results - IT Request For Access
Contents
1. SN ILNY1d5NYH1 INN72O SN ASdOMW 14N3Y SN SISONALS JIHOTAd SN JIAT13d yal SS H CT paang Majag abe oun 0 SJaplo jo sy ay CU Ca MM SN SYAHINYd o Adde suoyng asay pajas 0 NGA Jo ajay Jeodde Wan 5738 JO Japo enpinipul ay US ys Ka d Wdaso DIAR g HE D YELUPOO E Oe UPWPOOO 123345910 EECHER Abojoipey 20S0UDp1 FH BUIBEW sineipa E alay Op BURY Aale au Ul sapio ay Jiugns o peflugns a Jou ING pasajua i mode ue ET punosenjn SISID sued MGA Sf TNA sutipa y esponn PI Ou FF EECH pnpue 10 PI Japo au JO en ay uonmn Fe Buidi LEYS UPD noi AU ooeoge D I laka enuen YUM asSMolg sapin A DI jo ygs ul suawyedag PJEPUBIS SAEMJE Sl add uoissas Golf PUB JaplAci4 Wale sayyuap Anug sapin Se Complete Connect Simple Safe 11 IConnect101 Orders and Results ENTERING DIETS Dr Baldwin has written an order for a 1600 calorie ADA diet with 3 snacks diabetic diet Most order forms in iConnect Acute Care look the same but with different options An asterisk denotes a required field you must supply information in that field We will start by looking at a diet order form You should still be on the OEW Start of Browse a Click the plus H sign next to Gel Wei need to scroll down b Click the plus EJ sign next to c On the right double click the Diet Diabetic order form2. 8 42 6 00 17 50 THOUS uL a co oO 11 18 2009 07 00 ADJUSTED FOR NUCLEATED RBC S WBC Blood CORRECTED ON 11 18 AT 1528 PREVIOUSLY REPORTED AS 12 21 DUPLICATE REQUEST P EERES Ce Gaels CORRECTED ON 11 1 Se Bleed 12 21 6 00 17 50 THOUS uL DUPLICATE REQUEST tan ei MCH emm vu e NG l ur d gem Na The final Display Format is Trend View This format shows you trends for results that have been taken multiple times over a period of time Panic Values in Trend View are indicated by double arrows Patient List Orders Results Patient Info Documents Flawsheets Clinical Summa External CHS Data Chart LA Available Since Received Performed General Chemistry 08 24 2009 SRM FREET4 Cine month ago Gentamicin Jk Retain for next patient Stach a EIER Se Ss Glucose Bood gt o All Glucose CSF k Display Category Header Protein CaF Abnormal P Show Pe F Only Show Annotated Chemistry Result Selection Panic Values can also be noted on the Trend View Display Format Hen Fresults sa PILE LUO Vd le ie e DEE Displa Format SOUFCE Report by Order l Graph Summar 41 Connect Simple Safe Complete iConnect101 Orders and Results Display Format Trend View also provides the option to display a graph of a specific result trend To view the graph choose Hematocrit PCV Blo
3. L Click OK om pn a We ll order the K Thermia Machine and pad now Start of Browse Click the plus sign Bil next to Click the plus sign El next to Double click the Date of Service type t for today Cart Location leave blank Click the box next to Most of the info is completed for you Number of Escorts 1 a connect order on the right CEE IConnect101 Orders and Results Move to type Comments ar 2g h i j Click OK k Check the box next to K Thermia Machine under Equipment Click OK Now we will order the K Thermia Pad Start of Browse Click the plus sign next to Click the plus sign next to Double click the Date of Service type t for today Cart Location leave blank Click the box next to Click OK order on the right oropan No Points to Remember A Central Transport Request is required for all patient related requests Invision Messaging can be used to send messages that are not specific to a particular patient For example changing a light bulb or replenishing oral syringes that are kept in the med room If Cart Location is blank items are brought up for a specific patient If Cart location is specified it is considered floor stock that is replenished to a specific location Let s not submit our orders yet ES connect IConnect101 Orders and Results DUPLICATE DIET ALERT Dr Yu has also written an order for a Regula
4. Connect Simple Safe Complete Children s Health System iConnect101 Orders and Results STUDENT MANUAL CHILDREN S HEALTH SYSTEM 2010 Children s Health System Written by Information Systems iConnect Education http www chsys org http iteducation chsys org This training documentation is for CHS USE ONLY and is not for public use or distribution There are no actual patients referenced in this training material IConnect101 Orders and Results Geng EL EE 3 JS CEN Eeee 4 POW OUT tte NANA NON AA sees E E E E 5 E CONO 4 ee ee ae eee nner nee eee en eee eee eee eee 6 Geno F UE TEE 7 Making Patient Assignments for RNS and Therapists 00a00naannannaneannannnnnnnnannnn The Refresh Button 00a0annannnnnnnnannannnnnnnnnnnnnnnnnnnnnnnrnnnnnnnnnnrnnrnnrnnrnnrnnnnnnnrnnrnnrnnrnne Entering Height Weight and Allergy Info a 8 RN Allergy REVIEW E 9 ee Lee EE 10 BAGAN bebe 12 Entering n E 13 Entering Labs Orders aaa 13 BK lo OMICS AA AA 13 ESTIMA AA AA AA E 14 Using the Copy Function on the OEW aaa 15 Allergy Status Unknown Alert 16 Don t Delete That Comment 0 cccccccccccccseccseccsecceecseecseecsucnsuccseesesseesseeeseeeeeenesens 17 Deleting or Editing Orders Before They are Submitted 17 Updating Allergy Info 19 Viewing Allergy Details A HiStory ccccccscccsccceecceecsuecseecseecseceecseesseesseesseesseeenese
5. Matching orders will appear double click the TRH Stimulation Test 0 order Notice the Linked Order Set icon next to the order This means there are multiple orders on this order form that relate to one another or go together This is a test question Review the Warning Message it just means the T3 test found on the following screen is only performed three days per week Click OK Collection Date Collection Priority Time Click the box next to the following TRH OrderSet Items T3 TSH and T4 IMPORTANT Notice that a comment is already present in the Comments Instructions box DO NOT delete that comment ANY time you encounter text already entered in this box you want to be careful not to delete it If you need to add an additional comment type it next to or below the existing comment This will be important later when you complete the Add Specimen task for these tests Click OK Don t submit the orders yet We are now going to make some changes DELETING OR EDITING ORDERS BEFORE THEY ARE SUBMITTED Let s look at deleting orders first e Select the T3 order in the Preview Area at the bottom of the OEW and click the Delete 1 button e The original order form appears uncheck the box next to the T3 order in the TRH OrderSet Items list e Click OK Notice the T3 disappears from the Preview Area No one will ever know that test was ordered because it wasn t officially submitted As long as an order is stil
6. e Comments Instructions Draw from left only d Click OK order on the right side for tomorrow s date lab to collect No Points to Remember The priority selected will define if test is a lab or nurse to collect Lab or Nurse to collect will appear on the summary line for the order For routine lab tests you will have to supply a time Critical labs should be ordered using the Critical Tests order set We ll look at that a later We connect iConnect101 Orders and Results Using the Copy Function on the OEW To save time we will use the Copy Function to order the other two tests This is a test question Use the copy EE button to create two additional orders for the next two days after tomorrow as routine at 06 00 While still on the Order Entry Worksheet select the order you want to copy from the preview area at the bottom of the screen in this case the order You MUST select the order or the Copy button will not be active Click the Copy Button a Choose the correct dates by clicking on the days in the calendar They will turn red when selected Priority choose Time you must supply a time for a Routine order enter 06 00 Click the Add button you must do this or the OK button will not be active Click OK C205 You should now see a total of three CBC orders in the preview area for three consecutive days We still are not ready to submit our orders r E Order
7. e The Group By ba Group BY button provides options for how the documents are grouped in this view i e Author Date Category ai SE IConnect101 Orders and Results Setting Document Tab Preferences Most users prefer the Report View on the Documents Tab however the default view is the Summary View This can be changed one time and will save you a step in the printing process that we will discuss later 1 Ie WN While on the Documents tab click on in the Menu Bar at the top of the screen and choose Click on the in the box that appears Select Click the Click the Close button Set as Default From now on when you log in Report View will be the view you see when you click on the Documents tab Creating a Document Tab Filter Another task you can perform to save time later when searching for specific documents is to create a filter You can create the filter once and use it whenever you need to quickly find a document of a certain type 1 2 While on the Documents tab click on in the Menu Bar at the top of the screen and choose The Filters tab is displayed in the box that appears Click on the Add New button to create a new filter for your Documents tab Once you click Add New a new screen appears You will need to give the filter a name type Med Recs and then select the document types you want to appear in the filtered view In this case we will choose the so that only Med Rec documents wi
