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CIS PowerChart/ CareConnect Manual for Nursing Services

1. ueeseuueeese ACCOSSITIg Depar sardienen ni M Ettore de aet abr td seas ead Linen Patient Education Handout c ccc cece cece esac eee eeneeeeeeens Medication Education Handout ccccceeeee eee eeeeeeeeeens Interdisciplinary Education cece cece ccc e ee ences eee eee eeeenanees Cardiac Surgery Education ecce is lee eren ns Interdisciplinary Readiness for Discharge Valuables and Belongings ccc cece cece eee eeeeeeeeaeeeeneeees Sequoia Hospital Clinical Informatics Nursing Complete Guide CIS PowerChart Care Connect Manual Biene sixocntcciuoareetauduintatia e e neat 45 Advance User Preferences ener oo Eie deo cuo a E 46 Rearranging your toolbar c cece cece cece cece e teen ee nnne 46 Changing timescale default ccc cece cece eee e eee eeeeeeaeeeaeees 47 Changing I amp O timescale ccccc cece eee eee e eee eeeeeeaeeeeeeees 47 Changing Results Flowsheets timescale 48 Changing Notes Transcription timescale 48 Changing Completed Forms timescale 49 Recommended Lessons from Physician Quick Training 51 The information in this document is accurate as of its publication date While a conscientious effort was made to avoid errors some may still exist Please report
2. Completed Forms y Intake And Output 03 March 2008 06 00 05 March 2008 05 59 E z Intake Today s Intake 700 Output 0 Balance 700 Yesterday s Intake Output Balance Oral Intake 03 04 08 Enteral NG Patient Information 03 03 08 18 00 as 05 59 Daily Total Shift Total cn Meds List Allergies Intake Total 7 Oral Intake CIS Colloids Diagnosis Problems v Bld Products me Oral Intak QuickView CIS Parenteral Nutr SEE 24Hr Continuous Bladder Irrig D5NS Immunizations Other Intake Bld Products ED Disch i Fresh Frozen Plas mL 200 PRBCs mL Overview E C Output 7 Output Total Urine Output Urine Output Stool Output Urine Voided mL 7 ther Output Other Output Emesis Qutput NG Tube Output Estimated Blood Losses Other Output Misc Output Hemofiltration Fluid Qutput OR Output Drains Peritoneal n lt 4 Advanced Graphs zi TRANA SEQTRAINO2 04 March 2008 15 33 start E gg 7 3 Microsoft Offic 4 untitled Paint E32 Microsoft Offic E33 Citrix ICA Clien amp Inbox Microsoft zO 3 33PM To unchart I amp O complete the following steps Sequoia Hospital Clinical Informatics Nursing Complete Guide 23 CIS PowerChart Care Connect Manual 1 Right click the value you want to unchart Remember to right click on t
3. Results Flowsheets Results Flowsheets Be a im B RY I amp O Graphs Customize Notes Transcription MedSurg Icu Hemodynamics Asmt Lab Path Rad ED Summary BHU Immunization l Flowsheet Med Surg Ex Level Med Surg D Table Group Cf Lis J al gt 07 March 2008 08 54 12 March 2NNA 02 54 Clinical R7 nael C Arrival Info Arrival Info Completed Forms Patient Information Meds List Allergies IP Add Diagnosis Problems uickView Emil Procedure History Arrival Time on Unit Immunizations Procedure History ED Disch Procedure Name Date Vital Signs Data Pain j Pain Intensity Acceptable Pain Intensity Diabetic Data Evaluation of Pain Management Orthostatic Vitals Temperature PO Stool Guaiac Temperature PR Temperature T ympanic Temperature Axillary Procedural Sedation Temperature Temporal Artery Heart Rate Fall Risk BP Method Site NIBP Systolic NIBP Diastolic NIBP Mean Resp Rate Overview RR RARARARA RRR RK TRANA SEQTRAINOZ 11 March 2008 10 30 2 Microsoft EJ 2 Microsoft DZ 4 Microsoft 2 Citrix ICA Fg WBT Instructi fi 3 Windows amp 13 10 30 AM DID YOU KNOW The Customize Tool Bars screen opens Start dragging the icons in the toolbar You amp an re arrange them to row of the toolbar Any your liking Yo
4. Review Pneumococcal le Yes Screening Tool 2 Microsoft E32 Microsoft Selecting Yes will launch screening tool In Progress E 4 Microsoft 4 Citrix Ica FA WBT Instruct fim 3 Windows gt 3 9 10 15 4m 3 Checkmark applicable information 4 Click hook icon form Sequoia Hospital Clinical Informatics Nursing Complete Guide on the left upper corner to return to original 44 CIS PowerChart Care Connect Manual Valuables and Belongings 1 Click Push Pen next to the word Valuables and Belongings 2 Complete form by selecting applicable information 3 Click Sign 4 Information displays on the Patient Summary tab Discharge Note 1 Click Push Pen 2 Complete form including required fields 3 When done click Sign ES Inpatient Discharge Transfer Note v3 SeqTrainer412 Trainer41 2 EG v fFIe u E 11208 os H Inpatient Discharge Transfer Note v4 Influenza Vaccin Pneumococcal v Inpatient Transfe Date Time Discharged EE Ell Hl E Disposition Discharge Location Mode of Discharge Accompanied Home By C Home Self care Homeless C Wheelchair C Self Acute rehab Intermediate care facility Ambulatory C Family C AMA Psychiatric Facility Guemey C Friend Another hospital Rehabilitation facility Other C Staff member Another unit Federal hospital C Volunteer C Assisted Living Shelter C Other Ext
5. Admit Date LOS Attending Admitting DOB SEQ 3S 3062 SEQ TESTSEG BABY BOY 5 weeks M 776915 50000 01734 12 11 07 3 50 22 2 Days Ballon Sam Ballon Samuel 12 11 07 SEQ E R SEQ TESTSEG EDTHREE 7 years F 776922 50000 01809 12 11 07 14 18 O4Days Krakower JEffery F Krakower Jeffery F O7 07 00 SEQ ER SEQ TESTSEG EDTWO 37 years M 776921 50000 01791 12 11 07 14 04 0 4 Days Krakower JBffery F Krakower Jeffery F 04 04 70 SEQ MSO 3501 SEQ Tj TESTSEQG IP ONE 30 years M 776910 50000 01684 12 10 07 16 05 22 8 Days Madan Shqrma Kapur Vineet 01 01 78 SEQ 1E 121 1 SEQ um TESTSEQ IP TWO 62 years F 776911 50000 01692 12 10 07 16 11 22 9 Days Krakower Jeffery F Krakower Jeffery F 09 08 45 SEG 35 3061 SEQ TESTSEQG IPFIVE 29 years F 776914 50000 01726 12 11 07 9 48 22 2 Days Ballon Sampel Ballon Samuel 03 03 78 SEQ SCC 2052 SEQ Lb TESTSEQ IPFOUR 84 years M 776913 50000 01973 01 04 08 16 24 12 0 Days Jain Rashnfi SEQ SRU 031 SEG 4 TESTSEG IPTHREE 62years F 776912 50000 01700 12 11 07 9 18 22 2 Days Bailey Eil Patient List SEQ OUTPT SEQ oO TESTSEG OBYONE S3years F 776923 50000 01817 12 11 07 14 33 22 0 Days Krakower Neffery F s SEQ OUTPT SEQ TESTSEG OBYTWO 84years M 776924 50000 01825 12 11 07 14 38 22 0 Days Krakower J SEQ MSO 351 4 SEQ TESTSEG OIB ONE 73yeais M 776932 50000 01999 01 07 08 14 21 9 1 Days Test SEQTESTMD Jain Rashmi 01 01 35 SEQ OUTPT SEG T TESTSEQ OIBTHREE 57 years F 776927 50000 01858 12 1
