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TOXICALL® 4.6 Basic Functions – User Manual

1. Case Notes can be bold italic underlined and or colored A user with Supervisor rights must set these options in the Configuration window For more information see the Supervisor manual To use the options simply click the appropriate button underneath the Notes section Note Color options will not be available when spell check while typing is used 5 10 1 Case Notes Pop up Window The Case Notes Pop up window allows a SPI to open case notes on top of the displayed case in Toxicall To use this feature on an open case select the View menu and choose Case Notes or hit the F7 key Enter your notes and close by clicking the X in the upper right hand corner of the pop up window 1999 2007 All Rights Reserved This Manual can be reproduced by licensed TOXICALL subscribers for internal use only Computer Automation Systems Inc 6718 S Richfield St Aurora CO 80016 303 680 7774 Page 50 of 88 TOXICALL 4 6 Basic Functions User Manual omputer utomation ystems 5 10 2 Case Notes Entry Box Patient and caller information as well as any additional information pertaining a case may be saved by entering the data into the Case Notes box To enter notes in the Case Notes box click in the box and enter the notes Note1 As notes are entered a time stamp will automatically be displayed before the text unless you are editing an existing note However It is possible for the user to enter the curre
2. Page 12 of 88 TOXICALL 4 6 Basic Functions User Manual omputer utomation ystems Local Database Displays case list from local database af Network Database Displays case list from network database MY Exit Exits Toxicall p Help Displays help information 1999 2007 All Rights Reserved This Manual can be reproduced by licensed TOXICALL subscribers for internal use only Computer Automation Systems Inc 6718 S Richfield St Aurora CO 80016 303 680 7774 Page 13 of 88 TOXICALL 4 6 Basic Functions User Manual omputer utomation ystems 4 Search Window To open the Search Window you can click the binoculars toolbar icon click the local database toolbar icon to go to the local Search window click the network database toolbar icon to go to the network Search window or pull down the View menu and select the Search option The Search Window looks very similar for all databases local network and archive When the Toxicall Search window is first opened it will open into the Case List display mode 4 1 Case List and Case List Advanced Toxicall Search Cases 1 selected and 19 Total E i z iol x amp File Search View Supervisor Window Help _ x Dg e E a Display Case List eal Search Name ae Location Network Database 1 Case List 2 General Search Clear fo Max Cases Case Information Patient Caller Substance Caller Firs
3. windows in a cascading view style Toxicall f xj File view Supervisor Window Help DOBB em AS SR amp Search Cases 1 selected and 4 Total Case 1 999 2002 i Case 15 999 2001 FERTILIZER UNKNOWN z Exposurc Info Exp Time A Acuity Y T Mrtinn v l 10 3 Tile Vertical The Tile Vertical option under the Window menu will arrange all open windows on the screen side by side Toxicall File View Supervisor Window Help DERS m RASBA UM Case 17 999 2002 o x Search Cases 1 selected and 2 Tot ioj xj Case 2 999 2002 Y ioj xj Caller Data Patient Data Call Information isplay Case List Search v Caller Data Patient Data me Joe ee az jon zation Local Database x ae Clear fo Max zf ef i Cases ddr Reaso 1 Case List 2 General Search T Quick Search gt P 4 Health ce v Expos Case Priority Status SPI Initial Assigned Sta gt 17 i Quick Super 01 08 2002 16 29 re Jlo vjecar f 2 Quick _ Super 01 08 2002 16 20 rel J Kelps ae S H Sa Exposure Info TEE i Gall Tr Exposure Inf i Call rec Anima i2002 j Ha 1 8 2002 rt f 8 2002 rt Exp J sl l l p Exp t b Route Route Aes x T Y No Verbatim 0 _ No _ Verbatim 0 4 gt Slinical Thera Scene Medical Outcome Managem Free Areas Medical Outcome Managem Free Areas ES o Bab f A A
4. 5 1 5 Help Help Contents Opens the Help online documentation to the Table of Contents Help on Help Opens information on how to use the Help online documentation Toxicall Web Site Home Page Opens the Toxicall website in a browser window Revision Information Opens the Toxicall website to the 1999 2007 All Rights Reserved This Manual can be reproduced by licensed TOXICALL subscribers for internal use only Computer Automation Systems Inc 6718 S Richfield St Aurora CO 80016 303 680 7774 Page 26 of 88 TOXICALL 4 6 Basic Functions User Manual omputer utomation ystems Revision page which details change information for current and previous versions of Toxicall Download Page Opens the Toxicall website to the download page with upgrade and full downloadable versions of Toxicall additional Microsoft drivers that are needed and current copies of the manual Send Workstation Error Log Sends the file detailing errors in Toxicall for that particular workstation to Toxicall via ftp Note Only send this file when requested by Toxicall Technical Support send Workstation Case Log Sends the file containing case change information for that particular workstation to Toxicall via ftp Note Only send this file when requested by Toxicall Technical Support Send Network Shutdown Log Sends the file detailing shutdown errors in Toxicall for all machines
5. 222 3333 5 3 3 Area Code Zip Code Lookup i dip Code Area Code Lookup Area Code ja Ci s ll 4s Refresh ME sd State roy A IPS b 0227 303 Denwer O Denver P 38031 a03 Denver Denver 15031 303 Denver Denver F 38031 303 Denver ca Adame iP 3001 303 Denver co Denver P 8031 303 Denver CO Denver P 18031 80224 303 Denver CO Denver F 38031 m Lan r Pes r Laan Replace Cancel The caller s city state and zip can be entered by typing the data in the Addr field or can be automatically entered by performing an area code lookup This is especially useful when an area code zip code state city or county is unknown To use this feature open a case and in either the Callers Phone Number or Addr field hit Ctrl L Enter the callers area code or known zip code in the field at the top of the window that opens and click the Refresh button Select the best choice with either a single click on the appropriate line and clicking Add or double click the appropriate line City state zip county and area code information will be propagated into the case If a phone number is not entered the area code will be entered automatically In the display below the data in blue would be propagated into the caller s Addr field Note1 The Zip Code Area Code Lookup database can be filtered by typing an area code into the area code field However if an area code has already been en
6. Page 55 of 88 TOXICALL 4 6 Basic Functions User Manual omputer utomation ystems 5 13 Therapies w Therapies RB N Decontaminal F P N trer cont 2 PAM Pacemaker Penicillamine Physostigmine Phitonadione TT Pyridoxine Sodium nitrite Sodium sheoids SUCCIMer Transplantatia Yasopressors COC Ventilator Other CAE P HJ Other cont Catdovetson Deeroxamine Otser Alkalinization Armd nitrite Artiarrhythmic Artibiotics T Artiemetics ganggas OOOO OOOO oOo FJOOOOOOO O00 Ethanol Extacarp Fab fragments Fluds Iv Artihistamines Artihypertensi Artivenin fab Atropine al Benzodiazepir F Eronchodilato Flunazenil C Folate Fomepizole MUC Gleeagon AAA gaa E C C mjm F F F AO AAA AAA A jm Therapy Cancel Option Therapies have three checkboxes with four possible selections o Recommended R o Performed P o Recommended R and Known not performed N o Recommended and Performed R P To select a therapy click the Therapies field center middle portion of the open case screen Select therapies to record and click the OK button to save Clicking Cancel will not save the selected therapies Once a therapy has been selected Toxicall will populate therapies into the Therapies field and color code them o Recommended will be displayed in black text o Performed will be displayed
7. TOXICALL 4 6 Basic Functions User Manual omputer utomation ystems 8 Save Case Window Save Case 15 999 2001 Case 15 999 2001 status il i Follow up Priority 20 umber Assigned To ka Follow up Time es UE 30m th an an an 24h Save to Hetwork f Keep Local T Pioa Ha Automate Peace 10 25 01 12 46 50 PM SUPET The Save Case window allows you to select case status assign the case to an SPI set a follow up time set a retroactive start time keep the case on the local database or move the case to the network database This window is reached by Cancel Initial SPI selecting the File led menu then Save or clicking the Save Case toolbar icon or using Ctrl Q or clicking the X in the upper right of the Case window to close it 8 1 Case Status Toxicall has three Case Status values Open Closed and Quick Saved 8 1 1 Open Open case status is used when the case requires follow up Cases saved with an Open status will not be validated All open Case Notes will be saved to the Historical Notes field and cannot be edited or deleted 8 1 2 Closed Closed case status is used when the case has been completed and no follow up is required A case must pass AAPCC and Site Specified validations to be saved with a Closed status 8 1 3 Quick Saved Quick Save case status will save the case to the local 1999 2007 All Rights Reserved
8. go to the Start button Programs and find Toxicall in the list that pops up and then click on it It will begin to start then show a button that says Continue click the button and then the Logon box will appear Toxicall User Logon i 2 ol x OP Name Pip Billings Password Cincel Simply select your name from the SPI Name drop down list and enter your password in the appropriate field You can either use the mouse to scroll through the list or start typing your name as it appears in the list to bring your name to the top Click OK when you are done and Toxicall will open provided you entered the correct password lf you do not see your name in the drop down list contact your Supervisor 1999 2007 All Rights Reserved This Manual can be reproduced by licensed TOXICALL subscribers for internal use only Computer Automation Systems Inc 6718 S Richfield St Aurora CO 80016 303 680 7774 Page 8 of 88 TOXICALL 4 6 Basic Functions User Manual omputer utomation ystems 3 Main Window Toxicallim File view Tools Window Help When Toxicall is first opened you will see the screen above if you have Supervisor rights If you do not have Supervisor rights you will start from the Search window next section From here you can do a number of tasks such as open a new case view cases in the local or network databases or go to the Search window 3 1 Menus Note You may n
9. 5 O gt A L P K Alt 1 Alt 2 Alt L Toggles between Acute and Acute on Chronic Becomes Acute on Chronic with hours Selects Chronic Selects Chronic and hours Becomes 20s 30s 40s etc Selects Unknown Adult Selects Unknown Child Becomes Less than 5 Becomes 6 12 years Becomes teens Weights Becomes pounds Becomes pounds Becomes kilograms Selects the Case List tab Selects the General Search tab Selects clear search criteria Alt S Performs a search on database 1999 2007 All Rights Reserved This Manual can be reproduced by licensed TOXICALL subscribers for internal use only Computer Automation Systems Inc 6718 S Richfield St Aurora CO 80016 303 680 7774 Page 81 of 88 TOXICALL 4 6 Basic Functions User Manual omputer utomation ystems 12 Windows Functions 12 1 Moving Between Fields Toxicall allows users to move the cursor between fields with the keyboard You can use the TAB key to move orderly through each field or you can use Alt and the underlined letter of the section where you would like to go For example to go the first field in the Free Areas section use Alt A for the Patient Data section use Allt P 12 2 Tool Tips Toxicall amp Case 17 999 2002 S File View Supervisor Window Help Search Window Tool tips are snippets of text that appear when you hold your mouse over an icon or button that has been set up t
10. A Initial Final m E E J Final j n al inal EE inal ma T el 1999 2007 All Rights Reserved This Manual can be reproduced by licensed TOXICALL subscribers for internal use only Computer Automation Systems Inc 6718 S Richfield St Aurora CO 80016 303 680 7774 Page 77 of 88 TOXICALL 4 6 Basic Functions User Manual omputer utomation ystems 10 4 Tile Horizontal The Tile Horizontal option under the Window menu will arrange all open windows in a stacked format CIT Corr Lit Per Uns Certainty Formulyion POH Code Generic Code Feat 10 5 Open Windows The Window menu lists all the current open windows at the bottom of its list To bring one of the windows to the front to work with select it from 1999 2007 All Rights Reserved This Manual can be reproduced by licensed TOXICALL subscribers for internal use only Computer Automation Systems Inc 6718 S Richfield St Aurora CO 80016 303 680 7774 Page 78 of 88 TOXICALL 4 6 Basic Functions User Manual omputer utomation ystems Toxicalli Bile View Supervisor window Help OMAE Arango Icons Cascade Tile Vertical Tile Horizontal Se ee 1 Search Window 47 2 Case 2 999 2302 v 3 Case 17 999 2002 4 Case 19 999 z002 VP ci Case 15 999 z001 FERTILIZER UNKNOWN 1999 2007 All Rights Reserved This Manual can be reproduced by licensed TOXICALL subscribers for in
11. Examples the Toxicall login Call Type field When enough letters have been typed and Toxicall recognizes the entry similar items will automatically appear in the field 12 3 8 Selecting from Combo Boxes with the Keyboard To use the keyboard simply move the cursor to the dropdown list field and begin typing your selection When enough letters have been typed and Toxicall recognizes the entry similar items will automatically appear in the field Example In Call Type field find entry Other environmental Click in the entry box for Call Type and start typing other e You will see the filter applied to the options and your choice appears 12 3 9 Selecting from Combo Boxes with the Mouse To use the mouse click on the down arrow to the right of the combo box scroll to your desired entry and click on it 12 4 Selecting Cases Selecting Cases allows the user to open cases download selected cases upload selected cases move selected cases or create reports based on selected case data Note Toxicall uses Windows standards in the selection process 12 4 1 Selecting Contiguous Cases To select cases that are consecutive in the case list view click on the first case you would like to select to highlight it Press and hold the SHIFT key and click on the last case you would like to select This should highlight all cases in between Release the SHIFT key 1999 2007 All Rights Reserved This Manual can
12. O O 5 3 7 Clear Caller Information Button Clicking the Clear Caller Information button and clicking Yes in the message box that displays will clear all data that has been entered in the name phone and address fields in the Caller Data field Note If Self or Same Address has been chosen name phone and address data will be cleared in both the Patient and Caller Address sections 5 4 Patient Information 1999 2007 All Rights Reserved This Manual can be reproduced by licensed TOXICALL subscribers for internal use only Computer Automation Systems Inc 6718 S Richfield St Aurora CO 80016 303 680 7774 Page 32 of 88 TOXICALL 4 6 Basic Functions User Manual omputer utomation ystems Patient Data ADD Mare Phone der 5 4 1 Name Enter the patient s first name last name and title if applicable Patient s Name can be entered in several different formats such as John Doe Doe John Doe John Dr Dr John Doe Note Upon saving the case Toxicall will save the patient s name as either first name lt space gt last name or as title lt spaces gt first name lt space gt last name 5 4 2 Phone number Enter patient s phone number in one of the following formats HEHHHHHHHH or HHH HHH HHHH Example 1112223333 or 111 222 3333 Note1 Upon saving the case Toxicall will automatically save the patient s phone number as 111 222 3333 1999 2007 All
