Patient Care - Reference Manual - Physician - Fraser Health Authority

TABLE OF CONTENTSCHAPTER 1 – INTRODUCTION ..................................................................................................31. Introduction to MEDITECH Client Server.............................................................................32. How to sign on to MEDITECH Client Server........................................................................43. What is the TOOLBAR?.......................................................................................................74. What do the FUNCTION KEYS do?.....................................................................................8CHAPTER 2 – ENTER / EDIT PATIENT DATA..........................................................................101. Enter/Edit Patient Data ......................................................................................................102. Patient Allergy and Adverse Reactions..............................................................................153. Enter/Edit Temporary Location ..........................................................................................16CHAPTER 3 – REVIEWING AND ENTERING PATIENT CARE ORDERS ...............................181. Introduction to the Review Orders – by service date screen..............................................182. What can I do when Reviewing Orders – by service date?.................................................213. Introduction to the Care Area Orders Screen.....................................................................234. Entering a Basic Order.......................................................................................................255. What is the Wildcard Lookup Function?.............................................................................266. Entering Series Orders ......................................................................................................277. Entering Order Sets ...........................................................................................................288. What if a duplicate order is entered? .................................................................................30CHAPTER 4 – ENTERING CARE AREA REQUISITIONS.........................................................321. Introduction to the Enter Care Area Requisitions screen...................................................322. Entering a Basic Requisition ..............................................................................................32CHAPTER 5 – ORDER ENTRY DOWNTIME PROCEDURES ..................................................34CHAPTER 6 – THE REPORTS MENU.......................................................................................36CHAPTER 7 – PHARMACY .......................................................................................................381. Introduction to the Pharmacy Menu ...................................................................................382. Introduction to Printing Medication Administration Records (MARs) .................................393. Printing MARs for the Entire Patient Care Unit ..................................................................404. Printing MARs for Selected Patient(s)................................................................................415. Printing Blank MARs ..........................................................................................................426. Introduction to Printing Medication Profiles........................................................................437. Printing Medication Profiles for the Entire Patient Care Unit..............................................448. Printing Medication Profiles for Selected Patient(s)...........................................................459. Viewing Drug Availability....................................................................................................4610.Listing Pharmacy Floor Stock & Nightcupboard Inventory.................................................47CHAPTER 8– ENTERPRISE MEDICAL RECORD (EMR).........................................................481. Introduction to Enterprise Medical Record (EMR)..............................................................482. How to access EMR...........................................................................................................483. The Basics of navigation in EMR .......................................................................................494. The Basics of using EMR...................................................................................................505. Selecting a Patient Record ................................................................................................506. A Word about Selecting ‘Visits’ ..........................................................................................537. How EMR Displays Information .........................................................................................54GLOSSARY ................................................................................................................................65Health InformaticsHealth Information Systems and Services© Fraser Health Authority, 2006. All rights reserved.2