Transcript PulseCheck Orientation PowerPoint

Welcome to PulseCheck
the SFGH ED Information Systems tool
Welcome to PulseCheck
the SFGH ED Information Systems tool
If you have gotten this far, you will succeed in using PulseCheck. If
you are not in the ED, proceed with the show. If you are in the ED,
you should follow this show and navigate PulseCheck at the same
time on a second workstation. You should be at the main desk, or in
another area where you can use two work stations close together at
the same time. Close any open screens, then click on the PulseCheck
icon at the bottom left of the screen:
Click anywhere on this tracking board
and you will be advanced to the
log in screen.
DO NOT LOGIN YET
This is the site for real patient management.
Click on the link to the test system for the
educational tutorial.
We will bring you back here when it is time
to care for patients.
Click anywhere on this tracking
board and you will be advanced to
the log in screen for the tutorial.
First, maximize this window by clicking on the small square
in the upper right (you know how to do this).
This is the login page for the “Test” (practice) server.
Your “Login ID” is your CHN number.
Your password is “hello”.
You will be required to change your password the first
time you log in.
Now log in.
Congratulations, you’re in!
This is the tracking board, it lists the patients, their
locations, and much more.
First, we are going to customize your display to optimize
your efficiency.
Then, we will teach you how to use the system.
If you are at home, go through these display settings
quickly.
When you get to the ED, you will need to perform these
customizations before seeing patients. These instructions
are also on 3x5 cards in the ED.
This is why you must arrive an hour before your first shift.
If you are in the ED, follow the instructions in this tutorial
on one work station, and navigate PulseCheck in the
other.
Now to adjust your display
for the tutorial:
Move the cursor and click
on “Display” on your
toolbar.
You only need to set this once. Copy all of the settings here to your screen.
If you are not in the ED, the 3x5 cards will instruct you to do this when you
when you come before your first shift.
Now click on “Enter” at the bottom of the display.
Go back to “Display” again.
Now, click on the “Tracking Board Columns” settings.
This tool determines which columns are on your tracking board and the
order they appear from left to right.
You should now create the same list as shown here on the right on your
screen. To adjust your list, click on an entry and use the “Add”, “Remove”,
“Move Up” and “Move Down” buttons to adjust your columns.
C
When finished, click on enter.
Go back to “Display” again.
Now, click on the “Toolbar” settings.
This screen helps you set your toolbar at the top of your page. We recommend
you copy the settings as displayed. Please move the entries to match the
entries on the right “Current Toolbar” using the same “Add”, “Remove”, Move
Up” and “Move Down” buttons as before.
Scroll down
Scroll down on the right hand list to see the last entries to be listed. Make sure
they are listed in the same order as above.
When finished click on “Enter”.
Excellent! Your display is now set for the tutorial.
This is the “Tracking Board”.
No matter where you are in the system, you can always return here by
clicking on “ED PulseCheck” in the top left hand corner.
Now you are ready to sign up for a patient.
You are in tutorial “test” environment, so feel free to try to follow the
instructions on the slides unless specifically told not to.
If you are a Resident or Intern, find the patient name on the left, and
click on the bubble under the “Res” column in that row.
If you are a Student, find the patient name on the left, and click on
the bubble under the “Ext” column in that row.
Now, a little orientation to the columns…you can go these fairly quickly.
ED
location
and acuity
Patient
name
Gender
and age
Chief
complaint
Length
of stay
in ED
ED
Attending
Resident
or Intern
NP/PA or
Student
ED
Nurse
Nurse
assistant
Primary
care
provider
Custom codes (cursor over icon
will pop up dialogue box: i.e. “8”
= licensed MD needs to fax Rx)
Orders:
“L” = labs
“U” = urine
“X” = X-ray
“E” = EKG
“C” = CT scan
“Z” = consult
“K” = clerk
“N” = nurse
“R” = resp tx
“M” = medication
“S” = social worker
Orders: The color of the box or letter indicates the level of completion
Red = ordered
Blue = working on it
Green = result available
“Done” column indicates various parts
of the chart that have some form of
documentation.