6. B view Sticky Notes ER Tear Off 3 Attach S change Hit suspend nai charges i9 Charge Entry Al exi MS icula AdHoc co PAL h MY CUSTOM LIST Shift 04 March 2608 06 30 04 March 2008 19 30 Name RR BP DBP Weight SeqTrainer207 Trainer207 SeqTrainer385 Trainer395 SeqTrainer431 Trainer491 SeqTrain 5 Patient5 4 gt gt TRANA SEQTRAINO2 04 March 2008 11 10 start E Inbox Microsof Th Enhancement M fli My Documen ts fx C policies CISP t PowerChart Org SENE 2 11 10 AM CIS PowerChart Care Connect Manual 8 Patient Education icon 99 E ang Depart icon Patient education handouts are available in CIS E BC anneal The depart icon opens a new section that focuses on documentation related to the patient s discharge Links to the Care Connect Tania Website can be accessed through CIS Care Connect Simply click the icon CareConnect Quick Training and this will take you to the online guide user manual if you want need extra help Sequoia Hospital Clinical Informatics Nursing Complete Guide CIS PowerChart Care Connect Manual PATIENT ACCESS LIST PAL Patient Access List PAL helps clinicians work effectively and efficiently DID YOU KNOW by providing key patient and workflow information in an easy to access format If you are a nurse works in Case Management Diabeic To access the PAL complete the following steps Clinic
7. C Medications inpatient C Cast care CICHF C Cade status categorization CI CPAP BIPAP C Crisis intervention C Crutch walking C Diabetic C Equipment use opics aug earning ethod valuation ade to Uutcome o Leamning to Leamn Multi amp lpha Multidlpha gt Multi lpha eMulti lpha Multi lpha Multi lpha Multi lpha Multi amp lpha Alpha Multi amp lpha lti amp lpha Multi lpha eMulti lpha lt Muli lpha gt eMulti lpha Multi lpha Multi amp lpha Alpha Multiblpha MuN amp lpha Multi lpha Multialpha Multiblpha Multialpha Multi lpha Multiblpha Alpha In Progress I WBT Instructi f 3 Windows j i 9 E Inbox cro E32 Microsoft 94 Microsoft 2 Citrix ICA Select the check box next to the topic you want to document Click OK 10 Follow steps 6 10 for the rest of the cells 11 When you are done click Sign which is located at the upper right of the screen The topics details that you charted will be summarized in the Education Summary Multi Disciplinary Education Asmnt Form v3 TEST PATIENT ONE Y WG fit um By Tolentino Dante RN iui 05 05 2008 Multi Disciplinary Cardiac Surg Ed Education Trach Education End a OT Education Tc PT Education Tc ST Education Tc Education Topic Education Spiritu Educ
8. Multi lpha Multi lpha lt Multidipha gt lt Multislpha gt lt Multispha gt lt MultisIpha gt lt MultiIpha gt Alpha In Progress E3 3 Microsoft Offi 24 3 Microsoft Offi fim 2 Windows Expl Inbox Microsoft To access the Multidisciplinary Education Assessment form through Depart turn to page 43 Sequoia Hospital Clinical Informatics Nursing Complete Guide 41 CIS PowerChart Care Connect Manual DEPART PROCESS Depart is synonymous to Discharge When you are ready to discharge or transfer you patient click the Depart icon on the toolbar to start Required elements of the Depart Process 1 Patient Education Handouts inventory of handouts and list of handouts given to the patient during their stay Medication Education Handouts inventory of medication handouts Sequoia IS NOT using this at this time Interdisciplinary Education same as the Multidisciplinary Education Assessment Form It is used to document individualized topics barriers readiness for learning and others Cardiac Surgery Education used to document education given to cardiac surgery patients if applicable Interdisciplinary Readiness for Discharge used by Case Management Also an alternate way to access Education form and Discharge Note Valuables and Belongings to update Valuables and Belongings list Discharge Note used to complete patient discharge transfer
9. amp amp i yO 12 45pm Modify a Form 1 Click on the Patients Completed Forms Section 2 Right click on a form Example Adult Admission History Form Select Modify from the submenu option 3 Enter a modification on the form 4 Sign your form using the Sign icon located on the far upper left corner 5 Click the Refresh button to refresh the screen Sequoia Hospital Clinical Informatics Nursing Complete Guide 35 CIS PowerChart Care Connect Manual QUICKVIEW The Quick View is equivalent to the 24 hr Kardex displays the following Patient Profile Information Patient Care Information Physicians I amp O Totals Last 24hrs Vascular Access Device Status ADL s Drain tubes amp Catheters To access click QuickView from the Table of Content J Print 2 38 minutes ago I amp O Totals Last 24 hrs Results Flowsheets Patient Profile information Patient Care information Physicians I amp O Graphs Drug Allergy norphine novacaine Pain Management Type Patient Admitting Physician Notes Transcription Total Output Completed Forms predniSONE Controlled Analgesia PONNATYA PAUL Net Admit Diagnosis CROHNS Sensory Deficits None Attending Physician BRP Incontinent x Patient Information EXACERBATION Assistive Devices Home Contact DEMARCO HANNA Allergies Add Height 165 00 cn lenses Glasses Consulting Physician z 7 Weight 91 5 kg Skin Integrity Risk Score 17
10. 8 12 52pm 11 Click Encounter Types box Select appropriate encounter types e g Emergency Inpatient Inpt Preadmit Observation Outpatient etc 12 Click Finish 13 The unit you selected will now display in the Available list left side of the screen To move that unit to your Active list complete the following 14 Click the unit you want to move 15 Click the blue arrow key 16 Click OK t gt PowerChart Organizer for Train SEOTRAINRN19 Sag EXC EE AA ch DE j Available lists Active lists SEQ PMU MY CUSTOM LIST All Patients SEQ CS SEQ CSU mue Room f MY CUSTOM LIST SeqTrainer450 Trainer460 70 years 70001482 00700 01482 12 15 07 15 18 79 9 Days Mochizuki Chris S Mochiz hris S 08 01 37 SeqTrainer410 Trainer410 60 years 70001432 00700 01432 12 15 07 15 18 79 9 Days Mochizuki Chris S Mochizuki Ogis S 05 01 47 SeqTrainer409 Trainer409 60 years 70001431 00700 01431 12 15 07 15 18 79 9 Days Mochizuki Chris S Mochizuki Chris 05 01 47 SeqTrainer408 Trainer408 60 years 70001430 00700 01430 12 15 07 15 18 79 9 Days Mochizuki Chris S Mochizuki Chris S SeqTrainer399 Trainer399 60 years 70001421 00700 01421 12 15 07 15 18 79 9 Days Mochizuki Chris Mochizuki Chris S SeqTrainer385 Trainer386 60 years 70001408 00700 01408 12 15 07 15 18 73 3 Days Mochizuki Chris S Mochizuki Chris S TRANA SEQTRAINRN19 04 March 2008 12 56 OB Mi Cy 2 Micros fm 4 Windo n Citr
11. Click Push Pen next to the word Patient Education Handouts 2 Search for the handout by typing the first three letters of the handout 3 Make sure that the Folder is All or if you are searching Sequoia specific make sure the folder is Departmental 4 Click OK 5 Patient education displays on Clinical Summary amp Patient Summary Medication Education Handouts Sequoia Hospital is currently not using this functionality Interdisciplinary Education This is the same form as the stand alone Multidisciplinary Education Assessment form To complete do the following Click Push Pen next to the word Interdisciplinary Education Click the cells make selection from the form Click OK to close form Sign form Selected information displays in the top section of the screen Clinical Summary and Patient Summary ae YS For further instructions turn to page 23 and follow steps 6 10 Sequoia Hospital Clinical Informatics Nursing Complete Guide 43 CIS PowerChart Care Connect Manual Cardiac Surgery Education 1 Click Push Pen 2 education form When done Sign form to mennan oneness nomnan n pes ES Cardiac Surgery Education RHORZP IPICU1 a0 lt a a Performed on 01 21 2008 G3 f 2048 Cardiac Surg Risk Factor Assessment C Weight C Physical inactivity C Family history C Smoker C Hypertension Pre Op Teaching 7 Stemal precautions Surgical Procedure Verification 1S