8. use the drop down to select d Click OK e The Retain Original Requested By Provider box appears The name of the provider who requested the original order is listed If the provider who requested the reorder is not the original requestor click the No radio button and click OK Otherwise click Yes and say OK In our case Dr Yu wrote the new order so we will click A connect iConnect101 Orders and Results S Click OK A message appears stating the Start Meal cannot be left blank click OK Start Meal select the Fluid Restriction type Click OK J OQO m Notice that even though no pork please was not on the diet order screen it DOES appear in the summary line of the order in the Preview Area The system remembered that information from the original order Submit the order by clicking on the Submit Order s button for your patient and entering your password SS connect IConnect101 Orders and Results ADDING A SPECIMEN When an order is placed that requires a specimen to be collected it is either nurse to collect or lab to collect based on the priority You must perform a task called Add Specimen for ALL orders that are nurse to collect This is very important If an Add Specimen is not performed the order will NOT make it to the lab so they will not know what to do with the specimen once it arrives in the lab In most cases an order that requires a specimen is entered into the sy
9. Click the radio button for 7 Other In the white box below Other type in baldwin Highlight you may have to scroll down in the list We will leave the Source as written Click OK The Order Entry Worksheet OEW appears AB e The Order Entry Worksheet maximize your screen for best results 1 Top Left is patient name and who is the ordering physician 2 Allergy information is listed next 3 Requested By if this is not the correct physician you can click the Other radio button which will bring up the Requested by pop up Session type is always Standard Start of Browse vs Manual Entry Start of Browse lists all available choices in categories but Manual Entry will just look at the characters you type to find orders that start with those characters 6 Preview area Orders are held here until they are submitted You can edit delete or copy orders before they are submitted 7 Notice the Submit button which includes your patient s name You will have to enter your password when submitting orders Se Keep in mind that there are certain orders that will require that weight and allergy info be documented in the system W connect iConnect101 Orders and Results Dat ig Dupua ECE L 6002 1071 day 51 TUNAY Ee tzan 4Hrz 4N MG ASIA Bl Ul SISPIO PI BuIPUS4 DOELEODZ LO ZL DEL Suu auers aues oU 0 Adde suogng asau Sal ALAND Ld UEL 20
10. Entry Worksheet Munster Herman This is the order that willbe IBS Herman Feliciano Yu MD Written copied TU CBC PLT with Auto Diff OrderlD D01BCW225 Lab to Collect 13 00 12 18 2009 13 00 Source Blood BLD l8 Click the boxes for the desired dates and the system will mark them in Specify the desired Priority Time o December20099 zl SC en 7 10 11 12 Add button Routine K K KS 13 orders for 0600 for 21 NG 24 12 21 and 12 22 will Gaas spear 3 4 5 6 TH 8 9 LI Bae Finally click OK and the orders will be generated to the Preview area of the 060 Order Ent Click the Add button Routine ef fos SE 15 IConnect101 Orders and Results While still in Start of Browse notice the following Referred Testing This is a sub category of Laboratory Some of these orders are sent out and some are done in house Procedure Outside CHS This is its own category in the Start of Browse Patient physically leaves the hospital for these procedures Open message by Message clicking on the Message button ALLERGY STATUS UNKNOWN ALERT Let s take a look at an alert you will receive if you try to place a radiology order for your patient You can expect to receive an alert because we listed our patient s allergy status as Unknown and we have to document why the status is Unknown A system of rules called MLMs Medical Logic M
11. are two options for discontinuing orders The first option is optimal if you are discontinuing several orders at one time While on the Orders tab click on the DC Cancel button You may have to select the physician who requested that the order be discontinued if the Requested By box appears All of the active orders for your patient will appear on the next screen To discontinue orders simply check the boxes next to the orders you want to DC and click the OK button Be sure to double check the By field at the bottom of the screen and make sure the correct physician is displayed If not click Other Don t discontinue anything from this screen now Click cancel This is a test question The second option for discontinuing an order is to select the order from the Orders Tab and right click on the order e Select the e Inthe box that appears choose e Ifthe Requested By box appears select the provider who requested that the order be discontinued in the case Dr Yu and click OK e lf you did not see the Requested By box verify that the Requested By on the DC Cancel screen has the correct provider listed if not click Other and choose the correct provider e You must supply a Reason when discontinuing an order use the drop down to select i e Click OK order and right click on it Notice on the Orders tab that the Social Service Discharge Planning order is now italicized and the Status is discontinued So Poi
12. class or on the unit Nurse Practitioners can also create these documents ge SE iConnect101 Orders and Results EXTERNAL CHS DATA TAB This tab provides specific information for your patient that was originally entered in CodoniX ED Allscripts Eclipsys inpatient iConnect Logician outpatient and SIS surgery The only information pulled from those systems is recorded allergies medications and prescriptions and ICD9 diagnosis 1 With patient selected use the SMITH patient for training CLICK the External External CHS Data 2 A report will run that will check the CodoniX Logician SIS and the Allscripts Eclipsys systems 3 The available systems are listed at the top of the screen under Select a system Check the box next to a system if you only want to see info from that system wait a few seconds for the screen to refresh after you check a box 4 The source of the data is color coded but to view the Key you may need to use the scroll bars to see it it is on the right side of the screen EMERGENCY DEPARTMENT CODON INPATIENT ECLIPSYS OUTPATIENT LOGICIAN This patient has aCCD Document that is available CLICK HERE Click the link to open the report If no report is available you will see No CCD is available for this patient You can also create a printable version of this document by click the Print to PDF Print to PDF button 53 connect IConnect101 Orders
13. drop down and select Three months ago Check the box next to Retain for next patient Retain for next patient A check appears in the box M The next patient name from the current patient list appears in the header The Since is still three months ago The next patient name appears in the header The Since is still Three months ago Click the right arrow button above the patient header Click the right arrow button again 45 We ve selected all the patients on our current patient list The default settings appear Now we are looking at three months of results Checking this box means that when we scroll to the next patient our setting will be saved and we should be looking at three month s worth of that patient s results Now we ve scrolled to the next patient When we scrolled the Since setting stayed the same because our Retain for next patient box was checked We ve scrolled to the next patient Note The Retain for next patient option works in any display format not just the Summary view iConnect101 Orders and Results RESULTS RADIOLOGY Now we will take a brief look at how to view results for Radiology orders You should be on the Summary Display Format For the Pediatric Imaging department there are results available Because the results are indicated by a yellow flag we cannot be sure if they are normal or abnormal We will open each
14. project that involves several phases spanning several years that involves multiple software package installations The purpose goal is to migrate clinical functionality to a best of suite approach using Allscripts Eclipsys SCM and Allscripts Eclipsys Pharmacy to facilitate improved access to clinical information and infrastructure of CPOE 2 Allscripts Eclipsys The name of the software company bh 3 SCM Sunrise Clinical Manager An Allscripts Eclipsys product similar to MS Office Suite 4 Sunrise Acute Care Part of Sunrise Clinical Manager Used for orders results clinical documentation and eMAR similar to Word PP apart of MS Office Suite bh 5 SMM Sunrise Medication Management An Allscripts Eclipsys product The pharmacy system that is integrated with SCM IConnect101 Orders and Results GETTING FAMILIAR MAKING PATIENT ASSIGNMENTS FOR RNS AND THERAPISTS While on the Patient List tab double click in the Nurse Assignment or Therapist Assignment field on the line for that patient A pop up box will appear Type the name of the nurse or therapist in the appropriate box This is a free text field This column may not be used in every unit or area It WILL appear on the Tracker Board screens located on the unit if there is text there Use professional names parents and patients may be able to see the tracker board in your area This is a test question THE REFRESH BUTTON To make sure
