0.2VC OpenEyes Technicians and Nurses
Contents
1. ocated on the Episodes and event Add Episode Ophthalmology 16 Jul 2013 Medical Retinal 3 Select the green Create new episode box to create new episode of care button from the Create new episode pop up Create new episode Firm Brookes John Subspecialty Glaucoma Create new episode Cancel Page 17 How to create an Event Ensure the correct firm episode has been selected before adding or changing an event 1 To the left of the Episodes and Events summary screen select the green button to add a patient Event 14 Oct 2014 Glaucoma Episode Summary lt gt Add event 2 Select the l Examination option from the Add a new event pop up box Depending on episode of care chosen this box subheading will display a different speciality Add a new Glaucoma event Select event to add to the Glaucoma episode ES Anaesthetic Satisfaction Audit py Consent form Correspondence EY Examination E Intravitreal injection O Laser Operation booking Operation Note Phasing Prescription Z Therapy Application gJ Visual Fields 3 Change date to record for an event retrospectively these events will appear Event Date 24 Jul 2014 Page 18 History Examination Complete Step 3 if History area of the examination form is not already open 1 To the left of the Episodes and Events summary screen select the g2. Visual Acuity area of the examination form is not already open 1 To the left of the Episodes and Events summary screen select the green button to add a patient event 2 The Examination form opens To add Visual Acuity examination data scroll down to the grey Optional Elements and select the sign beside the Visual Acuity label to enter data for Visual Acuity 3 The Visual Function area of the examination form opens Visual Acuity Spellen Metre w C Remove o Remove Add Add 4 Select the appropriate option from the Visual Acuity drop down menu Visual Acuity Snellen Metre w 5 Select the appropriate Visual Acuity value from the drop down menu 6 Select the appropriate option from the drop down menu Contact lens Pinhole Auto reiracton Fornal refraction Page 20 7 Select the green button on the top right hand side of the examination screen to save information entered 8 Select Cancel to discard information entered that is no longer required CCT examination 1 To the left of the Episodes and Events summary screen select the green button to add a patient event 2 The Examination form opens To add CCT examination data scroll down to the grey optional elements and select the sign beside the CTT label to enter data for CTT 3 The CTT area of the examination form opens Complete the necessary fields If both eyes are no
3. optional elements and select the sign beside the Dilation tab 2 To record the data of the drops administrated to patient select the appropriate drug from the drop down menu Pilots F Miao Please select Time Drug Drops 12 03 Atropine 1 12 Page 22 The time of administration is set automatically to the current time To change click into the time box and type desired time to override the default time Select the number of drops administrated from the drop down menu Select the green button on the top right hand side of the examination screen to save information entered Visual Fields Legacy Event Ensure the appropriate event date is recorded within the Event Date field 1 2 3 To the left of the Episodes and Events summary screen select the and select the Visual Field legacy Event The Visual Field event screen opens Select the appropriate option from the Right Eye Left Eye drop down menu Only select options both eyes if historical image is required for both eyes Right Eye Left Eye ss 20 dd mila 7 ala 2 4 To view the full 5 The image will open in a separate screen 6 Select the appropriate option from the ability drop down menu 7 Select the appropriate option from the Glasses drop down menu 8 Record any relevant comments in the Comments box Ability Glasses OYes ONo Commen
