 
                 Transfer Paperwork 
               
               
                 300 
                 Supplies 
               
               
                 300 
                 Document Other 
               
               
                 300 
                 Look Other 
               
               
                 450 
                 Therapy Other 
               
               
                   
               
             
          
         
       
     
         [0000]    
       
         
               
             
               
               
             
               
             
               
               
             
               
             
               
               
             
               
             
               
               
             
           
               
                   
               
               
                 Field List part 2 
               
               
                   
               
             
             
               
                 3—Patient Details 
               
             
          
           
               
                 999 
                 Not Applicable 
               
               
                 999 
                 Patient Discharge 
               
               
                 999 
                 Patient Group 
               
               
                 999 
                 Patient New 
               
               
                 999 
                 Patient No Consent 
               
               
                 999 
                 Patient Unknown 
               
               
                 999 
                 Patient 1 
               
               
                 999 
                 Patient 2 
               
               
                 999 
                 Patient 3 
               
               
                 999 
                 Patient 4 
               
               
                 999 
                 Patient 5 
               
               
                 999 
                 Patient 6 
               
               
                 999 
                 Patient 7 
               
               
                 999 
                 Patient 8 
               
               
                 999 
                 Patient 9 
               
               
                 999 
                 Patient 10 
               
               
                 999 
                 Patient 11 
               
               
                 999 
                 Patient 12 
               
               
                 999 
                 Patient 13 
               
               
                 999 
                 Patient 14 
               
               
                 999 
                 Patient 15 
               
               
                 999 
                 Patient 16 
               
               
                 999 
                 Patient 17 
               
               
                 999 
                 Patient 18 
               
               
                 999 
                 Patient 19 
               
               
                 999 
                 Patient 20 
               
             
          
           
               
                 4—Mode of Main Activity 
               
             
          
           
               
                 999 
                 Into Record -Computer 
               
               
                 999 
                 Info Record -Offline 
               
               
                 999 
                 Info Review -Computer 
               
               
                 999 
                 Into Review -Offline 
               
               
                 999 
                 Document - Handoff 
               
               
                 999 
                 Email -Read 
               
               
                 999 
                 Email -Write 
               
               
                 999 
                 Face to Face 
               
               
                 999 
                 Fax 
               
               
                 999 
                 Filing 
               
               
                 999 
                 Intercom 
               
               
                 999 
                 Not Applicable 
               
               
                 999 
                 Other 
               
               
                 999 
                 Pager 
               
               
                 999 
                 Photocopy 
               
               
                 999 
                 Print 
               
               
                 999 
                 Research -Computer 
               
               
                 999 
                 Research -Paper based 
               
               
                 999 
                 Take Out/Return Paperwork 
               
               
                 999 
                 Telephone - Transfer call 
               
               
                 999 
                 Telephone In 
               
               
                 999 
                 Telephone In - take message 
               
               
                 999 
                 Telephone On Hold 
               
               
                 999 
                 Telephone Out 
               
               
                 999 
                 Telephone Unanswered 
               
               
                 999 
                 Transcribe Doctors Orders 
               
             
          
           
               
                 5—Communication with Whom 
               
             
          
           
               
                 999 
                 Care Management Leader 
               
               
                 999 
                 Doctor - GP 
               
               
                 999 
                 Family Meeting 
               
               
                 999 
                 Hospital Security 
               
               
                 999 
                 Med Student/Resident 
               
               
                 999 
                 OT 
               
               
                 999 
                 Patient 
               
               
                 999 
                 Patient Group 
               
               
                 999 
                 Psychiatrist 
               
               
                 999 
                 Psychologist 
               
               
                 999 
                 Rehab Assistant 
               
               
                 999 
                 RN 
               
               
                 999 
                 Social Worker 
               
               
                 999 
                 Staff Group 
               
               
                 999 
                 Student Nurse 
               
               
                 999 
                 Unit Clerk 
               
               
                 999 
                 Ambulance Service 
               
               
                 999 
                 Central Processing 
               
               
                 999 
                 Clinical Nurse Educator 
               
               
                 999 
                 Clinical Nurse Specialist 
               
               
                 999 
                 Comrnity Transition Tm (CTT) 
               
               
                 999 
                 Community Case Manager 
               
               
                 999 
                 Community Mental Health Tm 
               
               
                 999 
                 Dietician/Nutritionist 
               
               
                 999 
                 Emergency Services - 911 
               
               
                 999 
                 ER 
               
             
          
           
               
                 6—Topic of Communication 
               
             
          
           
               