12. To Unchart an Error note you need to complete the following steps 1 Double click the folder and the note you wish to unchart Notes Transcription Ble z axe BAJ S Eg g Friday January 11 2008 Friday Ja ED Nursing Mote ae MEO 1S 08 14 04 Test Add q Mote PowerMole Scan Import Scanner Properties Filter In Error Documents GSRD HD In Submit Sign Review Modify Correct Right click and select In Error The Result Uncharting window displays Type in your reason for uncharting Click OK Red In Error Report banner displays The Navigator window denotes the note with a red and yellow box p PowerForm Documents Assessment Forms ED Nursing Mote 18 January 2008 14 04 In Error Test SRDHRN on 18 January 2008 14 04 Test SRDHRN on 18 January 2008 14 04 90002361 SRDHD Inpatient 01 04 08 4 01 18 08 13 29 In Error Report Result Comment by Test SRDHRN on 18 January 2008 14 09 incorrect patient test this functionality Sequoia Hospital Clinical Informatics Nursing Complete Guide 30 CIS PowerChart Care Connect Manual AD HOC CHARTING Ad Hoc Charting Structure Ad Hoc forms can be accessed through the toolbar Ad Hoc charting consists of folders on the Left hand column and forms on the right hand column Within each form are sections The folders contain all the necessary forms used to document patient information
13. information To access depart complete the following steps 1 Click Depart on the toolbar th SeqTrainer412 Trainer412 70001434 Opened by Seqtrain02 RN1 Task Edit view Patient Chart Links Time Scale Options Help i EPAL 4 Patie yis 7 SARK Assignment Inbox E i 2d New Sticky Nke Tfi Depart View Sticky Notes E Tear Off nen Attach S change Yu Charges 9 Charge Entry 3l Exit B Calculator Sp AdHoc 3 Patient Education Seglramer4dl2 X m List m Rece nt gt UST Results Flowsheets re Print 2 58 minutes ago Results Flowsheets E I amp O Graphs Notes Transcription MedSurg IcU Hemodynamics Asmt Lab Path Rad ED Summary BHU Immunization Completed Forms l Flowsheet Med Surg i Level Med Surg Table Group Lis J Patient Information Meds List 07 March 2008 08 54 12 March 2008 08 54 Clinical Range Allergies Diagnosis Problems QuickView Arrival Info Arrival Info E Procedure History Arrival Time on Unit 24Hr Immunizations ED Disch Procedure Name Date PETE Vital Signs Data Pain j E Pain Intensity Height Weight Acceptable Pain Intensity Diabetic Data i Orthostatic Vitals Stool Guaiac Temperature Tympanic Temperature Axillary Procedural Sedation Temperature Temporal Artery RRERBEBRBRBRRBR BR EK Fall Risk TRANA SEQTRAINO2 11 March 2008 09
14. lpha Multi amp Ipha Multi amp Ipha eM ulti lpha gt eM ulti lpha gt 7 gt gt gt Alpha Multi amp lpha Multi amp lpha lt Alpha gt Multi amp lpha Multi amp lpha Multi amp lpha Multi amp lpha Multi amp lpha gt gt gt Sequoia Hospital Clinical Informatics Nursing Complete Guide Add a Row to a Grid for a New Entry 1 Right click on the cell where you need to add the row 2 A submenu displays 3 Select Add Row and a row is added to the bottom of the grid Delete a Row from a Grid 1 Right click on the cell where you need to delete the row 2 A submenu displays 3 Select Delete Row and the row is deleted Clear the Contents of a Cell 1 Right click on the cell where you need to clear the charted data 2 A submenu displays 3 Select Clear and the cell data is deleted Numeric or Text Fields DegF Oral Temperature Last Charted Value Fields This field has been designed to retain infrequently changed patient data to reduce duplicate work Pregnant Reference Fields Review reference information needed to make the correct documentation selection To view an example Nursing of a reference text field 1 Click on the Ad Hoc Charting icon 2 Select Physical Assessment Summary 3 Click the radio button next to the WNL Ref Info field to the right of the Neuro Behavioral Glasgow Assess Reassess section 4 The Neurologic Refe
15. 439 A B ib ei lo x v Sign OK Print Cancel 7 Microsoft gt 24 5 Microsoft O Ed Microsoft Excel fw WindowsEx PQ 5citrixicac S i i FJ 3 32PM Sequoia Hospital Clinical Informatics Nursing Complete Guide 37 CIS PowerChart Care Connect Manual DID YOU KNOW Any Sequoia specific handouts will be in the Departmental Folder All of these handouts will start with Seq To find more tips using the patient education handout turn to page 22 DID YOU KNOW Patient Education handouts completed in the Patient Education form will display on the left side of the screen and it will list it in the Clinical Summary under Education Handouts DID YOU KNOW Whenever you select a 4 Make sure you click the Departmental folder first located in the upper left side of the screen 5 If unable to find the handout under departmental click the All folder MB Patient Education 2 wee Launch Help 2a 2 Instructions Follow Up Search l starts with v Language English Y Patient Education B Suggested Seq Diabetes Clinical Practice Guidelines Blood Glucose Goals v1 Custom Seq Inactivated Influenza Vaccine 2007 2008 Custom Seq Pneumococcal Polysaccharide Vaccine v1 Custom lt Seq Sequoia Congestive Heart Failure CHF v1 Custom Departmental folder All folder Selected Instructions i A
16. 53 E Inbox Micros E32 Microsoft 4 Microsoft v F WBT Instructi fam 3 windows E amp 9 53AM Sequoia Hospital Clinical Informatics Nursing Complete Guide 42 CIS PowerChart Care Connect Manual 2 Depart process defaults to Clinical Summary tab lll Depart Process Templates Clinical Summar y SEQ 022 v Patient Education Handouts Sequoia Hospital 170 Alameda de tae Pulga Redwood City California 9406 650 369 5811 Medication Education Handouts Interdisciplinary Education Cardiac Surgery Education Clinical Summary Interdisciplinary Readiness for Discharge Valuables and Belongings dhe ali Clinical Patient Education Instructions PERSON INFORMATION Name SeqTrainer412 Trainer412 MRN 70001434 FIN Admitting Physician Mochizuki Chris S Attending Physician Mochizuki Chris S PATIENT EDUCATION INFORMATION ducation Handouts edication Handouts Paerifeni esegver veces undesandng of isucion gen Options Pm __ Save tg Start EY M icrosoft v so Fg WBTInstruci fw 3 Windows F 10 01 am From here vou can complete all the Required elements mentioned above Patient Education Handouts If you want to provide additional education upon discharge complete the same steps used to select the handout provided in Patient Education instructions 1
