Transcript Horizon Expert Documentation (HED)

Horizon Expert Documentation (HED)
On-line Nursing Documentation
A How to Guide For IV Therapist
About HED:
•Nursing staff enter Vitals, I&O, Assessments, Interventions & Admission History data in HED.
This data will be saved to Starpanel.
•Data from monitors (now) and Vents (Jan. ’06) downloaded into HED (nurse acceptance
required).
•Medications and teaching will be documented on a paper teaching record for now.
•When transferring to units not live on HED- reports will be printed of charting in HED.
Timelines
5N, 6S & 7N were implemented winter 2005
8A,B & C implement Jan 2006
MICU, 8N&S, S3400, Subacute, CRC, 10S implement Feb 2006
All areas to be implemented by May 2006
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Getting Started
Sign on to workstation, click on GO TO DESKTOP
Double click HED icon- HED will open to the patient
census for current unit
Step 3. Click Chart to display white boxes to document.
Not necessary if white boxes already displayed.
Single click patient’s name
Click drop down
box to change
to a different
patient.
Step 4. Click Show all to display all items in IV Lines category.
HED only displays items that have been charted..
Step 1. Click Assessment/Intervention tab
to chart an IV. Note there are 3 (ICU, Peds,
MedSurg)
Click Show all if IV
lines not in gray
menu.
Step 2. Click IV lines in the left gray menu
bar. Menu is like table of contents for
assessment/intervention
Step 5. Verify time is correctdefaults to current time.
2 ways to edit time:
•Use up /down arrows
•Double click & type to edit time.
CHARTING AN IV LINE
Click one or
more items
from drop
down box.
Click again to
deselect
Step 6. Click Drop
down box & click to
make selections).
Step 7. Click Annotation icon, to display
area to type a short note. This will appear
as a yellow post it note once data is saved.
IV Site Intervention section
contains Discontinued per
nurse, flushed, # of attempts
etc.
Step 8. Click Save
button when done.
Review documentation
MAKE SURE TIME IS
CORRECT.
Edit as needed.
Step 9. Click Confirm to save data.
Review data charted.
Hover over item to
see entire text stead
of abbreviation or
yellow post it.
3
Charting a Dressing Change
•
Follow Steps 1-4 from the previous slides, Dressing change is located
under IV Site Intervention.
•
Make sure you are documenting the Correct IV Site, there could be
several sites. For Instance: IV Site #1 could belong to a PICC Line, IV
Site #2 could belong to a Right Basilic. See How to Review Data (Slide
#5) to chart appropriate IV Site #
Step 5 – After Steps 1-4 from
Previous Slides, Click ON IV Site
Intervention
Step 6 – Click in the box and a a Drop
Menu will appear. Scroll up and down
and choose the appropriate
interventions.
Step 7- Click save and confirm.+
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OOPS …. How to Edit
Step 1 Click item
to be corrected
Current documentation
- This section can’t be
changed.
Edited items
appear within
parenthesis.
Step 2: Click item & make edits or
additions.
Can only change your charting.
Inactivate deletes
documentationuse this if charted
on the wrong pt.
Step 3: Click OK to save.
Reviewing Documentation
Reviewing IV Site will let you
know which IV Site # belongs
to which IV. For instance: IV
Site #1 = Left Basillic
Click on Review ( in
toolbar- top of screen)
Click Items to be
displayed
( Vitals/i&O/Assessment
will display IV Category)
Review Info.
Right click to display
entire text.
5
Common Mistakes and questions
•
How do I Change Census
or patient
Not changing time to match time intervention
actually done.
Remember, HED defaults to current time/date.
•
Click on Drop down & display units.
Click on unit.
Click on patient & begin to chart
Not documenting all items needed for an
intervention.
Remember to click on SHOW ALL for the category to
display all items. Failing to show may result in
missed charting.
•
Exiting incorrectly from HED.
Do not use the “X” in the upper right window to exit
HED because there is not warning if data is
unsaved.
PROPER WAY TO EXIT HED:
Click FILE in the upper tool bar, Click Exit.
This method ensures a warning if there is unsaved
data.
QUESTIONS?
Contact the HELP DESK- 343-4375
Or HED support person during implementation support on a unit.
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