                 999 
                 AOL-General 
               
               
                 999 
                 ADL -Patient Hygiene 
               
               
                 999 
                 Administrative 
               
               
                 999 
                 ALC 
               
               
                 999 
                 Appoint/Test 
               
               
                 999 
                 Arrange Meeting/Conference 
               
               
                 999 
                 Arrange Peer Support 
               
               
                 999 
                 Assessment 
               
               
                 999 
                 Bed Availability 
               
               
                 999 
                 Bowel Care 
               
               
                 999 
                 Bowel Habits 
               
               
                 999 
                 Care Plan 
               
               
                 999 
                 Census/Bed Assignment 
               
               
                 999 
                 Concerns and Complaints 
               
               
                 999 
                 Cueing Actin wth Staff/Stdnt 
               
               
                 999 
                 Cueing Action with Patient 
               
               
                 999 
                 Death Related 
               
               
                 999 
                 Diet -Nutrition 
               
               
                 999 
                 Diet -Pt Meals 
               
               
                 999 
                 Directions 
               
               
                 999 
                 Discharge Options/Planning 
               
               
                 999 
                 Doctors Orders 
               
               
                 999 
                 Doctors Orders -clarify 
               
               
                 999 
                 Domestic Violence 
               
               
                 999 
                 Emotionl Supprt for Pt/Famly 
               
               
                 999 
                 Encourage and Motivate Pt 
               
               
                 999 
                 Pt AWOL 
               
               
                 999 
                 Pt Behaviour 
               
               
                 999 
                 Pt Belongings 
               
               
                 999 
                 Pt Certifion/Recerifion 
               
               
                 999 
                 Pt Cognitive Status 
               
               
                 999 
                 Pt Condition Deteriorating 
               
               
                 999 
                 Pt Current Phy Health 
               
               
                 999 
                 Pt Discharge 
               
               
                 999 
                 Pt Family 
               
               
                 999 
                 Pt Financial Issues 
               
               
                 999 
                 Pt Fluid Balance 
               
               
                 999 
                 Pt Glucose Level 
               
               
                 999 
                 Pt Legal Issues 
               
               
                 999 
                 Pt Mental Health 
               
               
                 999 
                 Pt Mobilization 
               
               
                 999 
                 Pt Needs/Privileges 
               
               
                 999 
                 Pt Pain 
               
               
                 999 
                 Pt Personal Goals 
               
               
                 999 
                 Pt Phys and Mentl Hlth Histy 
               
               
                 999 
                 Pt Physical Activity 
               
               
                 999 
                 Pt Progress 
               
               
                 999 
                 Pt Refuse Care/Grp Activites 
               
               
                 999 
                 Pt Rule Adherence 
               
               
                 999 
                 Pt Safety 
               
               
                 999 
                 Pt Support in Community 
               
               
                 999 
                 Pt Support in Home 
               
               
                   
               
             
          
         
       
     
         [0000]    
       
         
               
             
               
               
               
               
               
               
               
             
               
               
               
               
               
               
               
               
               
             
           
               
                   
               
               
                 Level 1: Main Role + Function 
               
             
          
           
               
                 Level 1 Category 
                 Code 
                 Field Name 
                 Field Description 
                 CSV Name 
                 Level 
                 RN_Rank 
               
               
                   
               
             
          
           
               
                 10 
                 Wash Hands* 
                 10 
                 Wash Hands* 
                 It is important to capture the exten 
                 10 
                 Wash Hands* 
                 1 
                 top 
               
               
                 20 
                 Infection Control 
                 20 
                 Infection Control 
                 Infection Control covers activities re 
                 20 
                 Infection Control 
                 1 
                 top 
               
               
                 30 
                 Interruption 
                 30 
                 Interruption 
                 Actions on the part of another indiv 
                 30 
                 Interruption 
                 1 
                 top 
               
               
                 50 
                 Communication 
                 50 
                 Communication 
                 Professionals will engage in commu 
                 50 
                 Communication 
                 1 
                 top 
               
               
                 60 
                 Travel 
                 60 
                 Travel 
                 This section records the travelling a 
                 60 
                 Travel 
                 1 
                 top 
               
               
                 70 
                 Assess Evaluate 
                 70 
                 Assess Evaluate 
                 Identification by a professional of th 
                 70 
                 Assess Evaluate 
                 1 
                 top 
               
               
                 80 
                 Patient Needs 
                 80 
                 Patient Needs 
                 There are a number of tasks and ac 
                 80 
                 Patient Needs 
                 1 
                 top 
               
               
                 90 
                 ADL 
                 90 
                 ADL 
                 Activities of daily living (ADLs): The 
                 90 
                 ADL 
                 1 
                 top 
               
               
                 91 
                 IADLS 
                 91 
                 IADLS 
                 Instrumental Activities of Daily Livin 
                 91 
                 IADLS 
                 1 
                 main 
               
               
                 100 
                 Medication 
                 100 
                 Medication 
                 Related to the drugs or curative sub 
                 100 
                 Medication 
                 1 
                 main 
               
               
                 110 
                 Treatment 
                 110 
                 Treatment 
                 Related to specific patient care and 
                 110 
                 Treatment 
                 1 
                 main 
               
               
                 120 
                 Documentation 
                 120 
                 Documentation 
                 Any documentation including chart 
                 120 
                 Documentation 
                 1 
                 main 
               