4. PO qid Date 22 Aug 2014 Actions Edit Stop Delete Adherence Not Recorded Commen ts Not Recorded Actions Edit Add Medication 2 Select medication from the drop down menu 3 Ifthe medication required is not listed search the formulary in the dynamic field below and Select a SNOMED term by typing into the dynamic text field for any other 4 Enter the patient dose This field is free text 5 Select the appropriate route from the drop menu 6 Select the appropriate frequency from the drop down menu 7 Select date patient began using medication or select todays date by clicking the Blue button located on the right hand side of the box 8 Select current state of medication s the patient currently using the medication Stop Edit or Delete Medication 1 Within the medication box under the current subheading 2 Identify the required medication 3 Select the appropriate actierfrom the Actions field Edit Stop Delete a Current Medication Atropine 1 eye drops Administration 1 drop s Eye Both tid Date 13 Oct 2014 Actions Edit Stop Delete Page 8 Stop 1 To Stop medication ensure the following fields are completed date stopped and reason stopped select the appropriate option form the drop down menu then select green button Stop Medicatio Medication Atropine 1 eye drops Date stopped 13 Y October 2014 7 Reaso
5. Systematic Diagnosis 1 Select MEAN button x g Mi Date Diagnosis Actions 2013 Diabetes mellitus type 1 Remove 14 Apr 2013 Myocardial infarction Remove 14 Apr 2013 Marfan s syndrome Remove Add Systemic Diagnosis Page 6 2 Select the appropriate Commonly used diagnosis linked to the speciality firm from the drop down menu or Selectfa SNOMED term by typing into the dynamic text box Diagnosis Select a commonly used dia Eye Right Both Left Date diagnosed Day optional Month optional 2014 3 Enter date of diagnosis 4 Select the green button Previous Ophthalmic Surgery 1 Select Operation Actions 16 Oct 2013 Right Cataract surgery Edit Remove Add Previous ophthalmic surgery 2 Select the appropriate Common gperations option from the drop down menu or enter free text in the Operation box bglow E Date Operation Actions 16 Oct 2013 Right Cataract surgery Edit Remove Add previous ophthalmic surgery Common operations Select v Operation Side None ight Both Left Date Day optional Y y Month optional Y 2014 v 3 Select the appropriate Side from the option of ariel circles only select if appropriate Enter the date of operati n 5 Select the green MES tton Page 7 Medication 1 Select the PAUSA button O l Current Medication Acetazolamide 250mg tablets Administration 1 tablet s
6. CRE A a AEE 5 ee ee A AA REAA EA E E A A ERA A A A 5 A A oevciaeh 5 Minimum Legacy Data Seb asic tosiaa o e e Gta teehee eso k 6 Ophithalmic Dia gos IS iia 6 systematic Didono S anea E rt 6 Previos OpNthalmie SUGE rrsan o 7 Medical estoizismo e a eaa E a a ee 8 Stop EditOr Delete Medication reres naa a E E E TE 8 E D PEE IE T I AE EE E ETA A T T L IE 9 E i E E E E EA EE E A E E E ag edn E E E T 10 A tt cetme de tvgtteac Atscete ett etemasce scene ta ttetemaes Aeseeee da aetmean aeemeeameeaee 10 A Po ne topes cleats A EA ago AT 11 PMC USS ear ace ts Siete iO 11 AMI ISO an e di te cd Gene hehe ad Oca hehe ad Gem ake o Acute ecaen 12 SOCAR STO Vireg E E oie 12 PEP Ode aN EVO MS anes a cael ae at ainera anc ae tet eel adie at i hacutetd aati 13 Page 1 Episodes and Events summary screen ccccccsecceeeceeceeeseeceeecueceeeceeeeeeseesaeeseeseeeseesaeeseeeaeesaes 14 EA nner eer ee ee 14 arapo O A Ee eC 15 ene ee toos 15 Grapnot visual ACUILy SO a e od sete 15 MISA ACASO o o od a o ect 16 EA A AI A EA AS IA A EA IA IA a ee 16 a alocada 16 Episode DS ds 16 How to create an Episode eiii taa 17 POWO CEC ale ai EVON eree T a diane E E A wnat need nee 18 REON E Aaa Oen carioca gel Poumainieans 19 Vis alF ncton EXAMINA iria io ia i n 19 Visual Acuity EXAMINAN acia 20 HA o AA a O OE E A 21 Intraocular pressure Examinar AA A adv tesa ee Sees 22 OS 22 Visual Fields Legacy EVO siii A A AA tae AAA Ei 23 Add patient to Virtual Clin
