Patient Care - Reference Manual - Physician - Fraser Health Authority

) There are three tabs in Enter/Edit Patient Data routine: Standard Fields, Custom Queries, and Allergies/Adverse Reactions.c) The Standard Fields Tab – (as pictured on page 10) is the tab that is selected by default.The Custom Queries and Allergy/Adverse Reactions tabs will be greyed out, notallowing clinician access. Once a patient name has been entered, the clinicianwill have access to all the tabs.Fields in the Standard Fields TabTemporary LocationHold TrayConditionVisitors AllowedCondition CommentVisit ReasonHeight and WeightTemporary Location is used to enter a location where thepatient is going on a temporary basis e.g. OR. This allows thetemporary location to enter orders for the patient. Only thoselocations that are patient care units must be entered as atemporary location. Therefore, if the patient is going for aspecial procedure, or ultrasound, it is not necessary to placethe patient into a temporary location. Pressing the lookup key or will list all locations by their mnemonic. See thesection called Enter/Edit Temporary Location for further detailson the use of this function.Not to be used. Please leave blank.The Condition field provides Patient Information, Admitting, andSwitchboard with information regarding the patient’s condition.The condition choices are available by using the look upkey or , e.g. critical, serious, good, and fair.This field informs Patient Information, Admitting, andSwitchboard about visitor status and may prevent a phone callto the patient care unit. This field is answered with a Y yes or Nno.No private or confidential information is to be entered in thisfield. The Condition Comment is intended for general patientinformation only. This field can be used for further informationabout visitors e.g. family only, or information about patientwhereabouts. The information goes to Patient Information,Admitting, and Switchboard.This information is the initial reason for the patient’s visit tohospital, as entered in the Admitting system. This field is forinformation only and cannot be edited by NursingThis field provides Pharmacy and other receiving departmentsthe patient’s height and weight. The height and weight areautomatically changed into metric if entered in standardmeasures and vice versa. Once the information is entered, it willfollow all orders placed for the patient.Health InformaticsHealth Information Systems and Services© Fraser Health Authority, 2006. All rights reserved.11