Transcript Document

The Tool Bar-Macro Toolbar
The Tool Bar is designed to help users easily access functions in the
application they most commonly use.
MACRO TOOLBAR
•The Macro Toolbar is responsible for adding a series of one or more key
events to the Event Log
• Designed to help the end user document key events from start to finish
• Designed to follow a typical timeline from start to finish
•A more detailed discussion on “Events” is to follow
Date
Presentation Title
MACRO TOOLBAR
“Anesthesia Start”
Date
1. Hit the
“Anesthesia
Start” icon
2. Adjust the
time as
required, hit
OK
Presentation Title
MACRO TOOLBAR
“Anesthesia Start”
Places an “S” on the
timeline
• Running cursor
over the letter “S”
will bring up the
event descriptor
Adds event
descriptor to the
“Event Log”
Date
Presentation Title
MACRO TOOLBAR
“Equipment Check”
1. Hit the
“Machine Check”
icon
Date
2. Adjust the time
as required, hit
OK
Presentation Title
MACRO TOOLBAR
“Equipment Check”
Places a “C” on the
timeline
• Running cursor over
the letter “C” will bring
up the event descriptor
Adds event descriptors
to the “Event Log”
Date
Presentation Title
MACRO TOOLBAR
“Patient Assessment”
1. Hit the “Patient
Assessment” icon
2. Adjust the
time as
required, hit
OK
Date
Presentation Title
MACRO TOOLBAR
“Patient Assessment”
Incorporated into the program to deal with concerns of the CPSO
• Typically, a repeat anesthesia evaluation is performed and transcribed on
the written record despite the fact that a patient may have been seen in
the PAU
 Our concern was that there was going to be duplication of effort as well as
electronic preoperative assessments on a patient in this scenario
2
After considerable discussion with an Anesthesia Auditor who was not
able to give any specific direction (new territory for the CPSO)
• We elected to incorporate an Event Set titled (A010_Preop
Evaluation) which should address the concerns of the College:
a. that certain aspects of the Preoperative Assessment has been reviewed
b. that an A/W exam be conducted by the anesthesiologist of record
Date
Presentation Title
MACRO TOOLBAR
“Patient Assessment”
3. Event Set Dialogue Box
opens.
4. Click on A010_Preop
Evaluation
5. Select relevant
relevant
descriptors
and
descriptors
hit >
and hit >
6. Hit OK
Date
Presentation Title
MACRO TOOLBAR
“Patient Assessment”
Places a “P” on the
timeline
• Running cursor
over the letter “P”
will bring up the
event descriptor
Adds event
descriptors to the
“Event Log”
Date
Presentation Title
MACRO TOOLBAR
“Regional Start”
1. Hit the “RA”
(Start Regional)
icon
2. Adjust the
time as required,
hit OK
Date
Presentation Title
MACRO TOOLBAR
“Regional Start”
Places a “R” on the
timeline
• Running cursor over the
letter “R” will bring up
the event descriptor
Adds event descriptors
to the “Event Log”
Date
Presentation Title
MACRO TOOLBAR
“GA Start”
1. Hit the “GA”
(Start General)
icon
2. Adjust the
time as
required, hit
OK
Date
Presentation Title
MACRO TOOLBAR
“GA Start”
Places a “G” on the
timeline
• Running cursor over the
letter “G” will bring up
the event descriptor
Adds event descriptors
to the “Event Log”
Date
Presentation Title
MACRO TOOLBAR
“MAC Start”
1. Hit the “MAC”
(Start MAC) icon
2. Adjust the
time as
required, hit
OK
Date