13. This Manual can be reproduced by licensed TOXICALL subscribers for internal use only Computer Automation Systems Inc 6718 S Richfield St Aurora CO 80016 303 680 7774 Page 69 of 88 TOXICALL 4 6 Basic Functions User Manual omputer utomation ystems database and keep Case Notes open in the Case Notes field which will allow the notes to be edited or deleted when the case Is reopened 8 2 Follow up Number Follow Up Number is used to track the number of times notes have been added to acase The Follow Up Number tallies the number of timestamps that are added to the Historical Notes field which is located in the upper left corner of the Case Window Note1 The Follow Up Number can be incremented by one by placing a check mark in the Follow Up Number checkbox This can be used when a follow up time was established but a time stamp was not used Note2 It is possible to change the number of follow ups by clicking in the Follow Up Number box and typing in the correct number of follow ups 8 3 Follow up Time Follow Up Time allows the user to set a time at which the case should be followed up To clear the information in the follow up time field click the erase gt button 8 3 1 Follow up now To set the follow up t ime to the current date time click the Now button 8 3 2 Pre set follow up time 30m h 2h an sh 24h Clicking the time buttons will automatically set the follow up time for a speci
14. a case can be closed Refresh Menus Refreshes the menus and enforces appropriate menus and toolbar items to be displayed 1999 2007 All Rights Reserved This Manual can be reproduced by licensed TOXICALL subscribers for internal use only Computer Automation Systems Inc 6718 S Richfield St Aurora CO 80016 303 680 7774 Page 18 of 88 TOXICALL 4 6 Basic Functions User Manual omputer utomation ystems 4 2 4 Supervisor All Selected Cases Unlock Cases Allows user to unlock all highlighted cases Cases are locked when they are opened on a particular machine so that other users can t change the data However there are some instances where this is necessary Reset Scanout Flag Allows user to reset the Scanout Flag on all highlighted cases which designates which cases have previously been scanned out of Toxicall This allows cases to be resent to TESS The Scan Out flag can also be reset by opening a case and changing any information in it or re selecting a field Delete Cases Allows user to delete all highlighted cases on displayed database Remove UCF Data from Cases Removes any UCF data from the selected cases All Displayed Cases Unlock Cases Allows user to unlock all displayed cases Reset Scanout Flag Allows user to reset the Scanout Flag on all displayed cases which designates which cases have previously been scanned out of Toxicall Renumber Case Allows U
15. be reproduced by licensed TOXICALL subscribers for internal use only Computer Automation Systems Inc 6718 S Richfield St Aurora CO 80016 303 680 7774 Page 84 of 88 TOXICALL 4 6 Basic Functions User Manual omputer utomation ystems 12 4 2 Selecting Non Contiguous Cases To select cases that are not consecutive in the case list view click on the first case you would like to select to highlight it Press and hold the CTRL key and click the other cases you would like to select This should highlight all the cases that you have clicked as choices Release the CTRL key 12 5 Highlighting Text Highlighting or selecting text will allow the user to perform certain actions on the selected text which include copying deleting bolding underlining and assigning color Once the text is highlighted the action you perform will affect only the highlighted text To highlight text place your cursor to the right or left of the text to be highlighted press and hold the left mouse button and move the mouse over the text When the desired text has been highlighted release the mouse button 12 5 1 Deleting Text To delete the text highlight it then press the Delete key to remove the text Note If there is text to be entered in place of text to be deleted begin typing over the old text after it is highlighted and your new text will replace the old 12 6 Changing Time Options Time and Date 1999 2007 All
16. in red text o Recommended and Known not performed will be displayed in blue text o Recommended and Performed will be displayed in pink text 5 13 1 Therapy option 1999 2007 All Rights Reserved This Manual can be reproduced by licensed TOXICALL subscribers for internal use only Computer Automation Systems Inc 6718 S Richfield St Aurora CO 80016 303 680 7774 Page 56 of 88 TOXICALL 4 6 Basic Functions User Manual omputer utomation ystems Toxicall Warming Setting this option will clear all performed Therapies Are you sure You want clear all performed Therapies Therapy Option can be found in the drop down list box of the Therapies pop up window Available therapy options No therapy provided Observation only Patient refused any help Unknown if therapy provided O O O 0 Note If option Unknown if Therapy Provided is chosen and a Performed Therapy has previously been selected a window will be displayed stating that Setting this option will clear all performed therapies Selecting Yes to this window will remove all therapies 5 14 Scenarios Section The Scenarios further track how an exposure occurred There are a number of options to choose from but the main categories are o Dose o Vapor o Child Resistant Closure o Access o Confusion o Pesticide o Miscellaneous 1999 2007 All Rights Reserved This Manual can be reproduced by licens
17. internal use only Computer Automation Systems Inc 6718 S Richfield St Aurora CO 80016 303 680 7774 Page 59 of 88 TOXICALL 4 6 Basic Functions User Manual omputer utomation ystems Anticipated permanent Unknown 5 15 3 Management site This field is used to track where an exposure was managed Management site options are Managed on site not a HCF Patient in or already en route to HCF n Treated evaluated and released n Admitted to critical care unit n Admitted to non critical care unit n Admitted to psychiatric facility n Patient lost to follow up left AMA Patient was referred by PCC to a HCF Ref Treated evaluated and released Ref Admitted to critical care unit Ref Admitted to non critical care unit Ref Admitted to psychiatric facility Ref Patient lost to follow up left AMA Ref Patient refused referral did not arrive at HCF Other Unknown Note Choosing Patient in or already en route to HCF Patient was referred by PCC to a HCF and Other will require that an initial heath care facility be declared 1999 2007 All Rights Reserved This Manual can be reproduced by licensed TOXICALL subscribers for internal use only Computer Automation Systems Inc 6718 S Richfield St Aurora CO 80016 303 680 7774 Page 60 of 88 TOXICALL 4 6 Basic Functions User Manual omputer utomation ystems 5 15 4 Initial Health Care Facility HCF Healthcare Faci
18. reproduced by licensed TOXICALL subscribers for internal use only Computer Automation Systems Inc 6718 S Richfield St Aurora CO 80016 303 680 7774 Page 87 of 88 TOXICALL 4 6 Basic Functions User Manual omputer utomation ystems Note from the Author Dear Toxicall subscriber Our team has been working on this document from many perspectives to try to bring the best documentation we can to you We will be updating it as further enhancements are added to Toxicall We respectfully understand that people learn from different techniques To that end we would enjoy hearing any feedback that you might have for consideration for a future version of this documentation Thank you for your support The Toxicall Team 1999 2007 All Rights Reserved This Manual can be reproduced by licensed TOXICALL subscribers for internal use only Computer Automation Systems Inc 6718 S Richfield St Aurora CO 80016 303 680 7774 Page 88 of 88
19. specific workstation and the dates they were installed Toxicall Web Site Home Page Opens the Toxicall website in a browser window Revision Information Opens the Toxicall website to the Revision page which details change information for current and previous versions of Toxicall Download Page Opens the Toxicall website to the download page with upgrade and full downloadable versions of Toxicall additional Microsoft drivers that are needed and current copies of the manual Send Workstation Error Log Sends the file detailing errors in Toxicall for that particular workstation to Toxicall via ftp Note Only send this file when requested by Toxicall Technical Support Send Workstation Case Log Sends the file containing case change information for that particular workstation to Toxicall via ftp Note Only send this file when requested by Toxicall Technical Support Send Network Shutdown Log Sends the file detailing shutdown errors in Toxicall for all machines via ftp Note Only send this file when requested by Toxicall Technical Support Send Network License Information Sends the Network License file to Toxicall Technical Support via ftp This function is used when new Toxicall workstation licenses are required Note Requests for new licenses should not be made prior to 14 days of expiration Please notify Technical Support when you send this file 1999 2007 All Rights Reser
20. to Create Custom Labs to collect lab data within a case o Ability to create Continuous Quality Improvement CQI tests for Quality Assurance 1999 2007 All Rights Reserved This Manual can be reproduced by licensed TOXICALL subscribers for internal use only Computer Automation Systems Inc 6718 S Richfield St Aurora CO 80016 303 680 7774 Page 5 of 88 TOXICALL 4 6 Basic Functions User Manual omputer utomation ystems o Integration with two Call Recording Systems Higher Ground and Mercom allowing you to associate call recordings with cases and listen to calls from within TOXICALL o Multiple Document Interface MDI Display TOXICALL has the ability to display multiple cases simultaneously o Can specify a follow up date and time and see it in default search display o Ability to customize searches and save the criteria for later use o Cases can be prioritized as Low Medium and High o AAPCC Reports included and ready to use o Ability to upload cases real time to AAPCC Autoupload o Ability to setup predefined information that can be entered into the Notes section with the click of a button Keycuts o Ability to upload to the network database immediately upon saving the case o Windows are resizable and moveable or can be set to maintain size and position o Zip Code Area Code lookup queries performing a lookup will insert area code city state zip and county in appropriate fields o QA funct
21. to make sure that the cases were moved as expected If you would like the cases copied to the other database check the Copy Cases checkbox as well A message will pop up asking if you are sure you would like to copy these cases click Yes Please be aware that this will create duplicate cases on the two databases involved This can be problematic if changes are made on both copies of the same case Note To select contiguous cases from a database highlight the first case by single clicking it and highlight the last case while holding down the Shift key All cases between the first and last case selected should be highlighted To select multiple cases not listed contiguously highlight the first case by single clicking on it locate the next case and while holding down the Ctrl key click on that case Repeat until all cases have been selected iDJ xI Source Database iit Database Destination Database to Move Case Local Database OK Selected Cases 7 total C All Displayed Cases 24 total Cancel Copy Cases Copy System Tables 9 2 Moving Copying All Cases To move all cases from one database to another the procedure is virtually the same as moving selected cases except that you choose the radio button next to All Displayed Cases This would also be the case for copying all cases except you would also check the Copy Cases 1999 2007 All Rights Reserved This Manual can be reproduced by licensed TOXI
22. to search a display to further limit what information is shown The list of cases from the Search window has color coding for different columns below is a Summary Column Color Meaning o Patient Managed Site was referred by Toxicall 4 3 Basic Functions User Manual 1999 2007 All Rights Reserved This Manual can be reproduced by licensed TOXICALL subscribers for internal use only Computer Automation Systems Inc 6718 S Richfield St Aurora CO 80016 303 680 7774 Page 22 of 88 TOXICALL 4 6 Basic Functions User Manual omputer utomation ystems po PS to HOF Priority Red Hi status Blue _ status Red QuickSaved SPlinifigVAssigned Red Case assigned to SPI s name in red SPI Initial Assigned Original SPI who took the call Follow Up Time Red Follow up time is past due Call Type Green Exposure Location Allows the user to select which database to use for the next search Note to change the database you must first choose it from this dropdown list and then click the Search button to activate it Thus the displayed name may not have been used for the currently displayed cases search Name Allows the user to select a predefined or saved search Note to change the Search Name you must first choose it from the list and then click the Search button to activate it Thus the displayed name may not have been used for the currently displayed cases ol Clear Search Criteria w
23. 016 303 680 7774 Page 3 of 88 TOXICALL 4 6 Basic Functions User Manual omputer utomation ystems EZ OO TS sess A DEEA E E 82 12 3 Radio Buttons Checkboxes and Dropdown Lists c cc ceeseeeseeeceeeeeeeeeeeeees 82 CoL POBO Ss ane ee oe ere eee a eey one 82 o 01 lt 6 0 0 eee ere en eon Renn ee Roe tre nee eT Mite Tree ee aon eer e err ere eee rer 83 oo MOD OW UG as secs tence serene ces denies oacensenecigtes orsaoceame dee seeotdynuncesceneees 83 Loa E Bee E EE 83 12 3 5 Selecting from List Box with Keyboard ennnessseooeenssssssssseeessssssseeeees 83 12 3 6 Selecting from List Box with MOUSE sssssneesssesssssseerssssssssseerssssssseeeees 84 Po CONO BO E E E A E ee nee 84 12 3 8 Selecting from Combo Boxes with the Keyboard cc eeeeeeeceeeeeeeees 84 12 3 9 Selecting from Combo Boxes with the Mouse ccccsssseeseeeeeeeeeeees 84 B E 2671 0 0 Sag Or Isl oh eee ee eee eT Oe mee eer Pe mane erent eer ee eer eee 84 12 4 1 Selecting Contiguous Cases rani cesiivsiccsersussisierarvcessiusensivvarsceraseadensvodacetdeasys 84 12 4 2 Selecting Non Contiguous Cases cccccccccccccccesseeeeeeececeeeeaeeesseeeeeeeeeeaas 85 MMe T a E E ant cceneence 85 Cod Deine Tor eee T 85 12 6 Changing Time Options Time and Date Formats nssessseeeeeesssssseeeesssssseee 85 1999 2007 All Rights Reserved This Manual can be reproduced by licensed TOXICALL subscribers for inter
24. 16 303 680 7774 Page 15 of 88 TOXICALL 4 6 Basic Functions User Manual omputer utomation ystems Toxicall Search Cases 1 selected and 0 Total B lol xj S Eile Search view Window Help 15 x Dagor Display Case List Advanced Search Name S v Location Network Database s Search Clear fo Max Cases amp 1 Case List 2 Case Information 3 Patient Caller 4 Substance Exposure 5 Clinical Effects 4 6 Clinical Effects 2 7 Therapy Outcome 8 Scenario Cardiovascular Throat irritation Asystole Vomiting Bradycardia AST ALT 1 000 Cardiac Arrest Bilirubin increased Chest Pain Inc Cytopenia Conduction disturbance DIC Dysrhythmia other Hemolysis Dysrhythmia v tachiv lg AAAA AAI 04 AAAA AA AKI el lelelelel T0000 94 Ka ika ika ika ika ka ka PT prolonged 4 2 Menus Note You may not be able to see all the options listed below if you have not been given the appropriate permissions 4 2 1 File New Case Opens the Case Entry window with a blank case Open Case Opens the case highlighted in the Search window Open Read Only Opens the case highlighted in the Search window but prevents you from making any changes Close Search Window Closes the Search window and takes you back to the Main window Database Network Displays the Network database Local Displays the Local database 1999 2007 All Rights Reserved This Manual c
25. 7 7 Slo E l a2 E E AE E er EA oo ener 45 5 7 8 RCO DoE ereere E E ETEEN 46 5 7 9 Number of Substances ccc ccc cceccscccesccscccsccesscuscescesscesscesccescesscesseescens 46 5 7 10 Switching Substance CPUC i i cccsiesncqatenctoneantnaaqnentosedasvudenemcneteeaivenecansenincse 46 5 7 11 Historical Substances Window 0 cc ce cceccseccssccsccesscesscesscussesscenseenseusces 46 Ded SAW MVS SS E a och seo seca cama eonedtonsosaieo stent soe somsiatetatess ee cendatetaaacs veroe 47 3J Mee 281020 D101 5 0161 Fie d Seen ne a 47 5 8 Exposure Mtormaton Field ssrsps arr a N E Er 47 5 8 1 ja Dia oe E E E A E E E E E tenace 48 59 Route Expos re Field svi ccssesiesessnuncaceacccneadsanneccdbaainvetsnuetaddadldnwadsanneccdbaaieestions 49 5 9 1 PC I E AE A E A E EET 49 LO CNE Yl 6 010 0 aE EE EEEE 50 5 10 1 Case Notes Pop up Window cccccccsssssseccecceeeseeeeeseeceeeeeeeaeaeeeseceeeeeeeaas 50 3410 2 Case Notes Enity BOX ire crexenctierasaiecieetcsncsaqasevanesantnevecasencieenesnerpeasunrssaeinupo 51 ea MASS e E N E E lacs 51 ey T ADUS oreen rei re EEO Er AEE E EE in 51 De ACCS anes cetera sence sehen esses so caes eeegeneeestane ee tesatenlaseemeeseseeseienetrce 52 OS CC Eea S E 53 FOF R iil A a AE EAA 53 5 10 8 Historical Written NOES ssiesisssiiniercniinear cnnan 54 IA OAN eA E A ey Coe Ce 54 32 Chnical Te CCG So ese seen penesiec ona asetnenssecsoine seme snes aeseee send nese scastibe E 54 mb Ws Sm U0 fa ois a