Most important entries:
V = most recent VS (red means abn)
F = VS flow sheet
R = on red background means there is a
problem that needs attention (a “rule”)
Comments - clicking in
this section allows
comments to be
posted from a pick list
Disposition – clicking on bubble goes to the
disposition page to discharge a patient. If
there is already information here it tells the
disposition, whether discharged or admitted
OK, so you are ready to sign up for a
patient.
Find the patient you will be seeing
and RIGHT CLICK on the “Resident”
bubble if you are a Resident or Intern.
This is the only place in PulseCheck
where it is very important that you
RIGHT CLICK.
If you are a student,
click on the
“Comments” section,
write your name and
“Enter”.
You can manage and document this
patient using the links that appear
when you click on the “Go” icon for
the patient you just signed up for.
We will review the important links
that you will be using.
If the patients name is in bold print,
as it is for the patient we selected,
that means there are previous ED
visits in PulseCheck that can be
viewed. Clicking on “Visits” will take
you to those visits.
In "Preview” and you will see
everything charted on the patient. At
this point there will be a triage note
and possibly “Call In” information if
the patient was referred.
In "Chart” you will see the patient’s
chart and be able to document into
each part of the chart. Clicking
directly on the patient’s name will
also take you to the chart.
“Current Meds” or “Allergies” will
allow you to see what has been
documented about current meds and
allergies, and, allow you to enter this
information yourself.
Note that this information may have
already been entered by the triage
RN, but you should use this link to
document current meds and allergies
if you obtain additional information.
This information is not automatically
uploaded from Invision LCR.
“Orders” is where you will go to place
any orders on the patient: labs,
radiology, EKG, clerk, nurse, consults,
medications, and basically anything
you can think of.
“Med SVC” is medication services, or,
med orders. Click on this if you want
to bypass the other types of orders
and go directly to ordering
medications.
“Results” is where you will see results
of lab and radiology studies.
This would be a good time to go into
charting. We will cover most of the
other drop down entries later.
Click on “Chart” to go into the chart.
Remember, you can also get into any
chart directly from this tracking board
by simply clicking on the patient’s
name.
You are now in the chart of
patient: “Rt, Training4”
Two important navigation tips:
1) Always make sure you are
logged in as “YOU” before
documenting in the chart.
2) Always make sure you are
working in the correct
patient's chart
Note that on this view you have:
1) The Chief Complaint
2) Patient location, age (when
known), and gender
3) Most recent VS
These are all located up on the
“header bar”.
1) Entire chart expansion
2) Section of chart expansion
Anything that is blue is a link to a
section of the chart that you can
order or document in.
The arrows above on the left will
expand either:
1) The entire chart or,
2) A section of the chart
The same arrows will collapse the
chart. Try it.
2) Section of chart expansion
Usually you will only want to
expand a section of the chart on
the left, not the entire chart
(unless you enjoy scrolling).
Once you have read the triage
note here or in preview from the
tracking board, pick an HPI
template from the right and click
on it.
This patient has a Chief Complaint
of “BLE deformities” so I chose
the “Extremity” template. Don’t
worry about choosing the exact
template, they are general and
give you leeway.
If you are very unsure, chose the
“General” template.
This is the template for
“Extremity”. A shaded box means
a left click is a “yes” and a right
click is a “no”. Read the words
next to each box carefully; “yes”
is not always normal or abnormal.
Sometimes a dialogue box or pick
list will appear for further
documentation.
Try this several times on a
patient, you will see that a left
click places a check in the box
indicating “yes”. A right click
places an x in the box and a line
through the entry, indicating
“no”. Serial clicks will also take
you through “yes”, “no” and
“clear the box” choices.
Try to enter at least one item in
each section of the HPI (i.e.
“Quality”, “Severity”, Time
Course”, etc.), and any
information that is pertinent.
When you are asked for a time,
you can free text it here (1), or
click on the calendar icon (2).