15. you are always looking at the most current information in the system use the Refresh button on the toolbar to update the screen iConnect Acute Care is a very dynamic system We recommend using the refresh button frequently IConnect101 Orders and Results ENTERING HEIGHT WEIGHT AND ALLERGY INFO To enter height weight and allergy information click on the Enter Document button jls Help KLES Enter Document This is a test question 1 Use the drop down to select Start of Browse if necessary 2 Click on under the Nursing sub heading Double click on in the box below Document Name or select Patient Profile in the box below Document Name and click Open Enter Weight Enter height which is roughly 60 or 5 ft Inches 2 54 Weight Estimated assume you weighed the patient BSA body surface area and BMI body mass index are calculated for you Isolation Precautions Choose Use Red Itchy Man U to document allergy info choose Allergy Status Unknown and click OK 10 Click Save Sae and enter your password Ge O po KSE S Once you enter new height weight or allergy information remember to use the Refresh button i to update the screen No Points to Remember e Height weight and allergies can also be entered on the Inpatient Nursing Admission Assessment e Radiology must have allergies documented when placing order for any study involving contrast e Pharmacy must have weight and a
16. C results turns dark blue changed the date selection So selecting dates works differently than the selection of row labels Press the SHIFT key o The columns for all By using the lt SHIFT gt hold it and click the first three days turn dark Click method we ve selected day of the CBC result blue these 3 consecutive days Click the Chemistry label o Three boxes in the Now for those 3 days we ve to select it Chemistry row are got the Chemistry results now dark blue selected There are no flags on those days Click Report by Order The Filter icon o The Filter icon means Display Format appears Not all results are being No results match shown your request No results match your Chemistry results request appears because performed from xx there were no flags no xx 2010 to xx xx results available on the 2010 days we selected in the previous screen Click Summary Display Now the 3 cells with Now in addition to the 3 Format and then click the hematology blank chemistry cells we the Hematology Label results are also have also selected the highlighted hematology results for that same period of time iConnect101 Orders and Results What you ll see What just happened Click Report by Order Display Format Click Summary Display Format and click the medium blue colored rectangle at the top left of the grid Pediatric Imaging a Click the Pediatric Imaging label Pediatric Imaging Anglograph Click the
17. Note the order form icon This is a test question i Start Date ii Start Meal iii Diet Type iv Ethnic Relig Food Preference Yes v Calories Day vi Specify Food Preferences vii Notice the other options on the form especially FLUID RESTRICTION If a physician writes for fluid restriction the only way food services will know about the restriction is for you to enter it on the diet order form You will notice as you tab or click in another field on this form occasionally additional fields appear on the screen The fields appear only when necessary based on your selections in various fields on the form If you are ever unsure if there is a hidden field you can click in any blank white space on the form the comments box is usually a good choice Should you try to click OK on an order form without completing a required hidden field you will be returned to the form to enter the information The diet order appears in the Preview Area at the bottom of the OEW Don t submit your order yet We are going to place several orders into the Preview Area and submit them all at one time We SE IConnect101 Orders and Results ENTERING CONSULTS Dr Baldwin has also written orders for e PT Evaluate 8 Treat e Social Service DC planning for Visiting Nurses for wound care You should still be on the OEW Start of Browse a b AS SE mo Dn Click the plus H sign next to Consults Double click on the order f
18. Now we will perform an Add Specimen for our C Diff and Blood Bank orders You must be on the Orders tab Click the Add Specimen _Add Specimen button at the bottom of the screen If you did not have an order selected the Specimen Type will be blank when the screen appears This is not a problem Simply select the Specimen Type for the specimen that has been obtained in this case choose Stool from the drop down This is a test question Only one order will appear because there is only one stool specimen waiting to be added Check the Specimen Collected by box at the bottom of the screen The name defaults to the user who is logged in IF YOU DID NOT COLLECT THE SPECIMEN you should delete your name and type in the name of the person who did collect the specimen Because we also have Blood Bank specimens to add we will click the Apply Appl button If you are only adding one specimen you would click OK Notice the Stool for C Diff order disappears when you click Apply Now choose the Blood Specimen type from the drop down We need to Add Specimen for the nurse to collect orders we have obtained specimens for Check the box next to and Double check the name in the Specimen Collected by box and click OK You will be returned to the Orders tab Notice the Status for the Type and Screen Blood Bank Specimen and Clostridium Toxin Stool orders is now Collected This is because you performed the Add Specimen So Points to R
19. ToolTip appears if you hover over the icon with the mouse cursor Ga Order is pending verification of a maintenance action for example discontinue The icon appears with a description such as A lt maintenance action request is pending verification ei connec IConnect101 Orders and Results ENTERING RVUS AND CHARGES iConnect Acute Care treats everything like an order This means that charges and RVUs will be entered the same way that all other orders are entered RVUs and charges will not have an ordering provider because we do not receive written orders for these You may however see the Requested By box when entering RVUs or charges We recommend selecting the Attending Physician for any RVU entries or charges In this example Dr Yu is our attending Click the Enter Order button on the Patient Header K If the Requested By box appears select Dr Yu from the list of Current Providers If it does not make sure he is listed at the top of the OEW Start of Browse a Click the plus H sign next to Nursing Charges Admitting 8 RVU Notice the additional categories that appear Click the plus El sign next to Double click the Date of Service RVU Quantity type 99 assume all charge sheets received by clerk have been tallied and this is the total for the patient form on the right C205 f Press the lt Tab gt key on the keyboard g The RVU box and the appropriate category is automatically selected f
20. a Tab 53 FAOL T E TAO E E 54 PLOW O AG a Pe EI PP 54 Toolbar Buttons to Hemember aa 54 AKON E EE 55 Important Things to ememfer 1 56 FODA BUKO EE 57 Icons Seen During Order Ein 57 QueStioNS EE 58 IConnect101 Orders and Results GETTING STARTED This student manual is yours to keep Feel free to make notes in the manual and take it back with you to your work area We will follow this student manual during class using fictitious patients in a training environment but the outlined steps should prove helpful to you when working with your patient s information in the production environment IConnect101 Orders and Results OBJECTIVES The following topics will be covered in this class Enter Basic Patient Info for ordering Enter Physician Orders DC Physician Orders Document RN 8 Therapist Assignments Document Specimens Collected Use COPY Function Use REORDER Function Take a closer look at Orders on the Orders tab Enter Charges 10 Request Supplies 11 1ssue Floor Stock 12 Handle Alerts 13 View Results 14 Print Reports 4 Documents oS AO ON IConnect101 Orders and Results FOR YOUR INFORMATION This is a general class for users and you may not perform all of the tasks included in this course when you return to your area of work There will be a computerized assessment at the end of the class It is open book notes IConnect101 Orders and Results CLARIFICATION OF TERMS 1 iConnect Name of a large
21. and Results PATIENT LIST TAB CHANGE IT UP Let s take a look at a couple things you can do to change the view of your patient lists e Sorting Columns By clicking on a column heading you will sort the column in ascending or descending order you can also go to the File menu at the top of the screen and click on Sort List You can sort the current patient list using three levels of criteria using this method e Locking unlocking Columns If you right click and select Lock Columns for any column heading this will lock that columns and all columns to the left on the screen now when you scroll to the right those columns will remain in view This is a test question How to Add a Column Occasionally you may need to add a column that is not already shown on your patient list To add a column 1 Go to the Hap menu at the top of the screen and click on Column Selection 2 Find the Message for Nursing column in Available Columns list and select it 3 Click the Add button 4 Under the Displayed Columns highlight the new column and use the Move Up and Move Down buttons to move the column where you like would it to appear in the column order 5 Click OK Notice the Msg for Nsg column now appears in the Patient List tab If Pharmacy sends a message related to this patient you will see a notification in that column Another helpful column is the New Document Flag column This column will help you know when Pharmacy has create