26. Automation Systems Inc 6718 S Richfield St Aurora CO 80016 303 680 7774 Page 1 of 88 TOXICALL 4 6 Basic Functions User Manual omputer utomation ystems 5 4 6 SP CU Sera grec pecan occ ppb seed cea sieeae ype deacon recat vba seensencs tee eeaceeatecetonbes 35 5 4 7 Ea E ae ea ee E ANNE E A A A E AA 35 5 4 8 E PCO ING E E E AE T EE E AN A E 35 5 4 9 A E astapee aoe sees ianass eee aass 36 NV O a cee stetesensa tec oe ctensgcies E E E digas gadseneneadia seemtaynunconceeess 36 5 5 Index Case Number and Multiple Checkbox ceeeeeseceeeeeeeeeeeseseeeeees 37 5 6 Cal nioran on SECON sessen EE E esenntccomeenssess 38 5 6 1 GGE T OG A E E A 38 5 6 2 Reason tor KOS UNG oars sacrenanctccosscdaanerauctudasnuneeunenutincedaciesnenenatusasneomeonn sees 39 5 6 3 DLS Ol EG E sr E E E E 39 5 6 4 S E O i EE E A E AA NT 40 5 6 5 CA EC a EE EA E A 40 5 6 6 Set Case Start Date to Current Date Time seseensessessssesessessessessreessee 41 5 6 7 AS GS COS r ATAA A 41 5 6 8 Set Case Start Date to Current Date Time c ec cecccecceecceecee scenes 42 5 7 Supstance Verbali esascs aA E E a 42 5 7 1 Substance Field sece ccgeiacwwe roncidvecdsnsions swan twee sdcasuns send danesdcewebe soavsueessaddapaseensebeses 43 D212 NE S CPO BN coer R E E T 44 5 7 3 POISTINDEX V C Ode o rnenirenerir mS ree AENEON TROEON Er ENNES 44 5 7 4 Ee E AA EA A OEA A A ET 44 5 7 5 OU NS E E E AE EEE EE EE A A EE E 45 5 7 6 Conco Oe A taceniesetocssstee 45 5
27. CALL subscribers for internal use only Computer Automation Systems Inc 6718 S Richfield St Aurora CO 80016 303 680 7774 Page 73 of 88 TOXICALL 4 6 Basic Functions User Manual omputer utomation ystems checkbox and when clicking OK it will ask you to verify that you really want to copy the cases Click Yes and the cases will be moved copied Move Copy Cases 4 z iol x Source Database Network Database Destination Database to Move Jase Local Database Ok Selected Cases 7 total set ae A ere pe races Cancel Al displayed Cases 24 otal Copy Cases Copy System Tables 9 3 Moving Copying Cases to an Archive Database To keep the network database a manageable size or to control access to older cases a user with the appropriate rights can move cases with a status of Closed or Quick Saved XXX is that true from the network database to an archive database at anytime The archive database must be created before cases can be moved to it For information on creating archives please see the SearchDataLoc section of the Supervisor Manual To move cases to an archive database Use the Location Network database and Search Name saved search for Autoupload it may have a different name depending on how it was saved at your center This search s criteria should include prompting for a date range and searching for closed cases that are unlocked and have a Scanout
28. Page 64 of 88 TOXICALL 4 6 Basic Functions User Manual omputer utomation ystems 6 Templates Templates are used to contain data on frequent types of calls and to populate new cases quickly with data from those cases A good example of this would be a template for suspected anthrax exposures When you apply a template Toxicall populates the new case with the information from the template All fields including the notes field can be saved in a template and any user can create a template However only supervisors can delete them 6 1 Creating Templates To create a template using an open case enter all data in the fields of the case that you would like the template to propogate All fields can be saved in templates Click the Save Template button located in the toolbar or select the File menu then Save as Template In the box that appears enter a name for the template and click Save The template will now be available for everyone at your site once they have exited out of and restarted Toxicall Note Remember that in order for the Case Notes to be editable for the next user you will need to keep them in the Case Notes section as opposed to saving them up to the Historical Notes 6 2 Applying Templates Toxicall Template Window Pilea x Template Name M Overwrite already entered case information Cancel To apply a template open a new case or an existing case to which the template will be applie
29. Rights Reserved This Manual can be reproduced by licensed TOXICALL subscribers for internal use only Computer Automation Systems Inc 6718 S Richfield St Aurora CO 80016 303 680 7774 Page 33 of 88 TOXICALL 4 6 Basic Functions User Manual omputer utomation ystems Note2 See above section Area Code Zip Code Lookup for information on how to look up area code zip code city state and county information 5 4 3 Addr Patient s Address Addr One Toxical vay x Aurora CO D0016 Arapahoe Enter the caller s street address on the first line of this field On the second line enter either the second line of the caller s address or the callers city state and zip code On the next line enter the caller s county Note A comma must separate the caller s city and state 5 4 4 Patient Address Window Title ae First Mame o OS Last Name fr E Phone area code req fo x Address 1 Do Address 2 sss City State Zip Po i E PMD Name PMD Phone Cancel By clcking the three dot button to the right of the field PMD in the patient data column or double clicking the Addr field the Patient Information window will be displayed This window will display the patient s data that was entered by the user in the patient data field 5 4 5 PMD Patient s Primary Medical Doctor Cr John Doe Phi a 1999 2007 All Rights Reserved This Manual can be reproduced by lice
30. Rights Reserved This Manual can be reproduced by licensed TOXICALL subscribers for internal use only Computer Automation Systems Inc 6718 S Richfield St Aurora CO 80016 303 680 7774 Page 85 of 88 TOXICALL 4 6 Basic Functions User Manual omputer utomation ystems Regional Settings Properties Aeqganal Settings Number Corency Time Date Appearance Time ample Time tyle Time separator Abi symbol Pbi symbol Toxicall uses Windows for its time and date format which allows users to display time and date in the format they desire For Time from the Windows Desktop click the Start button ate choose Settings then Control Panel then Regional Settings On the pop up click Time and choose either A mm ss or HH mm ss 1999 2007 All Rights Reserved This Manual can be reproduced by licensed TOXICALL subscribers for internal use only Computer Automation Systems Inc 6718 S Richfield St Aurora CO 80016 303 680 7774 Page 86 of 88 TOXICALL 4 6 Basic Functions User Manual omputer utomation ystems Regional Settings Properties etsy UUN 5 wet FT dddd MMMM dd yyyy For Date from the Windows Desktop click the Start button Stan choose Settings then Control Panel then Regional Settings On the pop up click Date and choose either MM DD YYYY or MM DD YY 1999 2007 All Rights Reserved This Manual can be
31. Status checkbox checked To verify this you can view the parameters input under the Case List Advanced display Tab 2 Click the Search button and enter the starting and ending dates when prompted Select cases to archive from the search window You can select all displayed or if you choose selected cases supervisors will be able to select up to 500 cases other users will only be able to select up to 100 cases From the File menu select Move Copy Cases Select 1999 2007 All Rights Reserved This Manual can be reproduced by licensed TOXICALL subscribers for internal use only Computer Automation Systems Inc 6718 S Richfield St Aurora CO 80016 303 680 7774 Page 74 of 88 TOXICALL 4 6 Basic Functions User Manual omputer utomation ystems the Archive database from the Destination database dropdown Click OK to move the cases 9 4 Moving Copying Cases from an Archive Database Un Archive Cases are moved from the archive database to the network database to give users access to older cases and with proper rights cases from the archive database can be viewed or moved to the network database at any time Note It is not possible to move cases directly from the archive database into the local database Cases from an archive database must first be moved into the network database and then can be moved from the network into the local database From the Location dropdown select your Archive database Perf
32. TOS E S TE AA T EN A E 24 5 1 2 A a E ete oe teens eos E E EE A 25 5 1 3 1S 0 se ste E eo set cosa eotad E E A see seaacenaseeatieees 26 5 1 4 AN 01 6 6 eee nn ee en A eee ane 26 5 1 5 a LE i o PE E E E A E 26 32 NO WAN eO A EEA A ceuiesan acest 28 5 3 Calor Data SCCH ON senedir r d a e 29 5 3 1 Na e A E A 29 I2 PRONG N ADOT e E EE OEE 30 5 3 3 Area Code Zip Code LOOKup ccccccccccccccesseseeeccceeeeeaeeenseecceeeseeaeaeenees 30 5 3 4 Addr Caller s Address ccccccccecccsecceeccesccceceencceueccensceseseeeseessseeeseenssees 31 5 3 5 Caller s Information Window cccccccceccssccssccsccesscesccesscusceescescesscesces 31 5 3 6 Rel Caller s Relation to Patient oo ccc ceccceeccecceeccesceessseeeseeeseees 32 5 3 7 Clear Caller Information Button scierisasuevetccnsiiedecssensesoudiveiersucssbsossitedeesteukes 32 5 4 Patient Information csscciessczacveduesiceeshesedatnetsteunbexeisdeussedatshetwdcddvalvianasecaicdeusssiabeutie 32 5 4 1 NAO oes eo deco E A AAE AA 33 5 4 2 PRONADO area EE E 33 5 4 3 Addr Patent S AGCTCSS scsicateusicsscdsnnnedhcvncewessusandshaneiescbeawedechtvanesatousesehees 34 5 4 4 Patient Address Window cccccsccseccseccsccccessccsccesccesscescescescesscesseussens 34 5 4 5 PMD Patient s Primary Medical Doctor c cccceccccssseeeeeeceeeeeeeeeeeeees 34 1999 2007 All Rights Reserved This Manual can be reproduced by licensed TOXICALL subscribers for internal use only Computer
33. TOXICALL 4 6 Basic Functions User Manual omputer utomation ystems e 11019 1161 0 6 Oe EA E AE ne nO eR er ae a ee nC ee 5 1 1 TOXICALCO SS annerer 5 OVS T a see sae eee bees deeai at eee ices esacaetee het eodeeaiaet a eceeseetacasteec estes 8 X Man AION ea Oe ee ee en eee 9 3 1 MoO AA E A A A 9 3 1 1 PE E E ce deiaeomaues se seaain dane eee cede 9 3 1 2 D AT a AEE recs wesc estos E ees es EE eeseeaeessoeeasteo 9 3 1 3 Tools ss ees cred gee iees oie scososis nese esede cdaciseiecatindaat cotesenansterede cpcneiseceedessucueneaancuets 10 3 1 4 VY eases etree E EE E E EEE 11 3 1 5 l LE i e TE E A A A E enue EE E A T AT 11 3 2 OO UD Al NC ONS asic es cues onesie dses veces sae seasneuoes sesso nsducssaustacatavseasaucve ssasocedcaseesedeaso ies 12 4 Search VV VIN OV oct es ttc sate ante secede aE EE EEEE NEEE EENE 14 4 1 Case List and Case List Ad Van Ce sssicisscctassacsnsascsacecsacesseuscutssetensacssquersdaneeeacenss 14 4 2 WALE LU E One Oe eS eS ey ee ee 16 4 2 1 NG sect sets paten E ee suche uadeaeencea can enaeeapoee eaneewetineee sto 16 4 2 2 Be T KE aa ayo gets se tet A AEE seen Nope A NEESS A A AE 18 4 2 3 AA A EEIEIEE IEEE VINSE A AEE VINNIE N AEA AED 18 4 2 4 PAEA E AE E E E N A E N E E 19 4 2 5 ON e E A A AEA 20 4 2 6 J i Ke i D ARAE E tue A E EAE TE EN 20 4 3 OOD AI CONG a E E T 21 4 4 SAROOP O e E E oeeemeueenneseneenwecass 22 53 Case Window en EEE T EEE 24 5 1 17 2101 0 eraren rE EAER EE O ET ETEA AE N OAE ET 24 5 1 1
34. a lengthy case to prevent data loss Quick Save and Close Case Saves case as current case status Open if new to the local database without bringing up the Save Case window no options can be set then closes case window This is handy to use if you need to quickly close a case and open a new one for an incoming call Close Case Window Closes Case window without saving changes Check Validation Runs a quick validation check to see if the current case would pass TESS validation Apply Template Allows user to choose a template from list of previously defined user templates to apply to the case open in Toxicall Save as Template Creates a new template from a currently open case Any substance information should be saved into the case prior to creating a template if you want it included Note Does not save historical notes blue section or verbatim Print Preview Displays on the screen how the printout will look Print Sends the case or report to your printer Exit Closes Toxicall 5 1 2 View search Window Displays the Search Window for the local database Toolbar Allows user to hide display the toolbar Summary Window Opens a new window on top of the case that shows a quick summary of the key fields including Primary and Secondary Substances Initial SPI Start Date Time Age Weight Patient Name and Caller Name This is useful if you just want to look at the main d
35. an be reproduced by licensed TOXICALL subscribers for internal use only Computer Automation Systems Inc 6718 S Richfield St Aurora CO 80016 303 680 7774 Page 16 of 88 TOXICALL 4 6 Basic Functions User Manual omputer utomation ystems Work Local Only Allows the user to create or open and work with cases saved on the their machine s local database This prevents cases from being saved to the network database When you choose this option it will close the Search window you are in and put you back at the Main window From here click the Local Database icon in the Toolbar to get to the local database To access the network database again open the Search menu and choose Check Network Availability then change the Location field to Network and click the Search button next to it If the network is available it will reconnect to it Note Setting Work Local Only is only applied to the current session When Toxicall is closed and then reopened it will try to connect to the network database again Also note that using this setting will prevent you from getting a valid case number for new cases since that must be obtained from the network database A valid case number will be assigned when connection to the network is restored and the cases are moved up to the network Download from Upload to Network If you are on the local database this will show as Upload to Network if you are on the network database it will sho
36. articular workstation to Toxicall via ftp Note Only send this file when requested by Toxicall Technical Support send Network Shutdown Log Sends the file detailing shutdown errors in Toxicall for all machines via ftp Note Only send this file when requested by Toxicall Technical Support Send Network License Information Sends the Network License file to Toxicall Technical Support via ftp This function is used when new Toxicall workstation licenses are required Note Requests for new licenses should not be made prior to 14 days of expiration Please notify Technical Support when you send this file Receive Network License Information Prompts Toxicall to import the new license file sent by Toxicall Technical Support Note You will be notified by Support when this file is ready AAPCC Website Opens various pages on the AAPCC website including Toxicall Discussion Group Member List The Poison Line Tricky Coding Questions and Yellow Tox About Displays which Toxicall version is currently running on the workstation our logo copyright and phone number Example 4 3 45 3 2 Toolbar Icons i New Case Creates a new case Search menu Displays Search window of the local database 1999 2007 All Rights Reserved This Manual can be reproduced by licensed TOXICALL subscribers for internal use only Computer Automation Systems Inc 6718 S Richfield St Aurora CO 80016 303 680 7774
37. ason Note If an Exposure call type has been selected Reason for Exposure is a mandatory field However if the call type is not Exposure the Reason for Exposure field will be disabled 5 6 3 Site of Exposure To enter a Site of Exposure open the dropdown list by clicking the down arrow to the right of the field Select the most appropriate reason from the list The choices are Own residence Other residence Workplace Health care facility School Restaurant food service Public area Other 1999 2007 All Rights Reserved This Manual can be reproduced by licensed TOXICALL subscribers for internal use only Computer Automation Systems Inc 6718 S Richfield St Aurora CO 80016 303 680 7774 Page 39 of 88 TOXICALL 4 6 Basic Functions User Manual omputer utomation ystems Unknown Note If Exposure has been selected as the call type then Site of Exposure is a mandatory field However if the Call Type is not Exposure the Site of Exposure field will be disabled 5 6 4 Site of Caller To enter the caller s site open the dropdown list by clicking the down arrow to the right of the field Select the most appropriate reason from the list The choices are Own residence Other residence Workplace Health care facility School Restaurant food service Public area Other Unknown Note If Exposure has been selected as call type then Site of Caller is a mandat
