If desired, enter information in the second page of the form for the Bacteriology Report Remarks. Use discernment when entering information into the Bacteriology Report Remarks as it is a free text field and therefore introduces risk for entering information incorrectly which will adversely affect the results generated by the program. If desired, enter reporting information pertaining to positive results into the Include field. This is a free text field that allows letters, numbers, punctuation, and spaces. Answers must be 1-68 characters in length. If desired, enter reporting information pertaining to negative results into the Exclude field. This is a free text field that allows letters, numbers, punctuation, and spaces. Answers must be 1-68 characters in length. Note: To include the positive results and exclude the negative results, use both the Include and the Exclude fields. For example, for molecular based tests, the following two phrases are commonly used: ESBL POSITIVE for positive results and NOT ESBL POSITIVE for negative results. If NOT ESBL POSITIVE has not been entered in the Exclude section, then a result that has the remark NOT ESBL POSITIVE will be considered positive. At the prompt, Save changes before leaving form (Y/N)? Respond with Y and press the <ENTER> key. At the Command prompt, enter E to exit the form(s). Figure 19: Bacteriology Report Remarks MDRO TOOLS LAB SEARCH/EXTRACT PARAMETERS SETUP Page 2 of 2 DIVISION: MIAMI VAMC MDRO: ESBL ________________________________________________________________________ BACTERIOLOGY REPORT REMARKS Include Exclude ESBL POSITIVE NOT ESBL POSITIVE ________________________________________________________________________ COMMAND: Press <PF1>H for help
Figure 23: MDRO Historical Days Edit Select MDRO Tools Setup Menu Option: MDRO Historical Days Edit Select the Division: MIAMI VAMC Enter the number of days to search for MRSA: 365 Enter the number of days to search for IMP: 365 Enter the number of days to search for VRE: 365 Enter the number of days to search for C. diff: 28 Enter the number of days to search for ESBL: 365 CRE Tools Site Parameter Setup The CRE Tools Parameter Setup menu allows the user(s) to configure the CRE parameters for division(s) by either adding or editing specimens. When prompted, enter the name of the division and press the <ENTER> key or press the ? for a list of divisions and select the division from the list. When prompted, select either Add to add a specimen for CRE Surveillance Screens or Edit to edit an existing specimen. If adding a specimen, type Add and press the <ENTER> key. Enter the name of the specimen and press the <ENTER> key. If editing a specimen, type Edit and press the <ENTER> key. Enter the name of the specimen and press the <ENTER> key. To obtain a list of specimens, type ? and the <ENTER> key.
Airborne Infection, Droplet, Protective Environment, and Isolation Order. The information entered will be used to populate the Print Isolation Report option. Note: This option should only be used if the site uses orderable items when a patient is required to be in isolation. Select the division. At the Isolation Orders, enter an order and press <TAB> At the Expanded Precaution Type, enter a precaution type and press <TAB> to return to the Isolation Orders field. When finished, enter the <TAB> key at the Isolation Orders field. At the Command prompt, enter S to save the form and press the <ENTER> key. At the Command prompt, enter E to exit the form and press the <ENTER> key. Figure 26: MDRO Tools Isolation Orders Setup MDRO TOOLS ISOLATION ORDERS SETUP DIVISION: MIAMI VAMC ___________________________________________________________________________ Isolation Orders Expanded Precaution Type CONTACT PRECAUTIONS CONTACT PRECAUTIONS CONTACT PRECAUTIONS SPECIAL CONTACT PRECAUTIONS SPECIAL AIRBORNE INFECTION ISOLATIOTI AIRBORNE INFECTION DROPLET PRECAUTIONS DROPLET PROTECTIVE ENVIRONMENT PROTECTIVE ENVIRONMENT ISOLATION ORDER ISOLATION ORDER __________________________________________________________________________ COMMAND: Press <PF1>H for help MDRO Tools Reports Menu After the five options in the MRSA Tools Setup Menu have been configured, reports may be printed for a particular Division and/or Unit from the MRSA Tools Reports Menu. The following options are available from the MRSA Tools Reports Menu: Print MRSA IPEC Report
Figure 45: Importing Delimited Data, Import Wizard Step 3 of 3 In the Import Data Window, select the OK button to accept the Existing Worksheet=$A$2. See the figure shown below for more information. After importing the data, select Save As from the File Menu and save the worksheet to the local desktop or network drive. Select all of the data imported in rows A through L by dragging the mouse across the data. Select Copy from the Home menu. Select the CDI Cases tab at the bottom of the Excel™ spreadsheet. Click once into the A2 cell. Select Paste from the Home menu. Evaluate the data in cells F through I (regarding location) to determine a selection in cell J. Select a Patient location when CDI LabID Event was collected from the drop down list in cell J. Repeat this step for each patient. Select Save from the File Menu to save the worksheet. A description for the columns and headings from the report are outlined in the table below. Table 12: Descriptions for Excel™ spreadsheet CDI Reporting Tool Heading Description Name This field contains the patient’s name. SSAN This field contains the last 4 numbers of the patient’s Social Security Account Number (SSAN). Birth date This field contains the patient’s birth date and may be useful as some patients have the same name and last 4 digits of the SSAN. It is displayed in MM/DD/YY format. Date & time of CDI LabID Event This field contains the date and time that the C. difficile positive stool specimen for this episode was collected in MM/DD/YY HH:MM format. Date & time of admission associated with CDI LabID Event in Column D This field contains the date and time the patient was admitted to the CLC facility in MM/DD/YY HH:MM format. Location Name Information shown in this column will enable the user to choose the appropriate Patient Location when CDI LabID Event was collected in Column J. Location Type Information shown in this column will enable the user to choose the appropriate Patient Location when CDI LabID Event was collected in Column J.