22. atient and entering your password We will not go through the steps now but because the clean catch order was entered with a priority of Timed nurse to collect we would need to perform an Add Specimen if when the urine is collected ACKNOWLEDGING ORDERS After you have submitted orders you may be required to Acknowledge your orders based on your unit s workflow On the Patient List tab if your Flag New column is turned on you will see an if it is Go to Actions gt Flag New On a green flag or a red amp flag will appear in the Check Orders column for the patient you just placed orders for Double click on the green Y or red amp flag The Orders to be Acknowledged box will appear Check the box next to the orders you wish to Acknowledge and click the Acknowledge Acknowledge button at the bottom of the screen If there are no other orders to be acknowledged for that patient the screen will close automatically Otherwise click close No Points to Remember e You learned about the Flag New column in the iConnect100 CBT Please refer back to it or the iConnect User Manual available on the Intranet for more information SR SE IConnect101 Orders and Results VIEWING ORDER ORDER SET DETAILS From the Orders tab you can view details for an order or order set in various ways We will discuss a couple of methods History gt Status For each of the orders listed below and choose then Department Or
23. d an Intervention or Clarification Document Toolbar Buttons to Remember Ae Used to print the Code Sheet for patient Meds EI Handbook Used to access the Lab Tests Online Handbook RB nent Used to display past medication history for patient Medication History Ei ChartMaxx Used to link to the patient s medical record Navigator tai conrect iConnect101 Orders and Results TALK TO ME TAB This tab only appears in the Production environment next to the External CHS Data tab you will not see it in training When you submit an issue using this tab a ticket is automatically created in the Customer Support Desk s ticket system A representative will quickly troubleshoot your issues and take appropriate steps to resolve your problem Simply fill in the requested information and click the GO button in the bottom right corner Patient List Orders Results Patientlnio Documents Flowsheets Clinical Summary Extemal CHS Data T alk _ TESTER PRODTEST M 420271 Green Carissa IT PLEASE BE SURE TO LEAVE A NUMBER THA 872172010 up 9 26 AM What 15 YOUR email address 50002700 170564000270 PY 170564000170 j aaa Does your issue involve the patient listed to the left Please descnbe the issue USER Walker Melissa OCCUPATION Analyst BOLE om CARE PROVIDER True ORDER ROLE hone Do you wish to be contacted YES NO i eh ER ZB Fa Se O EEE E 5o Connect Sim
24. date where the two yellow flags appear in the Pediatric Imaging category Click Report by Order Display Format The Filter icon appears Multiple result categories appears Results performed from xx xx 2010 to XX XXx 2010 All selections are cleared All cells for all dates for Pediatric Imaging are selected All cells in Pediatric Imaging for that date are highlighted in dark blue The Filter icon appears Multiple result categories appears Results performed from xx xx 2010 to XX XXx 2010 44 Now in Report by Order View we have the 3 days of hematology results displayed and if there were any chemistry results for those 3 days we d see them also Clicking the blue box easily removed all selections Now we have selected all Pediatric Imaging Results Note that all Pediatric Imaging cells for the day we selected are highlighted The column stops and does not continue into the lab section Now in Report by Order we see all results available for Pediatric Imaging only IConnect101 Orders and Results Click on the Patient List tab What you do What you ll see What just happened Click the Select All Select All Patients o All Patients on the patient lists are selected and highlighted with a dark blue Patients button Click the Results Tab o All Results since xx xx 2010 results from 1 week ago o All Results since xx xx 2010 new date In Summary View Use the Since
25. der Notice the following Lab Stool for C Diff Status Function Collected Add Specimen has been performed already for this order Nutrition Active Regular Diet Function Reorder old Order this was a reorder of a previous order the old OrderlD is displayed as information Nutrition Discontinued Diabetic Reason Suggested action we Diet DC d this order using a suggested action while handling the Duplicate Diet Alert Consults Discontinued Social Function column new Order Service Consult this order was later reordered and the new OrderlD is displayed as information View gt All Orders in This Set For the order listed below and choose then All Department Order ______ Notice the following Consults Discontinued Social Lists all orders in the order set Service Consult not just the Social Service order View gt Set Details For the order listed below and choose Department Order Notice the following Consults Discontinued Social The original order set form Service Consult appears The letters below next to an order indicate the following e C Complete e D Discontinued e A would be Active a connect IConnect101 Orders and Results View gt Details haa the order ene E below and BOT JA Department Consults Discontinued Order Point OME ET the order form for the Social Service Consult Service Consult appears not the original ord
26. e family again and they now agree to the Social Service Consult Let s reorder the Social Service Consult From the Orders tab with your patient selected highlight the Social Service order it should be in italics and the status should read discontinued a Right click on the selected order and choose Reorder b The Retain Original Requested By Provider box appears The name of the provider who requested the original order is listed If the provider who requested the reorder is not the original requestor click the No radio button and click OK Otherwise click Yes and say OK In our case Dr Yu wrote the new order so we will click c Click OK d Click the Current Providers radio button and choose Dr Yu e Click OK The order now appears in the Preview Area with all the same characteristics as the original order Submit the order using the Submit Order s button for your patient and enter your password DISCONTINUING AND REORDERING AN ORDER Let s say Dr Yu has now written for a Fluid Restriction of 1500cc day For Food Services to know about the fluid restriction it has to be on the diet order As we already have an active diet order we can use DC Reorder to add the Fluid Restriction While on the Orders tab for your patient select the Diet Regular order a Right click the order and click b Make sure the Requested By box has the correct provider Dr Yu if not click Other and select the correct provider c Reason
27. elds will inherit whatever you put in that box e Collection Priority Time f Time next hour g Check the box next to CBC PLT with Auto Diff and Comprehensive Metabolic Panel h Check the box next to Culture Urine Clean Catch under Urine Orders near the bottom of the screen i The order form appears for just the clean catch order change the Collection Priority Time to Timed and change the time to the next half hour a red amp X will appear we will discuss that in a moment j Medication Info use the drop down to select No Antibiotics k Click OK Notice the green check that was next to Collection Priority Time at the top of the screen is now a red amp X That is not a problem it means that something on this form has a different collection priority or time than the one located on this screen and you will see that the order that is different is highlighted in pink This is because we changed the priority and time of the clean catch order This is a test question SS connect IConnect101 Orders and Results Your three orders are now listed in the Preview Area Rather than searching for each order individually you were able to quickly select them and had we not changed the priority for the clean catch you would have entered the date time and priority for these orders once instead of entering the same info for each order three times Submit the orders by clicking on the Submit Order s button for your p
28. emember e All specimens should be labeled with the LAST FOUR characters of the OrderlD for that order from the Orders tab This is the official OrderlD e We strongly encourage you to only label specimens with the OrderID AFTER you have submitted the order to prevent mislabeling of specimens e Add Specimen does not need to be used for items ordered with ED ASAP priority ED only or for Critical Tests for ED Patients A SE iConnect101 Orders and Results ORDER SETS AND QUICK PICKS Order Sets and quick picks were designed to group together orders that are ordered together on a regular basis They function the same however Quick Picks are typically geared toward the clinics Click the Enter Order button on the Patient Header K Start of Browse 7 a Order Sets appear first in the Start of Browse b Pay close attention to the Critical Tests order set listed under this category a Critical Tests MUST be ordered from this order set b A physician phone number is required on the order form c An Add Specimen task is required for any Nurse to Collect priority orders except for ED as previously mentioned c EI Quick Picks appear second in the Start of Browse next to Quick picks and from the list on the right d Notice the green check marks next to the Collection Date and Collection Priority Time fields Click on the next to Collection Priority Time Notice all of the blue fields that are highlighted those fi