38. ata pieces of a case in a quick 1999 2007 All Rights Reserved This Manual can be reproduced by licensed TOXICALL subscribers for internal use only Computer Automation Systems Inc 6718 S Richfield St Aurora CO 80016 303 680 7774 Page 25 of 88 TOXICALL 4 6 Basic Functions User Manual omputer utomation ystems format but that displays more information than the Case List tab on the Search window Area Code Lookup Displays a reference table of area codes states and territories HCF Lookup Displays the list of health care facilities that your site has defined Case Notes Opens the Case Notes pop up editable window QA Notes Displays a popup window that displays the QA and Historical Notes of the highlighted case in the Search window Required Field Color Allows user to set the color for fields that must be filled in before a case can be closed Refresh Menus Refreshes the menus and enforces appropriate menus and toolbar items to be displayed 5 1 3 Supervisor Configure Labels Allows user to rename certain field labels to custom labels Text Height Allows user to specify the text box height for the Clinical Effects Therapies and Scenarios text boxes in the Case entry screen 5 1 4 Window For information on using the menu items Arrange Icons Cascade Tile Vertically Tile Horizontally and Save Window Settings see the chapter titled Arranging Icons and Windows
39. by licensed TOXICALL subscribers for internal use only Computer Automation Systems Inc 6718 S Richfield St Aurora CO 80016 303 680 7774 Page 44 of 88 TOXICALL 4 6 Basic Functions User Manual omputer utomation ystems to populate the field in the case Note1 The Generic Code you choose may have a subcategory If so choose the appropriate subcategory Generic Code To save the Generic Code once back on the main Toxicall screen hit the Save icon to the left of the Generic Code window Note2 If the Generic Code is not saved after it has been selected and a search is performed for another Generic Code the original Generic Code will be overwritten 5 7 5 Quantities The Quantity field is comprised of two parts the left field is the number part of the quantity and the right dropdown is the quantity units To enter a quantity put the number part in the left box and choose the units from the right box You can either click the down arrow to open the dropdown or type the first letter of the unit you want to use until the one you expect appears in the window You can also type the quantity in the number box such as 1mg and it will transfer the units to the units box Note Nonstandard quantity units such as taste will not be translated to a numeric unit value and can t be used in calculations 5 7 6 Concentration The Concentration field is comprised of two parts the left field is the number part o
40. csnsooeseuntonatcadbognsnaes sae nceanvnesaatsese sedi onsaaeneonees 67 RNS 2 1d OE SU cea 01 6 0 Sena eter 69 8 1 OSS UNS E A E E E A E E A E 69 8 1 1 OP E E A 69 8 1 2 A a E stat en A E E E E E 69 8 1 3 Eo AV er E E A E S 69 0a FOUN UP ANON EE E EE 70 8 3 FOLOS up T e E S 70 8 3 1 POLON OW eer A E E EE EE guna 70 8 3 2 a E a e A E E E A E 70 ONIN L ES E E E E E E 70 8 5 PSS UN arora ie soe a E E E E A 71 oO eaa E e e es 71 8 7 Saye ON WOK eer E E E EEEE ES 71 8 8 FRO ACTIV 6 a E EE ep eceaanteaenen oeseenseues 71 9 Moving CoOpyins Cass seesinane aae irii i reii yi 9 1 Moving Copying Selected Cases cccccccccsssssssecccccceeeeeesseeecceeeeseaeenseeseeeeeeaaas 73 92 Mov opyne AIC IBOS esiejceo nnee E E EEE 73 9 3 Moving Copying Cases to an Archive Database cccccccccccccesssseeeeeeeeeeenaes 74 9 4 Moving Copying Cases from an Archive Database Un Archive 75 10 Arranging Icons and Windows esesssseseeessssssseserersssssssecerrsssssssecerresssssseeeerssssss 76 Wr Aa n e O e A E E E E r E 76 O E ANG r A 76 OS EN T e A E E E E TI LOA Hle Horizontal eessen E E E EEEE N E 78 OS ON ON a EE E S 78 11 Fo Dom Or e a 80 12 Windows PUM CHOI erarnan aron E E E E EE T 82 121 Moyne Between Fields eccone a E E 82 1999 2007 All Rights Reserved This Manual can be reproduced by licensed TOXICALL subscribers for internal use only Computer Automation Systems Inc 6718 S Richfield St Aurora CO 80
41. ct medication product from Fest control operator Child caused exposure implicated in incorrect or gave to sib or pet etc a Patient accessed treated Stored in unlocked low area prematurely cabinet in kitchen or fumes Yapors in a poorly sigang Aerosol sprayed in face Products mixed generating toxic vapor or Inhalation ahize ae z Other pesticide exposure Stored within sight of child To select a scenario click the Scenarios field center right portion of the open case screen Select the scenarios that are related to the case and click the OK button to save Due to their length some scenario descriptions may not be displayed in their entirety To see all text hold your mouse over the line for two seconds Clicking Cancel will not save the selected scenarios You can choose multiple scenarios if more than one applies Toxicall will show the scenarios you chose in the Scenarios window and alternate between black and blue text so you can read each individual scenario more easily 5 15 Medical Outcome Management Site Section Medical Outcome Management Site Qubcoame 3 Dur tulgrrt Site E Initial HOF Final HEF SS al The Medical Outcome and Management Site fields assist in tracking the final case resolution and outcome 1999 2007 All Rights Reserved This Manual can be reproduced by licensed TOXICALL subscribers for internal use onl
42. d Click the apply template button located in the 1999 2007 All Rights Reserved This Manual can be reproduced by licensed TOXICALL subscribers for internal use only Computer Automation Systems Inc 6718 S Richfield St Aurora CO 80016 303 680 7774 Page 65 of 88 TOXICALL 4 6 Basic Functions User Manual omputer utomation ystems toolbar or select the File menu then Apply Template Find the name of the template to apply in the box that appears and click Open Note1 A template can be chosen from the drop down list or by typing the name of the template in the Template Name box and clicking Open Note2 All the data from the template will be propagated into the appropriate fields However if data already exists in the case the existing data will not be overwritten unless the overwrite check box has been selected Note3 Cancel will close the Template Window and will not apply the template to the case currently displayed on your workstation 1999 2007 All Rights Reserved This Manual can be reproduced by licensed TOXICALL subscribers for internal use only Computer Automation Systems Inc 6718 S Richfield St Aurora CO 80016 303 680 7774 Page 66 of 88 TOXICALL 4 6 Basic Functions User Manual omputer utomation ystems 7 Validating Cases Toxicall automatically checks cases for validity against AAPCC requirements as well as site specified required fields when th
43. databases Note When downloading a case from the network to the local database the case must not be Locked To identify which user has locked a case use the Case Status Advanced display and perform a search TO move or copy cases you must have rights to at least three databases the local database the network database and a third database which in most cases will be an archive database If you see Move Copy cases under the File menu you should have the appropriate rights If necessary see your supervisor 1999 2007 All Rights Reserved This Manual can be reproduced by licensed TOXICALL subscribers for internal use only Computer Automation Systems Inc 6718 S Richfield St Aurora CO 80016 303 680 7774 Page 72 of 88 TOXICALL 4 6 Basic Functions User Manual omputer utomation ystems to obtain rights The beginning steps of moving or copying cases is the same for all databases select the proper database from the Location dropdown go to the File menu select Move Copy cases and then select the appropriate database from the dropdown list If copying cases check the Copy Cases checkbox 9 1 Moving Copying Selected Cases To move selected cases highlight the cases you would like to move then from the File menu choose Move Copy cases Select the destination database from the dropdown and make sure the radio button next to Selected Cases is clicked then click OK Verify in the receiving database
44. e case is saved with a status of Closed 7 1 Validating a Case To check validation on a case open the case on your workstation select the File menu then Check Validation or press Cirl K lf your case passes validation the message box below will be displayed Toxicall i The case passed validation successtully However if there are case validation errors the validation window shown below with the fields that did not pass validation and the reason 1999 2007 All Rights Reserved This Manual can be reproduced by licensed TOXICALL subscribers for internal use only Computer Automation Systems Inc 6718 S Richfield St Aurora CO 80016 303 680 7774 Page 67 of 88 TOXICALL 4 6 Basic Functions User Manual omputer utomation ystems Case 59 999 2000 Validation Regured Field Caller ip Code s TESE 2000 Exposure Site must be selected TESE 2000 Patent 4ge Unt must be specified TESE 2000 Caller Site must be specified Make the necessary changes click the Update button and the case will again check validation If all items have been corrected the above pop up window will be displayed Select OK to close the passed validation window 1999 2007 All Rights Reserved This Manual can be reproduced by licensed TOXICALL subscribers for internal use only Computer Automation Systems Inc 6718 S Richfield St Aurora CO 80016 303 680 7774 Page 68 of 88
45. e data hit the Save icon and all data will be moved back into the substance fields 5 8 Exposure Information Field 1999 2007 All Rights Reserved This Manual can be reproduced by licensed TOXICALL subscribers for internal use only Computer Automation Systems Inc 6718 S Richfield St Aurora CO 80016 303 680 7774 Page 47 of 88 TOXICALL 4 6 Basic Functions User Manual omputer utomation ystems gt Exposure Info Exp Tire Ka Acuity Tx Option 5 8 1 Exp Time The time of exposure is used to track when the exposure occurred This can be entered as a specific date and time real time or unknown by clicking the lookup button to open the calendar It can also be entered in an ago format For example if the exposure was 5 minutes ago type 5m Available ago format shortcuts are S econds M inutes H ours D ays W eeks Mo nths Y ears Note1 If using the ago format enter a number into the time field and select an option from the dropdown window to the right Note2 If the time of exposure is Unknown click the Unknown button and Unknown will be propagated into the time of exposure field Note3 Clicking OK will propagate the information into the time of exposure field and replace any previously entered time information 1999 2007 All Rights Reserved This Manual can be reproduced by licensed TOXICALL subscribers for internal use only Compu
46. e rt E 56 1999 2007 All Rights Reserved This Manual can be reproduced by licensed TOXICALL subscribers for internal use only Computer Automation Systems Inc 6718 S Richfield St Aurora CO 80016 303 680 7774 Page 2 of 88 TOXICALL 4 6 Basic Functions User Manual omputer utomation ystems Sd CRAY OO ON ar cctceect saves cree cies A E E A 56 J DCs o CUO PRR neem ee 57 5 15 Medical Outcome Management Site Section seeessssseeeressssssssserersssssssee 58 SL Me a OC OE a E E ate rienaauseentices 59 IA Eo a DU Oea E E 59 3139 Manaremeni BING ie cccsoscoasdaceentcecessndeiactansnokslsnnssdesaiincenseiieiaateacnonsneansdeceitebe 60 5 1534 Initial Health Care Facuity HCE scm cvssssencnencccesawasvescaaneranwnvaucuncnanssccon 61 5 15 5 Final Health Care Facility HCF cc ccessesseeeeeeeeeeeeeeeseeeeeeeeeeaaas 61 FEO PMMA EC gta cers gaa dretrsnen E E E 62 DN EC PAC AS seats esis sass nse sie siecnc T E E S 63 517 OverideAAPCC Vahdati sisancncissriacondiaacdsnionansarscaecndnasonasoedhtesdanaasanseebateodsaess 63 AS TAS E A ee sdeuaassataersseseoueasiasecedensdedeas 64 eae thd es AEE cena ott TAE TE A aeetstasesveasstugoten een 65 6 1 Creating Templates ss ss2ssscsssecassassesnsnsacseaassasencanancveaadeasseceasaesmaaavascoeananciesnaseasaces 65 O2 ATT a e onc eE E 65 O NANI CAG e sere desis a seater osama dh ase basen cb aterm snemoas dhe mnceneeuesea ies 67 7 1 Ny IG a CASS sha senanera nec doaseaasneun
47. ealth care facility in which the patient was treated is recorded To choose an Final HCF click the lookup button E located in the 1999 2007 All Rights Reserved This Manual can be reproduced by licensed TOXICALL subscribers for internal use only Computer Automation Systems Inc 6718 S Richfield St Aurora CO 80016 303 680 7774 Page 61 of 88 TOXICALL 4 6 Basic Functions User Manual omputer utomation ystems Final HCF window or put the cursor in the Final HCF window press Tab then ENTER or press Ctrl L Select the correct HCF from the dialog box by highlighting the line it is on and clicking the Replace button or by double clicking the line it is displayed on Note1 It is possible to type the first few characters of the Health Care Facility in the Final HCF box The characters will be in red which indicates a lookup has not yet been performed and by selecting list of Final HCF s that are filtered to your letters will be displayed Note2 Due to name changes or spelling errors the health care facility for which you are searching may not be displayed To display the complete list of health care facilities delete the information from the upper UHCFName field and click the Refresh button Note3 Toxicall allows each site to create custom health care facilities See the Supervisor manual for more information 5 15 6 Primary Center The Primary Center is the center that received the original phone call a
48. ecutes a search on criteria set in the Search tabs and the information set in the Search Function area Display Location Search Name Clear Clears search criteria sort Ascending Sorts the data in ascending order 0 9 A Z based on which column was highlighted for the database displayed in the Search window Example SPI Initial Assigned sort Descending Sorts the data in descending order Z A 9 0 based on which column was highlighted for the database displayed in the Search window sort Advanced Allows user to specify from one to five fields to sort on and whether they should be in ascending or descending order Move First Moves cursor to the first case of the database displayed in the Search window Move Last Moves cursor to the last case of the database displayed in the Search window 4 2 3 View Search Window Displays the Search Window for the local database Toolbar Allows user to hide display the toolbar Area Code Lookup Displays a reference table of area codes states and territories HCF Lookup Displays the list of health care facilities that your site has defined QA Notes Displays a popup window that displays the QA and Historical Notes of the highlighted case in the Search window Search Criteria Displays current set search criteria and Search Functions Required Field Color Allows user to set the color for fields that must be filled in before
49. ed TOXICALL subscribers for internal use only Computer Automation Systems Inc 6718 S Richfield St Aurora CO 80016 303 680 7774 Page 57 of 88 TOXICALL 4 6 Basic Functions User Manual omputer utomation ystems w Scenarios iat Dose lt E faa Child resistant closure E i Confusion E Miscellaneous incorect dosing route CAC present opened by Patient confused or Inadequate r patient mentally incompetent P decontamination after Container transter Exposure occurred Involved product during routine product Patient thought product Worker neglected or pill was a food standard safety practices Patient thought Product used non medication was a pill uneventfully within past Dis ening CUD emor CRC resent rot P g cup mj P secured or closed 10 fold dosing Emor E request or choice Physician Sample someone else s lnadvertently took given medication twice Exposure was the result z Patient has illness of of a dare or similar unknown etiology and Nonfood product stored Scenario unknown not in kitchen or refrigerator allowed with other Ja Incorrect formulation or concentration given 5 Incorrect formulation or concentration dispensed T Product temporarily open because product was in Child or pet accessed medication product from Pest control operator r Child or pet accessed applied produ