17. Days Krakower Jeffery F Krakower JefferyF 08 08 80 instructions SEQOUTPT sea O TESTSEQ SERIES 54years M 776919 50000 01932 01 01 08 0 01 15 7 Days Krakower Jeffery F Krakower Jeffery F 03 03 53 E Sequoia Hospital Clinical Informatics Nursing Complete Guide px Issue T Cus Micr fej Microso 4 PowerC Inbox E iInte 7 fam 2 Win BUILDA SEQRN 16 January 2008 16 50 TM 3 oNTE uS 4 50 PM CIS PowerChart Care Connect Manual DID YOU KNOW You can search quickly by MRN by clicking the drop down arrow next to Name field and select MRN DID YOU KNOW The refresh button is at the same location on the patient s chart far right end of tool bar You can print your daily census report as easy 1 2 3 1 Go to the patient s list 2 Hit the print icon 3 Select your printer Sequoia Hospital Clinical Informatics Nursing Complete Guide 3 Change icon ache The Change Icon allows you to change from one user to another Such as from nurse to physician if need be When the new user logs in they will be logged in the same place the previous user left off 4 Patient Search To search for a patient type in the patient s name in the Name field and press the enter key on your keyboard The Patient Search window opens Select the correct patient and encounter t gt PowerChart Organizer for SeqtrainO2 RN1 Task Edit View Patient Chart Links Options P
18. Enhancement MetaFrame Pre C policies Use C policies mille B Powerchart Or mm CARPENTER C 2 07 PM Note QuickView pulls data from multiple locations and can take several seconds to load and open Sequoia Hospital Clinical Informatics Nursing Complete Guide 36 CIS PowerChart Care Connect Manual PATIENT EDUCATION HANDOUTS Patient Education icon is used to search select and print patient education handouts to your patients To access patient education complete the following steps 1 Single click the Patient Education icon located in the toolbar Kes SeqTrainer491 Trainer491 70001543 Opened by Seqtrain02 RN1 Task Edit view Patient Chart hiy Time Scale Options Help Results Flowsheets EXTA Results Flowsheets I amp O Graphs Notes Transcription MedSurg ICU Hemodynamics Asmt Lab Path Rad ED Summary BHU Immunization Flowsheet Med Surg Level Med Surg Tabl alei Navigator x Med Surg Arrival Info Amaina SEE Completed Forms Patient Information Meds List 29 February 2008 13 53 05 March 2008 13 53 Clinical Range Allergies Diagnosis Problems QuickView 24Hr Procedure History Arrival Time on Unit Immunizations Procedure History ED Disch Procedure Name Date Vital Signs Data ca Overview Pain Intensity Height Weight Acceptable Pain I
19. Instruction Turn Cough Deep Breath C Medication Mat immediate post op C Clorohexidine mouthwash C Surgical site skin prep C Monitoring Lines Tubes Equipment during post op phase C Progressive Mobilization C Pain Management Positions of comfort C Post Op Teaching Select applicable information found on the cardiac surgery Information displays on the Clinical summary amp Patient Summary Cardiac Surgery Education C Pre diabetic metabolic syndrome C No identified risk factors C Hyperlipidemia Med Mgt immediate Post Op Ankle Exercises SCD CITED hose Dreams Hallucinations CIICU Visitation Policy C Diet Progression C Intubation Weaning from Ventilator C Re viewed Pre Op Teaching Materials C Consent CI NPO after midnight C Nasal Antibiotics C IV antibiotics C Laxatives C Sleeping pills C Pre operative sedation L1 Other Risk Factors to f u with MD Pain management C Smoking cessation CITED hose C Blood sugar management C Cardiac Surgery Education Booklet Provided Reviewed C Cardiac Surgery Video Viewed C Cardiac Surgery Video Provided to Patient Family C Cardiac Surgery Post op Class Session C Incision Care C Stemal Precautions Lifting restrictions driving restrictions Citrix Access Platform Interdisciplinary Readiness for C Activity guidelines C Anticoagulation valve afib C SBE Prophylaxis valve C Bathing Instru
20. March 2008 12 19 11 March 2008 12 19 Notes Transcription s Favorites a A b x a GYD BMDI Acquired Data Graph EXE Intake amp Qutput Totals Graph 1 amp 0 Totals mL C3 B Saapa Completed Forms Patient Information Meds List Allergies Diagnosis Problems QuickView cane 24Hr Immunizations ED Disch Overview E NS 0 90 B Drip 1 E oral Intake E Urine voided Partial Day 03 04 08 03 06 08 03 08 08 03 10 08 03 05 08 03 07 08 03 09 08 03 11 08 lt lu gt ITA mance andar e ATA sl mn Calana ranaa TRANA SEQTRAINRNS 11 March 2008 12 25 3 Microso EJ 2 Microso E 2 Microso fy WBT Instru fam 5 Window J3 citrix1c S i FAB 12 25 Pm 6 To view details click the triangle daily net or the graph bar for that particular day The subtotal box will pop up showing your Total Intake Total Output Daily Net Balance and the Subtotals for that day Sequoia Hospital Clinical Informatics Nursing Complete Guide 26 CIS PowerChart Care Connect Manual Sequoia Hospital Clinical Informatics Nursing Complete Guide E 1 amp 0 Graphs Pri Results Flowsheets Big ey Intake And Output 08 April 2008 09 50 15 April 2008 09 50 Notes Transcription ey Advanced Graphs Favorites Ta d Xo v Intake Output mL Completed Forms Patient Information Medication List Allergies Diagnosis Problems ickVi idei
21. MedSurg ICLI Hemodynamics Asmt Lab Path Rad Flowsheet ECIS BHU m Level Clinical Range mmay EHU T ECIS BHU Table Navigator x Vital Signs BHU Orthostatic Vitals ECIS BHU Vital Signs BHU Vital Signs Refused Temperature PO Temperature PR Temperature Axillary sa LJ Heart Rate 88 bpm 88 bpm 83 bpm 30 bpm BP Method Site IP ep LI NIBP Systolic 4 97 mm Ha 112 mm Hg 110 mm Hg 108 mm H LJ NIBP Diastolic B8mmHg 67 mmHg amp 4mmHg 56 mmHg LJ Resp Hate 21 Breaths 27 Breaths 16 Breaths 23 Breath Weight Pain Intensity Orthostatic Vitals Diabetic Data ADLS BHU Tests Treatments BHU Behavioral BHU LLL EL TL ttt tl WF Interventions BHU S F Release Goals BHU Table View Navigator Bar Sequoia Hospital Clinical Informatics Nursing Complete Guide 17 CIS PowerChart Care Connect Manual Direct Charting on Flowsheets Displays numeric or text clinical data entered either directly on the flowsheet or auto populated from nursing forms and laboratory results The MedSurg flowsheet sections are highlighted in blue To document on a section you need to complete the following steps 1 Double click the section blue bar to activate the selected section s cells Click or use the keyboard down arrow key to place your cursor in the cell Enter the desired data Continue until you are done charting m Click
22. Pastoral 1 Log on to PowerChart Services Pharmacy and 2 Click Patient Access List PAL icon Rehabilitation Services 3 Timeframe Selection PA WIN OG Your Celaul c Click on one of the options available and click OK Example when you sign in to PowerChart You do not need to click PAL if that s the case ae m a Days 8hr Shift 630 1530 Retrieving data O Ael RANA SEQTRAIMRNIS Ot March 2008 11 22 To associate your PAL with vour Patient List complete the followin steps 1 Right click on the blue bar where it says Shift 2 Select Change Patient List EEk ta PowerChart Organizer for Train SEQTRAINRN1 9 Task Edit View Patient Chart Links Options Patient List Help i E PAL Patient Lists 7 Shift Assignment Inbo i 885 AdHoc g ratient Education Els E Calcul x lator X Tear Off MS ttach S change EH Suspend asf Charges Charge Entry Hfl Exit amp PM Conversation Patient Product Inquiry s Recent gt Search for specific patient hange Patient List UE ift arch 20 30 arch 2 E ang en hange Timeframe Ja ew Transci Restraints Pa ore ral Blue bar c Name Room Bed Admit DX LOS c TRAMA SEQTRAINRN19 04 March 2008 11 45 s start E Sent Items iy Enhanceme i My Docume A2 Citrix IC i untitled P J CareConne RILAN 11 45 AM 3 Select