7. 013 Right Cataract surgery Edit Remove m E iy Medication Current Medication Acetazolamide 250mg tablets Administration 1 tablet s PO qid Date 22 Aug 2014 Actions Edit Stop Delete Adherence Not Recorded Comments Not Recorded Actions Edit Add Medication Patient Episode s of care arranged Links takes you to last event recorded Patient Clinical Summary Minimum Legacy Data Set Inform delegates that it is expected that doctors and optometrists enter the minimum legacy data sets into the relevant fields located on the summary page Ophthalmic Diagnosis i Date Diagnosis Actions 14 Apr 2013 Right Age related macular degeneration Remove 14 Apr 2013 Right Low tension glaucoma Remove 14 Apr 2013 Right Pigment dispersion syndrome Remove 14 Apr 2013 Right Acute angle closure glaucoma Remove 14 Apr 2013 Right Secondary glaucoma Remove 2014 Right Acute angle closure glaucoma Remove Select the a UUE button 2 From the list of Commonly used diagnosis linked to the speciality firm select appropriate diagnosis or Select a SNOMED term by typing into the dynamic text box h Diagnosis Select a commonly used di v Eye Right O Both Left Date diagnosed Day optional Y Month optional 2014 v 3 Enter date of diagnosis 4 Select the green 2 25 button to save diagnosis entered 5 Select to discard information entered in the diagnosis area
8. Moorfields Eye Hospital NHS NHS Foundation Trust Virtual Clinic OpenEyes for Nurses Technicians and Health Care Assistants User Manual Published by OpenEyes Programme Office Document version 0 1 Date 24 Nov 2014 p www openeyes org uk Document published by OpenEyes Programme Office In case of any query please contact OPO team Ext 4752 Source IT PMO_L drive OPO documents openeyes repository TrainingMaterials Colour Key OpenEyes Form links OpenEyes navigation links Notes Field names Aims This session is designed to introduce delegates to OpenEyes by presenting Healthcare professionals the technology to be able to document the clinical journey of patients under their care The session aims to give the best practices on better patient care and management The Nurse Technicians Health Care Assistants will use mainly episode and events screen within OpenEyes for diagnosis examinations and prescriptions The following features are included in this course Contents e O OO phan ore Gea a Ban ae Gea Sen ae ee cee 1 DOCUMEn ta ION HISTO ssania E E 3 DocumentStallSiu NAN 3 Logging on and Getting Started saracii a a a a 4 Overview of Patient Summary SCIEeN 5 c ccsececceececeneeccenecceecesodeccceeeeccecesoseceseseescesesssecesouers 5 A Panchen AE ee Cate an OR ae Saeed A settee EAE E an ALANE E ES el eee ETAT T 5 A 5 EA E OOR PEE A E AOE AE EA O POEA EE AEO E E A E E EEA EE E AEN ESE A AEA
9. elect the green button to save changes Social History Edit 1 To complete the Social History select the green button di Social History Social History Status Occupation Retired Driving Status No longer drives Smoking Status Ex smoker Accommodation Lives alone not coping Carer No Alcohol Intake 50 units week Substance Misuse Yes 2 Select the appropriate option from the drop down menu to complete the following fields Occupation Driving Status Smoking Status Accommodation Carer and Substance Misuse 3 Complete the following free text fields Comments and Alcohol Intake Page 12 4 On the right hand side of the main screen under the All Episodes subheading select the blue Create episode add event link AN Episodes open 1 closed 0 End Date Firm Subspecialty Eye Diagnosis Brookes John Glaucoma Mo diagnosis Mo diagnosis Date Diagnosis Actions Add Ophthalmic Diagnosis Date Diaonosis Actions Add Systemic Diagnosis Episodes and Events An episode is an on going period of clinical care A patient can have more than one episode of care at the same time at which point they may be under the care of a different consultant and or speciality firm An Open Episage current has a start date but no end date A Closed Episode has a start and end date TM represents a period of clinical care that has noyfinished for a particular specialis