               
                 130 
                 Miscellaneous 
                 130 
                 Miscellaneous 
                 Activities that fit outside the other 
                 130 
                 Miscellaneous 
                 1 
                 main 
               
               
                 131 
                 Equipment 
                 131 
                 Equipment 
                 A number of activities that are relat 
                 131 
                 Equipment 
                 1 
                 main 
               
               
                 132 
                 Housekeeping 
                 132 
                 Housekeeping 
                 A number of activities that are relat 
                 132 
                 Housekeeping 
                 1 
                 main 
               
               
                 190 
                 Waiting* 
                 190 
                 Waiting* 
                 Select this option if your profession 
                 190 
                 Waiting* 
                 1 
                 main 
               
               
                 200 
                 Lunch/Dinner/Break 
                 200 
                 Lunch/Dinner/Break* 
                 The professional takes a scheduled 
                 200 
                 Lunch/Dinner/Break* 
                 1 
                 main 
               
               
                 210 
                 Pause* 
                 210 
                 Pause* 
                 If the person you are observing nee 
                 210 
                 Pause* 
                 1 
                 main 
               
               
                 220 
                 Personal* 
                 220 
                 Personal* 
                 Personal activities are not related t 
                 220 
                 Personal* 
                 1 
                 main 
               
               
                 230 
                 Unusual Incident - 
                 230 
                 Unusual Incident - 
                 This is when your professional is dir 
                 230 
                 Unusual Incident - 
                 1 
                 main 
               
               
                   
                 P 
                   
                 Patient* 
                   
                   
                 Pa 
               
               
                 231 
                 Unusual Incident - 
                 231 
                 Unusual Incident - 
                 This is when your professional is dir 
                 231 
                 Unusual Incident - 
                 1 
                 main 
               
               
                   
                 S 
                   
                 Staff* 
                   
                   
                 St 
               
               
                 240 
                 End of Data Collecti 
                 240 
                 End of Data Collection* 
                 This is the last entry for your day of 
                 240 
                 End of Data Collectio 
                 1 
                 main 
               
               
                 270 
                 Patient No Consent 
                 270 
                 Patient No Consent* 
                 This field should be used when a pa 
                 270 
                 Patient No Consent* 
                 1 
                 main 
               
               
                 280 
                 Administration 
                 280 
                 Administration 
                 The professional may conduct a nui 
                 280 
                 Administration 
                 1 
                 main 
               
               
                   
               
             
          
         
       
     
         [0000]    
       
         
               
             
               
               
               
               
               
               
             
               
               
             
               
             
               
               
               
               
               
               
               
               
               
               
             
               
               
               
               
               
               
               
               
             
           
               
                   
               
               
                 Main Master for Level 1 Codes 10-210 
               
               
                   
               
             
             
               
                   
               
             
          
           
               
                 Code 
                 Database Name 
                 Field Name 
                 Short Name 
                 CSV 
                 Name 
               
               
                 Code 
                 Database Name 
                 Field Name 
                 Short Name 
                 CSV 
                 Name 
               
               
                   
               
               
                  10 
                 Wash Hands* 
                 Wash Hands* 
                 Wash Hands* 
                 10 
                 Wash Hands* 
               
               
                  20 
                 Infection Control 
                 Infection Control 
                 Infection Control 
                 20 
                 Infection Control 
               
               
                  30 
                 Interruption 
                 Interruption 
                 Interruption 
                 30 
                 Interruption 
               
               
                  50 
                 Communication 
                 Communication 
                 Communication 
                 50 
                 Communication 
               
               
                  60 
                 Travel 
                 Travel 
                 Travel 
                 60 
                 Travel 
               
               
                  70 
                 Assess Evaluate 
                 Assess Evaluate 
                 Assess Evaluate 
                 70 
                 Assess Evaluate 
               
               
                  80 
                 Patient Needs 
                 Patient Needs 
                 Patient Needs 
                 80 
                 Patient Needs 
               
               
                  90 
                 ADL 
                 ADL 
                 ADL 
                 90 
                 ADL 
               
               
                  91 
                 IADLS 
                 IADLS 
                 IADLS 
                 91 
                 IADLS 
               
               
                 100 
                 Medication 
                 Medication 
                 Medication 
                 100 
                 Medication 
               
               
                 110 
                 Treatment 
                 Treatment 
                 Treatment 
                 110 
                 Treatment 
               
               
                 120 
                 Documentation 
                 Documentation 
                 Documentation 
                 120 
                 Documentation 
               
               
                 130 
                 Miscellaneous 
                 Miscellaneous 
                 Miscellaneous 
                 130 
                 Miscellaneous 
               
               
                 131 
                 Equipment 
                 Equipment 
                 Equipment 
                 131 
                 Equipment 
               
               
                 132 
                 Housekeeping 
                 Housekeeping 
                 Housekeeping 
                 132 
                 Housekeeping 
               
               
                 170 
                 Call Bell Respond* 
                 Call Bell Respond* 
                 Call Bell Respond* 
                 170 
                 Call Bell Respond* 
               