23. any errors to the name listed below The information in this document is subject to change without notice September 201 1 oequoia Hospital Clinical Informatics Department Developed by Anthony Tolentino RN Manager Clinical Informatics Contact 650 367 5661 Sequoia Hospital Clinical Informatics Nursing Complete Guide CIS PowerChart Care Connect Manual ACCESSING CIS POWERCHART 1 Double click the PowerChart icon label CIS Desktop Production located on your desktop or clinical tunnel menu to launch the application CIS Desktop Production 2 Double click PowerChart Production m C policies CISProductionApplications Edit View Favorites Tools Help GD Back o9 I B Folders x 19 E Address C policies C1SProductionapplications e 2 CareConnect CareConnmect iPowerchart Appbar Applicatiohs Production 3 The Cerner Millennium log on window displays gt CERNE 7 MILLENNIUM UserName Password Domain DID YOU KNOW You can access CIS PowerChart outside the hospital TO do this Cemer Corporation This pu is being used under license ap Cemer Corporation of Kansas City Missoun USA Unauthorized use reproduction r distribution of any portion of this program may result in severe civil and criminal penalties Fur rther information can be found in He n Abo ut follow the instructions in e the Remote Acc
24. click the charted cell and select Add a Comment The Result Comments window displays 2 Enter the desired text and Click OK The cell displays a to the right of the data SegqIrainer519 Trainer519 70001541 Opened by Segtrain01 RN1 Results Flowsheets Results Flowsheets zr EIS I amp O Graphs Notes Transcription MedSurg ICU Hemodynamics Asmt Lab Path Rad ED Summary BHU Immunization l Flowsheet Med Surg A Level Med Surg Table Group Lis J Completed Forms Patient Information Meds List 14 April 2008 10 16 19 April 2008 10 16 Clinical Range alerges Add Diagnosis Problems Navigator xj Med Surg vele Quickview mS E Laid Procedure History Immunizations ED Disch Picea Vital Signs Data Pain Intensity Acceptable Pain Intensity Evaluation of Pain Management Height weight Diabetic Data Orthostatic Vitals Stool Guaiac Temperature PO LI Temperature PR Temperature T ympanic Temperature Axillary Temperature Temporal Artery View Details ent Add Comment Procedural Sedation KK amp SRSERSERSEKREKIEK Heart Rate Modify Fall Risk BP Method Site Unchart NIBP Systolic Change Date Time NIBP Diastolic NIBP Mean Resp Rate Forward Refuse lAdds a new result comment or edits an exis
25. lpha lt Multidipha gt Alpha MuliAlpha lt Multidlpha gt lt Multidlpha gt Kk Multidipha gt lt Multidipha gt Multi lpha Multi amp lpha Multi amp lpha Alpha In Progress Inbox Micro E32 Microsoft 4 Microsoft 3 citrixica Fg WBT Instructi f 3 Windows Sequoia Hospital Clinical Informatics Nursing Complete Guide 40 CIS PowerChart Care Connect Manual The Result Details will pop up Multi Disciplinary Education Asmnt Form v2 SeqTrainer412 Trainer412 m3 MG Slt um aui 03 11 2008 Multi Disciplinary Cardiac Surg Ed m 0333 By Segtrain02 RN1 Multi Disciplinary Education Assessment ES Result Details BR Comment tg Start 8 9 Education Topics C Physical limitations C Tracheostomy C Preoperative instructions C Treatment procedures C Postoperative instructions C Tum Cough Deep breathinc C Pest Discharge Care Planning C Urinary catheter care CIscds C Ventilator management C Splint Care C Visitor policy C Surgery C Wound Incision care C Suture Care C Other C None C Medications take home C Diagnosis Specific Education C Medications Prescriptions C Nutrition C Ostomy care C Pain management PEP IS C Fluid restriction C Hospice care C Hygiene C Immobilization Care C Injury prevention C Invasive line care C Lab tests
26. the sum of all values entered for that time period t Seqlrainer491 Trainer491 70001513 Opened by Seqtrain02 RN1 Tek Edit View Patient Chart Links Options Documentation Orders Help i E 12 pated Patient Li ny 6180 Graphs ie A ake And Output no 03 March 2008 06 00 05 March 2008 05 59 Intake Today s Intake Output Balance LA Teste ntake Output Balance Oral Intake Enteral E 0304 08 03 03 08 rae m pH 06 00 DaiyTyal Shit Total 1800 ShiftTotal C Crystalloids 17 53 05 59 au Check mark CIS Colloids EJ Intake Total Results Flowsheets 1 amp 0 Graphs Notes Transcription a C Completed Forms Patient Information Meds List Allergies Diagnosis Oral Intake Saas QuickView Bid Products Oral Intake mL CIS Parenteral Nutr zl cistalloids 24Hr Continuous Bladder Irrig D5NS inl Immunizations Other Intake 73 Bid Products ED Disch OR Intake Fresh Frozen Plas ml EDD oo Dialysis E PRBCs mi Overview E Overview aou 5 Output Total Urine Output Urine Output Stool Output Urine Voided mL Emesis Output NG Tube Output om Diese Other Output L Estimated Blood Losses er Output u WIE SPON he Balance nite cells Other Output V Ht SII Misc Output Hemofiltration Fluid Output DR Output Drains Peritoneal av T Advanced Graphs al i al TRANA SEQTRAIMO2 04 March 2008 15 12 start e p Z4 3 Microso
27. 0 Diagnosis Problems CIS Colloids Oral Intake 100 ickVi Oral Intak L SUR CIS Parenteral Nutr T min E m in 24Hr Continuous Bladder Irrig D5NS Immunizations Other Intake ED Disch ES Intake Fresh Frozen Plas Dialysis PRBCs Overview Cj Output Output Total Add Result Urine Qutput Urine Output View Result Details Stal Huiput Urine Voided Defaulted Info Emesis Output Other Output omments NG Tube Output Other Output Estimated Blood Losses Unchart Other Output Change Date Time Misc Output Modify Hemofiltration Fluid Output onfirm DR Output Add Comment Drains T Peritoneal qi Advanced Graphs TRANA SEQTRAINO2 04 March 2008 15 29 Z4 3 Microsoft Offic 1 untitled Paint E3 2 Microsoft Offic 43 Citrix ICA Clien O Inbox Microsoft Jo 3 29pm 3 Delete the current value you want to modify by hitting the delete key on backspace key from your keyboard Enter the correct amount Sign by clicking the green check mark Notice that after you sign the cells you corrected will have a blue triangle at the bottom right side of the screen signifying that value was corrected e Eam th SeqTrainer491 Trainer491 70001513 Opened by Seqtrain02 RN1 Task Edit View Patient Chart Links Options Documentation Orders Help i z PAL Patient Lists Shift Assignment Inbox 1 minutes ago Results Flowsheets I amp O Graphs Notes Transcription