(1)
(2)
Select date
In the calendar, you can pick the
date and adjust the time of day.
Adjust the time of day by click
and holding the hours or minutes,
and then while holding down the
clicker, drag to the left for an
earlier time, or, drag to the right
for a later time.
Select hours or minutes and drag left for earlier,
drag right for later
I have entered an HPI and now
the most important step for ALL
documentation in PulseCheck:
YOU MUST CLICK ON “ENTER” AT
THE BOTTOM OF THE PAGE OR
YOU WILL LOSE ALL OF YOUR
WORK. Once you click enter, your
work will populate the chart on
the left.
Now my HPI is documented on the left (I
unchecked the alcohol, drugs and DV boxes so
they are not seen here). Red text is usually
abnormal and black is normal.
Read the text you generate to make sure it is
correct. Report any errors in the system (please
be specific about which template was used) on
the feedback forms or report book in the ED
Nurses Lounge or main desk.
Click on “HPI” above, pick a template and try
documenting a few entries. Click on enter when
finished to see your entries (blue headings).
“Subheadings”
If you want to go back and edit a section of the
chart, click on the blue “subheading”. That
section of the chart will appear on the right with
your previous documentation. You can then see
what you have documented in the template, and
edit it.
I clicked on “Associated With” to change my
documentation in that subheading. When I
clicked on “Associated With” my current
documentation comes up in the right side of the
screen.
I am going to left click on “Fever” and then click
“Change”.
You can also use this function to do a separate reevaluation, or to delete an entry.
Now, my “Associated With” entry shows fever.
If you want to simply read a section of the chart,
or, if you want a fresh template to document in,
then click on a “heading”.
“Headings”
After you document the HPI template and click
"Enter”, the system will automatically open the
following parts of your template in this order (as
it is listed in the left side):
PMH>ROS>Physical Exam>EKG interp>Radiology
interp>Lab interp>O2 Sat interp>Doctor Notes
Lab and O2 sat interp sections are not
mandatory.
HPI, PMH, ROS, Physical Exam, EKG interp,
Radiology interp, and Doctor Notes are
mandatory.
“Doctor Notes” is a key part of
the chart. You should review this
section carefully and document in
all appropriate areas. There
should always be an “Assessment
and Plan”.
This is also were you document
re-evaluations, discussions with
consultants or referring MDs, preexisting conditions on admitted
patients, and compliance with
core measures.
Scroll to the bottom of this page
to find out the “Sign Out” section.
This section must be completed
for every patient you sign out to
another physician at the end of
your shift.
Always click “Enter” when done
with any entries in “Doctor
Notes”. This will be done in
stages, starting with the
“Assessment and Plan”.
It is easy to return to “Doctor
Notes” from the “Go” link next to
the patient’s name;
or, from the toolbar at the top of
the page.
A couple of other navigation tips to help you:
“Pen”
icons
1)
A “pen” icon in a chart heading tells you
there is documentation to see in that section.
If there is no pen, there is no documentation
in that section.
Click on the pen and you will see what has been
documented.
2)
subheadings are what you have documented.
subheadings are what other people have
documented.
Green and blue
subheadings
View allreports
vital signs for
View
Place
ED
visits
allmedication
orders.
for pending
View
View
EKGs.
scanned paramedic
only
Viewprevious
andPlace
document
View
View
results
of orders.
all tests.
CTs
andprevious
patients
visit.
patients
names
and referral notesthe
if sent
with patient.
current with
medshighlighted
and allergies.
prelim
CT reports.
on the tracking board.
If at any time, you decide to perform other tasks while in a patient’s chart, you can click on
any of the links on your toolbar at the top of the page.
These are places you can not navigate to from the chart headings on the left. Also you
must be in a chart or select a patient on the tracking board for these links to be available
to you, because they deal with a specific patient.
Now, click on “Orders” to review how orders are placed.
On the left are order sets. Clicking on any of the links will
Take you to the order set. The name indicates the types of
order available.