Presentation Title
MACRO TOOLBAR
“MAC Start”
Places a “M” on the
timeline
• Running cursor over the
letter “M” will bring up
the event descriptor
Adds event descriptors to
the “Event Log”
Date
Presentation Title
MACRO TOOLBAR
“Antibiotic First Dose”
1. Hit the
“Hourglass T”
(Antibiotic(s)first dose give)
icon
2. Adjust the
time as
required, hit
OK
Date
Presentation Title
MACRO TOOLBAR
“Antibiotic First Dose”
Places a “A” on the
timeline
• Running cursor over the
letter “A” will bring up
the event descriptor
• Launches a timer (count
up) - reminder to
administer a subsequent
dose of antibiotic
Adds event descriptors
to the “Event Log”
Date
Presentation Title
MACRO TOOLBAR
“End Surgery/Confirm Procedure”
1. Hit the “Suture/Thread”
(End Surgery/Confirm
procedure) icon
2. Adjust the
time as
required, hit
OK
Date
Presentation Title
MACRO TOOLBAR
“End Surgery/Confirm Procedure”
Demographics Navigation Bar is
launched
Are all required events
documented? Any item in RED
requires ATTENTION prior to
transfer
•
•
•
•
•
•
Anesthesia Case Start (S)
Anesthesisa Case Finish (F)
QA Indicator
Anes: Anesthesia Type
Anes: Positioning
Anes: Equipment Check/
Preinduction
• Anes: Peripheral IV Access
• Anes: Airway/Intubation (if relevant)
ASA/Medical Team/Surgical
Procedure
Date
3. Complete as required
Presentation Title
MACRO TOOLBAR
“End Surgery/Confirm Procedure””
Places a “E” on the timeline
• Running cursor over the
letter “E” will bring up the
event descriptor
Adds event descriptors to
the “Event Log”
Date
Presentation Title
Macro Toolbar
“Bag Level”
Date
1. Hit the “Bag Level”
(Fluid Balance) icon,
Window opens
Presentation Title
Macro Toolbar
“Bag Level”
“Please enter bag levels
for all cumulative fluids”
Date
Presentation Title
Macro Toolbar
“Bag Level”
“Fluids IN/OUT” need
to be documented at
end of surgical
procedure
• This will require
validation of the
respective “Fluid(s)
In”
• This will require
documentation of
cumulative fluid(s)
out
 To be discussed in
future lecture
Date
Presentation Title
MACRO TOOLBAR
“Emergence-End GA”
1. Hit the “End
GA” icon
2. Adjust the
time as
required, hit
OK
Date
Presentation Title
MACRO TOOLBAR
“Emergence-End GA”
Places a “g” on the timeline
• Running cursor over the
letter “g” will bring up the
event descriptor
Adds event descriptors to
the “Event Log”
Date
Presentation Title
MACRO TOOLBAR
“Transfer to PACU/SDCU”
1. Hit the “PACU/SDCU/ICU”
icon
2. Adjust the
time as
required, hit
OK
Date
Presentation Title
MACRO TOOLBAR
“Transfer to PACU/SDCU”
Demographics Navigation Bar
is launched
Are all required events
documented? Any item in RED
requires ATTENTION prior to
transfer
•
•
•
•
•
•
Anesthesia Case Start (S)
Anesthesisa Case Finish (F)
QA Indicator
Anes: Anesthesia Type
Anes: Positioning
Anes: Equipment Check/
Preinduction
• Anes: Peripheral IV Access
• Anes: Airway/Intubation (if
relevant)
ASA/Medical Team/Surgical
Procedure
Date
3. Complete
required
information
Presentation Title
MACRO TOOLBAR
“Transfer to PACU/SDCU”
Places a “T” on the timeline
• Running cursor over the
letter “T” will bring up the
event descriptor
Adds event descriptors to
the “Event Log”
Date
Presentation Title
MACRO TOOLBAR
“Transfer to PACU/SDCU”
ADT Dialogue Box opens to
provide “Transfer” option.
