7.0 Devices Flashcards

1
Q

What is the DATA STRUCTURE OF DEVICES?

A
Flowsheet Row (FLO) -->
Variable (FDC) -->
Device Type (FDV) -->
Device (DEV) -->
Device Group (DEV) -->
Workstation (LWS)
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2
Q

What is a DEVICE?

A

A piece of medical equipment, such as a monitor or a ventilator that”

1) Is connected to a patient and
2) collects medical data about that patient or their treatment.

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3
Q

What DEVICES usually include?

A

Patient monitors and anesthesia machines.

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4
Q

What is a patient MONITOR?

A

Monitors collect vital signs and are mainly used in the intraprocedural context ﴾but can be used outside of the OR﴿.

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5
Q

What are ANESTHESIA MACHINES?

A

Anesthesia machines manage and administer anesthetics and gases to the patient.

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6
Q

What are the DEVICE MASTER FILES?

A

Variable (FDC) –>
Device Type (FDV) –>
Device (DEV) –>
Device Group (DEV)

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7
Q

What is a device VARIABLE (FDC)?

A
A specific data point your device collects.
Examples include:
* diastolic non‐invasive blood pressure
* systolic non‐invasive blood pressure
* SpO2.
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8
Q

What is a DEVICE TYPE (FDV)?

A

Stores information that is true for all individual devices of the same make, model, and year.

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9
Q

What is a DEVICE (DEV)?

A

Represents the actual (specific) device that is attached to the patient.

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10
Q

What is a DEVICE GROUP ﴾DEV﴿?

A

Groups devices so you can attach multiple at one time.

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11
Q

What is DEVICE INTEGRATION?

A

Device integration is the process by which data from devices becomes part of the patient’s medical record.

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12
Q

How are data from devices FED INTO EPIC?

A

Using an HL7 message sent from the device into Epic. (HL7 is an organization that develops healthcare informatics standards.)

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13
Q

What are the SEVEN DEVICE BUILD STEPS?

A
  1. Identify flowsheets for variables
  2. Create variable ﴾FDC﴿ records
  3. Create device type ﴾FDV﴿ records
  4. Create device ﴾DEV﴿ records
  5. Create device group ﴾DEV﴿ records
  6. Configure the interface for device integration to work appropriately
  7. Test your build
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14
Q

What are the two approaches to take in identifying Flowsheets for Variables?

A

Use Epic‐released flowsheet rows

Your organization can also create their own.

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15
Q

What are used in Anesthesia Intraprocedure activity to prevent a surplus of data in flowsheets viewed by nurses in other areas of the hospital?

A

Override flowsheet rows.

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16
Q

What does a DEVICE TYPE RECORD list?

A

All the specific pieces of data ﴾variables﴿ which the device collects.

17
Q

How many DEVICE TYPE RECORD will there be representing a particular brand/make/model of device?

A

One.

18
Q

What field specifies the device variable ﴾FDC﴿ records for which this specific device type captures data?

A

Capture Variables

19
Q

What field needs to be set to yes for anesthesia variables to direct capture?

A

Default needs to be set to “Yes”.

20
Q

What field specifies the type of device it is, and connects the device to the device type record you just created?

A

Field Type

21
Q

What does the FIXED FIELD TYPE specify?

A

If the device is fixed to a specified unit, room, and bed.

22
Q

What does the WORKSTATION FIELD used for?

A

For linking devices to the patient automatically within the Anesthesia workspace based on a workstation.

23
Q

True or false: DEVICE GROUPS are required.

A

False.

24
Q

What is A DEVICE GROUP?

A

Another record in the DEV master file to make manual device attachment easier for end users.

25
Q

True or false: Device groups are the same master file as devices?

A

True – DEV.

26
Q

What does the IS DEVICE GROUP CHECKBOX do?

A

By selecting this check box, you are telling the system that this device will behave as a group of devices.

27
Q

True or false: When a user removes any device of this group from the patient, all the devices in the group will be removed from the patient.

A

True

28
Q

What is used to move device data when MOVE DEVICE DATA when an anesthesia device is accidentally attached to the wrong patient record?

A

Data Correct Tools:

  • Anesthesia Device Data Mover tools
  • Anesthesia Device Data Deletion
29
Q

Where are ANESTHESIA DEVICE DATA MOVER and ANESTHESIA DEVICE DATA MOVER DELETION accessed?

A

Chart Correction Tools activity, which can be accessed using Chart Search.

30
Q

What is the function of the DEVICE DASHBOARD?

A

To Troubleshoot Device Issues

31
Q

What else can you do with the DEVICE DASHBOARD?

A
  • First place you go to troubleshoot device issues
  • Monitor devices currently attached to patients.
  • Figure out which device is attached to which patient.
  • Figure out which devices are in a particular device group.
  • Figure out which variables a particular device type is pulling and whether they are being direct
  • captured.
  • View error messages related to devices and interfaces.
32
Q

What is a device?

A

A device is a piece of medical equipment such as a monitor that can be connected to a patient and provide medical data about that patient or their treatment.

33
Q

What types of records are involved in configuring devices to pull data into a patient’s chart?

A

Device/Device Group (DEV), Device Type (FDV), Variable (FDC), Flowsheets (FLT/FLO) (which wedidn’t build in class, but display the data).

34
Q

How many variables are needed when configuring devices to work with invasive blood pressure?

A

Two: one for systolic and one for diastolic. Both variables populate the same flowsheet row.

35
Q

An anesthesia provider attached a device to a patient. No vitals information is pulling into the patient’s chart. What could you look at to troubleshoot this?

A
  • There are several things that could be going wrong including:
  • The anesthesia provider may have attached the wrong device;
  • the anesthesia provider may have not waited sixty seconds for data to pull in;
  • the device type may not have the necessary variables listed;
  • the device may have the wrong device type attached to it;
  • the device group may have the wrong device attached to it, etc.
36
Q

Where is THE BEST PLACE TO START TROUBLESHOOTING Device issues?

A

The Anesthesia Device Dashboard.