PROTECT-CH Centres This file contains the metadata, events, and data for REDCap project "PROTECT-CH Centres". PROTECT-CH Centres 1 0 1 4 Site records and randomisation for the PROTECT-CH study. Centre ID Randomisation strata Centre Name Long Centre Name Centre Address Centre Postcode Centre Country Centre Latitude -90.000 The value you provided is outside the suggested range. (-90.000 - 90.000). This value is admissible, but you may wish to double check it. 90.000 The value you provided is outside the suggested range. (-90.000 - 90.000). This value is admissible, but you may wish to double check it. Centre Longitude -180.000 The value you provided is outside the suggested range. (-180.000 - 180.000). This value is admissible, but you may wish to double check it. 180.000 The value you provided is outside the suggested range. (-180.000 - 180.000). This value is admissible, but you may wish to double check it. Centre E-mail Centre Telephone PI name PI email Deputy PI name Deputy PI email Centre Type (What kind of clients is the centre registered for?) Centre occupancy (number of residents currently in centre) 1 The value you provided is outside the suggested range. (1 - no limit). This value is admissible, but you may wish to double check it. Centre capacity (number of beds in centre) 20 The value you provided is outside the suggested range. (20 - no limit). This value is admissible, but you may wish to double check it. Centre Size Centre Size Centre Size (used for randomisation, based on centre occupancy reported at time of outbreak)[centre_size_desc]<table style="width:100%"><tr><td style="width:60%">Centre Size (used for randomisation, based on centre occupancy reported at time of outbreak)</td><td style="font-weight:normal">[centre_size_desc]</td></tr></table> Prior COVID-19 in centre Treatments the centre has the facility to provide Treatments the centre has the facility to provide Treatments the centre has the facility to provide Treatments the centre has the facility to provide Centre Ownership If other, please specify Centre is registered for clients with learning disabilities Centre CQC Rating (or equivalent in devolved administrations) Any residents received vaccination against COVID-19Any <i>residents</i> received vaccination against COVID-19 Any staff received vaccination against COVID-19Any <i>staff</i> received vaccination against COVID-19 Centre is ready to randomise Display randomisation form Research nurse e-mail Outbreak survey URL Delegation log (add) survey URL Delegation log (add) survey URL (instance 1) Delegation log (remove) survey URL Delegation log (remove) survey URL (instance 1) Survey URLsOutbreak[survey_url_outbreak]Delegation log (add)[survey_url_delegation_log]Delegation log (remove)[survey_url_delegation_log_rm] <p>Survey URLs</p><table style="border-collapse:collapse;width: 100%;font-weight:normal" border="1"><tr><td style="width: 25%;">Outbreak</td><td>[survey_url_outbreak]</td></tr><tr><td>Delegation log (add)</td><td>[survey_url_delegation_log]</td></tr><tr><td>Delegation log (remove)</td><td>[survey_url_delegation_log_rm]</td></tr></table><p> </p> CHaRT submission return data CHaRT submission time Complete? GP Practice ID GP Practice Name GP Names GP Names (line 1) GP Practice Address GP Practice Address (line 1) GP Practice Address (line 2) GP Practice Address (line 3) GP Practice Address (line 4) GP Practice Postcode GP Practice Telephone GP Practice Email Address GP Practice Notes (any additional information)GP Practice Notes <span style="font-size:x-small">(any additional information)</span> GP Practice Active If a GP practice is no longer required, please deactivate here instead of deleting the entry.GP Practice Active <span style="color: #e03e2d;font-size:x-small">If a GP practice is no longer required, please deactivate here instead of deleting the entry.</span> CHaRT submission return data CHaRT submission time Complete? Source of COVID-19 outbreak Date that positive test was taken 2021-03-31 The value you provided is outside the suggested range. (2021-03-31 - no limit). This value is admissible, but you may wish to double check it. Type of test taken Other test type Total number of residents currently living at the care home 1 The value you provided is outside the suggested range. (1 - 999). This value is admissible, but you may wish to double check it. 999 The value you provided is outside the suggested range. (1 - 999). This value is admissible, but you may wish to double check it. Does your care home have the capacity to give oxygen? pi_elig_count how many is eligible for PI Complete? Date of lateral flow test [outbreak_testdate] <table style="border-collapse: collapse; width: 100%;"> <tr> <td style="width: 58%;">Date of lateral flow test</td> <td>[outbreak_testdate]</td> </tr> </table> Date of PCR test Was the PCR test result positive? Complete? pi_elig_value (hidden) There is no resident eligible in the list. pi_elig_num (hidden) The list of Central PI Eligibility {elig_list} Complete? Please submit this form (with status set to complete) to perform the randomisation for [centre_name]. After the randomisation has been performed, the randomisation