10. ic Patient ld iii diia 24 LA ean nee ere eee ee eer 24 Page 2 Documentation History Version Revision details Written by Approved by number nome oe fee First draft of document OpenEyes Programme Office 29 01 2014 0 2 Removal of Virtual Clinic Victoria Aina OpenEyes Programme Office and screen shots and access description Description of how to add patients to VC list Document Status This is a controlled document This document version is only valid at the time it is retrieved from controlled file store after which a new approved version will replace it On receipt of a new Issue please destroy previous issues unless a specified earlier issue is base lined for use throughout the programme Page 3 Logging on and Getting Started The OpenEyes login page is case sensitive 1 Select the clinical services link within the intranet Connect button situated within 2 The remote desktop pop up box opens select the grey the box This remote connection could ham your local or remote computer Do not connect unless you know i ion came from or have used it before A Publisher Unknown publisher 2 Type Remote Desktop Connection Remote computer rds Allow the remote computer to access the following resources on my computer Clipboard V Printers Changes to these options apply to this connection only 2 Hide Details Connect 3 Within the Window Securit
11. m firm ledy a specific consultant All Episodes open 3 closed 0 ad Eje Diagnosis imology ph Brookes John Glaucoma Right eee Dae ee ee No diagnosis la seal Cataract Right Cataract An Event is any activity that takes place during a patient appointment e g booking a procedure examinations Clinic letters This is recorded within open eyes Page 13 Episodes and Events summary screen 1 The Episodes and Events summary screen opens The Summary Screen Summary displays the following information Glaucoma Overview Male 44 CVI status Sight Impaired Driving status No longer drives Principal diagnosis Primary angle closure glaucoma Principal eye Right Refraction 0 00 0 00 178 Ophthalmologist 0 00 0 00 O Autorefraction GOT Not recorded Mot recorded 0P1 10 mmHg 13 mmHg Glaucoma Management Plan Dinko internal 12 months Photo 12 months OCT 12 months Visual Fields 12 months Goria Not required HRT 12 months Page 14 Overview Principal Diagnoses Refraction CCT IOP Comments Clinic Interval Investigations Visual Field progression and last Visual fields Glaucoma Management Plan extracts Target IOP Graph of IOP History hide Y FOP History b Ag 0013 Gr acs Dec 2013 Feb 2014 Apr 2014 Mun 2014 dun 2013 Move the bar to view history of data Graph of Visual Acuity History VW Eusl Acuky Heoi Veal Acumy unk S
12. menn Mere on Ving AcuEy ight m Will AoE em mi hi mm isi am my mi Ti ho a Mi m qi Bier 014 wisusl AcuFy Smee Meme Move the bar to view history of data Page 15 Visual Fields History Visual Fields History sosesssesess aecsesesececs SSSSS3555 Possess Select image to zoom 3 wk into detail view Date 12 Dec 1997 14 36 00 Date 12 Dec 1997 14 22 56 Strategy Full Threshold Strategy Full Threshold Test Name S S 24 2 Thr Test Name S S 24 2 Thr Move the bar to view history of data Episode Details Start Date End date View episode details 4 Jun 2014 still open Subspecialty Consultant firm View episode status Glaucoma Brookes John Glaucoma created by User User on 4 Jun 2074 at 12 42 Episode Status Post op Page 16 How to create an Episode How an Episode is created is dependent on the screen If creating an Episode from the Patient Summary screen follow from step 1 If already in the Episodes and Events summary screen follow from step 2 1 On the right hand side of the Patient Summary screen under the All Episodes subt Create episode add event link All Episodes open 1 closed 0 Start Date End Subspecialty Eye Diagnosis Ophthalmology 24 Jun 2014 Brookes John Glaucoma Mo diagnosis No diagnosis 2 From the Episodes and Events summary screen select left hand side of the screen gt OpenEye Add Episode
13. moved from the list of medication Page 10 CVI Status Doctors are required to record the current visual impairment of their patient Note a default date 1 Jan 2000 and status Unknown is pre populated in the fields 1 To add or edit the CVI status of a patient click on the green button 2 Date Status 1 Jan 2000 Unknown 2 Under the Edit CVI Status subheading complete the following fields by selecting the appropriate fields from the drop down menu 3 Select the green button so save changes Date 1 Jan 2000 Unknown Edit CWI Staj Stat Unknown Date 1 January 2000 Allergies Patient allergy status is unknown Edit Within the Allergies field select the green 1 Select the appropriate allergy from the Add allergy field Patient allergy status is unknown Confirm patient has no allergies Add allergy Select v Save Cancel 2 Select the green button to save changes Page 11 Family History 1 To complete family history select the green METRES button 4 i Family History Relative Side Condition Comments Actions Add Family History 2 select the appropriate options from the drop down menus to complete the following fields Relative Side and Condition ee a Relative Side Condition Comments Actions Add family history Relative Select Side NA Condition Select Comments 3 S