29. eport screen click the in the top right corner Pending Nurse Collects Report This report displays a list of patients and their respective orders that were entered with a Nurse to Collect priority but an Add Specimen task has not yet been performed 1 From the Patient List tab click the on the toolbar at the top of the screen 2 Select Orders from the Report Category drop down list 3 From the list of available reports choose 4 Click SE 5 Choose and choose 6 Click Preview Kit connect IConnect101 Orders and Results 7 If you are satisfied with the report that is generated on the screen you can click the Print button 8 To close the report screen click the in the top right corner So Points to Remember e Don t just click print Click the Options Options button to see if you can customize or specify criteria for the selected report and then click Preview This not only saves paper if the wrong report is printed but prevents us from having patient information needlessly laying around and accessible ii connect IConnect101 Orders and Results DOCUMENTS TAB The Documents tab provides access to patient documentation This includes any nursing documentation as well as documents like History 4 Physical Operative Reports and documents that have been scanned into ChartMaxx With your patient selected for training choose the patient with the last name Smith click on the We wi
30. er set form STATUSES SEEN ON THE ORDERS TAB FOR LAB BLOOD BANK AND RADIOLOGY Status of Lab Orders Lab Status Can Cancel Order Pending Lab work ordered Due to be collected in Yes the future Pending Collection Lab work ordered Due to be collected today Collected Nurse to Collect lab order Indicates an Add Specimen was done Specimen Received Lab work has been received in the lab for In Progress processing Preliminary Results Preliminary results are available These No Received results are not final Corrected Results Corrected results are available This No could be preliminary or final results 1 or more Final Final results are available No Results Received If a lab order has been discontinued canceled one of the following will be displayed e Discontinued e Canceled e Canceled by the Performing Department ee connect IConnect101 Orders and Results Status of Blood Bank Orders Lab Status Can I Cancel Order Pending Lab work ordered Due to be collected in Yes the future Collected Nurse to Collect lab order Indicates an Yes Add Specimen was done Preliminary Results Preliminary results are available These No Received results are not final If a blood bank order has been discontinued canceled one of the following will be displayed e Discontinued e Canceled Status of Radiology Orders Lab Status Can Cancel Order Pending Study has been ordered for a f
31. he RN Assignment or Therapist Assignment column e When looking at Orders or Results always check to see if filtering is limiting what you see JE Not all lt being shown Look for this at the top of the screen 17 Ba erica e Always use the Order ID on the summary line of the Orders tab Specimens need to be labeled with the last four characters of the Order ID ge SE iConnect101 Orders and Results TOOLBAR BUTTONS Description Button Description ER BE Medication History O Patient List UB Emergency Medications Allergies 7 Print Reports ES Enter Order E 8 ICONS SEEN DURING ORDER ENTRY Order Form E More information is needed on this order form for example required fields Message F Indicates there is an important message related to this order S connec 10 10 IConnect101 Orders and Results QUESTIONS Contact the Customer Service Desk at 939 6568 or gethelp chsys org Visit http iteducation chsys org iconnect 58
32. he allergy if necessary CAREFUL One click on this button and the allergy WILL be discontinued to reinstate click on details and Heinstate click the Reinstate button e Click OK e Click Close P connect IConnect101 Orders and Results ALLERGY ALERT FOR RADIOLOGY STUDIES WITH CONTRAST iConnect Acute Care will not allow you to place an order for a radiology item with contrast if allergy information has not been documented Let s take a look at what that alert looks like This is a test question Click the Enter Order button on the Patient Header Ed if necessary Select Dr Yu leave the Source as Written and click OK Using Start of Browse a Select the plus El sign next to Pediatric Imaging b Select CT Notice the other sub menus especially Diagnostic Radiology c Double click on the Order Review the NPO protocol message and then press OK You will get the hard stop for Error in Allergy Check The stop sign ED is your first indication that this is a hard stop alert meaning you cannot proceed The other indication is that the Go Back button 8288 lis the only button that is active You would need to go back and document allergy info for your patient and then place the order SR connect IConnect101 Orders and Results DISCONTINUING AN ORDER Dr Yu has now written an order to discontinue the Social Service Discharge Planning consult order we submitted earlier There
33. isplayed but is not able to be edited Filtering the Orders Tab some patients will have a large number of orders depending on their health issue or length of stay This can make it difficult to find specific orders you are looking for unless you apply filters Filters allow you to narrow down the number of orders displayed on the Orders tab There are two filtering tabs available along the left side of the Orders tab They are the Standard tab and Alternate tab We will not discuss all of the options for each tab but we will highlight how you can use these tabs to your benefit 25 IConnect101 Orders and Results Standard Tab e Display Format allows you to display ALL orders but groups them together based on your selection examples below o By Department groups all orders based on the specific department they belong to o Requested by groups all orders based on who the ordering provider is e Sort Sequence o Date Time displays all orders based on the date and time they are entered for o Order Name additionally sorts your current view based on the order name Note the Status Order Selection and Display format options on the Standard tab can be customized using Preferences gt Order Review on the Menu bar at the top of the screen Instructions for customizing preferences can be found in the iConnect Orders and Results user manual on the Intranet Alternate Tab e Priority narrows down the list of orders based on the priority or p
34. l in the Preview Area and not submitted using the Submit Order button for your patient NO ONE will know about the order 17 connect IConnect101 Orders and Results e Select the bold order line in the Preview Area for the TRH Stimulation Test 0 Minutes OSET and click the Delete Delete button Click OK when prompted Notice the entire Order Set disappears from the Preview Area You can delete one specific item from an Order Set or you can delete the entire Order Set Now let s edit the PT Evaluate amp Treat order e Select the order from the Preview Area at the bottom of the OEW and click the Edit a button e Check the box next to and in the drop down next to Weight Bearing as Tolerated select e Click OK you will return to the original Consult order form Notice there is an exclamation point next to the PT Evaluate and Treat order on the Consult order form This just signifies that this order was edited Click OK This is a simulation test question Now submit all of the orders in the Preview Area by clicking on the Submit Order s Submit Order s for HOWSER DOOGIE Submit Orders for HOWSER DDOGIE button for your patient and entering your password To review the orders you have submitted so far with your patient selected on the Patient List click on the Orders tab We connect IConnect101 Orders and Results UPDATING ALLERGY INFO Dr Yu has now provided allergy info on our patien
35. ll be displayed when we apply this filter Once you select the category and click the matching documents will appear in the right column under Selected Click OK Click Close To apply the filter simply click on the Filters icon at the top of the screen and choose the in this case Med Recs Only the Medication Reconciliation documents will appear on the screen Selecting this filter will make it quick and easy to find the Med Rec document you wish to print especially when your patient s visit is a lengthy one a SE iConnect101 Orders and Results Printing a Medication Reconciliation Document Select the Medication Reconciliation Transfer Report you want to print from the Documents tab 1 Click the on the toolbar at the top of the screen 2 The Document Reports should appear select the Admission Discharge or depending on which one you want to print Preview 3 Click the 4 Verify the correct report is being displayed on the screen if you are happy with it click the 5 Click the at the top of the screen to close the window This is a test question No Points to Remember e The Medication Reconciliation documents do not appear on the Documents tab and cannot be printed until someone first creates them using the Enter Document button e Nurses typically create the Medication Reconciliation document but on some units the Clerk may create them this is covered in ClinDoc