28. 0200 00003 12 15 07 15 18 70001338 00700 01338 12 15 07 15 18 70001327 00700 01327 12 15 07 15 18 70001274 00700 01274 12 15 07 15 18 70001138 00700 01138 12 15 07 15 18 70001133 00700 01133 12 15 07 15 18 70001527 00700 01527 12 15 07 15 18 70001513 00700 01513 12 15 07 15 18 70001517 00700 01517 12 15 07 15 18 70001423 00700 01423 12 15 07 15 18 70001498 00700 01498 12 15 07 15 18 70001482 00700 01482 12 15 07 15 18 70001432 00700 01432 12 15 07 15 18 70001431 00700 01431 12 15 07 15 18 70001430 00700 01430 12 15 07 15 18 70001421 00700 01421 12 15 07 15 18 70001408 00700 01408 12 15 07 15 18 indo 2 2 Citrix LOS Admitting Attending DOB 79 9 Days Mochizuki Chris Mochizuki Chris 5 02 24 18 78 8 Days Mochizuki Chris Mochizuki Chris S 10 03 22 79 9 Days Mochizuki Chris Mochizuki Chris 03 27 70 79 9 Days Mochizuki Chris 5 Mochizuki Chris S 04 04 66 73 3 Days Mochizuki Chris Mochizuki Chris 5 04 13 15 73 3 Days Mochizuki Chris 5 Mochizuki Chris 5 04 13 15 73 3 Days Mochizuki Chris S Mochizuki Chris S 05 01 47 79 9 Days Mochizuki Chris S Mochizuki Chris 5 05 01 47 79 9 Days Mochizuki Chris Mochizuki Chris 04 01 67 79 9 Days Mochizuki Chris 5 Mochizuki Chris S 04 30 15 79 9 Days Mochizuki Chris Mochizuki Chris S 04 30 15 79 9 Days Mochizuki Chris S Mochizuki Chris 5 08 01 37 79 9 Days Mochizuki Chris Mochizuki Chris 08 01 37 78 8 Days Mochizuki Chris Mochizuki Chris S 08 01 37
29. 1 07 14 58 22 0 Days Krakower JBfferyF Krakower Jeffery F 06 12 50 SEQ OUTPT SEQ t Lb TESTSEG OIBTWO 77 years M 776926 50000 01841 12 11 07 14 54 22 0 Days Krakower JEffey F Krakower Jeffery F 02 25 30 SEQ OUTPT SEQ TESTSEG OPONE 97 years M 776916 50000 01742 12 11707 11 15 5Days Krakower JEffery F Krakower Jeffery F 10 10 10 SEQ OUTPT SEQ 1 TESTSEG OPTHREE 34years F 776918 50000 01767 12 11 07 11 22 0 5 Days Krakower JBfferp F Krakower Jeffery F 04 04 73 SEQ OLITPT SEQ E TESTSEQ OPTWO 27 years F 776917 50000 01759 12 11 07 11 20 O5Days Krakower Jeffery F Krakower JefferyF 08 08 80 SEG OUTPT SEQ TESTSEG SERIES 54 years M 776919 50000 01932 01 01 08 0 01 15 7 Days Krakower JeMerp F Krakower Jeffery F 03 03 53 BUILDA SEQRN 16 January 2008 16 50 JOEREI 2 eS px Issue T Cu 5 Micr Px Microso ORG M fm 2 Win 4 50 PM PowerC E The Organizer is made up of the tool bar Patient Access List or the Patient List TOOLBAR DEFINITIONS A tool bar is a series of selectable buttons in CIS usually located in the top screen that gives you an easy way to select a function within CIS CareConnect 1 Icons are labeled with names For example CB AdHoc shows the label Adhoc There s no guessing on what that icon is Note Not all icons that you see in the toolbar are used at this time To view more icons that are not visible in the tool bar click the down a
30. 12 15 07 15 18 70001430 00700 01430 12 15 07 15 18 70001421 00700 01421 12 15 07 15 18 70001408 00700 01408 12 15 07 15 18 L42Miros f w4 Windo 2 citrix TRANA SEQTRAINRN19 04 March 2008 12 47 untitled E3 Microsoft Adobe Re Location Patient List window displays Click the plus sign next to the folder Locations Click the plus sign next to SEQ Click the plus sign next to SEQ again Cancel 79 9 Days Mochizuki Chris Mochizuki Chris 08 01 37 79 9 Days Mochizuki Chris Mochizuki Chris S 05 01 47 79 9 Days Mochizuki Chris S Mochizuki Chris S 05 01 47 79 9 Days Mochizuki Chris S Mochizuki Chris 5 05 01 47 78 8 Days Mochizuki Chris S Mochizuki Chris 5 05 01 47 79 9 Days Mochizuki Chris Mochizuki Chris 5 05 01 47 lt 12 47 Pm Eg Inbox Mi W Micros fm 4 windo 2 Citrix TRANA SEQTRAINRN19 04 March 2008 12 51 untitled EJ Microsoft x Adobe Re J3 0B 38 10 Select the unit you want by click the check box next to it Sequoia Hospital Clinical Informatics Nursing Complete Guide 11 CIS PowerChart Care Connect Manual TIP For inpatient locations choose Inpatient Observation and ED patient only Do not choose OP PowerChart Organizer for Train SEQTRAINRN19 Chat Links Patient List Help Patient Lists fo em gt gt Sal MY CUSTOM LIST ti M
31. 79 9 Days Mochizuki Chris Mochizuki Chris 05 01 47 79 9 Days Mochizuki Chris Mochizuki Chris 08 01 37 79 9 Days Mochizuki Chris Mochizuki Chris S 08 01 37 79 9 Days Mochizuki Chris Mochizuki Chris S 05 01 47 73 3 Days Mochizuki Chris S Mochizuki Chris 5 05 01 47 79 9 Days Mochizuki Chris S Mochizuki Chris S 05 01 47 79 9 Days Mochizuki Chris Mochizuki Chris 05 01 47 79 9 Days Mochizuki Chris Mochizuki Chris 05 01 47 TRANA SEQTRAIMRN19 04 March 2008 12 44 5 untitled E3 Microsoft Adobe Re k 12 44 PM 10 CIS PowerChart Care Connect Manual TIP Do not select multiple units all at the same time Maintain each unit as a separate location list So you have separate tabs in the Patent List window 3 Click the New button on the bottom of the window 4 Patient List Type window displays 5 Select Location and click Next 7 Powe All Patients SEQ CS Confidential Room ABEN 221 222 223 224 225 225 227 227 227 227 227 227 227 227 227 227 227 227 227 227 227 227 MY CUSTOM LIST Ss Fe E t OGOOGO Patient List Type Assignment Ancillary Medical Service Provider Group Scheduled Seq rainer460 Trainer460 70 years SeqTrainer410 Trainer410 60 years SeqTrainer409 Trainer409 60 years SeqTrainer408 Trainer408 60 years SeqTrainer399 Trainer399 60 years SeqTrainer386 Trainer386 60 years 70001482 00700 014
32. 82 12 15 07 15 18 70001432 00700 01432 12 15 07 15 18 70001431 00700 01431 12 15 07 15 18 70001430 00700 01430 12 15 07 15 18 70001421 00700 01421 12 15 07 15 18 70001408 00700 01408 12 15 07 15 18 wn co Cancel 79 9 Days Mochizuki Chris S Mochizuki Chris 08 01 37 79 9 Days Mochizuki Chris S Mochizuki Chris S 05 01 47 79 9 Days Mochizuki Chris S Mochizuki Chris 05 01 47 79 9 Days Mochizuki Chris S Mochizuki Chris S 05 01 47 79 9 Days Mochizuki Chris S Mochizuki Chris S 05 01 47 79 9 Days Mochizuki Chris S Mochizuki Chris S 05 01 47 BEE t PowerChart Organizer for Train SEQTRAINRN19 Patient Lists 2 mt gt gt MY CUSTOM LIST All Patients SEQ CS Confidential Room 221 222 223 224 225 226 227 227 227 227 227 227 227 227 227 227 227 227 227 227 227 227 EE EE OGOOGO Modify P Available lists E inbox Mi Lnks atient List Heb Location Patient List C Locations C Medical Services C Encounter Types Discharged Criteria C Admission Criteria Enter a name for the list SeqTrainer450 Trainer460 70 years SeqTrainer410 Trainer410 60 years SeqTrainer409 Trainer409 60 years SeqTrainer408 Trainer408 60 years SeqTrainer399 Trainer399 60 years SeqTrainer386 Trainer386 60 years x C3 Locations Groups 70001482 00700 01482 12 15 07 15 18 70001432 00700 01432 12 15 07 15 18 70001431 00700 01431
33. CIS PowerChart CareConnect Manual for Nursing Services Sequoia Hospital A member of CHW Sequoia Hospita 170 Alam eda dcos Pulgas Redwood City CA 94062 CIS PowerChart Care Connect Manual TABLE OF CONTENTS Accesinq POWGOICIIAFT vicis iic oreco av a ora AE YEN Organizer BaSiCS uote osoa Eon Ea aa Toolbar ICOD TODO uin evo dade diene ennt reek at een Coda o e ME ELLO ERE VOD AI OWS nm CHANGES ICOM e T Patient Search RE RETURN Eee ee eae eee nT FRO COMICON RE T FReITe SD Oll cose dneesaacetenecae sane uia e Da EEEE RD Pn bleDsda d ty oc a QUEUE D LU IR tne Mean Patient Education icon vus cross cenas i LIP Rcx EI riri E pa SIE RIS IE DED AIL ICOM TET Quick Training icons Online Help ssueuee Patient Access List PAL sscsseectavininerenticienetnaavivtasecnetctienenin en ACCESSING ING PAL orrore aa dette ad ted ween tanh Gee as Associating your PAL with the department census Establishing a Relationship ccc ccce eee eeceeee eee eeeeeeeees Manually adding patients to the PAL Palienbis E eoctauc Geen taie wusaroe ade ANE LEM create waar a MIL EPI DE EDEN Creating a Location Patient List sssuuuuueue Creating a Gustom List eo om ero Ern nth asuni Printing MD Rounding Reports urere Patient Chart Overvie
