Chapter 1 Flashcards

0
Q

Handoff

How to copy handoff to note

A

Notes from handoff are not part of the record. From pt chart click “copy handoff” to note (on right upper corner)

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1
Q

Navigator

A

Found on the left side on the activity row

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2
Q

Handoff

How to open activity

A

Select pt click “write handoff”( upper left next to edit button in pt list screen) to open handoff activity in the sidebar

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3
Q

What is the 1st screen the user sees

A

Start up activity

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4
Q

What is my list

A

A list of patients that I am following during my shift, I control the columns, the default report, and I manage the list of patients

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5
Q

What is a system list and how can it be used to organize patients

A

A list of pts that is automatically updated by the system. You can make a shortcut to these list in a My List

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6
Q

How can a surgeon quickly sort list of pts by unit

A

Click the units column in pts list

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7
Q

What types of information can a surgeon gather from reports at the
Bottom of the startup activities?

A

Default report is V/S, notes from staff, I/O, meds, etc

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8
Q

How to open a pt chart

A

Double click pt chart

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9
Q

Attesting

A

A way to indicate that the documentation was reviewed, was discussed with the house staff and is approved by other clinicians

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10
Q

Attesting a note that does not require co -signing or an addendum

A

Select a relevant note from note activity and click attest. Attestation window opens, message can be added. Clinician who is attesting does not take over authorship of note. Attestation user is flagged as Such and the Attestation message appears at the top of the original note. Attestation and co- signatures can be removed by providers and the notes goes back to the original form

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11
Q

How to attest a note

A

Type in the big box .attest to bring in the smart phases highlight type F2 write name to get rid of xxx F2 lt click right click

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12
Q

Limitations of accordion reports

A

Do not provide information that might assist in determining what cause a change in pt’s assessment.
Values can not be hid or show additional values in the graph format
Show data from only the current admission

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13
Q

I/O activity table view

A

most detailed and focused review of a pt fluid I/O . View is compiled in a chart format like a flow sheet
Columns represent time intervals
By default there are 4 columns each representing 8 hours and 1 for daily total

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14
Q

Index report

A

Table of contents that links to other reports

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15
Q

Synopsis

A

A glance at an overview of the pt’s v/s and events that occurred during the hospitalization condensing a large volume of information track in a short period of time into a single window. Assist clinician in finding correlation between events and v/s and search for trends

16
Q

In which activity do u view accordion reports

A

Summary

17
Q

On the add or remove buttons from toolbar window what is the difference between the Report and Display Name column?

A

In the reports column, u enter the name of the report you want to have as a shortcut on the report toolbar. The name on the display name is what u actually see on a report’s button in Summary - overview
This is the wrench on on the tool bar