50. elow now have subcategories that should be used instead for TESS 2002 and later compliance The default categories of Call Types are Exposure Drug information Drug identification information Environmental information Medical information Occupational information Poison information Prevention safety information Teratogenicity information Other information 1999 2007 All Rights Reserved This Manual can be reproduced by licensed TOXICALL subscribers for internal use only Computer Automation Systems Inc 6718 S Richfield St Aurora CO 80016 303 680 7774 Page 38 of 88 TOXICALL 4 6 Basic Functions User Manual omputer utomation ystems 5 6 2 Reason for Exposure To enter a Reason for Exposure open the dropdown list by clicking the down arrow to the right of the field Select the most appropriate reason from the list The choices are Unintentional General Unintentional Environmental Unintentional Occupational Unintentional Therapeutic error Unintentional Misuse Unintentional Bite sting Unintentional Food poisoning Unintentional Unknown Intentional Suspected suicide Intentional Misuse Intentional Abuse Intentional Unknown Other Contamination tampering Other Malicious Other Withdrawal Adverse reaction Drug Adverse reaction Food Adverse reaction Other Unknown re
51. es and performs those updates Update Caller Locations Code Allows you to import penetrance data Configuration Opens the window where database locations center code center name and specific workstation settings are assigned system Tables Opens the window of all system tables most of which can be customized Examples SPI List Health Care Facilities Free Areas Keycuts Templates and View Levels See the Supervisor manual for more information set Next Case Number Opens window where you can set the next network case number to be used This can be helpful when restoring a corrupted database from a backup The Next Case Number should be set one higher than the Highest Case Number in Database field Copy System Tables Copy system tables between databases This is most frequently used when changes have been made to the network system tables and an archive also needs to reflect the changes If you do not copy the system tables to the new archive from the network database the new archive will not properly resolve all fields resulting in a message in certain fields such as lt 081 Not Resolved gt Import Case Log Data Allows the user to read a case log file from a 1999 2007 All Rights Reserved This Manual can be reproduced by licensed TOXICALL subscribers for internal use only Computer Automation Systems Inc 6718 S Richfield St Aurora CO 80016 303 680 7774 Page 10 of 88 TOXICALL 4 6 Bas
52. f the concentration and the right dropdown is the concentration units To enter a concentration put the number part in the left box and choose the units from the right box You can either click the down arrow to open the dropdown or type the first letter of the unit you want to use until the one you expect appears in the window You can also type the units with the number part and it will transfer the units to the units box for you 5 7 7 Substance Per This field is used to describe the units selected in the concentration field The Per field is comprised of two parts the left field is the number part of the substance per and the right dropdown is the substance per units To enter a substance per put the dose number associated with the concentration field and choose the units from the right dropdown You can either click the down arrow to open the dropdown or type the first letter of the unit you want to use until the one you expect appears in the window You can also type the units with the number part and it will transfer the units to the units box for you 1999 2007 All Rights Reserved This Manual can be reproduced by licensed TOXICALL subscribers for internal use only Computer Automation Systems Inc 6718 S Richfield St Aurora CO 80016 303 680 7774 Page 45 of 88 TOXICALL 4 6 Basic Functions User Manual omputer utomation ystems 5 7 8 Calculate Dose The Calculate Dose Resut button generates calculations f
53. fic hour minute from the current time For example clicking on 30m will set the follow up time for thirty minutes from the current time Note The time buttons can only be used for the specific time on the label of the button For example you cannot hit the 2h button and then the 1h button for the case to be followed up in three hours If you need a time different than those on the buttons select and choose the follow up date time from the calendar window 8 4 Priority 1999 2007 All Rights Reserved This Manual can be reproduced by licensed TOXICALL subscribers for internal use only Computer Automation Systems Inc 6718 S Richfield St Aurora CO 80016 303 680 7774 Page 70 of 88 TOXICALL 4 6 Basic Functions User Manual omputer utomation ystems Priorities are used to declare case urgency and can be user defined The preset Priority values are Low Medium and High For information on creating user defined Priorities see the Supervisor manual 8 5 Assigned To This dropdown allows a case to be assigned to a specific SPI for follow up All active SPI s will be listed 8 6 Initial SPI Displays the SPI who received the initial call 8 7 Save to Network Determines where the case is to be saved Keep Local will save the case to the local database Now will save the case to the network database 8 8 Retroactive To set a start date time prior to the actual time hit the Retroactive button Re
54. field will automatically clear all information in the generic code and substance description fields Move back into the Toxicall screen by either selecting Toxicall from the windows task bar or ALT TAB The description POISINDEX code and generic code will automatically be populated entered into the appropriate fields 5 7 2 Description Substance description is automatically populated from POISINDEX and users cannot edit this data To modify the POISINDEX data perform another POISINDEX search 5 7 3 POISINDEX Code The Substance POISINDEX Code is automatically populated from POISINDEX and users cannot edit this data To modify the POISINDEX data perform another POISINDEX search 5 7 4 Generic Code The Generic Code can be either populated automatically from POISINDEX entered manually or populated by performing a Generic Code search Note It is imperative that manually entered generic codes are correct lf the generic code is not exact it will not pass validation or will be rejected when the data is sent to the TESS database To locate a Generic Code using the lookup button E to the right of the field click the button to open the Generic Code lookup window Type in the category to be searched Example Glue Select the appropriate Generic Code from the Generic Code window and click the add button or double click the highlighted line 1999 2007 All Rights Reserved This Manual can be reproduced
55. fields to enter criteria Case List Advanced also uses the Lookup icon and dropdown boxes for selections and it also uses checkboxes with eraser icons In the screen above there is a single checkbox and an Eraser icon for each of three fields The eraser is used to clear a choice from the box The grayed out checkbox indicates that no criteria is being used If the checkbox has a checkmark in it then it is searching for a True situation For example if the Scanout Status box was checked it would search for cases that have been scanned out to TESS However if the box was white it would be searching for a False situation where cases had not been scanned out to TESS On the Clinical Effects pages there is another kind of checkbox setup two checkboxes and an Eraser icon The first checkbox is for Related the second is for Unrelated The settings for grayed white and checked remain the same For example if you would like to search for cases where Asystole was only Related you would check the Related box If you wanted Related and Unrelated for Asystole locating cases where it was checked either way you would check both boxes Conversely where you were looking for cases with no Asystole checked on the case you would make both boxes white 1999 2007 All Rights Reserved This Manual can be reproduced by licensed TOXICALL subscribers for internal use only Computer Automation Systems Inc 6718 S Richfield St Aurora CO 800
56. hen new criteria are loaded Max Cases Indicates the maximum number of cases to be returned by a search Zero indicates that all cases matching the search criteria will be returned Count cases in search window Will display the total number of cases Search button Executes a search on criteria set in the Search tabs and the information set in the Search Function area Display Location Search Name Clear button Clears search criteria 1999 2007 All Rights Reserved This Manual can be reproduced by licensed TOXICALL subscribers for internal use only Computer Automation Systems Inc 6718 S Richfield St Aurora CO 80016 303 680 7774 Page 23 of 88 TOXICALL 4 6 Basic Functions User Manual omputer utomation ystems 5 Case Window To get to the Case window you can either click the New Case toolbar icon or choose New Case from the File menu Cases are created and modified in the Case window Toxicall Case 3 999 2002 l i laj g X S File View Supervisor Window Help 8 x DERS A RAREBE P Caller Data Patient Data Call Information Phone Phone Addr co Addr gt Reason 2 Exposure Site Rel x Caller Sit PMD or pn Exposure Info FX Call Site Sode Desci Spec freroczesea7 aM 2 4 9 2002 9 34 17 AM Platt Dae Generic Code Exp Time ni i ra D Pa Routes X Quantity
57. ic Functions User Manual omputer utomation ystems particular machine Mostly used for troubleshooting certain errors Import Penetrance Allows you to import penetrance data Batch Reporting Allows you to set up Batch Reporting option Autoupload Manager Allows you to set up the options for your autoupload CQI Manager Allows you to create CQI Templates Lab Manager Allows you to set up Labs for data entry in the Toxicall data entry screens Repair Compact Will repair a specified database from a dropdown list local network or a defined archive It is usually advisable to also check the Compact option and the Create Backup SAV options as well The Compact option is the second step of the repair process and helps a database run more smoothly The Create Backup option creates a backup file before it begins in case something goes wrong during the Repair Compact This file will have the same name as the database you are repairing with a SAV extension instead of mdb The SAV file will overwrite any previous SAV file of the same name Change Password Enables the current user logged in to Toxicall to change their password to Toxicall 3 1 4 Window For information on using the menu items Arrange Icons Cascade Tile Vertically Tile Horizontally and Save Window Settings see the chapter titled Arranging Icons and Windows later in this manual 3 1 5 Help Help Contents Opens the Help onli
58. in the Caller Data field To view this window select the lookup button to the right of the Relation to Patient field Rel or double click the Addr window Note1 This window may be read only depending upon user clearance and the user may not be able to edit this window 1999 2007 All Rights Reserved This Manual can be reproduced by licensed TOXICALL subscribers for internal use only Computer Automation Systems Inc 6718 S Richfield St Aurora CO 80016 303 680 7774 Page 31 of 88 TOXICALL 4 6 Basic Functions User Manual omputer utomation ystems Note2 If Self is chosen as caller relationship to patient the data displayed in this window will be identical in both the caller and patient information windows 5 3 6 Rel Caller s Relation to Patient o The Relation to Patient field uses the following descriptors o Registered Nurse o Medical Doctor o DVM o RPh OHP o Self If self is selected as Relation to Patient caller name ohone number and address will be copied to the patient fields and all data currently in patient data field will be overwritten Spouse Mother Father Grandparent Other Relative Babysitter Other Same Address If you select Same Address as the Relation to Patient the callers address city state zip and phone number will be copied to the corresponding patient fields and all data in the patient data field will be overwritten O O O O
59. ion allows notes to be entered on each case in a special QA field o Many customizable fields and droodowns o Ability to output reports in different formats such as Adobe Acrobat pdf or Microsoft Excel xls o Users can continue entering cases on their local database in the event of a network failure o Save allows the entry of follow up times for cases stored on the local or network database o View Summary Window has the ability to turn on and off resize or place a case anywhere on the screen o The toolbar can be turned on or off by selecting View and check Toolbar 1999 2007 All Rights Reserved This Manual can be reproduced by licensed TOXICALL subscribers for internal use only Computer Automation Systems Inc 6718 S Richfield St Aurora CO 80016 303 680 7774 Page 6 of 88 TOXICALL 4 6 Basic Functions User Manual omputer utomation ystems to display or hide o Templates can be created from a current case and applied to a new case and can be created on all fields including open SPI Notes 1999 2007 All Rights Reserved This Manual can be reproduced by licensed TOXICALL subscribers for internal use only Computer Automation Systems Inc 6718 S Richfield St Aurora CO 80016 303 680 7774 Page 7 of 88 TOXICALL 4 6 Basic Functions User Manual omputer utomation ystems 2 Logging in To start Toxicall double click the icon on your desktop 5 If you do not see an icon
60. ld St Aurora CO 80016 303 680 7774 Page 54 of 88 TOXICALL 4 6 Basic Functions User Manual omputer utomation ystems o Related will be displayed in red text o Not related will be displayed in blue text o Unknown if related will be displayed in black text im Clinical Effects PAIN Camiovascu R N Gastrointesti R N Newological RN Resziraton Asytole mim Abdiminal Bradycardia Anes Cardiac arres Blocd per Chest pain CC Constipation Contasion Conduction Dysrhythmia Dysrhythmia CL ECG change Be Dystonia Ja PIC Dl Esophagea Fecal Deimal E Gastric burn Bullae I Hematemesi M Intracranial Burs C lleuz no Burs 2 3 Cellulitis Jr Sele ote E cchymasis DOC Paraysis Bleeding Edema E Dealness E hema fla Diaphoresis Hivasr welts Eleccrolyte Irritationpair Excess Necrosis Lai Fela death Pallor Syncope Fever hyperl Pruvitus TIP Puncture 7 ee 4 ia TC Other LFT Cancel Note Due to their length some clinical effect descriptions may not be displayed in their entirety To see all text hold your mouse over the line for two seconds 1999 2007 All Rights Reserved This Manual can be reproduced by licensed TOXICALL subscribers for internal use only Computer Automation Systems Inc 6718 S Richfield St Aurora CO 80016 303 680 7774
61. lected as call type then Site of Caller is a mandatory field However if call type is not Exposure Site of Caller will be disabled 5 6 7 Call Site Code Call Site Code is the list of Health Care Facilities used if the Health Care Facility initiated the call By selecting a Call Site Code Health Care Facility information will be entered into the caller s data fields Existing data in the caller data field will not be overwritten If you Know the text of the exact entry you are looking for you can begin typing it right in the field Toxicall will display a match if it exists Otherwise click on the button to the right or hit Ctrl L when in the Call Site Code field to open the Call Site Code window Now type the first few characters of the Health Care Facility you are looking for and Toxicall will filter to that entry if it is in the table Select the right one by highlighting it in the list or double clicking on the highlighted line Note Cancel will close this window without adding any information to the case 1999 2007 All Rights Reserved This Manual can be reproduced by licensed TOXICALL subscribers for internal use only Computer Automation Systems Inc 6718 S Richfield St Aurora CO 80016 303 680 7774 Page 41 of 88 TOXICALL 4 6 Basic Functions User Manual omputer utomation ystems Healthcare Facility Lookup caresi 5 6 8 Set Case Start Date to Current Date Time This is