NON-VETERAN (OPT-NVE) Admission of a patient who is not a veteran applicant for inpatient treatment. Admission Include Admission OPT-SC Admission for inpatient treatment from the facility OPT-SC program. Admission Include Admission PRE-BED CARE (OPT-PBC) Admission from the OPT-PBC program for inpatient treatment. Admission Include Admission READMISSION TO Readmission to NHCU or Domiciliary within 30 days of last discharge from NHCU/Domiciliary. Admission Include Admission TO ASIH To the parent VA Hospital from the VANH or VAD in Absent Sick in Hospital (ASIH) status. Does not cause discharge from sending facility. Admission Include Admission TRANSFER IN Transfer in (admission) from another VA facility to this VA facility. Admission Include Admission WAITING LIST Admission type to be used when admitting a patient from a waiting list. Admission Include Admission CHECK-IN LODGER Check a lodger into the VA facility without impacting census data. Check-in lodger Exclude Excluded CHECK-IN LODGER (OTHER FACILITY) Check a lodger into a non-VA facility such as a local hotel. Check-in lodger Exclude Excluded
CHANGE ASIH LOCATION (OTHER FACILITY) Continuation of ASIH status but to another VA or Non-VA facility at VA expense. [Previously called CONTINUED ASIH (OTHER FACILITY)] Transfer Exclude Excluded FROM ASIH (VAH) Return to NHCU or Domiciliary within the 30-day timeframe from Absence Sick in Hospital status. Transfer Include Admission FROM AUTH. ABSENCE OF 96 HOURS OR LESS Return from a pass status which didn't exceed 96 hours in duration. Transfer Exclude Excluded FROM AUTHORIZED ABSENCE Return from authorized absence which was scheduled for greater than 96 hours. Transfer Include Admission FROM AUTHORIZED TO ABSENCE Transfer from an authorized absence status to an unauthorized absence status. Transfer Exclude Excluded FROM ABSENCE Return from an unauthorized absence status within the 30-day limit (hospital) or limit (NHCU/Domiciliary). Transfer Include Admission FROM TO AUTHORIZED ABSENCE Transfer from unauthorized absence to authorized absence status. Transfer Exclude Excluded INTERWARD TRANSFER Transfer from one ward location in the VA facility to another. Transfer Include Transfer
RESUME ASIH IN PARENT FACILITY Return to the parent VAH to continue ASIH status after being ASIH in another VA or facility. [Previously called CONTINUED ASIH] Transfer Include Admission TO ASIH (OTHER FACILITY) To Absent Sick in Hospital Status (ASIH) to somewhere other than the parent VA Hospital. Transfer Include Discharge TO ASIH (VAH) Transfer from NHCU/Domiciliary to VA hospital for further care in Absent Sick in Hospital status. Can't exceed 30 days in duration. Transfer Include Discharge ABSENCE To an unauthorized absence status of not more than 30 days for hospital or 90 days for NHCU/Domiciliary. Transfer Include Discharge Glossary Glossary of Terms Definitions Access Code A code that allows the computer to identify a user authorized to gain access to the computer. The code is greater than six and less than twenty characters long; can be numeric, alphabetic, or a combination of both. The code is usually assigned to a user by a site manager or application coordinator.