If all required information
not completed, you can
CANCEL at this point
4. Hit Transfer
Date
Presentation Title
MACRO TOOLBAR
“Transfer to PACU/SDCU”
Places a
on the timeline
• Running cursor over the
will bring up the event
descriptor
Adds event descriptors to
the “Event Log”
Notice Timeline divided
into the various sessions
• Before Admission
• GA (Anesthesia Standard)
• GA Transfer
Date
Presentation Title
2. Choose
A005_PACUSDCU-ICU
Report
Macro Toolbar
“Report”
When you arrive in
the PACU, the patient
will be transferred by
the nurses into the
PACU template
Monitors will be
attached and real
time variables will be
captured (post op
vital signs)
You now document
your handover
Date
1. Hit the “Report” (PACUSDCU-ICU) icon. Event Set
Window will open
3. Choose
appropriate
descriptors
4. Hit the
> button
Presentation Title
Macro Toolbar
“Report”
5. Hit OK
Date
Adds event descriptors to the “Event Log”
Presentation Title
Macro Toolbar
“Finish”
1. Hit the “Finish”
(Anesthesia Case
Finish Time) icon
2. Adjust the
time as
required, hit
OK
Date
Presentation Title
Macro Toolbar
“Finish”
Print Dialogue Box
• Upload to vOacis
• Print hard copy
•May have to adjust
“STARTING” and
“ENDING” time
Date
Presentation Title
Macro Toolbar
“Finish”
Places a “F” on the
timeline
• Running cursor over
the letter “F” will bring
up the event descriptor
Adds event descriptors
to the “Event Log”
Date
Presentation Title
MACRO TOOLBAR
“Discharge to Other”
1. Hit the “X-SIMS”
icon
2. Adjust the
time as
required, hit
OK
Date
Presentation Title
MACRO TOOLBAR
“Discharge to Other”
Demographics Navigation Bar is
launched
Are all required events
documented? Any item in RED
requires ATTENTION prior to
transfer
•
•
•
•
•
•
Anesthesia Case Start (S)
Anesthesisa Case Finish (F)
QA Indicator
Anes: Anesthesia Type
Anes: Positioning
Anes: Equipment Check/
Preinduction
• Anes: Peripheral IV Access
• Anes: Airway/Intubation (if relevant)
ASA/Medical Team/Surgical
Procedure
Date
Presentation Title
MACRO TOOLBAR
“Discharge to Other”
Used when NOT transferring
patient to PACU or SDCU
(Stage I or II)
Typically, this would be the
ICU
• They do not have the SIMS
system
Date
Presentation Title
Viewing Options
The upper left corner of flowsheets contains controls for changing the
the way data is displayed:
a.
d
a
b
c
e
f
g
Resolution: Allows you to change the
viewing resolution.
b. Show only rows with data:
Eliminates rows with no data.
c.
Show subheadings: Adds rows with
subheadings showing family names.
d. Restore: Reapplies flowsheets defaults
and returns to current time view.
e.
Freeze/unfreeze: Turns autoscrolling
on and off.
f.
Go to column: Allows you to go
directly to the column closest to a
specific date and time.
g. Order filters: Allows you to activate
and clear filters for discontinued and
canceled orders.
Date
Presentation Title
Viewing Options
Resolution
Resolution changed from 5 minutes to 1 hour
Each flowsheet has a default viewing resolution (5 minutes)
Changing resolution has NO effect on data collection from devices or how
data is stored in the patient record.
Blue triangles in flowsheet cells means you need a higher resolution to view
all data samples.
Further discussion on this topic will take place in an upcoming lecture
Training Tip: Right-clicking time or date cell in time bar is
shortcut for zooming to a higher/lower resolution.
Date
Presentation Title
Viewing Options
“Order Filters”
Filters allow you to eliminate orders that were never administered
(canceled) and orders that were partially administered (discontinued).
Check mark on button indicates that one or more filters are active.
Only flowsheets that contain order-based items such as medications
and fluids.
Hide cancelled and discontinued orders:
• Canceled orders were terminated before any documentation.
• Discontinued orders were terminated after documentation
started.
Can apply to all flowsheets or only current one.
Date
Presentation Title
Viewing Options
“Order Filters”
Normal Saline
and Propofol
discontinued
Apply Filter
Normal Saline
and Propofol
disappear
Date
Presentation Title
Pull Down Menus
“Function Keys”
Date
Presentation Title
Pull Down Menus
“Function Keys”
Date
Presentation Title
Pull Down Menus
“Function Keys”
Date
Presentation Title
Pull Down Menus
“Function Keys”
Date
Presentation Title
Pull Down Menus
“Function Keys”
Toolbar, Macrobar, Navigation Bar, Patient Information Band Removed
Additional screen real
estate recruited when
all supplemental
menus and bars are
removed
Date
Presentation Title
Questions And
Answers
Date
Presentation Title