62. lity Lookup A UHCRName ff 21 At Refresh al City State Phone Phone P Free standing ER clinic first aid station i Physician physicians office or clinic j Cancel The initial health care facility look up button provides a list of health care facilities This field is required when management site is anything other than Managed on Site or Unknown To choose an Initial HCF click the lookup button Ea located in the Initial HCF window or put the cursor in the Initial HCF window press Tab then ENTER or press Ctrl L Select the correct HCF from the dialog box by highlighting the line it is on and clicking the Replace button or by double clicking the line it is displayed on Note1 It is possible to type the first few characters of the Health Care Facility in the Initial HCF box The characters will be in red which indicates a lookup has not yet been performed and by selecting list of Initial HCF s that are filtered to your letters will be displayed Note2 Due to name changes or spelling errors the health care facility for which you are searching may not be displayed To display the complete list of health care facilities delete the information from the upper UHCFName field and click the Refresh button Note3 Toxicall allows each site to create custom health care facilities See the Supervisor manual for more information 5 15 5 Final Health Care Facility HCF This is where the final h
63. ly shows on the Search window of the local database Allows you to move highlighted cases from local to network 3 Download from Network Only shows on the Search window of the network database Allows you to move highlighted cases from network to local 1999 2007 All Rights Reserved This Manual can be reproduced by licensed TOXICALL subscribers for internal use only Computer Automation Systems Inc 6718 S Richfield St Aurora CO 80016 303 680 7774 Page 21 of 88 TOXICALL 4 6 Basic Functions User Manual omputer utomation ystems Local Database Displays case list from local database Network Database Displays case list from network database Us Exit Exits Toxicall Ea Help 4 4 Search Options Toxicall Search Cases 1 selected and 14 Tatal _ Ioj x Ss File Search view Supervisor Window Help la y xj DEAA AS 23 FP amne Display Zase List as Location Network Database tid Searca Name Sas Iv SRR Clear lo Max Cases E The Search options are found directly under the Toolbar Display Allows the user to choose from a number of options including AAPCC pre set reports Case List two tabs to set basic search criteria and Case List Advanced eight tabs to set advanced criteria See the beginning of this chapter for more information Displays allow the user to set different ways to view case information from a selected database It is even possible
64. n Dictionary Ignore Mispelled Ignore All Suggestions a Change Dispelled m 7 Misspell ange Al hMiccalled fst Add words to Add NY a Suggest Urda Dictionaries Options Help Cancel Clicking the spell check button will run a spell check on Open Case Notes If a misspelled word is located a Check Spelling window will be displayed Note1 Each center has the option to enable spell check for open notes This is set through the Configuration window For more information see the Supervisor manual Note1 Each center has the option to enable spell check for open notes This is set through the Configuration window For more information see the Supervisor manual 5 10 7 Reset Text el ResetText To Reset Case Notes text to the default text properties highlight the text to reset and click the button To reset all the text in the Case Notes box simply click the button Note1 Reset Text is useful after copying text from Poisindex and pasting into Toxicall which has a different font style 1999 2007 All Rights Reserved This Manual can be reproduced by licensed TOXICALL subscribers for internal use only Computer Automation Systems Inc 6718 S Richfield St Aurora CO 80016 303 680 7774 Page 53 of 88 TOXICALL 4 6 Basic Functions User Manual omputer utomation ystems Note2 Historical notes can t be reset 5 10 8 Historical Written Notes Historical Written notes are n
65. nal use only Computer Automation Systems Inc 6718 S Richfield St Aurora CO 80016 303 680 7774 Page 4 of 88 TOXICALL 4 6 Basic Functions User Manual omputer utomation ystems 1 Introduction Welcome to TOXICALL Thank you for choosing the number one poison control center database software in the United States We want your experience using TOXICALL to be the best it can be so we have created this manual for your use We appreciate and encourage your comments and suggestions both on our software as well as on this manual This manual is divided into three parts The first part focuses on Getting Started in TOXICALL The second part is built around Searching Techniques and the final part deals with Troubleshooting Our hope is that these documents will help you learn to use TOXICALL in the most efficient manner possible thus freeing you to do your important work patient care Sincerely The TOXICALL Team 1 1 TOXICALL Features o Ability to queue batches of reports to be emailed printed or saved to file o Ability to encrypt files being sent via Batch Queue o Ability to create custom displays o With Microsoft Excel loaded on the PC the ability to export data to a graph format o Ability to create User Created Fields UCF to collect custom data not currently being collected by TOXICALL o Ability to create User Created Requirements UCR to customize what data is required in a case o Ability
66. nd is to be used only when calls were received that are from outside your center s normal coverage area Note Due to the fact that the primary center is the center that received the original phone call your center will not be displayed in the drop down list Hence it is the center that received the transferred the case will choose the center that originated the call To select a Primary Center click the dropdown button to the right of the entry box and choose the appropriate center from the list 1999 2007 All Rights Reserved This Manual can be reproduced by licensed TOXICALL subscribers for internal use only Computer Automation Systems Inc 6718 S Richfield St Aurora CO 80016 303 680 7774 Page 62 of 88 TOXICALL 4 6 Basic Functions User Manual omputer utomation ystems 5 16 Free Areas Free Areas at Industry Gaze T Overide MAPCE Validation Free Areas are custom areas populated with values that are created and maintained by each site Free areas are used to capture center specific information for the reporting and tracking of each center s calls It can be used to track language of caller follow up doctors involved in the case industry cases or anything else your center would like to use to track trends or capture numbers For information on how to enter values for these custom fields please refer to the Supervisor manual To choose a Free Area option click on the down arrow to the righ
67. ne documentation to the Table of Contents Help on Help Opens information on how to use the Help online documentation License Information Takes you to the window that displays current license information for that specific workstation Installation History Opens a window that displays the versions that have been installed on that specific workstation and the dates they were installed Toxicall Web Site 1999 2007 All Rights Reserved This Manual can be reproduced by licensed TOXICALL subscribers for internal use only Computer Automation Systems Inc 6718 S Richfield St Aurora CO 80016 303 680 7774 Page 11 of 88 TOXICALL 4 6 Basic Functions User Manual omputer utomation ystems Home Page Opens the Toxicall website in a browser window Revision Information Opens the Toxicall website to the Revision page which details change information for current and previous versions of Toxicall Download Page Opens the Toxicall website to the download page with upgrade and full downloadable versions of Toxicall additional Microsoft drivers that are needed and current copies of the manual Send Workstation Error Log Sends the file detailing errors in Toxicall for that particular workstation to Toxicall via ftp Note Only send this file when requested by Toxicall Technical Support Send Workstation Case Log Sends the file containing case change information for that p
68. nsed TOXICALL subscribers for internal use only Computer Automation Systems Inc 6718 S Richfield St Aurora CO 80016 303 680 7774 Page 34 of 88 TOXICALL 4 6 Basic Functions User Manual omputer utomation ystems Enter the patient s primary medical doctor s name and phone number in the Patient PMD Name window The phone number follows the same standards as the Caller and Patient Phone Number fields 5 4 6 Species select the patient species from the Species field Human Animal Cat Dog Bird Aquatic Cow Horse Rodent lagomorph Sheep goat Other 5 4 7 Gender Select the patient s gender 5 4 8 Weeks Pregnant This field is just to the right of the Gender field Enter the number of weeks pregnant If the number of weeks pregnant is unknown enter 99 Note Entering the number of weeks pregnant will automatically select the patient s gender as female Selecting male as the patient s gender will clear the number of weeks pregnant 1999 2007 All Rights Reserved This Manual can be reproduced by licensed TOXICALL subscribers for internal use only Computer Automation Systems Inc 6718 S Richfield St Aurora CO 80016 303 680 7774 Page 35 of 88 TOXICALL 4 6 Basic Functions User Manual omputer utomation ystems 5 4 9 Age Enter in the patient s age number Note The patient age is comprised of two parts age the field to the lef
69. nt date time and user name by selecting the clock button which is below the case notes window Note2 To permanently save the notes in the Histor ical Note window cyan box click on the save notes button under the Case Notes box or save the case as either Closed or Open status Note3 Quick Save will not move the notes to the Historical Notes field Note4 Once the notes have been saved to the Historical Notes field they can no longer be edited Note5 Notes cannot contain the vertical bar commonly known as a pipe symbol 5 10 3 Timestamp je Timestamp Upon the initial entry of notes in the Case Notes window a timestamp will automatically be entered into the window To add an additional Timestamp click the Timestamp button The system date time and your user name will be inserted where the cursor is located Note2 With each click of the timestamp button a follow up time date will be inserted into the Case 9 10 4 Text Attributes To apply text attributes to the Case Notes field to emphasize a section of text either click the button before typing the text to be affected or highlight existing text to be changed and click the text attribute button or to apply a color attribute choose the color from the drop down list located underneath the Case Note field 1999 2007 All Rights Reserved This Manual can be reproduced by licensed TOXICALL subscribers for internal use only Computer Automati
70. o give you more information such as a label for a button Here Search Window is the tool tip when the mouse is held over the binoculars icon 12 3 Radio Buttons Checkboxes and Dropdown Lists Toxicall uses three types of Windows selections radio buttons checkboxes and dropdown lists 12 3 1 Radio Buttons Save to Hetwork CA utometie Radio buttons allow the selection of one item from a set of options When a button is selected a black dot will appear in the radio button Using the mouse you click to select an item Using the keyboard just use the arrow keys to move the selection through the item set until you get to the one you want 1999 2007 All Rights Reserved This Manual can be reproduced by licensed TOXICALL subscribers for internal use only Computer Automation Systems Inc 6718 S Richfield St Aurora CO 80016 303 680 7774 Page 82 of 88 TOXICALL 4 6 Basic Functions User Manual omputer utomation ystems 12 3 2 Checkboxes R N Cardiovascular D mj Bradycardia Cardiac arrest mj Conduction disturbs DC Dysrtaythimia tother Checkboxes allow the selection of multiple items When a checkbox is selected a checkmark will be displayed in the box selected To select an option with the mouse you just click on the checkbox To use the keyboard place the cursor over the checkbox and hit the Spacebar status Open hi 12 3 3 Dropdown List Dropdown lis
71. on Systems Inc 6718 S Richfield St Aurora CO 80016 303 680 7774 Page 51 of 88 TOXICALL 4 6 Basic Functions User Manual omputer utomation ystems These text attributes can be used depending on your configuration B u 2 Bold zl Italics a Underline Black Change Color black blue red or green Note1 See the Supervisor manual for information on enabling these properties through the Configuration window Note2 Text color cannot be used when spell check while typing is used 5 10 5 Keycuts Keyout Keycuts Keycuts are notes shortcuts which are user defined by site To use a keycut click the button underneath the Open Case Notes window Type a new Keycut name to use or select an existing name from the dropdown list by clicking the right hand down arrow Upon selecting a Keycut an example of the Keycut will be displayed in the window To populate a keycut into the Case Notes window at the point of the cursor click OK Note Clicking Cancel will close the Keycut window without propagating any data into the note section 1999 2007 All Rights Reserved This Manual can be reproduced by licensed TOXICALL subscribers for internal use only Computer Automation Systems Inc 6718 S Richfield St Aurora CO 80016 303 680 7774 Page 52 of 88 TOXICALL 4 6 Basic Functions User Manual omputer utomation ystems 5 10 6 Spell Check RE Spell Check Not i
72. or the substance dose for which the patient was exposed The results will be shown in milligrams per kilogram of the patient s weight Note1 If the Concentration fields or the Dose fields are blank the result will be shown as the number of units without regard for the patients weight For example this field might be shown as 49 5 mg instead of 49 5 mg per kg Note2 Quantity Units and Per dose units must match for calculations to work Also if nonstandard units are used in quantities this feature will not work 5 7 9 Number of Substances The small entry box with No under it is the Number of Substances box which tracks the number of substances entered in that case 5 7 10 Switching Substance Order The order of the substances can be switched To do this highlight the substance to be moved to a higher priority click the number box to the left of the substance field and change the number of substance to a number smaller than that substance s current number Hit the Save icon and the substances will be re ordered Note It is only possible to change a substance from a higher number to a lower number Example Change substance 3 to Substance 1 5 7 11 Historical Substances Window lf there is a substance which has been previously looked up during the current Toxicall session and you would like to view this list click the historical substance button By selecting a substance and clicking OK the substance de
73. orm the search you need to limit the data such as by date range or substance From the File menu select Move Copy Cases Select the Network database from the Destination database dropdown Click OK to move the cases For information on Deleting cases or Exporting cases please see the Supervisor Manual 1999 2007 All Rights Reserved This Manual can be reproduced by licensed TOXICALL subscribers for internal use only Computer Automation Systems Inc 6718 S Richfield St Aurora CO 80016 303 680 7774 Page 75 of 88 TOXICALL 4 6 Basic Functions User Manual omputer utomation ystems 10 Arranging Icons and Windows 10 1 Arrange Icons Toxicalli File View Supervisor Window Help CHas 248 EEr 2i Toxicall File View Supervisor Window Help DUR MAS Bag Se aixi EEA 20x E Selecting the Window menu and then Arrange Icons will arrange any minimized windows and place the ionized windows together The first window illustrates unarranged windows the second window shows the screen after Arrange Windows 10 2 Cascade The Cascade option under the Window menu will arrange all open 1999 2007 All Rights Reserved This Manual can be reproduced by licensed TOXICALL subscribers for internal use only Computer Automation Systems Inc 6718 S Richfield St Aurora CO 80016 303 680 7774 Page 76 of 88 TOXICALL 4 6 Basic Functions User Manual omputer utomation ystems