result will be displayed on this page.Please submit this form (with status set to <i>complete</i>) to perform the randomisation for [centre_name]. After the randomisation has been performed, the randomisation result will be displayed on this page. Randomisation Date/time of randomisation Date of randomisation Bogus randomisation Randomisation diagnostic data Treatment duration (weeks) Treatment dose Complete? presc (Eligible Residents without html to store into field) Care Home Name: [centre_name_long] Treatment:  [rando] There is no prescription for this treatment. <div class="rich-text-field-label"><table style="font-size: 110%; border-collapse: collapse; width: 100%; height: 127px;"> <tbody> <tr style="height: 25px;"> <td style="width: 19.2762%; height: 25px;">Care Home Name:</td> <td style="width: 79.8258%; height: 25px; color: purple;">[centre_name_long]</td> </tr> <tr style="height: 29px;"> <td style="width: 19.2762%; height: 29px;">Treatment: </td> <td style="width: 79.8258%; height: 29px; color: purple;">[rando]</td> </tr> <tr style="height: 35px;"> <td style="width: 99.102%; height: 35px;" colspan="2">There is no prescription for this treatment.</td> </tr> </tbody> </table></div> Care Home Name:  [centre_name_long] Address: [centre_address] [centre_postcode] Treatment: 2 x xxxxxxxxxxx 160 micrograms per actuation inhaler Dosage: Inhale THREE puffs ONCE a day via the supplied spacer device <table style="font-size: 110%; border-collapse: collapse; width: 100%; height: 99px;"> <tbody> <tr style="height: 19px;"> <td style="width: 19.5461%; height: 30px;">Care Home Name: </td> <td style="width: 79.5559%; height: 30px; color: purple;">[centre_name_long]</td> </tr> <tr> <td style="width: 19.5461%; vertical-align: top; padding-top: 5px;">Address:</td> <td style="width: 79.5559%; color: purple;">[centre_address] [centre_postcode]</td> </tr> <tr style="height: 19px;"> <td style="width: 19.5461%; height: 29px;">Treatment:</td> <td style="width: 79.5559%; height: 29px; color: purple;">2 x xxxxxxxxxxx 160 micrograms per actuation inhaler</td> </tr> <tr> <td style="width: 19.5461%;height: 29px; ">Dosage:</td> <td style="width: 79.5559%; color: purple;"> Inhale THREE puffs ONCE a day via the supplied spacer device</td> </tr> </tbody> </table> Care Home Name:  [centre_name_long] Address: [centre_address] [centre_postcode] Treatment: 3 x 8.5 mL xxxxxxxxxxx xxxxxxxxxxx xxxxxxxxxxx  Dosage:  ONE spray to be used in EACH nostril TWICE a day <div class="rich-text-field-label"><table style="font-size: 110%; border-collapse: collapse; width: 100%; height: 116px;"> <tbody> <tr style="height: 19px;"> <td style="width: 19.1218%; height: 30px;">Care Home Name: </td> <td style="width: 79.9802%; height: 30px; color: purple;">[centre_name_long]</td> </tr> <tr style="height: 19px;"> <td style="width: 19.1218%; vertical-align: top; padding-top: 5px; height: 19px;">Address:</td> <td style="width: 79.9802%; color: purple; height: 19px;">[centre_address] [centre_postcode]</td> </tr> <tr style="height: 19px;"> <td style="width: 19.1218%; height: 29px;">Treatment:</td> <td style="width: 79.9802%; height: 29px; color: purple;">3 x 8.5 mL xxxxxxxxxxx xxxxxxxxxxx xxxxxxxxxxx </td> </tr> <tr> <td style="width: 19.1218%;">Dosage: </td> <td style="width: 79.9802%; color: purple;"> <p>ONE spray to be used in EACH nostril TWICE a day</p> </td> </tr> </tbody> </table></div> Please sign off the following eligible residents for a prescription: Please sign off the following eligible residents for a prescription: [Resident ID, Resident Name, Date of Birth, NHS Number, Date of consent, PI Name, PI GMC, PI Signed Date] <div class="rich-text-field-label"><p><br />Please sign off the following eligible residents for a prescription:</p> <p><br />[<span style="color: #000000;">Resident ID, Resident Name</span>, Date of Birth, NHS Number, Date of consent, PI Name, PI GMC, PI Signed Date]<br /><br /><br /><br /></p></div> Your Name Signed under the unique electronic credentials of [pi_name] Signature Date Print Prescription <p style="text-align: center;"><br /><button id="printMe" style="text-align: center;"><b>Print Prescription</b></button><br /><br /></p> Complete? Care Home Details Name: [centre_name_long] Address [centre_address] [centre_postcode] <table style="border-collapse: collapse; width: 100%; height: 91px;"> <tbody> <tr> <td style="width: 99.102%;" colspan="2"> <p>Care Home Details</p> </td> </tr> <tr style="height: 35px;"> <td style="width: 9.46601%; height: 35px;">Name:</td> <td style="width: 89.636%; height: 35px;">[centre_name_long]</td> </tr> <tr style="height: 56px;"> <td style="width: 9.46601%; height: 56px;vertical-align:top;padding-top:5px;">Address</td> <td style="width: 89.636%; height: 56px;"> <p>[centre_address] [centre_postcode]</p> </td> </tr> </tbody> </table> Date of dispatch of trial drug to care home Trial drug sent Quantity of trial drug packs 1 The value you provided is outside the suggested range. (1 - 1000). This value is admissible, but you may wish to double check it. 1000 The value you provided is outside the suggested range. (1 - 1000). This value is admissible, but you may wish to double check