Nurse Practitioner Power Through Computer Logs

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Transcript Nurse Practitioner Power Through Computer Logs

Nurse Practitioner Data Log:
Student-Patient Computer Data Log Form
The University of Michigan
School of Nursing
Why Computer Logs?
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History of Logs
Paper Logs
Ease of Data Computation
The URL
https://cgi.www.umich.edu/
~nursing/forms/student.ptdata.log.html
A Kerberos log-in screen will appear when
you go to the link above. If you cannot login, contact [email protected].
Accessing Web Site
1.
2.
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Enter the web site address and save it as
a favorite site on your web browser, or
Save the UM SON web site on your web
browser.
Some course tools sites for some of the
classes have a URL link that will take
you to the log.
You will see a screen similar to this:
Choose “Enter Patient Data Log – all
students” to enter or retrieve data
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Additional resources are available
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Be sure to familiarize yourself with what documents
are available.
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Once in the module, you should see buttons at the
top, and a list of patient encounter records you have
entered, if any.
Data Entry
Click on the New Record button at the top of the page to
enter a patient record.
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Patient visit date:
When logging in, the current date will appear in
this box. Please check that the patient visit
date has been entered correctly before
proceeding. Enter the date as follows:
month/day/year (e.g. 09/01/04).
Data Entry
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UMID#:
Enter your student ID number as assigned to you by
the university (all 8 digits). If you try to submit
with an ID that is less than 8 digits, or has any
character other than 0-9, you will be prompted to
correct the entry.
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Track:
Use the pull down to select your specialty track.
Data Entry
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Term:
Use the pull down to select term in which the entry
is made.
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Course #:
This is the course for which you are seeing this
particular patient to meet the clinical
requirement.
i.e. if a patient is being seen for 566, use the pull
down and select 566.
Data Entry
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Site:
Use the pull down to select the site where a patient
was seen. If your site is not listed, contact
[email protected] and ask to have that site added
to the list.
Preceptor:
Use the pull down to select the profession of your
preceptor.
Data Entry
Have you seen this client before?
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This question is not about if the client is new to
the practice but whether you as NP students are
able to do follow up with clients or are you always
seeing clients new to you.
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Use the pull down and select Yes or No.
Data Entry
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Patient gender:
Use the pull down to select the gender of the
patient.
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Parity:
For midwifery students only, all others may ignore.
Default is Not Applicable.
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Patient age:
Use the pull down to select the patient’s age range.
Data Entry
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Patient race:
Use the pull down to select the ethnicity of the
patient.
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Reason for client visit:
Use the pull down to select the primary reason for
the visit.
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Exam type:
Use the pull down to select the type of exam.
Data Entry
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Reason for client visit:
Use the pull down to select the primary reason for
the visit.
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Exam type:
Use the pull down to select the type of exam.
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Visit level:
Use the pull down to select the visit
level/experience with the client during the
visit.
Data Entry
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Visit time:
Use the pull down to select the time spent with the
client during the visit.
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Payment source:
Use the pull down to select the source of payment
for the client.
Data Entry
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Nursing Diagnosis #1:
Use the pull down to select the most important
nursing diagnosis.
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Nursing Diagnosis #2 and 3:
Use the pull down to select the second and third
nursing diagnosis, if appropriate.
Data Entry
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Medical Diagnosis #1:
Use the pull down to select the most important
medical diagnosis.
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Medical Diagnosis #2 and 3:
Use the pull down to select the second and third
medical diagnosis, if appropriate.
Data Entry
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# of labs requested:
Use the pull down to select the total number of
laboratory tests that have been requested.
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# of diagnostic tests ordered:
Use the pull down to select the total number of
diagnostic tests that have been ordered.
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Medications category:
Use the pull down to indicate medication category
for primary, secondary, and/or tertiary
medication.
Data Entry
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# of Rx ordered:
Use the pull down to select the total number of
drugs prescribed.
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# OTC ordered:
Use the pull down to select the total number of
OTC medications ordered.
Data Entry
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Counseling # 1:
Use the pull down to select the most important
counseling program ordered.
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Counseling # 2 and 3:
Use the pull down to select the second and third
counseling programs ordered, if appropriate.
Data Entry
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Referral:
Use the pull down to select whether or not referral
was provided.
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Teaching # 1:
Use the pull down to select the most important
teaching provided.
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Teaching # 2 and 3:
Use the pull down to select the second and third
teaching provided, if appropriate.
Data Entry
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Procedure # 1:
Use the pull down to select the most important
procedure performed.
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Procedure # 2 and 3:
Use the pull down to select the second and third
procedure performed, if appropriate.
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Responsibility:
Use the pull down to select the student’s level of
responsibility.
Your Responsibility
Enter the data after seeing patients and
provide reports as requested by your
instructor. DO NOT wait until the last
minute to enter data, this does not leave
time to troubleshoot any problems
encountered.
Resources
Resources available as Adobe Acrobat files
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Cover Letter, includes contact information
ICD9, comprehensive listing
Data Dictionary
AHFS Pharmacologic-Therapeutic Classification
General orientation, this slide presentation
Sites, use search feature if having problems finding
your site in pull-down menu
The Log Reports
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Click on any button that says View Reports.
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At the top of the Reports page is a pull-down,
where you can choose which course you want
your report to reflect, or leave blank to see all your
records.
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There are also instructions on how to create an
excel file, which students mostly use when they
are leaving the SON and want to take their data
with them.
HELP
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With your computer at home
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Send an email to [email protected] if you run into
problems. They will contact you when possible during
their business hours of M-F, 8-5.
With computers in the campus computer
centers:
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Get to know the Computer Help line number. They are
posted in all the computer pods.
Live Body assistance is available in some of the Computer
Labs.