74. ory field However if call type is not Exposure Site of Caller will be disabled 5 6 5 Call Site Code Call Site Code is the list of Health Care Facilities used if the Health Care Facility initiated the call By selecting a Call Site Code Health Care Facility information will be entered into the caller s data fields Existing data in the caller data field will not be overwritten If you Know the text of the exact entry you are looking for you can begin typing it right in the field Toxicall will display a match if it exists Otherwise click on the button to the right or hit Ctrl L when in the Call Site Code field to open the Call Site Code window Now type the first few characters of the Health Care Facility you are looking for and Toxicall will filter to that entry if it is in the table Select the right one by highlighting it in the list or double clicking on the highlighted line Note Cancel will close this window without adding any information to the case 1999 2007 All Rights Reserved This Manual can be reproduced by licensed TOXICALL subscribers for internal use only Computer Automation Systems Inc 6718 S Richfield St Aurora CO 80016 303 680 7774 Page 40 of 88 TOXICALL 4 6 Basic Functions User Manual omputer utomation ystems Healthcare Facility Lookup cnc 5 6 6 Set Case Start Date to Current Date Time i 0700 09 39 44 F aa Ptt Date Note If Exposure has been se
75. ot be able to see all the options listed below if you have not been given the appropriate permissions 3 1 1 File New Case Opens the Case Entry window with a blank case Exit Closes Toxicall 3 1 2 View Search Window Displays the Search Window for the local database Toolbar Allows user to hide display the toolbar Area Code Lookup Displays a reference table of area codes states and territories 1999 2007 All Rights Reserved This Manual can be reproduced by licensed TOXICALL subscribers for internal use only Computer Automation Systems Inc 6718 S Richfield St Aurora CO 80016 303 680 7774 Page 9 of 88 TOXICALL 4 6 Basic Functions User Manual omputer utomation ystems HCF Lookup Displays the list of health care facilities that your site has defined View Batch History Displays a History of Batches run Batch Queue Activity Show current Batch Queue activity Required Field Color Allows user to set the color for fields that must be filled in before a case can be closed Refresh Menus Refreshes the menus and enforces appropriate menus and toolbar items to be displayed 3 1 3 Tools Data Migration Data Migration V3 6 2 to 4 1 Converts data from Toxicall version 3 6 2 to 4 1 Data Migration V4 x to 4 3 Converts data from Toxicall version 4 x to 4 3 Check for Structure Updates Allows you to check a database to see if it needs updat
76. otes that have been previously recorded on acase and cannot be modified or deleted Historical notes are located in the top left corner of the Toxicall case window cyan 5 11 QA Notes Used for quality assurance of case entry These notes can be modified deleted or saved permanently if the option is set see Supervisor manual Toxicall ini section A SPI must have proper rights to use the QA Notes If the notes are not set to save with the case they will be deleted once the case is closed unless the overriding parameter has been added to the initialization file 5 12 Clinical Effects Clinical Effects can be Related to the Exposure Not Related or Unknown if Related To enter clinical effects click the Clinical Effect field in the mid left portion of the lower screen and click the appropriate boxes for the effects you need to record Then click OK to save Clicking Cancel will not save the selected clinical effects selected o Check R for Related clinical effects o Check N for Non Related clinical effects o Check both R and N to indicate that it is Not Known if an effect is related or unrelated After Clicking OK Toxicall will populate the selections into the clinical effects field and color code them 1999 2007 All Rights Reserved This Manual can be reproduced by licensed TOXICALL subscribers for internal use only Computer Automation Systems Inc 6718 S Richfie
77. s Reserved This Manual can be reproduced by licensed TOXICALL subscribers for internal use only Computer Automation Systems Inc 6718 S Richfield St Aurora CO 80016 303 680 7774 Page 14 of 88 TOXICALL 4 6 Basic Functions User Manual omputer utomation ystems Toxicall Search Cases 1 selected and 0 Total Zx S File Search View Supervisor Window Help la x Osh 4 Ge ee 2 Display Case List Advanced Baw Search Name PE icy Location Network Database M Search Clear fo Max Cases E 1 Case List 2 Case Information 3 Patient Caller 4 Substance Exposure 5 Clinical Etfects1 6 Clinical Effects 2 7 Therapy f Outcome 8 Scenario Case Information Miscellaneous Information Case Number eO GS Locked V xj Center Code g Lockedby SA O l Yecoe i LockedDate aaa i Start Date po O Gi Primary Center Code as es Current Date st Override Flag V OI Follow up Date k Scanout Status IV X Follow up Number di l Industry Case V QI se o intial SPA OO l cwrets i a L Assigned to SPI rll E Call Information Priority po O ES caltye a a Call Type Subcategory ii Ta Reason for Exposure es as Site of Exposure A EA Multi Case Number ee GS Site of Caller C O mi CalSiteCode T a d Caller Location Code Gis Case List Advanced allows for more specific searching than the Case List screen Here there are eight tabs instead of just two Each tab contains different
78. scription Poisindex code and Generic Code will be propagated into the appropriate fields as if doing a Poisindex lookup Clicking OK will overwrite any information in the substance description Poisindex code and Generic Code fields Clicking Cancel will close this window without propagating data into the substance fields Note This function is workstation specific 1999 2007 All Rights Reserved This Manual can be reproduced by licensed TOXICALL subscribers for internal use only Computer Automation Systems Inc 6718 S Richfield St Aurora CO 80016 303 680 7774 Page 46 of 88 TOXICALL 4 6 Basic Functions User Manual omputer utomation ystems 5 7 12 Saving Substance Upon the completion of entering or editing a substance click the Save button or hit the F12 key to populate the saved substance field 5 7 13 Saved Substance Field w Substance History Deecriptian Porindes Generic CAT FOOD 3555302 PENICILLIN from LANNETT 4042331 D07772 CEPHALESIN LAN TIBIOTIC 2685331 TRAZODONE 3552216 O066742 ADA 214957 7 O04 OOL PHENERGAN INJECTION 25 4398800 o0037 20 IGU TAB COATED TABLET 5561017 0234002 GUAIFEME SIM amp amp 4625046 i in the Verbatim column header The saved substance field displays currently saved case substances To edit a substance select the line to edit from the Saved Substance field which will propagate the data into the Substance Verbatim fields Update th
79. se as Current case status Open if New to the local database without bringing up the Save Case window no options can be set then closes the case window This is handy to use if you need to quickly close a case and open a new one for an incoming call Quick Save Case Saves the case you are working on as status Quick if case does not already have a status assigned to it to the local database without bringing up the Save Case windows no options can be set and leaves case open for further editing h Search Menu Displays search window of the local database L Preview Displays on the screen how the printout will look amp Print Sends the case or report to your printer Save as Template Creates a new template from a currently open case A template is a copy of an open case that can be reused for similar situations Any substance information you want included in subsequent cases should be saved into the case prior to creating a template Note Does not save historical notes blue section or verbatim For more information see the Templates chapter in this manual Apply Open Template Allows a user to choose a template from a list of previously defined user templates to apply to the case open in Toxicall For more information see the Templates chapter in this manual 1999 2007 All Rights Reserved This Manual can be reproduced by licensed TOXICALL subscribers for internal use only Computer Automation Sy
80. ser to change a case s number Note Must have the option set in the Toxicall ini file see Supervisor Manual for more information Case List Hide View Columns Allows user to set which columns will be displayed for cases on the displayed database layout This will reset to the default only after closing the Search window and reopening it unless you save the layout Save Layout Saves user defined layout created with Hide View Columns Restore Layout Restores default case layout from saved layout created and set with Save Layout 1999 2007 All Rights Reserved This Manual can be reproduced by licensed TOXICALL subscribers for internal use only Computer Automation Systems Inc 6718 S Richfield St Aurora CO 80016 303 680 7774 Page 19 of 88 TOXICALL 4 6 Basic Functions User Manual omputer utomation ystems 4 2 5 Window For information on using the menu items Arrange Icons Cascade Tile Vertically Tile Horizontally and Save Window Settings see the chapter titled Arranging Icons and Windows 4 2 6 Help Help Contents Opens the Help online documentation to the Table of Contents Help on Help Opens information on how to use the Help online documentation License Information Takes you to the window that displays current license information for that specific workstation Installation History Opens a window that displays the versions that have been installed on that
81. stems Inc 6718 S Richfield St Aurora CO 80016 303 680 7774 Page 28 of 88 TOXICALL 4 6 Basic Functions User Manual omputer utomation ystems Led View Lab Module Allows you to enter lab data into the case and to view existing lab data fal CQI Entry Allows a CQI grader to enter CQI grades and also allows the SPI being graded to view their results hit Exit Exits Toxicall ie Help Displays help information 5 3 Caller Data Section Caller Data Marre Phone Addr 5 3 1 Name Enter the caller s first name last name and title if applicable Callers Name can be entered in several different formats such as John Doe Doe John Doe John Dr Dr John Doe Note Upon saving the case Toxicall will save the callers name as either first name lt space gt last name or as title lt space gt first name lt space gt last name 1999 2007 All Rights Reserved This Manual can be reproduced by licensed TOXICALL subscribers for internal use only Computer Automation Systems Inc 6718 S Richfield St Aurora CO 80016 303 680 7774 Page 29 of 88 TOXICALL 4 6 Basic Functions User Manual omputer utomation ystems 5 3 2 Phone Number Enter the caller s phone number in one of the following formats HHHHHHHHHH or HHH HHH HHH Example 1112223333 or 111 222 3333 Note Upon saving the case Toxicall will automatically format the caller s phone number as 111
82. t and age units dropdown to the right For example 5 and years When age is unknown leave the age box blank and select one of the age units The age unit options are Years Months Days lt 5 yrs 6 12 yrs Teen 20S 30S 40s 50s 60s 70s 80s gt 90 Unknown child lt 19 yrs Unknown adult gt 20 yrs Unknown age 5 4 10 Weight The patient weight field is used to track the patient s weight which is used in the weight calculations Enter the patient s weight number in the field to the left and select units from the dropdown on the right pounds lbs or kilograms kg Note If weight conversion is needed for TESS compliance it will be performed by Toxicall on the outbound data without adjusting or changing any historical data 1999 2007 All Rights Reserved This Manual can be reproduced by licensed TOXICALL subscribers for internal use only Computer Automation Systems Inc 6718 S Richfield St Aurora CO 80016 303 680 7774 Page 36 of 88 TOXICALL 4 6 Basic Functions User Manual omputer utomation ystems 5 5 Index Case Number and Multiple Checkbox Index Case Number is used to reference a case to itself or to another case when multiple exposures are involved Using the index case number will assist the user in populating information from one case to another when a call involving multiple exposures is received To use this handy feature enter the firs
83. t Name a d Caller Last Hame O i a l Case Status Mot Selected Caller Phone Number Doo O di l Priorty Not Selected Patient FirstName ta Call Type iNet selecte Patient Last Mame 4 Gi Pear EE NotSeecesy Caller Relation to Patient s Case Current Dete iNot Selected T z Age Units re Mot Selected Case Follov up Tine inot Selected Site of Caller Mot Selected Case Follov Up Mum cis Call Site Code Mot Selected Initial SPI not Selected Initial HEF Mot Selected Current SPI iNot Selected i Sub Mumber d Assigned to SPl Not Selected i i x Sub Description d F A ES Sub Verbatim dii Free Aree 1 Not Selected bl Free Area 24 Not Selected Free Area 26 Mot Selected Free Area 2C Mot Selected Free Area 30 Mot Selected Free Area 3E iNet Selected att Free Area 3F Mot Selected The Case List display can be selected from the Display lookup button at the top left of the functions area of the screen This display mode allows you to do quick searches from the General tab shown above on a select set of fields Criteria can be added to the search by either clicking the dropdown arrow or the Lookup icon either eyeglasses or three dots depending on what is available for a particular field If you are just looking to put together a search that uses these fields Case List will be your fastest option 1999 2007 All Right
84. t of the appropriate Free Area and click on the correct option in the list Case 94 999 2001 Validation TESS 2000 Patent 4ge e usually between 1 and 49 if the patient pregnant May override Update Close 5 17 Override AAPCC Validation The Override AAPCC Validation check box lower right hand portion of open case window is used to override certain validation errors When saving cases as Closed Toxicall automatically performs the AAPCC logic error checking and ensures required fields have been populated Some validation errors state May override in parentheses and by placing a check mark in the AAPCC Validation box it may be possible to close the case and override this type of validation error 1999 2007 All Rights Reserved This Manual can be reproduced by licensed TOXICALL subscribers for internal use only Computer Automation Systems Inc 6718 S Richfield St Aurora CO 80016 303 680 7774 Page 63 of 88 TOXICALL 4 6 Basic Functions User Manual omputer utomation ystems 5 18 Industry Case Upon receipt of an industry call place a check mark in the Industry Case lower right hand portion of open Case window box to denote that the call is an industry call 1999 2007 All Rights Reserved This Manual can be reproduced by licensed TOXICALL subscribers for internal use only Computer Automation Systems Inc 6718 S Richfield St Aurora CO 80016 303 680 7774
85. t patient s case data and save the case Once a new case is displayed on your workstation enter the original case number in the index field in the patient data section and press the Enter key The message below will be displayed Select Yes and all of the information from the case number entered in the index field will be populated into your current case Note1 Clicking No will not populate any information into the new case displayed on the screen Note2 Indexing a case will not overwrite data already entered into the case It is recommended that all patient specific data be entered prior to applying the index to a case Toxicall ES 2 Would you like to populate fhe cage with information trom case 12 1999 2007 All Rights Reserved This Manual can be reproduced by licensed TOXICALL subscribers for internal use only Computer Automation Systems Inc 6718 S Richfield St Aurora CO 80016 303 680 7774 Page 37 of 88 TOXICALL 4 6 Basic Functions User Manual omputer utomation ystems 5 6 Call Information Section Call Information 5 6 1 Call Type To set the Call Type click the down arrow to the right of Call Type to open the dropdown Select the best choice for your call from the list Alternatively you can start typing the choice if you know the exact text in the field and Toxicall will filter down the choices to match what you have entered Note Nearly all of the categories listed b