34. HERRERO CARMELO Diagnosis Problems Isolation Types Standard Fall Risk 12 Medium RIPPLINGER GREGG Medication List F add Precautions Sood Rajat Code Status Not recorded TURNER CARLA 24Hr Primary Mode of Communication WALTON CHARLES AL OWIR BASSAM Referring Physician English Incentive Spirometer Volume 500 Immunizations Prev Surgeries TONSILLECTOMY nL ED Disch APPENDECTOMY W BOWEL RESECTION FOR Safe Movement Lift required Non ROTHSTEIN DRAKE MD o CROHN S LIGAMENT FIXED LEFT i venefar Roay verview WRIST hyst Tobacco Use Past Vascular Access Device Status _ Recreational Drug Use Denies Alcohol use Current Hand left Start 11 26 07 00 00 PIV catheter Past Medical History Arthritis Hand left Discontinue 11 26 07 08 00 PIV catheter Back Spine Problems Fractures trauma Migraines Headaches Other CROHN S Advanced Directives No ADLS Drains Tubes amp Catheters Diet Type TPN Activity Status Moderate assistance patient 50 Bath shower Catheter care Peri care Complete assist ral care Complete assist Preventive skin care Complete assist Feeding Ability Breakfast Complete assist Feeding Ability Lunch Complete assist Nasogastric tube Right nares Complete assist Complete assist Foley catheter BUILDA SRDHRN 12 December 2007 13 07 d start B F c 2 Inbox Micros Us Training sta L C Documents wi
35. HON Ad Hoc Charting SeqTrainer519 Trainer519 E Admission Documentation E Adult Admission History CIS v2 Nursing Assessments CIS B Valuables Belongings Form Interventions B Allergies amp Current Meds CIS i B Infectious Diseases 3 NICU Forms CIS 3 Same Day Procedure Form 3 BHU Admission Forms BHU Interventions BHU Behavioral Restraints All Items Section Folders v Close Open Ad Hoc Folder and Select a Form Clinician roles determine the type of ad hoc forms they are able to access here are several types of Ad Hoc folders across disciplines To open an Ad Hoc folder and select a form complete the following steps 1 Make sure you are in a patient s chart 2 Single click the Ad Hoc Charting icon a from the toolbar 3 The Ad Hoc Charting window opens to the default folder based on your role and login ID 4 To select one of the forms click on the square box to the left of the subfolder A checkmark displays 5 Click the Chart button on the bottom right side of the window ee SeqTrainer519 Trainer519 70001541 Opened by Seqtrain01 RN1 Task Edit View Patient Chart Links Index Documents Help i E PAL 4 Patient Lists 7 Shift Assignment _ Inbox nt Education change ft suspend Hl Ext Z calculator amp PM Conversation ji Depart E Patient Product Inquiry 4D Explorer Menu 2d New Sticky Note yRecent v
36. Intake Output Balance Patient Information Y Oral Intake a Enteral 03 10 08 03 10 Meds List ic Daily Total Shift Total 18 00 Shift Total 0500 Allergies v Crystalloids 17 53 Diagnosis Problems CIS Colloids Bld Products Quickview CIS Parenteral Nutr 24Hr Continuous Bladder Irrig E l us Immunizations Other Intake Custom Ize P OR Intake Hn IT s Wie Ae RURSUM E Overview C3 Output Ee i v Urine Output Stool Output Emesis Output NG Tube Output Estimated Blood Losses Other Output Misc Output Hemofiltration Fluid Output DR Output Drains Peritoneal q Advanced Graphs v s n TRAMA SEQTRAINRNS 11 March 2008 12 21 3 Microso EJ 2 Microso 242 Microso Vg WBT Instru fm 5 window P3 Citrix 1c AA ipe 12 21pm 3 Click Preferences Tab 4 Under Chronological Time sort click the drop down arrow and select either chronological or reverse chronological 5 Click Ok Sequoia Hospital Clinical Informatics Nursing Complete Guide 47 CIS PowerChart Care Connect Manual ies SeqTrain01 Patient1 200008 Opened by Train SEQTRAINMD1 s Edit View Patient Chart Links Options Documentation Orders Help EL 4 Patient Li PA r Y T ear OFF Allach 46 Change JH MB SegTrain01 Patient 200008 Preferences eptes Intake and Output Clinical Range UITrerzdjustment Forward Dj Clinical Range Offset Adjustm
37. Microsoft Jo 3 38PM 5 Click Sign 6 Note in the I amp O flowsheet the cell will display In Err signifying that you uncharted that value FOR BHU STAFF ONLY To enter your 1 amp O please complete the following steps 1 Click Ad hoc from the toolbar 2 Click BHU Interventions e SeqTrainer491 Trainer491 70001513 Opened by SeqtrainO2 RN1 Task Edit View Patient Chart Links Options Documentation Orders Help PAT Pasa Lists Shift Assignment Inbox ie n e Education fy Depart a New Sticky Note S vis os Notes EE Tear off c o BA change Til suspend ioo 39 Charge Entry 2H Exit I Calculator y Me List m Ua Recent dh ETT Charting SeqTrainer491 Trainer491 IES i Print 13 minutes ago ission Documentation Its Flowsheets ursing Assessments CIS U Group Session Form I amp C Graphs nervi ng Inpatient Progress Note astral i rapy Assessmen KIC 3 08 0 4 Shift Total d 5 Diagnosis Problems QuickView eening 24Hr pos edi Immunizat ED Disch Overview DR Output Drains Peritoneal cd 5 amp Advanced Graphs oi 5 untitled Paint ft Offic 3 Citrix ICA Clien I8 Inbox Microsoft 3 3 Select Intake and Output 4 Click Chart Sequoia Hospital Clinical Informatics Nursing Complete Guide 24 CIS PowerChart Care Connect Manual Enter your intake values Sel
38. OTES TrarnscHhpllOlls ios deno Eoi o Suv Qus Ea Adding a NOTO PET MOdIMVING a NOG ees TM Uncharting an error Dole iussi eio arie tee Ie ERU S ux a e rn Oed PACU AO Cli bid tee tip es eee eee Opening and selecting a form ccc cece cece cece eect eee eeeeee eens Single Alpha Numeric fields cccccccce eee eeseeeeeeeeaeeeaeeeess Multi Alpha Numeric fields c ccc ccee cece nena e teen ee eeneeeeeeeees Cio c r Numeric or text fields ssssssseesssseess mmm Last Charted Value fields ccc cece eee e cece ee eeeee teen eeenanaees CONGIUONAIMEIOS ta ccrciausedictversseynaiscuegeueansanspone ends ESNE ACIE IEIS Seco ted utet Lope sDXEp E ated dase aurea eos lh egulred Tlelds cesseteb udtebet que trus ehe aus Deuce Det dne EEEN Completed FOLIIS cisci aa Piae Qucsaebuh idu p MEE Ee ere re ES Viewing contents of folder cccce cece eeeeeeeeeseeeeeseeeeeeaes SOUNO TOET otic frac shee ni aero quic te geardnuayens dee mugias uta douaton te Modifying a form ne QUIE S i i EROR TP Patient Education Handout eren n m Im rmn Tips for selecting and printing cece cece eee eee eee eeeeeeeeaeeees Multidisciplinary Education Assessment Form DeDart PIOCOSS ie tosesesEesibcebrasunEas iA E EIE DI DeERI IA EXM VIE DEPT DUE URGE Required elements of the Depart Process