14. n for stopping Select Cancel 2 The medication will move from the current medication sub heading to the previ medication subheading Current Pledicatiomn Atropine 1 e Administration 5 ye Both tid Date A fact 20714 Actions Edit Stop Delete Previous Pledicatiomn Apraclonidine 0 5 eye drops Administration 1 drops Eye Both tid Date 13 Oct 20714 13 Oct 20714 Actions Edit Delete Adhere mre Mot Recorded Comments Plot Recorded Action Edit Add Medication Page 9 Edit 5 To Edit Medication select edit from action field Edit medication Medication Acetazolamide 250mg tablets Select inh es 1 tablet s Route PO Frequency gid Date from gt gt T August T 2014 T 6 Select the required medication from the drop down menu or Select a SNOMED term by typing into the dynamic text box 7 Select the green MERZ button located bottom left hand area of the medication area to save any changes 8 Select the GSW button located on the right hand side of the medication area not to save changes Delete 1 To delete medication select delete from action field 2 From the pop up box select the Mulan red button from within the pop up box Confirm delete medication ES A WARNING This will remove the medication from the patient record Are you sure you want to proceed Remove medication Cancel 3 The medication will be re
15. reen button to add a patient event 2 The Examination form opens To add the History data scroll down to the grey Optional Elements and select the sign beside the History label Examination n Episode Summary Event Date 31 Jul 2014 Add event Optional Elements 3 The History area of the examination form opens 4 Select the appropriate options from the drop down menu or free text to enter the aa History Ese Onset vE Ebay Follow up wisit 5 Select the green button on the top right hand side of the examination screen to save information entered 6 Select to discard information entered Visual Function Examination Complete Step 3 if Visual Function area of the examination form is not already open 1 To the left of the Episodes and Events summary screen select the green button to add a patient event 2 The Examination form opens To add Visual Function examination data scroll down to the grey Optional Elements and select the sign beside the Visual Function label to enter data for Visual Function 3 The Visual Function area of the examination form opens CAMA AAA AA rrr res ARMA IAEA 5 Select the green button on the top right hand side of the examination screen to save information entered 6 Select Capmga to discard information entered that is no longer required Visual Acuity Examination Complete Step 3 if
16. ress Unknown 2 Dec Abot Rayyah Adnexal Both Chalazion Date of Birth 2 Nov 1920 17 Jan Andrews Medical Left Malignant melanoma of Age 93 2012 Richard Retinal choroid Gender Female man Brookes John Glaucoma Left Pigmentary glaucoma Ethnic Group Unknown 3 Jun 2013 Allan Bruce Cataract Left Aphakia Contact details 31 Jul No 2013 Allan Bruce External diagnosis No diagnosis Telephone 04130 4541610 22 Oct Aylward Bill Vitreoretinal Both Macular hole 2013 Email Unknown Support Services Next of Kin Unknown Name Unknown Latest Event in Glaucoma Prescription 17 Apr 2013 Practice Address Unknown Practice Telephone Unknown di Other ophthalmic diagnoses E Date Diagnosis Actions Associated contacts 14 Apr 2013 Right Age related macular degeneration Remove Name Location Type 14 Apr 2013 Right Low tension glaucoma Remove Add contact earch for contact Staff 7 14 Apr 2013 Right Pigment dispersion syndrome Remove 14 Apr 2013 Right Acute angle closure glaucoma Remove 14 Apr 2013 Right Secondary glaucoma Remove 2014 Right Acute angle closure glaucoma Remove Add Ophthalmic Diagnosis Systemic Diagnoses a Date Diagnosis Actions 2013 Diabetes mellitus type 1 Remove 14 Apr 2013 Myocardial infarction Remove i 14 Anr 2013 Marfan s sundrama Ramova 14 Apr 2013 Marfan s syndrome Remove A EJ i Previous ophthalmic surgery Date Operation Actions 16 Oct 2
