Patient Care - Reference Manual - Physician - Fraser Health Authority

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PanelPatient DataScreenPHAPriorityProcedureProviderProviderTypeAn EMR screen that displays visit data transferred to EMR from asource application (for example, MEDITECH's Laboratory Module).Panels display a range of information for selected visits that includes:• demographic and status data• history data• orders• medications• laboratory and other reportsScreen that contains demographic and other information about apatient, i.e., diagnosis, allergies.Pharmacy – A MEDITECH module that helps pharmacists to entermedication orders and maintain accurate patient profiles. During themedication ordering process, the Pharmacy Module provides aseries of automatic checks and displays lab test results to assistclinicians with clinical decision-making.Urgency for completing an order:S – Stat (immediately)U – Urgent (as soon as possible)T – TimedR – RoutineLAB tests that are ordered R should not have a time associated withthem. Future orders cannot be ordered stat or urgent. Tests that arecollected by nursing need to have the time entered. S or U prioritiesneed to have a time entered at the time prompt.A test, treatment, or item that can be ordered for a patient.The person who provides patient care or treatment, for example, anurse, radiologist, or physician. Providers are defined in the MISProvider Dictionary.Most health care organizations employ different types of providers.The MIS Provider Type Dictionary allows your organization tocategorize its providers. Typical provider types include:• resident• physical therapist• registered nurse• physician assistant• staff physician• consulting physicianHealth InformaticsHealth Information Systems and Services© Fraser Health Authority, 2006. All rights reserved.68
RoutineService DateSessionTabTimeUnverifiedUserVerified UserVisitorsAllowedWildcardLookupA series of related prompts on one or more screens. Routinestypically allow users to collect data, process data or generate outputssuch as reports or forms.The date on which an order is requested.A period during which a user interacts with an application orprogram. A session begins with the user signing onto or launching anapplication or program and ends with the user closing it.An area in the top section of some screens that resembles the tab ofa file folder. Tabs appear when a routine is too big to fit on onescreen. Tabs are used to move between screens in a routine.The time entered here is the service time, or the time the procedureis to be done. Routine tests are done at 0700 or 1300. Forspecimens collected by the unit, enter the time the specimen wascollected.User is not able to transmit orders and may only enter orders into thesystem. Information stays in the system and is not transmitted untilverified by a verified user.User has the authority to enter orders and send them to the receivingdepartment.This field informs Information, Admitting, and Switchboard aboutvisitor status and therefore prevents a phone call to the patient careunit. It is answered by a Y yes or N no.The Comments field can be used for further information aboutvisitors e.g. family only, or information about patient whereabouts.A wildcard lookup allows the user to search the dictionary in anothermanner. In either the Category field or the Procedure field type? priorto the word of a procedure the user is trying to locate and press the look up key and the system will search its dictionaries and givea list of all categories/procedures with that word in it. Be careful totype in a whole word to make the list short and meaningful. Thisfunction takes a few moments as the system searches, so be patient!Health InformaticsHealth Information Systems and Services© Fraser Health Authority, 2006. All rights reserved.69
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Patient Care - Reference ManualNurs
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CHAPTER 1 - INTRODUCTION1. Introduc
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4) A pop-up box will display titled
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3. What is the TOOLBAR?The toolbar
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5. How do I change my PASSWORD?1) F
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) There are three tabs in Enter/Edi
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e) The Allergies/Adverse Reactions
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2. Patient Allergy and Adverse Reac
Page 17 and 18: 4) Enter the patient name (Note: Th
Page 19 and 20: The Active Function ButtonsE - Ente
Page 21 and 22: g) Quantity (Qty) - the field displ
Page 23 and 24: 3. Introduction to the Care Area Or
Page 25 and 26: 4. Entering a Basic Order1) Choose
Page 27 and 28: 6. Entering Series OrdersSeries Ord
Page 29 and 30: 4) After you select an order set, a
Page 31 and 32: 9. Reviewing Duplicate OrdersA ‘D
Page 33 and 34: a) If unsure of the category mnemon
Page 35 and 36: MATERIALS REQUIRED Downtime Requisi
Page 37 and 38: ReportPatient Order SummaryUnverifi
Page 39 and 40: 2. Introduction to Printing Medicat
Page 41 and 42: 4. Printing MARs for Selected Patie
Page 43 and 44: 6. Introduction to Printing Medicat
Page 45 and 46: 8. Printing Medication Profiles for
Page 47 and 48: 10.Listing Pharmacy Floor Stock & N
Page 49 and 50: 3. The Basics of navigation in EMRI
Page 51 and 52: 2) Recent Access Menu Option - The
Page 53 and 54: 6. A Word about Selecting ‘Visits
Page 55 and 56: 2) The Menu Frame - The Menu Frame,
Page 57 and 58: e) To view a snapshot screen of a g
Page 59 and 60: 7) Order History Panel - use the Or
Page 61 and 62: i) Blood Bank Tests panel is used t
Page 63 and 64: iv) Patient height (Standard and me
Page 65 and 66: GLOSSARYAccessAdmissionStatusButton
Page 67: InterfaceLocationThe ability to pas
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Patient Care - Reference Manual - Physician - Fraser Health Authority

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