               
                 190 
                 Listening/Waiting* 
                 Listening/Waiting* 
                 Listening/Waiting* 
                 190 
                 Listening/Waiting* 
               
               
                 200 
                 Lunch/Dinner/Break* 
                 Lunch/Dinner/Break* 
                 Lunch/Dinner/Break* 
                 200 
                 Lunch/Dinner/Break* 
               
               
                 210 
                 Pause* 
                 Pause* 
                 Pause* 
                 210 
                 Pause* 
               
               
                   
               
             
          
           
               
                 Field Description 
                 Level 
               
               
                 Field Description 
                 Level 
               
               
                   
               
               
                 It is important to capture the extent to which staff members are washing their hands. This includes washing with soap and 
                 1 
               
               
                 Infection Control covers activities related to the professional protecting themselves against infection by putting on/taking 
                 1 
               
               
                 Actions on the part of another individual(s) that disrupt the professional&#39;s work activity. For example, a professional may b 
                 1 
               
               
                 Professionals will engage in communication with other staff, patients, family and physicians throughout the shift. Commun 
                 1 
               
               
                 This section records the travelling a professional does on and off the unit. There are specific destinations of travel noted in 
                 1 
               
               
                 Identification by a professional of the needs, preferences and abilities of a patient. Assessment considers the symptoms an 
                 1 
               
               
                 There are a number of tasks and activities that a professional may do over the shift to address the specific needs of patient 
                 1 
               
               
                 Activities of daily living (ADLs): The things we normally do in daily living, including any daily activity we perform for 
                 1 
               
               
                 self-car 
               
               
                 Instrumental Activities of Daily Living (IADL): The activities often performed by a person who is living independently in a 
                 1 
               
               
                 co 
               
               
                 Related to the drugs or curative substances used to treat disease and illness. 
                 1 
               
               
                 Related to specific patient care and will include traditional treatments such as wound care, as well as psychosocial intervene 
                 1 
               
               
                 Any documentation including charting, updating of files, filling in forms, and reviewing charts. Please select the correct 
                 1 
               
               
                 form 
               
               
                 Activities that fit outside the other main categories. 
                 1 
               
               
                 A number of activities that are related to equipment such as cleaning, fixing or checking 
                 1 
               
               
                 A number of activities that are related to general housekeeping and cleaning This may include cleaning the patient&#39;s room 
                 1 
               
               
                 The professional responds to a call bell. The professional may not be able to respond to a call bell immediately. Only enter 
                 1 
               
               
                 Select this option if your professional is waiting to speak to a professional, a patient to arrive, a meeting to begin etc. 
                 1 
               
               
                 The professional takes a scheduled lunch/dinner/break. This is NOT a working lunch. 
                 1 
               
               
                   
               
             
          
           
               
                 If the person you are observing needs to ask you a question or vice versa then you would put the PDA on pause to ensure y   1 
               
               
                   
               
             
          
           
               
                 Level 1 
                 Category 
                 Default 
                 Default_Rank 
                 RN 
                 RN_Rank 
                 UC 
                 UC_Rank 
                 CNL 
                 CNL_Rank 
               
               
                   
               
               
                   
                   
                   
                   
                 yes 
               
               
                   
               
               
                 Level 1 
                 Category 
                 Default 
                 Default_Rank 
                 RN 
                 RN_Rank 
                 UC 
                 UC_Rank 
                 CNL 
                 CNL_Rank 
               
               
                   
               
               
                  10 
                 Wash Hands* 
                 yes 
                 top 
                 yes 
                 top 
                 yes 
                 top 
                 yes 
                 main 
               
               
                  20 
                 Infection Control 
                 yes 
                 top 
                 yes 
                 top 
                 yes 
                 main 
                 yes 
                 main 
               
               
                  30 
                 Interruption 
                 yes 
                 top 
                 yes 
                 top 
                 yes 
                 top 
                 yes 
                 main 
               
               
                  50 
                 Communication 
                 yes 
                 top 
                 yes 
                 top 
                 yes 
                 main 
                 yes 
                 main 
               
               
                  60 
                 Travel 
                 yes 
                 top 
                 yes 
                 top 
                 yes 
                 main 
                 yes 
                 main 
               
               
                  70 
                 Assess Evaluate 
                 yes 
                 top 
                 yes 
                 top 
                 yes 
                 main 
                 yes 
                 main 
               
               
                  80 
                 Patient Needs 
                 yes 
                 top 
                 yes 
                 top 
                 yes 
                 main 
                 yes 
                 main 
               
               
                  90 
                 ADL 
                 yes 
                 top 
                 yes 
                 top 
                 yes 
                 main 
                 yes 
                 main 
               
               
                  91 
                 IADLS 
                 yes 
                 main 
                 yes 
                 main 
                 yes 
                 main 
                 yes 
                 main 
               
               
                 100 
                 Medication 
                 yes 
                 main 
                 yes 
                 main 
                 yes 
                 main 
                 yes 
                 main 
               