36. ll discuss two of the views available for the Documents Tab The default view is the Summary View This view is a graph format with check marks in the columns and rows where documents are available Here are a few ways to filter the Documents tab By clicking on the Time Interval Time Interval button you can choose to view documents from a specific time frame i e yesterday one week ago three months ago If you select a Time Interval you will notice the Clear Filtered View a Clear Filtered View button appears at the top of the Documents list This means that all documents are not being shown and clicking on the button will return the view to its default setting A very helpful feature is the Hide empty rows and columns check box at the bottom left of the screen checking this box clears all empty boxes and only shows columns rows that have documents available The filter tab on the left side of the screen allows you to make some custom selections for your Documents tab This Filter tab will open and close as you mouse over it if you want it to stay put click the Tack in the top right corner o The Include Flowsheets check box will add flowsheets to the list of documents displayed o If you check any of the options on the tab you must click the Apply Apply button for them to take effect and Apply now The other view for the Documents tab we will look at is Report View Click on the Views g views button and choose
37. llergy information documented before any orders can be placed IConnect101 Orders and Results RN ALLERGY REVIEW While on the Patient List screen notice the red text Unreviewed Allergies in the Patient Header Unreviewed Allergies Reviewing allergies is an RN Task that has to be performed one time per patient visit To review allergies 1 While on the Patient List tab click on the Red Itchy Man button in the toolbar once your patient is selected 2 Click the Mark as Reviewed Now that you ve reviewed the allergies notice Unreviewed Allergies e no longer appears on the patient header IConnect101 Orders and Results PLACING ORDERS Even though Dr Yu is the Attending he has asked Dr Steven Baldwin to stop by and see your patient Dr Baldwin has written orders for a diet consults and some labs Click the Enter Order button on the Patient Header K The Requested By box will appear This box allows you to tell iConnect Acute Care who wrote the order s you are about to submit Do not just use the Attending Physician for every order It is important that you always use the correct ordering provider as this is part of the patient s record If the physician you are looking for is not listed under Current Providers you will need to select other and then perform a name search for the physician We will practice this now In the Requested By pop up box we are going to add Dr Steven Baldwin
38. n the Patient Info tab Summary Views Alerts The Alerts summary view displays any alerts that you or others have handled for the patient For example the duplicate diet order alert we handled earlier would appear as Existing Diet Order in the list To view the details of an alert select the alert and click on the Details button at the bottom right of the screen Click the Close button to return to the list of alerts Summary Views Allergies Comments The Allergies Comments summary view displays all allergy information for your patient and comments that have been entered into iConnect Acute Care regarding the patient To view ALL patient allergies including the inactive allergies check the Show IT show Inactive To view the modification history of an allergy select the allergy let s choose Allergy and click the History Summary Views Care Providers The Care Provider summary view displays all of the care providers for a patient that have been entered into the system as well as their role and date they were entered To view ALL care providers including the inactive providers check the Show IT show Inactive Summary View Visit History The Visit History summary view displays high level information about a patient s Filter current and previous visits The list can be filtered using the Filter button at the bottom of the screen The Details __ Detais button providers a few more details abo
39. ne Pick up Escorts 1 Move from Central Distribution Department Move to 4east Transport Method Carried k thermia Nutritional Services Ma Dabei AA REEVES Dist Tapa AD PE nagko EN per Dae FERRE En Fade Food aas Yes na part pibase g ttt Aia Sabet af that agak A are Diet Regular OrderlD OO1BBJ685Diet Type Unrestricted Ethnic Relig Food Preference es no pork please Restrictions Additions Select all that apply if any Consults Sana bart Pachange Paang ARO REE IES sexed cane PM Rehab Services PT Evaluate and Treat OrderlD 001BBJ673 Transfer Training Charges da K Thermia Machine Cent Diet CHBG OrderIN NNIRB IR22 Cnt 1 Date 08 30 2010 06 00 08 29 2010 06 00 08 28 2010 06 00 Date 08 28 2010 Routine Date 08 27 2010 Routine 08 27 2010 Routine Date EERE Zeen PI NAPI SAY 08 27 2010 Lunch 1100 1400 Date ES ATE Fane Date 08 27 2010 Routine Date ne 7 201N Status Pending Pending Pending Status Pending Status Active Active Status Dianna Active Status Denes Status Active Status Charned 4 b Show New oragon Un Suspend Reorder Sian Approve Verity Add Specimen Release DC Cancel Disc Stop al Disc Stop Disc Stop Disc Stop REET RIG ING Disc Stop ERE IER Disc Stop Re Disc Stop To view more information if available for any order select that order and double click on it The original order form is d
40. ns 19 Allergy Alert for Radiology Studies with CGontirast a 20 Discontinuing an Order 21 Orders for Equipment Central Transport 22 D picale ICT NE ANA 24 Se e EE 25 Filtering the Orders Tab 25 lee le VCO SA 27 Entering RVUs and Charges 28 Dep eE EG NAE E 28 Ordering a One Time Mea 29 WS SUNG TF IOO OCK aa E 30 Reordering a Previous Order 31 Discontinuing and Reordering AN Order 31 De elle TPC EE 33 Order Sets and QUICK PICKS aaa 35 Acknowledging orders nananana aaaaaaakaaaananaakananaunaakananaasansanasasasnsan 36 Viewing Order Order Set Details 22 002 000 maana aasa anaaanaaaa an 37 Rtl doe ae 2 0 ne ee AA ANA AP NENA AA ee eer 37 VIEW EE III EL eeh 37 WIEW SD SCL BE 37 View gt Details AA AA AA 38 Statuses Seen on the Orders tab for Lab Blood Bank and Radiology 38 SUSO EC La Re 38 SE E EE 39 Status Of Radiology Crderes a 39 IConnect101 Orders and Results REST E AA AA gee eae cee aa E A E E 40 Advanced Look at esulte 43 ele e NAA AA AA AA AA 46 PANGALAN TAN anan GONG ANNE NGANGA E nG Aah Na 47 Sumina VIEWS ACN AA AA APA PARA 47 Summary Views Allergiesiomments aa 47 Summary Views Care Providers aa 47 SUMA VIEN SIS IE AIS GONG EE 47 PUD d el AA 48 Current List Reports by Patent 48 Pending Nurse Collects Henort Aa 48 Documents Tab AA 50 Setting Document Tab Hreierences 51 Printing a Medication Reconciliation Uocument 52 External CHS Dat
41. nts to Remember e Pharmacy will discontinue all medication orders e Crediting a charge is done by discontinuing canceling the order be sure to choose Crediting charge as the reason ai connect IConnect101 Orders and Results ORDERS FOR EQUIPMENT CENTRAL TRANSPORT Dr Yu has written some orders for a Surgery Tray and a K Thermia Machine and K Thermia Pad Now we will enter some orders for yo and sterile supplies Click the Enter Order button on the Patient Header If the Requested By box appears select Dr Yu If it does not make sure the correct provider is listed at the top of the OEW Start of Browse a Click the plus EJ sign next to b Double click the order on the right c Date of Service type t for today d Cart Location leave blank cart location is only needed if the item is not being ordered for a specific patient Check the box next to Click OK maD Now that we have an order for a Surgery Tray we need to create a Central Transport Request in iConnect Acute Care to have the tray brought up to the nurse s station Manual Entry Type central in the box that reads Type here to enter order name Double click on the order Transport Type Number of Escorts Move from Move to type Transport Method Notice the option to check Transport with IV and Transport with O2 if you are completing a Central Transport request for a patient to be transported h Comments type
42. od and click the check box next to Graph under Display Format A graph will Report by Order Iw Graph appear at the bottom of the screen If the result you have selected cannot be graphed no graph will appear The graph displays the results from oldest to newest Abnormal results are indicated by a circle around the dot If you hover over the dot the numeric result appears at the bottom of the graph in place of the patient s name Hematocrit PCV Blood Hematocrit PV Blood 4 19 Mon z0 Tue Jul 2010 SMITH JAMES To hide the graph click the check box next to Graph again 42 connec IConnect101 Orders and Results ADVANCED LOOK AT RESULTS Let s return back to the Summary Display Format Selections on the Summary Display Format act like filters for the Report by Order and Trend View Display Formats Dothis What you ll see What just happened Click the Hematology o Hematology label label to select it turns dark blue We just selected all the Hematology results since o The entire row turns whatever the date is at the dark blue top Click the Hematology o Nowthe Hematology Now we have no rows label to de select it row is no longer dark selected blue Click the first day of the o The entire column Now we ve selected all CBC results at the top of turns dark blue results for this particular date the grid Click the last day of the o That entire column By clicking the date we ve CB