86. ter Automation Systems Inc 6718 S Richfield St Aurora CO 80016 303 680 7774 Page 48 of 88 TOXICALL 4 6 Basic Functions User Manual omputer utomation ystems 5 9 Route of Exposure Field w Route of Exposure fini Route of Exposure Ingestion C Inhalation nasal O Aspiration with ingestion C Ocular C Dermal C Bite sting C Parenteral C Rectal O Otic C Vaginal O Other z TE rl Cancel The Route of Exposure field mid right portion of the open case screen is where the route in which the exposure occurred is selected To select a route click the mouse button in the Routes field to open the Route of Exposure window Select the route of exposure by clicking in the box to the left of the appropriate route to add a checkmark It is possible to select multiple routes of exposure Click OK to populate the checked routes into the case displayed on your workstation 5 9 1 Acuity Acuity will allow you to track the duration of the clinical effects 1999 2007 All Rights Reserved This Manual can be reproduced by licensed TOXICALL subscribers for internal use only Computer Automation Systems Inc 6718 S Richfield St Aurora CO 80016 303 680 7774 Page 49 of 88 TOXICALL 4 6 Basic Functions User Manual omputer utomation ystems 5 10 Case Notes Section Tue Dec 19 2000 17 16 B 1 100 Super Test Notes Test Notes Jes Aes IIT est
87. tered in the phone field all related cities states will be displayed in the zip 1999 2007 All Rights Reserved This Manual can be reproduced by licensed TOXICALL subscribers for internal use only Computer Automation Systems Inc 6718 S Richfield St Aurora CO 80016 303 680 7774 Page 30 of 88 TOXICALL 4 6 Basic Functions User Manual omputer utomation ystems code area code lookup window Note2 To display all area data in the Zip Code Area Code database clear the field at the top of the window and click the Refresh button Notes Zip Code Area Code Lookup data will not overwrite if the Addr field has been populated unless you choose Yes to overwrite the current address data or click Replace 5 3 4 Addr Caller s Address Addr 16748 South Richfield St x Aurora CO 80016 Arapahoe Enter the caller s street address on the first line of this field On the second line enter either the second line of the caller s address or the callers city state and zip code On the next line enter the caller s county Note A comma must separate the caller s city and state 5 3 5 Caller s Information Window im Caller Information Title FE First Name Last Mame Phone tarea code eve kw x Address 1 i o Address 2 City StateZip fw e Caller County Cancel The Caller Information window displays the caller s data that has been entered by the user
88. ternal use only Computer Automation Systems Inc 6718 S Richfield St Aurora CO 80016 303 680 7774 Page 79 of 88 TOXICALL 4 6 Basic Functions User Manual omputer utomation ystems 11 Keyboard Shortcuts Toxicall uses Windows standards which allow the use of keystrokes to invoke menu options Keystrokes for menu items are viewable by clicking on the appropriate dropdown menus Shortcut Description Switch between all open windows in Toxicall Apply Template Alt F T Save as Template F7 Opens Closes pop up Notes window Refreshes menus F5 Alt M Moves to Medical Outcome section Alt A Moves to Free Areas Alt K Opens Keycut window Alt X Moves to Time of Exposure Alt R Moves between Relation to Patient Routes Alt S 1999 2007 All Rights Reserved This Manual can be reproduced by licensed TOXICALL subscribers for internal use only Computer Automation Systems Inc 6718 S Richfield St Aurora CO 80016 303 680 7774 Page 80 of 88 omputer utomation ystems TOXICALL 4 6 Basic Functions User Manual gay M D F12 Becomes months Becomes days ago Saves substance information Time of Exposure shortcuts M H D W MO sn 4 Cp Becomes seconds ago Becomes minutes ago Becomes hours ago Becomes days ago Becomes weeks ago Becomes months ago Acuity and Duration Shortcuts A Space C Space
89. troactive is not permanent and can be edited Select the date and time and hit the OK button The time you chose will be displayed in the Save Case window in bold black text next to the Retroactive button 1999 2007 All Rights Reserved This Manual can be reproduced by licensed TOXICALL subscribers for internal use only Computer Automation Systems Inc 6718 S Richfield St Aurora CO 80016 303 680 7774 Page 71 of 88 TOXICALL 4 6 Basic Functions User Manual omputer utomation ystems 9 Moving Copying Cases Toxicall allows case movement between system databases Cases can be moved from the local to the network network to archive archive to archive archive to network and from network to local see diagram below Note Sites are allowed to manage more than one archive database Toxicall allows users share cases with other Toxicall centers Copying cases allows you to keep a permanent copy of the case at your center while sharing a copy of the case with other centers A third database can be created as the destination for the copy which can then be sent to other centers if desired Cases can be moved between Network and Archive Moving a case located on the network database to the local database the case will be locked then copied to the local database This will allow TOXICALLR to maintain the location of all cases that are downloaded fromthe Cases can be moved network between Archive
90. ts allow the selection of one item from a list Toxicall contains two types of dropdown lists the List box and the Combo box 12 3 4 List Box List Box is used when there are many selections with the same first word When using a List Box you can enter type the first letter of entry until the appropriate entry appears 12 3 5 Selecting from List Box with Keyboard In the dropdown list field enter the first letter of the entry you would like to select If the entry that appears is not the correct entry retype the letter until the correct entry is displayed Example 1 When searching the State field for Colorado hit the C key twice The first C will display California and the second will display Colorado Example 2 In Reason for Exposure locate Unintentional Occupational Press the letter U three 3 times and it will appear in the box 1999 2007 All Rights Reserved This Manual can be reproduced by licensed TOXICALL subscribers for internal use only Computer Automation Systems Inc 6718 S Richfield St Aurora CO 80016 303 680 7774 Page 83 of 88 TOXICALL 4 6 Basic Functions User Manual omputer utomation ystems 12 3 6 Selecting from List Box with Mouse Using the mouse you can click the down arrow next to the dropdown scroll to your selection and click on it 12 3 7 Combo Box Combo Boxes allow you to type the text for the entry or scroll to find it in the list
91. ubstance Verbatim field D New Clear Substance Clears the substance fields a Save Substance Saves current substance information to the verbatim field Erase Substance Erases the selected substance E imber of Substance used to track the number of substances in each case The Number of Subs field will automatically increment as each substance is saved in the case ia Substance History Displays a list of substances that have previously been looked up in the same Toxicall session ie Refresh Substances Refreshes current substance list Result button Generates substance dose calculation 1999 2007 All Rights Reserved This Manual can be reproduced by licensed TOXICALL subscribers for internal use only Computer Automation Systems Inc 6718 S Richfield St Aurora CO 80016 303 680 7774 Page 43 of 88 TOXICALL 4 6 Basic Functions User Manual omputer utomation ystems L ibuprofen To enter a Substance Verbatim for an open case enter the name of a substance in the verbatim field such as ibuprofen press Enter or click the look up button 1 to the right of the verbatim field or hit Ctrl L which will perform a search of the Micromedex POISINDEX database provided you also have this installed properly Once the POISINDEX database is displayed select the appropriate substance and continue the links until all necessary information has been gathered Note Typing in the New Substance
92. used when retroactively entering cases or if a case window was already open and a call has just come in causing the user to have to come back to the original case To set an open case Start Date Time to the Current Date Time Click the button Select Yes to Change the case time to right now To set an open case start Date Time retroactively click the lookup button next to Start Date and a calendar window will be displayed Set to the appropriate date by using the arrow keys next to month and year and clicking the correct date on the calendar Then set the time using the arrows or by typing in the time in the box Be sure to put an a or p at the end if you are not using military time style Click OK 5 7 Substance Verbatim The substance field middle left on the Toxicall case screen is used to track the substance information pertaining to the call This includes substance name quantity formulation concentration and amount 1999 2007 All Rights Reserved This Manual can be reproduced by licensed TOXICALL subscribers for internal use only Computer Automation Systems Inc 6718 S Richfield St Aurora CO 80016 303 680 7774 Page 42 of 88 TOXICALL 4 6 Basic Functions User Manual omputer utomation ystems oi 3E Dese 2 a Generic Code Formulati _ Ee Concentrator Fer Dose POISINDEX Code 5 7 1 Substance Field The following buttons are used in the S
93. ved This Manual can be reproduced by licensed TOXICALL subscribers for internal use only Computer Automation Systems Inc 6718 S Richfield St Aurora CO 80016 303 680 7774 Page 20 of 88 TOXICALL 4 6 Basic Functions User Manual omputer utomation ystems Receive Network License Information Prompts Toxicall to import the new license file sent by Toxicall Technical Support Note You will be notified by Support when this file is ready AAPCC Website Opens various pages on the AAPCC website including Toxicall Discussion Group Member List The Poison Line Tricky Coding Questions and Yellow Tox User Website Currently not supported reserved for future use About Displays which Toxicall version is currently running on the workstation our logo copyright and phone number Example 4 3 45 4 3 Toolbar Icons IC New Case Creates a new case v Open Case Opens the case highlighted in the Search window i Open Case for Read Only Opens the case highlighted in the Search window but prevents you from making any changes Search menu Displays search window of the local database Preview Displays on the screen how the printout will look Print Sends the case or report to your defined printer A A Sort Ascending Sorts the data in ascending order 0 9 A Z Z Ay Sort Descending Sorts the data in descending order Z A 9 0 Upload to Network On
94. via ftp Note Only send this file when requested by Toxicall Technical Support Send Network License Information Sends the Network License file to Toxicall Technical Support via ftp This function is used when new Toxicall workstation licenses are required Note Requests for new licenses should not be made prior to 14 days of expiration Please notify Technical Support when you send this file Receive Network License Information Prompts Toxicall to import the new license file sent by Toxicall Technical Support Note You will be notified by Support when this file is ready AAPCC Website Opens various pages on the AAPCC website including Toxicall Discussion Group Member List The Poison Line Tricky Coding Questions and Yellow Tox About Displays which Toxicall version is currently running on the workstation our logo copyright and phone number Example 4 3 45 1999 2007 All Rights Reserved This Manual can be reproduced by licensed TOXICALL subscribers for internal use only Computer Automation Systems Inc 6718 S Richfield St Aurora CO 80016 303 680 7774 Page 27 of 88 TOXICALL 4 6 Basic Functions User Manual omputer utomation ystems 5 2 Toolbar Icons k New Case Creates a new case Save Case Brings up Save Case window allowing user to save to network or local database set case as retroactive and set case status a Quick Save and Close Case Saves ca
95. w as Download from Network Allows you to move highlighted cases from either network to local or local to network Move Copy Cases Allows user to move or copy highlighted or all displayed cases from current database in Search window to another database scan In Out Scans cases into out of Toxicall Mostly used as manual method of sending cases to TESS For more information see the Supervisor manual Export Cases Allows user to export reports and certain columns of cases out of Toxicall into other specific file formats Report Options Allows user to set report header and some print criteria options such as Search Criteria Report Date and Center information Print Preview Displays on the screen how the printout will look Print Sends the case or report to your printer Print List Sends highlighted case list to the printer and prints it as it appears on the Search window Printer Setup Allows user to set which printer Toxicall will use to print as well as available options for that printer such as orientation color and duplexing Exit Closes Toxicall 1999 2007 All Rights Reserved This Manual can be reproduced by licensed TOXICALL subscribers for internal use only Computer Automation Systems Inc 6718 S Richfield St Aurora CO 80016 303 680 7774 Page 17 of 88 TOXICALL 4 6 Basic Functions User Manual omputer utomation ystems 4 2 2 Search Search Ex
96. y Formulation Acuity fo D as night lr Tx Option fr B aex hilt Patients __ No _ Verbatim 0 Formulation POX Code Generic Code Resul Say Effects Therapies Scenarios a Medical Outcome Management Site _ Areas Fecr r aooe fener sedis OOOO 3E Initial HOF Final HGF EA a jk 3 Industry Case Primary Cre o Ovenide AAPCC Validation AO Sil ae 5 1 Menus Note You may not be able to see all the options listed below if you have not been given the appropriate permissions 5 1 1 File New Case Opens the Case Entry window with a blank case Save Case Brings up Save Case window allowing user to save to network or local database set case as retroactive occurring on a previous date and set case status Open 1999 2007 All Rights Reserved This Manual can be reproduced by licensed TOXICALL subscribers for internal use only Computer Automation Systems Inc 6718 S Richfield St Aurora CO 80016 303 680 7774 Page 24 of 88 TOXICALL 4 6 Basic Functions User Manual omputer utomation ystems Closed Quick saved Quick Save Case Saves the case you are working on as status Open if case doesn t already have a status assigned to it to the local database without bringing up the Save Case window no options can be set and leaves case open for further editing This is a handy option to use if you are working on
97. y Computer Automation Systems Inc 6718 S Richfield St Aurora CO 80016 303 680 7774 Page 58 of 88 TOXICALL 4 6 Basic Functions User Manual omputer utomation ystems 5 15 1 Medical Outcome Medical Outcome can be selected from the dropdown list to the right of the Medical Outcome window which is located in the lower left area of the case screen Note When selecting Minor Moderate or Major effects you will be required to select effect duration from the Duration dropdown list which is to the right of the Medical Outcome window s dropdown list Medical outcome options are No Effect Minor effect Moderate effect Major effect Death Death indirect report Not followed judged as nontoxic exposure clinical effects not expected Not followed minimal clinical effects possible no more than minor effect possible Unable to follow judged as a potentially toxic exposure Unrelated effect the exposure was probably not responsible for the effect s Confirmed non exposure 5 15 2 Exposure Duration After selecting Minor Moderate or Major effects it is required that a Clinical Effects Duration option is selected Exposure Duration options are lt 2 hours lt 8 hours lt 24 hours lt 3 days lt 1 week lt 1 month gt 1 month 1999 2007 All Rights Reserved This Manual can be reproduced by licensed TOXICALL subscribers for

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TOXICALL® 4.6 Basic Functions – User Manual