               
                 110 
                 Treatment 
                 yes 
                 main 
                 yes 
                 main 
                 yes 
                 main 
                 yes 
                 main 
               
               
                 120 
                 Documentation 
                 yes 
                 main 
                 yes 
                 main 
                 yes 
                 main 
                 yes 
                 main 
               
               
                 130 
                 Miscellaneous 
                 yes 
                 main 
                 yes 
                 main 
                 yes 
                 main 
                 yes 
                 main 
               
               
                 131 
                 Equipment 
                 yes 
                 main 
                 yes 
                 main 
                 yes 
                 main 
                 yes 
                 main 
               
               
                 132 
                 Housekeeping 
                 yes 
                 main 
                 yes 
                 main 
                 yes 
                 main 
                 yes 
                 main 
               
               
                 170 
                 Call Bell Respond* 
                 yes 
                 main 
                 yes 
                 main 
                 yes 
                 main 
                 yes 
                 main 
               
               
                 190 
                 Waiting* 
                 yes 
                 main 
                 yes 
                 main 
                 yes 
                 main 
                 yes 
                 main 
               
               
                 200 
                 Lunch/Dinner/Break 
                 yes 
                 main 
                 yes 
                 main 
                 yes 
                 main 
                 yes 
                 main 
               
               
                 210 
                 Pause* 
                 yes 
                 main 
                 yes 
                 main 
                 yes 
                 main 
                 yes 
                 main 
               
               
                   
               
             
          
           
               
                 Ward Aide 
                 Ward Aide_Rar 
                 Therapist 
                 Therapist_Ran 
                 Physician 
                 Physician_Rank 
                   
                   
               
               
                 Ward Aide 
                 Ward Aide_Ra 
                 Therapist 
                 Therapist_Ran 
                 Physician 
                 Physician_Ran 
                 SW 
                 SW_Rank 
               
               
                   
               
               
                 yes 
                 main 
                 yes 
                 main 
                 yes 
                 main 
                 yes 
                 main 
               
               
                 yes 
                 main 
                 yes 
                 main 
                 yes 
                 main 
                 yes 
                 main 
               
               
                 yes 
                 main 
                 yes 
                 main 
                 yes 
                 main 
                 yes 
                 main 
               
               
                 yes 
                 main 
                 yes 
                 main 
                 yes 
                 main 
                 yes 
                 main 
               
               
                 yes 
                 main 
                 yes 
                 main 
                 yes 
                 main 
                 yes 
                 main 
               
               
                 yes 
                 main 
                 yes 
                 main 
                 yes 
                 main 
                 yes 
                 main 
               
               
                 yes 
                 main 
                 yes 
                 main 
                 yes 
                 main 
                 yes 
                 main 
               
               
                 yes 
                 main 
                 yes 
                 main 
                 yes 
                 main 
                 yes 
                 main 
               
               
                 yes 
                 main 
                 yes 
                 main 
                 yes 
                 main 
                 yes 
                 main 
               
               
                 yes 
                 main 
                 yes 
                 main 
                 yes 
                 main 
                 yes 
                 main 
               
               
                 yes 
                 main 
                 yes 
                 main 
                 yes 
                 main 
                 yes 
                 main 
               
               
                 yes 
                 main 
                 yes 
                 main 
                 yes 
                 main 
                 yes 
                 main 
               
               
                 yes 
                 main 
                 yes 
                 main 
                 yes 
                 main 
                 yes 
                 main 
               
               
                 yes 
                 main 
                 yes 
                 main 
                 yes 
                 main 
                 yes 
                 main 
               
               
                 yes 
                 main 
                 yes 
                 main 
                 yes 
                 main 
                 yes 
                 main 
               
               
                 yes 
                 main 
                 yes 
                 main 
                 yes 
                 main 
                 yes 
                 main 
               
               
                 yes 
                 main 
                 yes 
                 main 
                 yes 
                 main 
                 yes 
                 main 
               
               
                 yes 
                 main 
                 yes 
                 main 
                 yes 
                 main 
                 yes 
                 main 
               
               
                 yes 
                 main 
                 yes 
                 main 
                 yes 
                 main 
                 yes 
                 main 
               
               
                   
               
             
          
         
       
     
       Example 3 
       [0351]    A model was developed using a discrete-event simulation package called Arena 11.0 from Rockwell Software along with significant use of Visual Basic for Applications (VBA) for customized logic and to interface with the MS Access relational database management system. Software code is loaded into palm held devices (Palm ZIRE PDAs) and data gatherers collect real-time practice data through one-on-one observations across the six levels of information hierarchy per  FIG. 7 . 
         [0352]    A precursor to running the Simulation Model is a Data Pre-processing and Analysis phase. Several data sources are imported, assembled and processed so as to consolidate the data in a central location (for efficiency aspects upon model initialization) and to address issues such as: duplicate data, inconsistent data formats, inconsistent activity descriptions, potential data collection errors, potential data import errors, lack of information on patient location, lack of information on activity locations, and lack of information on travel origin and destination. 
         [0353]    There are four types of data sources:
       1. Function Analysis Data (provided as Excel files for each resource type)   2. Discharge Abstract Data (DAD) (provided as Access database)   3. Admission Discharge Transfer (ADT) (provided as Access database)   4. Other reference tables (e.g. patient MRN lookup table, resource shift look up table, etc)       
 