43. odules enforces rules like this This is a test question You should still be on the OEW Manual Entry Select Manual Entry from the drop down on the OEW or just start typing ct ab in the box that reads Type here to enter order name Matching orders will appear double click the CT Abdomen with Contrast order Review the NPO Protocol warning message and click OK The Allergy Status Unknown Alert appears There is no stop sign and the Proceed button is active but we must acknowledge this alert Click the Acknowledge In the Acknowledgement Comment box with the asterisk type the reason why the allergy status is unknown i e 2 Click the Complete order form using the following o Requested For Date Requested for Priority Time Transport Method Pregnancy Status If your patient is female you will be required to choose a pregnancy status this field does not appear for males choose no Reason for Exam Click OK O O O O O Do not submit your orders yet P connect IConnect101 Orders and Results DON T DELETE THAT COMMENT In order to review an important don t in iConnect Acute Care let s pretend we have an order for a few TRH Stimulation tests You should still be on the OEW Manual Entry a b N ampa h Select Manual Entry from the drop down on the OEW or just start typing trh in the box that reads Type here to enter order name
44. or you h Click OK Department Charges Department Charges are entered in a similar way but they are in their own category under Start of Browse Start of Browse Click the plus El sign next to Click the plus El sign next to Click the plus EJ sign next to Double click the Date of Service Staff Therapist Click the box next to Click OK form on the right TO om pn ER SE IConnect101 Orders and Results ORDERING A ONE TIME MEAL Since our patient still has not had anything to eat and is now on a Regular diet let s order some chicken fingers and fries It is not yet time for the next meal so we will place a One Time Meal diet order As there is no written order for a one time meal the patient is hungry and requesting it we will use the Attending as the Requested by provider Manual Entry Type diet in the box that reads Type here to enter order name Double click on the order Start Meal should be blank we want this order asap Ethnic Relig Food Preference let s just select Click the box next to Comments Other choices type for dipping your chicken fingers and french fries ex Honey mustard and ranch dressing or ketchup a KO Oo C o No Points to Remember You will also notice a Diet Replacement Tray order in the list of diet orders This order should be used in instances where the meal tray was dropped the child refused the food that was originally delivered the child ha
45. orm on the right if you look at the individual departments most of the available consults are here except for the following e Swallowing Function Study with OT on the OT and or PT Consult menu e Swallowing Function Study on the Speech Language Path menu NOTE you will need to create a separate order for a PT consult and an OT consult they cannot be ordered from the same form Click the box next to 3 ETETE Date Requested type t the system will automatically enter today s date Priority Don t pick any options as we are going to edit them later Click OK Click the box next to Start Date Priority Time Reason select Instructions type Click OK click OK again on the Consult order form and you will be returned to the OEW we are still not ready to submit our orders from the drop down ENTERING LABS ORDERS Lab Priorities Lab Collects e Routine e Clinic Timed Lab Collect Staff Other Than Lab Collect e ED ASAP e STAT e Critical e Timed This is a test question P connect IConnect101 Orders and Results Ordering Labs Dr Baldwin has written an order for a CBC w diff in the AM x 3 days Let s say the patient had a CBC in the ER the first CBC we order will be for tomorrow morning Start of Browse a Click the plus EJ sign next to b Click the plus sign next to c Double click the e Collection Date Type e Collection Priority Time e Collection Time 06 00
46. play Format is Report by Order As the name implies this lists the results in detail for each order Abnormal numeric results are indicated by a red arrow t pointing up or down based on the value Panic Values in Report by Order view are indicated by double arrows nio Documents Flowsheet ngg Panic Values are designated by double 09 23 2009 16 15 arrows FREE T4 1 50 0 75 1 54 NG DL 09 23 2009 17 00 Gentamicin Level Ran These are Gentamicin Level Random examples of high b 0 5120 MCG ML 09 23 2009 17 00 aaa Panic Values 3044 0520MCG ML f Gentamicin Level Trough 09 23 2009 17 30 GGT GGT 09 23 2009 17 30 Glucose Blood Glucose Blood E00 tt FOMC g 03 23 2009 17 40 Puer Low Panic Values would have double arrows pointing downward HI 40 75 MG DL aL Glucose CSF Km d Se e 40 Connect iConnect101 Orders and Results Corrected Results in Report By Order view are indicated by an H icon 11 18 2009 04 30 CBC No Diff Corrected Results WBC Blood D The H indicates there s a 8 42 6 00 17 50 THOUS uL KA ae EE corrected result available ADJUSTED FOR NUCLEATED ABC S 1 CORRECTED ON 11 18 AT 1528 PREVIOUSLY REPORTED AS 12 2 W Updated Results by Received Date Hemoglobin Wes ua o Hematocrit PCV Blood Cli a e Paa this 11 18 2009 15 28 WBC Blood MCH MCHC a o Platelet Count INCREASED
47. ple Safe Complete IConnect101 Orders and Results IMPORTANT THINGS TO REMEMBER e Make sure you have selected the physician who wrote the order when entering orders If you open an Order Entry Worksheet and have the wrong provider you can click Other which will open the Requested by pop up box e iConnect Acute Care treats everything as an order All charges RVUs floor stock sterile supply requests and Central Transport requests are entered using the Order Entry Worksheet e Info on Alerts Allergies and Care Providers can be viewed using the Patient Info tab e Invision can be used to send messages that are NOT patient related e Critical Tests must be ordered from the Critical Tests Order Set e On the Orders tab RIGHT clicking and selecting History 5 Status will show Who did what related to that order e On the Orders tab RIGHT clicking and selecting the View option will provide details on the order and if applicable the order set e The easiest way to discontinue a single order is to select the order RIGHT CLICK and select DC Cancel DLL l e To discontinue multiple orders on the Orders tab click DC Cancel e To document that therapy is no longer working with a patient go to the Orders tab select the order RIGHT click and select Complete Documents e To print documents go to the Documents tab e To make an RN or Therapist Assignment select the patient s and double click in t
48. r Diet Since our patient already has an active diet order we can expect to receive an alert when trying to place our new diet Order Manual Entry a Type det in the box that reads Type here to enter order name b Double click on the Diet Regular order on the right __ You do this Click eknowiedae button Use the drop down box next to Acknowledgment Comment and click the box that reads I have read and acknowledge this alert For the Diet Regular order the one you want to keep click the radio button that says f Keep This Order For the Existing Diet Diabetic order the one you want to DC click the red Start Meal meal Diet Type Unrestricted Ethnic Relig Food Preference Click OK Pop up Specify food preference may not be left blank Click OK Specify Food Preferences type Click OK That button changes to A red asterisk appears in the Acknowledgment comment box have read and acknowledge this alert now appears in the Acknowledgement Comment box The grey X in the Actions Column becomes a red DC Canceled appears in the Action Taken Column The E button appears in the Undo Column You are returned to the OEW and the Regular Diet appears in the Preview Area What you don t see is that the previous Select Yes from drop down box diet order the diabetic diet has been discontinued This is a test question Submit these orders by clicking
49. result to get more information Double click the flag for the CT order Double clicking brings up the Report by Order Display Format but ONLY the CT result is displayed Notice the plus EI sign on the Head CT row This indicates a written report is available for this order Click on the to view the report The Expanded Result box appears and the report is displayed When you are finished reading the report click the Close button at the bottom right of the box Notice at the top of the results screen that ln al tesulls are beng shoan appears This means it is possible there are more results available for this patient Click on in the Display Format box to return to the Summary view and see the remaining results This is a test question Double click the flag for the MRA amp MRI order Notice the camera icon To view the available radiology image click on the camera icon 01 12 2010 10 46 NUDAR WITH PAN AST MA gt 3 Syngo Viewer must be installed on the workstation for the image to display If you are on a workstation that has Syngo installed you will be able to view the digital image If the workstation does not have Syngo installed you will see this screen 46 connect iConnect101 Orders and Results PATIENT INFO TAB The Patient Info tab provides various details about your patient s visit We will briefly discuss a few of the items you can find on this tab With your patient selected click o
