[Tagging] tag for wards was: Deprecate healthcare=centre

Joseph Eisenberg joseph.eisenberg at gmail.com
Sun Jan 10 18:04:10 UTC 2021


There are several different types of inpatient hospital "wards" (also known
as "floors" in American English, or perhaps "departments" formally). All of
these have inpatient beds, where people who are admitted to the hospital
sleep overnight with 24/7 nursing care available and a doctor available on
call at least.

1) ICU - Intensive Care Unit: sometimes also called "critical care". These
have 1 nurse per patient or 1 nurse per 2 patients, are staffed by
Intensivists in big hospitals: physicians who specialize in caring for very
sick, complex patients - though in small hospitals the regular physicians
will also see these patients. The nurses also have special training to
manage ventilators (respirators), intravenous medications, continuous heart
monitoring and vital sign monitoring. and other critical care treatments.

2) Step Down Units (SDUs) - in large hospitals there will be a unit that
patients are discharged to after they are well enough to leave the ICU, but
still are unstable and need more nursing care than usual. They might still
be on BIPAP or even a ventilator, and might need frequent medications and
monitoring.

3) Surgical ward (aka post-surgical floor / department) - beds for patients
who are recovering for surgery

4) Medical wards (aka medical floor / department) - beds for patients being
treated with medicines.

5) Pediatric ward / floor / department - beds for children, in some
hospitals

6) Neonatal ICU (NICU) - intensive care unit for premature babies and
newborn babies

7) PICU - Pediatric intensive care unit for very sick children - usually
only found at pediatric hospitals or large hospitals.

8) OB ward / obstetric ward - beds for women who have just given birth, or
sometimes for people who have to be hospitalized while pregnant. Sometimes
split up into postnatal / prenatal

9) CCU/ CICU - Coronary care unit / Cardiac ICU - specialty critical care
unit / ward / floor with beds for people with serious heart problems, or
just after heart procedures, found at large hospitals.

So for healthcare=hospital_ward we could add
hospital_ward=surgical/medical/pediatric/obstetric/cardiac for the basic
wards.

For the ICUs I am tempted to use an abbreviation instead of writing
pediatric_intensive_care_unit - would pediatric_icu and neonatal_icu be
acceptable?

I would not want to use only healthcare:speciality for this because a
medical ward will have patients from many medical specialities, and a
surgical ward will have patients from almost all of the surgical
specialties, and an ICU will have all kinds of specialties by necessity -
sick patients often need to be seen by many medical specialists.

But it would be okay to add healthcare:speciality= with a semi-colon
separated list if you want to specifically mention all of the possible
specialities that are available - and you can verify that information. It
might be hard unless you actually work at the hospital or call up their
front reception and ask.

-- Joseph Eisenberg

On Sun, Jan 10, 2021 at 9:47 AM Joseph Eisenberg <joseph.eisenberg at gmail.com>
wrote:

> I agree that in theory either =ward or =hospital_ward could work - the
> latter is less likely to be confused, though it's a bit longer. I would go
> with amenity= or healthcare = hospital_ward so that it is clear that these
> should be found inside of an amenity=hospital feature and that this is not
> an "emergency ward" or something else.
>
> The main issue is that an "emergency ward" is not the same, so we need to
> also have a clear tag for this. Right now there is
> emergency=emergency_ward_entrance for the main door, but not actually a tag
> for the inside of the emergency room / ward / department -  just 4 uses of
> healthcare=emergency_ward
>
> There is only 3 uses of amenity=ward and 1 use of healthcare=ward and
> healthcare=hospital_ward each, so no need to replace any tags.
>
> So I propose healthcare=emergency_ward for an emergency room / emergency
> department / emergency ward, where there are emergency medicine specialist
> doctors available 24/7 to provide care for serious medical emergencies, and
> healthcare=hospital_ward for a named or numbered part of a hospital which
> has inpatient beds for people who are admitted overnight for surgery or a
> medical emergency.
>
> -- Joseph Eisenberg
>
> On Sun, Jan 10, 2021 at 6:38 AM Paul Allen <pla16021 at gmail.com> wrote:
>
>> On Sun, 10 Jan 2021 at 14:26, Tom Pfeifer <t.pfeifer at computer.org> wrote:
>>
>>> healthcare=hospital_ward ?
>>>
>>
>> Or just ward, since they're in hospitals.  The problem with "ward" is
>> the difference between British and US usage.  In the UK, wards
>> are understood by the public to have beds in them, and that's
>> how public-facing documents use the term (internal documents
>> sometimes reflect US usage where "ward" equals "department."
>>
>>>
>>> When looking into it, I think we need to look into hospital departments
>>> at the same time, which might be slightly different than the wards.
>>>
>>
>> There are specialist wards such as ITU, dialysis, maternity and pediatrics
>> where it is hard to separate the beds from the therapy.  There are also
>> general wards where you may receive medication or physiotherapy
>> or just stay there until you're fit enough to be discharged.
>>
>> --
>> Paul
>>
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