         [0358]    Each data source was imported to a separate Access database and then assembled into one central Access database. ADT data was used to specify which patients were located on which bed at any given time. DAD data was used to enrich the Function Analysis data by including patient episode characteristics such as Case Mix Group and Major Clinical Category. Next, the data was processed to eliminate duplicate records and to correct obvious data collection errors (such as incorrect data collection and/or activity date/times). Fourteen key activity types were identified and activity descriptions were standardized using these key activity types. 
         [0359]    The simulation model contains two main elements:
       Logic: The logic element is the brain that drives the entire process. It reproduces all processes performed on the ward at any given location, and records the performance of resources and patients.   Animation: The model animation provides a visual representation of the model logic. It recreates the ward         ¦s floor plan and allows users to visualize patients and resources as they perform their activities, providing a more intuitive perspective of the system         ¦s behaviour.       
 
         [0362]    The program logic of the simulation model is designed to first generate entities (including resources and patients) and then perform the activities at locations and times as the data dictates. The model records information such as start and end times of the activities, the resource that performed the activity, idle times, non productive times, etc. The recorded data elements are used to analyze the impact of different scenarios such as reassigning activities to other resources, adding new resources, prioritizing activities, etc. 
         [0363]    In order to assess the impact of alternate processes, skill mixes, and service demands on resource requirements, a detailed task-level simulation model was designed and developed. The model has three views:
       Floor Plan View ( FIG. 8 )   Bed Status View ( FIG. 9 )   Resource Status View ( FIG. 10 )       
 
         [0367]    1. Floor Plan: Shows a simple two dimensional view of the ward. For this exercise, a general nursing station was established as a centralized location. All documentation and administration related activities are performed here. 
         [0368]    2. Resources Info: This shows a legend of all resources involved in the activities performed on the current simulation day. Each resource type is classified by a different shape (e.g. all nurses are represented by circles). Percentage of non-productive activities represents the percentage of time spent on non-productive activities performed by each resource. Non-productive activities include travel activities such as looking for equipment, staff, medication and dropping off medications. 
         [0369]    3. Bed Status Legend: As activities are performed on the patient, beds will change color to illustrate the type of activity. A green bed signifies that the bed is not occupied, while other activities are represented by different colors and symbols. There is also a patient population that did not give the consent to be identified along with the activities performed on them. In the simulation, these activities are performed on the bed with a yellow frame. In addition, activities performed on patients labeled as “Patient Other” or “Multiple Patient” are performed in this bed as well. 
         [0370]    4. Calendar and Clock: This shows the current date and time of the simulation. 
         [0371]    5. Non Active Resources: This shows all resources that are currently on breaks or resources waiting for there next shift to start. 
         [0372]    1. Bed Status: This shows the following information:
       a. Bed ID: All beds have a unique identifier. All beds illustrated on the Floor View are listed here (excluding the yellow no-consent bed).   b. Patient ID: A unique identifier for the patient that is occupying the bed.   c. CMG: Shows a brief description of the Case Mix Group (CMG) of the patient.   d. Bed Status: Shows the current status of the bed (legend below).   e. Last Activity: Indicates the last activity performed on the patient.   f. Last Resource: Shows the code of the resource that performed the last activity on the patient.   g. Minutes Since: Indicates how many minutes have passed since the last activity performed on the patient.   h. Minutes of Care: Shows the total minutes of care (i.e., activities) performed on the patient on the given day.       
 
         [0381]    2. Bed Status Legend: As activities are performed on the patient, beds will change color to illustrate the type of activity. Bed in green signifies the bed is not occupied, while other activities are represented by different colors and symbols. 
         [0382]    3. Calendar and Clock: This shows current date and time of the simulation. 
         [0383]    4. Legend: Shows a brief explanation of the elements of the Bed Status View. 
         [0384]    1. Resource View: This section shows the following information:
       a. ID, Symbol, Resources: Identifies resources used during the day, each resource type is classified by a different shape, e.g. all nurses are represented by circles.   b. Shifts: Illustrates when shifts start and end during the day. The blue box represents that the associated resource is on duty within the corresponding time.   c. Job Description: Indicates the current activity being performed by the resource.   d. Job Sub Activity: Describes in more detail the current job being performed. It relates to the second level of activity description “A2” used in the data collection.   e. Patient: Indicates the unique identifier of the patient in care. Note: 54 indicates a “Non Consent Patient”, 55 is for “Other Patient” and 56 refers to “Multiple Patient”.   f. Non-Productive Activities: This column will represent the percentage of time spent on non-productive activities performed by each resource. Non-productive activities include travel activities such as looking for equipment, staff, medication and dropping off medications.       
 