50. riorities you select e Status narrows down the list of orders based on the status or statuses you select i e only Active orders or only Pending Collection orders e Department narrows down the list of orders based on the department s you select i e only Laboratory orders When filters are applied and not all orders are being shown on the Orders tab you will see a message that reads Not all orders are being shown at the top of the orders list d Not all orders are being shown This is a test question To clear filters you must select the All option at the top of each filter SR connect IConnect101 Orders and Results Orders Tab Icons Here is a list of icons that you may see on the Orders Tab These icons identify specific types of orders or information associated with an order ICON DESCRIPTION Requested by Details views Requested by or Requested by Details views Requested by Details views Linked order set with an order set form This icon is available only in the Requested by or Requested by Details views chi STAT order PRN order Order has been modified and has a history This icon appears when a user uses the modify function to make a change to one of the fields on the order form for any order that is not on hold or pending verify does not include pending Rx verify KI Order is a member of a linked orders set Visible only in the By Department and by Department Status views A
51. s eaten the original tray and is still hungry the tray is missing from the meal cart or something is wrong with the food on the tray e SE IConnect101 Orders and Results ISSUING FLOOR STOCK Some areas will issue floor stock Floor stock items are items that are not pulled from the Pyxis When using Manual Entry to place an order in iConnect Acute Care for an item you must use a three letter prefix before typing the number for that item In the table below you will see that based on the color of the label or sticker that you found on the floor stock item there is a unique prefix for that color LABEL COLOR PREFIX This is a test question For our example let s say we ve borrowed three of the same item from Clinic 1 with a yellow label sticker that contains the number 3020304 We need to issue floor stock back to Clinic 1 to replace what we ve borrowed As with any order where there is no accompanying written order from a provider we will select the Attending Physician in this case Dr Yu Manual Entry Type Double click on the Cart Location select Quantity 3 Click OK in the box that reads Type here to enter order name order so the items will be replaced to their cart manaig Now submit these orders by clicking on the Submit Order s button and entering your password SR SE IConnect101 Orders and Results REORDERING A PREVIOUS ORDER Dr Yu has spoken to th
52. stem at the time it is collected and the Add Specimen is performed immediately following the submission of the order s We will use this process for our training While Dr Baldwin was in earlier he ordered a Stool for C Diff The specimen has now been collected We are also going to place an order for a STAT Type and Screen for one unit of cross matched PRBCs Packed Red Blood Cells written by Dr Baldwin We will place the orders and perform the Add Specimen task for both now First we will order the Stool for C Diff Click the Enter Order Button on the Patient gelt If the Requested By box appears select Dr Baldwin from the list of Current Providers If it does not make sure he is listed at the top of the OEW Use the Other option if necessary Manual Entry a Type c diff in the box that reads Type here to enter order name b Double click the Order c Collection Priority Time d Source Description e Click OK Now we ll place our Blood Bank orders Start of Browse a Click the plus LI sign next to b Double click the order on the right the form opens notice the various options are categorized in boxes c Collection Priority Time STAT d List all patient known antibiotics type gt Check the box next gt Number of units gt Click OK Submit the orders by clicking on the Submit Order s button for your patient and entering your password SS SE IConnect101 Orders and Results
53. t The patient is allergic to penicillin with an anaphylactic reaction We currently have Allergy Status Unknown listed for our patient Let s update this information in iConnect Acute Care With the correct patient selected click on the Red Itchy Man R icon on the toolbar Click the Add New Add New button e Select aaa e Type these categories types help us find the allergen we are looking for more easily for instance a latex allergy is found under the Contact type a contrast allergy is found under the Drug Category type e Allergen click the drop down and choose OR start typing penicillin in the box if typing you must type quickly e The Reaction Details box appears choose Anaphylaxis notice there is an unknown selection if needed e When entering multiple allergies you can click the Apply pp button go ahead and click OK Notice the screen updated to show the allergy info you just added Click the box next to Show Inactive to see any previous allergy information 7 Show Inactive VIEWING ALLERGY DETAILS amp HISTORY In the Allergies Summary box select Allergy Status Unknown and click the Details bsa buton e The Entered box shows who entered the info and when e The Last Modified box shows who last modified that allergy and when e Click OK Select Penicillin and click the e The Discontinue _ Discontinue button for this allergy is active meaning you can discontinue or inactivate t
54. the Submit Order s button for your patient and enter your password 24 connect Simple Safe Complete iConnect101 Orders and Results ORDERS TAB The Orders tab provides a view of all the orders that have been placed for a patient The Order ID can be quickly found on the summary line for each order For lab orders you will see Lab to Collect or Nurse to Collect on the summary line as well The Status of an order varies EGLI Orders SET To P Status Priority f All GG Order Selection To All E Display Format By Department Sort Sequence Date Time D IT Show Link Details Show Visit Details Patient Info Documents Flowsheets Clinical Summary External CHS Data Since 031 7 2010 H DI Start of This Chart Laboratory CBC PLT with Auto Diff OrderlD 001BBJ677 Lab to Collect 06 00 Source Blood BLD draw from left only CBC PLT with Auto Diff OrderlD 001BBJ676 Lab to Collect 06 00 Source Blood BLD draw from left only CBC PLT with Auto Diff OrderlD 001BBJ675 Lab to Collect 06 00 Source Blood BLD draw from left only Pediatric Imaging ABDOMEN WITH CONTRAST CT OrderlD 001BBJ678 Routine Nursing Central Transport Request 08 27 2010 0rderlD 001BBJ680 Routine Pick up Escorts 1 Move from sterile processing Move to 4 east Transport Method Carried surgery tray Ai Central Transport Request 08 27 2010 0rderlD 0018BJ682 Routi
55. ut a specific visit and the Open Visit s button will open the selected visit s in the Patient List tab as a Temporary List vw SE IConnect101 Orders and Results PRINTING REPORTS There are many reports that can be created by iConnect Acute Care Some reports will gather information across the entire system Other reports will be based on specific criteria Still others are based on the current list the user is displaying whether it is a criteria based personal or temporary list We won t discuss all of the available reports but we will take a look at a couple to give you an idea of how to access and print them Current List Reports by Patient This report displays a list of the patients in your current list displayed in order by location and room number An alphabetical list can be obtained by using Detailed Patient list by Patient Using the instructions below the information on this report will be Primary Provider any comments all care providers all diagnosis types and all allergies 1 From the Patient List tab click the on the toolbar at the top of the screen 2 Select Patient Lists from the Report Category drop down list 3 From the list of available reports choose 4 Click the E 5 There s only one option Print Primary Provider which is already checked 6 Click the Preview 7 If you are satisfied with the report that is generated on the screen you can click the Print button 8 To close the r
56. uture Yes date but not yet performed Active Study has been ordered for today but Yes not yet performed Specimen Received Procedure has begun No In Progress Preliminary Results Preliminary results are available These No Received results are not final 1 or more Final Results Final results are available No Received If a radiology order has been discontinued canceled one of the following will be displayed e Discontinued e Canceled e Canceled by the Performing Department E SE iConnect101 Orders and Results RESULTS LAB Now we will discuss how to review results in iConnect Acute Care Results can be displayed in three formats We will take a look at all three With your patient selected for training choose the patient with the last name Smith click on the The default Display Format is the Summary format Since If no results appear immediately you may need to modify Received fe Performed the view to show older results on the screen Use the 05 31 2010 SH Since drop down on the left side of the screen to select Three months ap zl an older time frame and use the scroll bar at the bottom of the screen to scroll backward until you see available results indicated by yellow or red flags Retain for next patient Yellow E flags mean there is a result available however you must read the result to know if it is normal or not A red flag indicates an abnormal result The next Dis
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