17. t being examined select the X button to close the eye examination field of the eye that is not being examined CCT Save 4 To save information entered select the green corner of the examination form 5 Once saved the following message will be displayed button located top right hana Page 21 Intraocular pressure Examination Follow step 1 if Intraocular Pressure area of examination screen not already open If open follow from step 2 1 To add the data from Intraocular Pressure examination scroll down to the grey optional elements and select the sign beside the Intraocular Pressure label 2 Select the green button located bottom left hand side of the Intraocular pressure area of the screen 7 F j r a ji i fA il man Ha nS trout 10 r GSoldrmann hal Remowe 0Tt hal Palpation hall Remove 3 Enter the mm Hg data 4 Select the appropriate instrument 5 Record any relevant comments into the box below 6 Select the green button on the top right hand side of the examination screen to save information entered 7 Select Cancel if information entered is not required to be saved Dilation Follow step 1 if Dilation area of examination screen not already open If open follow from step 2 Multiple dilation drugs can be recorded select add to enter additional dilatation 1 To add the data from the Dilation examination scroll down to the grey
18. ts Result Assessment Please select v 9 Select the appropriate option from the Results drop down menu 10 Select the green EJES button on the top right hand side of the examination screen to save information entered Page 23 Add patient to Virtual Clinic Patient list Data Sets are displayed in the Clinic 1 2 To add a patient to the Virtual Clinic list scroll down to the grey optional elements and select the sign beside the Clinic Outcome label Select the Refer to VC option from the Status drop down menu 0 Saus Please select V A form opens Select the appropriate priority red amber or green option as per clinic data sets from the drop down menu Status Referto VC Virtual Clinic Glaucoma Virtual Clinic Priority Nene Notes Referal Source Pase Select Select the appropriate option from the Referral Source drop down menu Select the button located top right hand side of the examination screen to save information entered Select Gancel if information entered is not required to be saved Logging Off 1 Select H7920 the tab located top right hand corner of the screen This can be seen from any screen within Home Theatre Diaries Partial bookings waiting list gout You are logged in as User User Site City Road Firm Brookes John Glaucoma Change Page 24
19. y pop up box enter Password Enter your credentials These credentials will be used to connect to rds Aina Victoria CITY_ROAD ainav Password ON Use another account Remember my credentials 4 Select Clinical services folder for the live environment E Home 2 Refresh 5 Select the Training folder Training environment Logoff Clinical Services OpenEyes 6 Launch Open Eyes by selecting double clicking the tanna Icon 7 Delegates will now have entered the OpenEyes page and be able to view the login page 8 Enter Username and Password then select the blue login button mecca Page 4 Overview of Patient Summary Screen If demographic details need to be altered this action can currently be altered updated in PAS Patient demographics Page 5 Home Theatre Diaries Partial bookings waiting list Logout CLOSE Chay 93 a No 1000001 MEMBER 2 Patient Summary 5 OpenEyes A Patient has no GP practice address please correct in PAS before printing GP letter Pi Patient is Diabetic Diabetes mellitus type 1 Patient has allergies Penicillin Sulphonamides You are logged in as User User Site City Road Firm Brookes John Glaucoma Change Personal Details All Episodes open 7 closed 0 First name s Chay End Date Firm Subspecialty Eye Diagnosis Start Date Close Last name a m Ophthalmology Add
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