         [0391]    2. Calendar and Clock: This shows current date and time of the simulation. 
         [0392]    The ward model logic is structured in six major segments; each of these may be linked to one or more stations, indicating that several stations may follow the same logical processes. Stations represent specific locations on the ward. In our model, the logic for these processes is as follows:
       1. Populating Activities Arrays: All the input tables generated during data pre-processing are read here. These include all set up tables and activity related tables. No stations are linked to this process since it is only used for setting up the model at the beginning of the simulation run.   2. Generate Nurses: A “Nurse Home” station is linked to this process where all resources (Nurses, Clerks, Dieticians, etc.) are created to start the simulation. In addition, the resources return to this station when they are done with their activities. The first activity of each resource is assigned here.   3. Admission: Patients are generated and sent to admission where the bed is assigned to the patients. The resource in charge of carrying out the admissions comes through this process to pick up the patient and bring him/her to corresponding bed.   4. Nurse Station: All administrative activities are contained in this block of processes. Stations such as Documentation, Nurse Station, and Administration are all linked here. Also, non-productive activities like travel to hall or looking for equipment are performed through this section of logic.   5. Ward: All beds are linked to this process block. Activities such as medication and treatment take place here.   6. Discharge: For discharge, patients are taken to the Discharge Station were the final process takes place.       
 
         [0399]    Immediately following each process, except admission, resources generate statistics related to the activity they are performing. Then the next activity and destination are assigned as the resource leaves the station. The model was verified against the FA input datasets by matching up output data generated by the simulation model against the FA input data by ensuring equivalency of the activity details (such as activity type, start time, finish times, durations, etc.). Since it is a data-driven model, care was taken to ensure the simulation accurately represented the data it was being fed. 
       Initial Findings 
       [0400]    The initial study area was in a medical and surgical population (predominantly geriatric in nature). The question was: what is the potential impact of realigning how health care delivery is performed by augmenting the care team with one Assistive Personnel in both a day-shift and a night-shift scenario when a RN is not available? 
         [0401]    Three different locations were studied in three acute care hospitals in British Columbia, with a normal 12-hour shift pattern (day shift was 7 am-7 pm). 
         [0402]    Key Performance Indicators (KPI) for this study focus on (1) Reduction in Resource RN care hours per patient day and (2) Change in timing or delays in patient care activities. 
         [0403]    Table 1 summarizes the outcomes of the study (note: Since wards in Hospital 3 were smaller than at the other two locations, we looked at two scenarios). The methodology was based on real-time practice data collection at each of the hospitals for the number of days indicated—in this case, a full day-shift and night-shift were recorded. Data Pre-processing and Analysis was then performed—this typically compressed the raw collected data by approximately 60%. Following model verification, the analysis was made for the instance of one RN being replaced by one Assistive Personnel. The KPIs are quoted for the day shift only as we found that there were insufficient RN hours during a night shift that could be delegated to Assistive Personnel. Interestingly, if we do review the whole 24 hour period at each hospital, the reduction in RN hours is quite similar, namely Hospital 1 (15%), Hospital 2 (15%) and Hospital 3 (11%). 
         [0404]    The predicted outcomes were revealing with a level of consistency across the hospitals when one includes likely ward sizes. Expected outcomes from this work could form the basis for further detailed study, and model enhancements, so as to enable the following:
       Compiling files collapse the hierarchical data into one line of data   increased ability for the Health Authority to refine and predict staffing needs;   increased ability for the Health Authority to refine and predict Assistive Personnel needs; and,   increased understanding of RN availability given the use of an additional Assistive Personnel.       
 
         [0409]    The analysis presented through the FA system offers a level of quantifiable insight to all stakeholders that is simply not available through spreadsheets, flowcharts, or PowerPoint presentations. Decision makers can, with this method and system be armed with an understanding of the current state of their organizations and be presented with data which quantifies the impacts of “what-if” change before critical decisions are taken. 
         [0000]    
       
         
               
             
               
               
               
             
               
               
               
               
               
               
             
               
               
               
               
               
               
             
           
               
                 TABLE 1 
               
             
             
               
                   
               
               
                 Results Summary 
               
             
          
           
               
                   
                 KPI 
                   
               
             
          
           
               
                   
                   
                   
                 Reduc- 
                 Average 
                   
               
               
                   
                 Days of 
                 Replace # 
                 tion 
                 minutes 
               
               
                   
                 Data Col- 
                 of RN with 
                 of RN 
                 delay per 
               
               
                 Hospital 
                 lection 
                 Care Aide 
                 Hours* 
                 Task 
                 Comments 
               
               
                   
               
             
          
           
               
                 Hospital 
                 1 
                 1 
                 13.0% 
                 2.9 
                   
               
               
                 1 
               
               
                 Hospital 
                 1 
                 1 
                 6.3% 
                 4.7 
               