Many orders are in more than one set. The sets are arranged
to speed up the process of ordering so that you can find
orders easily.
Click on the “Allergic Reaction” order set .
Order individual tests
and Nursing orders, do
not “Select All”.
Do not use symbols
such as “/” for “R/O”.
Just write “RO” (the
interface doesn’t like
symbols).
A blue box means the
order has already been
placed for this visit.
A red box means the
order will not stop with
Nursing (and that is ok).
After checking orders,
select one of the boxes
at the bottom to place
the order and navigate
to the next screen (wait
for the next slide).
“Enter” will take you
back to the tracking
board.
“Enter/Task” will take
you to the task page
(mainly used by
Nursing).
“Enter /Med” will take
you to a specific med
list for that order set
“Repeat” will place the
order and keep you on
the same page.
Please click on
“Enter /Med” to learn
how medications are
ordered in the ED.
This is the med list for
the “Allergic Reaction”
order set.
I have selected some
meds and may change
the pre-written doses
and routes, and must
always check a schedule
for the frequency of
administration.
Make absolutely certain
to check the prefilled
fields to ensure correct
medication orders.
Now I have scrolled to
the bottom of the
window.
I can write a note about
repeat doses of any
meds if needed.
If ordering a repeat
dose, you must specify:
- The specific
medication
- Time interval
- Number of repeat
doses allowed
- If any
contraindications
exist
The “Ordering
Physician” will default
to you.
Medical students may
not place orders.
When finished, click on
“Enter” at the bottom
of the page.
You will be taken to a page where you may order
additional meds in a variety of ways.
Also, on the right the order appears for the pharmacist
and nurse to review.
Next, we’ll review 2 other ways to order meds.
Note that we are in “Med SVC” and there are 4 links
under “Med SVC” that allow us to order meds in
different ways.
You will find “Group” and “Quick List” the easiest and
most commonly used. We know we are in “Group”
because the link is not underlined.
“Group” is where you navigate to through an order set,
or if you go to “Med SVC” and click on “Group” above.
In “Group” there are also sets for specific conditions
such as pneumonia and sepsis.
If you click on “Quick List” above, you will get to a list of
categories of meds that not only have prewritten routes
and doses, but also have notes about indications,
precautions, and weight based dosing for children and
adults.
Click on “Quick List”.
The blue boxes contains lists of meds in specific categories.
Clicking on a category will open a list of meds.
Click on the individual med and you can order it.
This is a med ordered off a quick list. Note that for children and some adult meds
the weight based dose must be entered in the “Dosage” field. The note is a guide
to determine the correct dose. The note can also be used to give directions for
repeat prn doses and titration of infusions.
“Search” should only be used when you cannot find a medication under an obvious
“Group” or “Quick List”.
Click on “Search”.
In “Search”, always
use the “Search” box,
not the “Category”
box.
I typed in
“Levothyroxine” and a
drop down list
appears.
I will chose the second
entry:
“Levothyroxine tab”.
After choosing the
med from the pick list,
the ordering window
appears.
Note that you must
click on the down
arrow to see all of the
formulations of a
medication and
choose one.
I am choosing the
150mcg dose.
Next I make sure that
all of the other fields
are appropriately
filled out.
I can also add this
medication to my
quick list at the same
time I order it.
After checking “Add to
Quick List” a pick list
appears so that I can
determine which
category in my Quick
List the med will be
added to.
I chose
“DM/Endo/Met”.
Next hit “Enter” and
the med is ordered
and added to your
Quick List.
Some final key points about med ordering:
Do not use free text to order meds, it will not detect
allergies.
Do not give verbal med orders unless it is a resuscitation. If
you give a verbal order you will see it was entered by an
RN and you MUST “Co-sign” by clicking “Co-sign” before
the patient is discharged.
Remember that where ever you are in PulseCheck, you
can always go back to the tracking board by clicking on
“ED PulseCheck”
You can also always tell where you are by looking next to
“ED PulseCheck”. We are in “Medication Services”.