it. Complete? Date of receipt of trial drug at care home Trial drug received Quantity of trial drug packs received 1 The value you provided is outside the suggested range. (1 - 1000). This value is admissible, but you may wish to double check it. 1000 The value you provided is outside the suggested range. (1 - 1000). This value is admissible, but you may wish to double check it. Complete? Day 60 date Total number of residents currently living at the care home 0 The value you provided is outside the suggested range. (0 - no limit). This value is admissible, but you may wish to double check it. Total number of positive COVID-19 cases in residents in the 60 days after randomisation (between [rando_date] and [d60_date]) 0 The value you provided is outside the suggested range. (0 - no limit). This value is admissible, but you may wish to double check it. Complete? This form should be completed by the NCTU to document any change in care home involvement in the trial after randomisation. Care home discontinued delivering trial treatment Date care home discontinued delivering trial treatment Reason care home discontinued delivering trial treatment Reason care home discontinued delivering trial treatment Reason care home discontinued delivering trial treatment Reason care home discontinued delivering trial treatment Reason care home discontinued delivering trial treatment If other, please specify The care home will provide no further trial data (i.e. data captured within the REDCap database) Data captured up to this point will still be used for analysis.The care home will provide no further trial data (i.e. data captured within the REDCap database) <i>Data captured up to this point will still be used for analysis.</i> PLEASE ENSURE THAT NO FURTHER TRIAL TREATMENT IS ADMINISTERED AS THE HOME IS NO LONGER PROVIDING TRIAL DATA Date last trial data collected by care home Reason care home will not provide further trial data Reason care home will not provide further trial data Reason care home will not provide further trial data If other, please specify Complete? Centre ID Name Roles to perform Roles to perform Roles to perform Roles to perform Roles to perform Roles to perform Roles to perform Roles to perform Roles to perform Roles to perform Signature Date signed 2021-05-01 The value you provided is outside the suggested range. (2021-05-01 - 2023-12-31). This value is admissible, but you may wish to double check it. 2023-12-31 The value you provided is outside the suggested range. (2021-05-01 - 2023-12-31). This value is admissible, but you may wish to double check it. Senior Care Home users name Senior Care Home user signature Senior Care Home user date signed 2021-05-01 The value you provided is outside the suggested range. (2021-05-01 - 2023-12-31). This value is admissible, but you may wish to double check it. 2023-12-31 The value you provided is outside the suggested range. (2021-05-01 - 2023-12-31). This value is admissible, but you may wish to double check it. For Principle Investigator (PI) to countersign Senior Care Home user delegation log entry Name of PI Signature of PI PI date signed 2021-05-01 The value you provided is outside the suggested range. (2021-05-01 - 2023-12-31). This value is admissible, but you may wish to double check it. 2023-12-31 The value you provided is outside the suggested range. (2021-05-01 - 2023-12-31). This value is admissible, but you may wish to double check it. Complete? Centre ID Staff to remove from delegation log Date removed from delegation log duties 2021-05-01 The value you provided is outside the suggested range. (2021-05-01 - no limit). This value is admissible, but you may wish to double check it. Notified by name Notify by signed Signed date 2021-05-01 The value you provided is outside the suggested range. (2021-05-01 - no limit). This value is admissible, but you may wish to double check it. Complete? England Northern Ireland Scotland Wales Residential Nursing Mixed residential and nursing Yes No Checked Unchecked Checked Unchecked Checked Unchecked Checked Unchecked Council Commercial Charity Other {centre_owner_other} Yes No Outstanding Good Requires improvement Inadequate Yes No Yes No Yes No Incomplete Unverified Complete Yes No Incomplete Unverified Complete Resident(s) Staff member(s) Resident(s) and Staff member(s) Lateral flow PCR Yes No Incomplete Unverified Complete Yes No Inconclusive Incomplete Unverified Complete Incomplete Unverified Complete Standard care xxxxxxxxxxx xxxxxxxxxxx Standard care xxxxxxxxxxx xxxxxxxxxxx Incomplete Unverified Complete Incomplete Unverified Complete xxxxxxxxxxx xxxxxxxxxxx Incomplete Unverified Complete xxxxxxxxxxx xxxxxxxxxxx Incomplete Unverified Complete Incomplete Unverified Complete Yes No Checked Unchecked Checked Unchecked Checked Unchecked Checked Unchecked Checked Unchecked Yes No Checked Unchecked Checked Unchecked Checked Unchecked Incomplete Unverified Complete Checked Unchecked Checked Unchecked Checked Unchecked Checked Unchecked Checked Unchecked Checked Unchecked Checked Unchecked Checked Unchecked Checked Unchecked Checked Unchecked Incomplete Unverified Complete Incomplete Unverified Complete