               
                 2 
               
               
                 Hospital 
                 1 
                 0.5 
                 4.4% 
                 4.3 
                 Two predictive 
               
               
                 3 
                   
                   
                   
                   
                 runs were made 
               
               
                   
                   
                   
                   
                   
                 as wards were 
               
               
                   
                   
                   
                   
                   
                 smaller 
               
               
                   
                   
                 1 
                   
                 13.8 
               
               
                   
               
               
                 *Day Shift only 
               
             
          
         
       
     
         [0000]    
       
         
               
             
               
               
               
             
               
               
               
               
               
             
           
               
                 TABLE 2 
               
             
             
               
                   
               
               
                 Description of the Data Dictionary Typology 
               
             
          
           
               
                   
                 Operational Definition: 
                 Criteria (the qualities that determine appropriateness for 
               
               
                   
                 “description of term as applied to a specific 
                 inclusion and position of elements within the data dictionary} 
               
             
          
           
               
                   
                   
                 situation to facilitate the collection of 
                 Inclusion Criteria (what is 
                 Exclusion Criteria (what is 
               
               
                   
                   
                 meaningful standardized data” - overarching 
                 considered when deciding to 
                 considered - when deciding to 
               
               
                 Level 
                 Name 
                 principle 
                 INCLUDE content at this level?) 
                 EXCLUDE content at this level?) 
               
               
                   
               
               
                 Level 1 
                 Primary Activity 
                 Represents the main roles, functions, and/or 
                 Activities of high cumulative 
                 Ability to 
               
               
                   
                   
                 activities of the person under observation and 
                 duration. 
                 accurately observe. 
               
               
                   
                   
                 includes: 
                 Activities of high 
                 How much data 
               
               
                   
                   
                 Unit/Environment-Related: Activities 
                 importance/relevance that 
                 can an observer 
               
               
                   
                   
                 associated with the nursing 
                 occur instantaneously (occur 
                 reasonably collect? 
               
               
                   
                   
                 unit/environment that are not patient- 
                 in such short duration that 
                 How would this 
               
               
                   
                   
                 specific, including activities related to 
                 subsequent levels of coding 
                 information 
               
               
                   
                   
                 travel, equipment, look for, miscellaneous, 
                 are not feasible). 
                 contribute the 
               
               
                   
                   
                 housekeeping, code situation. 
                 Activities of high 
                 answering the 
               
               
                   
                   
                 FA-Related: Activities associated with the 
                 importance/relevance or 
                 research question? 
               
               
                   
                   
                 Function Analysis study itself; appears as 
                 duration that are related to 
               
               
                   
                   
                 “Pause”, “FA Research Project” (includes 
                 external circumstances. 
               
               
                   
                   
                 interview at end of day, speaking about the 
               
               
                   
                   
                 project), “End of Data Collection”. 
               
               
                   
                   
                 Personal: Personal activities not related to 
               
               
                   
                   
                 patient care or unit activities such as lunch, 
               
               
                   
                   
                 dinner, breaks, and personal 
               
               
                   
                   
                 communication (telephone, email). 
               
               
                 Level 2 
                 Sub Activity 
                 Represents the sub-activities of Level 1, 
                 May depend upon the 
               
               
                   
                   
                 providing a greater level of 
                 research question. 
               
               
                   
                   
                 specificity/refinement to the Level 1 Primary 
                 Can be stated as an action 
               
               
                   
                   
                 Activity Areas. 
                 verb (e.g., I am patient 
               
               
                   
                   
                   
                 charting) 
               
               
                 Level 3 
                 Patient Link 
                 Represents the patient(s) with/for/about whom 
                 None. 
               
               
                   
                   
                 the Level 1 and 2 activities pertain. 
               
               
                 Level 4 
                 Mode of Primary 
                 Represents the mode (manner, means or 
                 May depend upon the 
               
               
                   
                 or Sub Activity 
                 method) employed to complete a Level 1/Level 
                 requirements of the research 
               
               
                   
                   
                 2 activity. 
                 question. 
               
               
                   
                   
                   
                 Can be stated as a noun. 
               
               
                 Level 5 
                 Communication 
                 Represents the people, department, agency or 
                 Includes the network of 
               
               
                   
                 with Whom 
                 organization with whom the professional is 
                 people required to meet the 
               
               
                   
                   
                 directly interacting. 
                 care needs of the patient 
               
               
                 Level 6 
                 Topic of 
                 Represents the subject of the communication. 
               
               
                   
                 Communication 
               
               
                   
               
             
          
         
       
     
       Example 4 
       [0410]    The FA system has been utilized extensively to produce robust scientific classification of health professionals&#39; work activities within their practice settings and to guide strategic decision-making in other participating provincial Health Authorities. The FA protocol is comprehensive and provides both quantitative and qualitative data to inform care delivery model redesign. Expected results from moving to new models of care are aimed at higher quality of services, improved fiscal effectiveness and improved quality of work life for staff.