Now click on “ED PulseCheck” and go back to the tracking
board.
Now let’s look at viewing results. There are a variety of links to get to results.
If you are on the tracking board, you can click on any green icon to view all results for the
4 columns on the right: “L” = labs “U” = urine ”X” = plain films “C” = CT scans
A green icon in the other columns means the order has been carried out.
Moving the cursor over an icon will give the status of all of the tests in that category.
Some tests in a category may be completed, but others may still be pending.
The paper icon in the first column of orders indicates that there are results that have
not been viewed by the Attending. When the Attending has viewed the results, the
icon will disappear.
Results can be viewed
when in a patient’s chart
by clicking on the results
link on the top of the
right side of the chart.
Results can also be viewed from the orders page
by clicking on the results link in the middle
of the page.
Results can also be
viewed from the
Med SVC page
by clicking on the
same results link in
the middle of the
page.
This is a results page. You can filter results by choosing this
visit or all visits, by most recent results, by category, and by
viewing only abnormal results.
You may try to find a green icon in the “L” lab, “X” x-ray, or
“C” CT columns in your tutorial test server. If a green icon is
there, click on it to see results, but do not “Enter On Chart” –
it won’t be there for the next person taking the tutorial.
To post results into the chart (for real patients), click on the
box next to the individual result, or click on the box at the
top next to “Print All Results”. Then click on “Enter On
Chart”.
Now you are ready to admit or discharge a patient.
Let’s start with admitting a patient.
You admit a patient in the “Admission Req” screen.
Select a patient to admit, and navigate to the “Admission
Req” screen in either of 2 ways:
1) Select a patient by clicking anywhere in the patient’s
row (or radio button), and then go to the “Admission
Req” choice on the toolbar, or
2) Select a patient and click on “Go” and select
“Admission Req”.
No red circles on the slide, you can do this now.
You are now ready to admit a patient. Enter all of the fields with red headers.
Select a printer; “Zone 1 – Desk” if you are in zone 1, or “Main Desk” if you are
anywhere else.
Then click on “Enter”
To discharge a patient takes a little more work.
The order of screens to discharge a patient starts with
“Dispo”.
As with “Admission Req” you can get there by clicking on
the radio button next to a patient and clicking “Dispo”
on the toolbar, or clicking “Go” next to a patient and
selecting “Dispo”.
For a discharged patient, the sequence of steps is:
“Dispo”
“Rx” (if there are prescriptions)
“Fax Rx” (if there are prescriptions)
“DCI”
“eReferral” (if an eReferral is needed)
You do not have to remember this sequence as long as
you start with “Dispo”.
PulseCheck will give you the option of going to “Rx” after
the disposition is entered, or, if there are no
prescriptions, you can go to “DCI” (discharge
instructions).
If you do write prescriptions, you will be able to print
them or fax them.
Now choose a patient and click on the “Dispo” link.
You may be directed to a warning page before going to the “Dispo” page.
The most common reasons for this page to appear is a lack of documentation
or the failure to co-sign verbal orders.
If the warning is for co-signing orders, go to “Med SVC” and find any orders
entered by an RN and click on “Co-sign”.
Any other warnings should direct you to what needs attention. Fix any
problems. If it is something requiring Nursing actions, let the Nurse caring for
the patient know what needs finishing.
Do not click “Continue” until the warnings have been dealt with. Then go back
to “Dispo” and click “Continue”.
On the “Dispo” page fill in the fields in red. If there is no date of birth, medical record
number, or account number is missing, let the Nurse know.
You need only fill in the “Disposition Type”, “Disposition” and “Final Diagnosis” fields.
If there are prescriptions to be written, click on “Rx” at the bottom of the page.
If there are no prescriptions to be written, click on “DCI” (discharge instructions) at the
bottom of the page.
DO NOT CLICK ON “REMOVE FROM ED” (The Nurses will do this.)
At the top of the “Rx” page you can review:
known allergies,
current medications (those the patient was taking prior to this ED visit)
medications received in the ED
To prescribe a medication, click on the long list.
Quick lists can be created, but most meds require a “Long List” search.
Always use the “Search” function and NOT the “Category”
function to search for meds.
Here I have typed “Doxycycline” and have many choices.
Try to select the formulation that best fits your treatment
plan.
After you select the medication from the “Long List” search, or from a “Quick List”,
click on the down arrow next to the name of the medication.
This will allow you to select the unit dose of each pill or the concentration of liquid.
I selected Doxycycline 100 mg tabs and finished my Rx in that line.
I can add this prescription to my “Quick List” by clicking on the down arrow and
selecting a category in my “Quick List” to add it to.
Once added to my “Quick List” I can order directly from my “Quick List” for the next
patient requiring doxycycline. I will not need to perform a “Long List” search.
Note that “Quick List” for Med SVC (while in the ED) and Rx (D/C prescriptions) are
separate lists.
Choose whether you are faxing the prescription or printing the prescription:
1) if you faxing the prescription, you should choose “Fax Only (No Print) Printer”.
2) if you want to print the prescription and not fax it, select the zone you are in.
Now click “Enter”.
1)
2)
Now the prescription I wrote is showing up in 2 places:
1) As a prescription I will fax or have printed for this visit
2) As a new addition to my “Quick List” in the “*Antibiotic” category
I selected Doxycycline 100 mg tabs and finished my Rx in that line.
I can add this prescription to my “Quick List” by clicking on the down arrow and
selecting a category in my “Quick List” to add it to.
(1)
(2)
Prescribing from the quick
list entails selecting:
(1) a category
(2) check “write”
(3) select the printer
(3)
If selecting from more
than one quick list
category, click
“Enter/More Rx”.
If finished with all
prescribing, select
“Enter/DCI”.
You are now on the “DCI” (Discharge
Instructions) page.
If faxing (and you usually will), check
that the meds you want to fax are listed
under “PulseCheck Rx” above.
If they are not there, go back to “Rx”
check your work and click on
“Enter/DCI” at the bottom of the page.
Now click on “Fax Rx” from the toolbar
above and fax the prescription. This fax
tool works in the same manner as the
fax tool in Invision.
Now we are ready to prepare discharge
instructions and a clinic appointment.
I typed in “pneumonia” and there are 4
DCI to choose from. If I double click on
any of the choices, that DCI will move
to the right and eventually be printed
for the patient
I can also review the DCI by single
clicking on one of the choices, and then
clicking on “Preview/Edit” and create
an edited version for the patient.
I double clicked “Pneumonia” and it
now appears in the right pane.
Choices can moved between the right
and left panes by double clicking on
them.
Unless directed by an Attending or
Resident, or requested by a patient, do
not select pharmacy instructions or
prescription instructions (they will get
these from the pharmacy and we are
trying to save the rain forests).
I have scrolled down on the DCI page to
enter any special instructions and the
follow up visits.
For “Special Instructions” you may type
in an entry and pick any from the pick
list. Enter any crucial instructions here.
Now you are ready to arrange for
follow up visits.
1) In the “Search On” pick list chose
“Type”.
2) In the “Enter Search” field enter
“Clinic”.
A list of clinics will appear. Choose the
appropriate clinic for the patient.
Then go back to the “Special
Instructions” section and type in just
the name of the clinic and the exact
time and date of the appointment. The
address of the clinic and the time you
enter here will be printed automatically
on the DCI.
If eReferral is used, make note that the
patient can expect a call in “Special
Instructions”.
You may also make a general referral to
the PCP at the bottom of the page.
Once finished, choose the printer for
the zone the patient is in and the DCI
language.
If a note is need (school, work, etc.),
click “Forms” and then fill out the
appropriate forms .
If no note is needed, click “Enter”.
Now the patient “Testing, PulseCheck EDIS” is ready for discharge. The instructions are
printed, the prescriptions have been faxed and the discharge appointments are
documented on the discharge instructions.
Check with an Attending to make sure the patient can leave the ED. If the Attending
approves the discharge, you should go to the “Comments” column and click in the field
in the patient’s row to flag the patient for discharge.
Click on the red note “Ready for Discharge to post this note in
the “Comments” field on the tracking board.
You can also select or write other comments on this page that
will appear in the “Comments” field.
“Patient Notes” on this page is to be used only by Attendings
and Charge Nurses. It is equivalent to “Patient Alerts” in the
Invision LCR, but does not post to Invision LCR.
You will find some very helpful tools always available to you in ED IS PulseCheck on the
upper right of your toolbar.
The “Help” link is a step by step guide to each part of the chart indexed to show you
exactly what you need.
The “All” link takes you to all links, including links to the UCSF Library, UCSF Pagerbox,
Amion, EM Residency and several other educational websites.
There are links to an internal mailing system in ED IS PulseCheck. This system called
“PulseMail” is only to be used to communicate documentation issues to you from the
Profee Medical Records Department. Do not initiate a PulseMail, you should only
respond to messages sent to you.
If you have any suggestions or if you find any problems with the system, please leave us
a note in the ED IS Communications Book at the Main Desk or in the suggestion box in
the Nurses’ Lounge behind the Main Desk..
DO NOT CLOSE OUT OF THIS PRESENTATION YET, YOU HAVE ONE MORE THING TO DO.
At the beginning of this presentation you set your display in the test site so you could
learn the system. Now you will need to log on to the production site and set your
displays. This will just take a few minutes…really!
Logout of the test site by clicking on “Logout” at the top right of your toolbar.
Always “Logout” when you walk away from a work station!
Now close all windows by clicking the small “x” in the top right corner of any windows
that are open.
Now click on the PulseCheck icon at the bottom left of your screen.
If you are not in the ED, stop here and please arrive early to adjust
your display settings.
Now,
1)
2)
3)
4)
Select the zone you will be working in
Login with your CHN number
Use “hello” for your first password
You will be prompted to change your
password
Move the cursor and click
on “Display” on your
toolbar.
You only need to set this once. Copy all of the settings here to your screen.
Now click on “Enter” at the bottom of the display.
Go back to “Display” again.
Now, click on the “Tracking Board” settings.
You can set the tracking board to only show patients in your zones at the
beginning of each shift. Simply check off the zones you are working in, and
hit “enter”.
Go back to “Display” again.
Now, click on the “Tracking Board Columns” settings.
This tool determines which columns are on your tracking board and the
order they appear from left to right.
You should now create the same list as shown here on the right on your
screen. To adjust your list, click on an entry and use the “Add”, “Remove”,
“Move Up” and “Move Down” buttons to adjust your columns.
C
When finished, click on enter.
Go back to “Display” again.
Now, click on the “Toolbar” settings.
This screen helps you set your toolbar at the top of your page. We recommend
you copy the settings as displayed. Please move the entries to match the
entries on the right “Current Toolbar” using the same “Add”, “Remove”, Move
Up” and “Move Down” buttons as before.
Scroll down
Scroll down on the right hand list to see the last entries to be listed. Make sure
they are listed in the same order as above.
When finished click on “Enter”.
Go back to “Display” again.
Now, click on the “Printers” settings.
The only adjustment on this page is to make sure that the “Fax Only” printer is
selected in the “Rx” column. Do not touch the other selections.
Once you have done this, click “Enter”.
Summary of Key Points:
Always check to make sure you are logged on as yourself and log
off when finished at a work station.
Document patients fully, use “Doctor Note” to write an
assessment, reassessments, core measures and sign outs.
In orders, do not use symbols such as “/”, “&”, “()”.
Co-sign any verbal orders in “Medication SVC”.
Check with an Attending before flagging “Ready for Discharge”
(2)
(1)
Now please logout (1) and close this window (2).
CONGRATULATIONS!!!
Thank you!
You have successfully completed your orientation to ED IS
PulseCheck.