39. Patient Information Meds List Sotby Dffset Back 5 IEEE d ate bad Forward r Date Range Blos 08 mutig Allergies Diagnosis Problems Quickview C Date Range Increment Value um 24Hr Ip CPP bMS Admission Current Units ED Disch Iv Show InError Forms Overview TRANA SEQTRAINRN1 13 March 2008 13 44 3 Microsoft Offi EJ 5 Microsoft Offi 24 3 Microsoft Offi Timecard Source FJ 3 Citrix ICA Clie SET 1 44PM 5 Click OK Note You only have to change your default time scale preferences once Once you change it it will save that preference to your log in information and when you open another patient s chart it will default to what you set it to Sequoia Hospital Clinical Informatics Nursing Complete Guide 50 CIS PowerChart Care Connect Manual RECOMMENDED LESSONS FROM POWERCHART ONLINE TUTORIALS To access online training log in to CIS PowerChart and click CareConnect Quick Training icon from the toolbar 1 TEST PATIENT ONE 759126 Opened by Tolentino Dante RN Task Edit view Patient Chart Links Time Scale Options Help Q CareConnect Quick Training E i Location History amp Results Flowsheets MedSurg ICU Hemodynamics Asmt Lab Path Rad ED Summary ENU Immunization Flowsheet Med Surg BE Level Med Surg R
40. PowerChart Organizer for Train SEQTRAINRN19 Add Patient az TRANA SEQTRAINRN19 04 March 2008 11 58 SEE 9 1o iiss am Add patient to the current list sg starn E D cin LR 2 Citrix ICA Cli W untitled Paint 2 The Patient Search window appears Type in the patient s name Sequoia Hospital Clinical Informatics Nursing Complete Guide CIS PowerChart Care Connect Manual or Medical Record or Account to search for the patient 3 start Click OK rganizer for Train SEQTRAINRN1 9 S PM Conversation Patient Produ Name seqtrainer412 Search Beset p Search Sent Items cy Enhancemen F2 citrixtc Print O minutes ago Shift 04 March 2008 06 30 04 March 2008 19 30 New Transci Restraints Pain Score Fall Score Temp TRANA SEQTRAINRNI9 04 March 2008 12 15 5 untitled Paint EJ Microsoft Ex JEN O REEI 4 After you click OK it will add that patient to your patient list PATIENT LIST The patient list is where you can have your patients listed by location CSU MSO ICU MHU AMU etc provider group or by your own custom list To create your location list e g specific department or unit complete the following steps 1 Click the Patient List icon in the toolbar 2 Click the wrench icon in the toolbar below patient list bar ek Patient Lists E HOae ows List M intenance SEQ CS
41. SHEETS DID YOU KNOW Click Results Flowsheets section on the Table of Contents to access the following flowsheets When you open multiple charts each demographic e MedSurg displays numeric clinical values imputed on either nursing e LE me owp forms or directly charted on the flowsheet e ICU Used in ICU that document in CIS Displays numeric clinical values that is either inputed on nursing forms or directly charted on the flowsheet Vitals from monitors are pulled into this flowsheet e Hemodynamics displays hemodynamic vitals output and input data Asmt displays textural values imputed on either nursing forms or directly charted on the flowsheet Lab displays lab results numeric Path displays Pathology reports dictated Rad displays Radiology reports dictated ED displays ED nursing data Summary displays select results such as vital signs lab results nursing assessment BHU displays clinical values specific to Mental Health Unit e Immunization displays documented immunization inoculations or vaccinations given to the patient e Micro displays microbiology results Flow sheets Layout e Blue Clinical Range Bar used to specify time frame for data display e Navigator Bar to the left of the screen Lists the sections that are available for display e Table View made of intersecting rows and columns that forms cells where data are entered used to display discrete Results Flowsheets E
42. SMMC Podiatry Resident Team CI SMMC Resident ICU Team CI SMMC Resident Team Blue CJ SMMC Resident Team Green CI SMMC Resident Team Red mM c n i oon TRAMA SEQTRAIMO2 04 March 2008 13 56 X 5 untitled E3 Microsof Adobe R n 3 Citrix R i n ii 1 56 PM Click Next Keep the filter defaults to None select Next Move the list from the Available lists to the Active lists and click OK Follow steps 14 16 above 9 My Custom List tab displays on the Organizer po SEED owerChart Organizer for Train SEQTRAINMD1 View Patient Chart Links Patient List Help Patient Lists a PAL m New Sticky Note i View Sticky Notes X Tear Off Attach 2 hang SeqTrainer411 Tr x Patient Lists B i iis Modify P Provider Group Patient List Available lists LE Provider Groups a nennen nnns nnne treno C cSEQ Peninsula GI C Encounter Types DARIN L CHRISTENSEN M D C Medical Services CI DSCH Anesthesiology C Locations C DSCH Barber Culver C Time Criteria CI DSCH Capitola Peds C Admission Criteria CI DSCH Cardiac Surgery C Discharged Criteria CI DSCH Cardiology C Use Best Encounter C DSCH Central Coast Urology C DSCH Dominican Foundation Hospitalist C DSCH Dominican Hospitalists C DSCH Dominican Pediatric Clinic C DSCH Emergency MD Group C DSCH Family Doctors of Santa Cruz C DSCH Gastroenterolog
43. SO e f you don t see what you intend to give to your patient search the handout under ALL folder e To search for Spanish documents change the Language drop in box to Spanish e Make sure to select all the handouts that you want to give to your patient before you click PRINT e Once you print that patient education handout will be associated to that patient s record Patient Education Wes Launch Help i ab e ions Follow Up zi E aree om F3fient Education Seq Diabetes CintagRrsctte Guidelines Blood Ltt tes Etistom Custom Seq Inactivated Infl a Vaccine 2007 2008 Custom Seq Pneumococcal Rolysaccharide Vaccine v1 Custom lt Seq Sequoia Congesfive Heart Failure CHF v1 Custom Department or Contains 7 microsoft E 5 Microsoft O EQ Microsoft Excel fm 4 Windows Ex Sequoia Hospital Clinical Informatics Nursing Complete Guide 39 CIS PowerChart Care Connect Manual MULTI DISCIPLINARY EDUCATION ASSESSMENT FORM STAND ALONE AD HOC FORM The multidisciplinary Education Assessment Form is used to document education provided to the patient conducted by different disciplines It can be accessed two different ways This section will show you how to access the stand alone form It is accessible in ad hoc gt Nursing folder or on Depart Interdisciplinary Education To complete the stand alone Multidisciplinary Education Assess
44. Select forms by Results Flowsheets cl icki ng r box Completed Forms z P EB Safe Lift Assessment Patient Information E Immunization Form Meds List Allergies B Pneumococcal l Influenza Vaccination Screeninc Diagnosis Problems QuickView 24Hr v E C By date Action Performed By Performed Date Action Status Commen t Proxy Personnel Regue C Performed by By encoun ter N n TRANA SEQTRAINO1 18 April 2008 12 00 TRANA SEQTRAINO1 18 April 2008 12 00 Sequoia Hospital Clinical Informatics Nursing Complete Guide 31 CIS PowerChart Care Connect Manual Alpha Numeric fields in ad hoc Adult Admission History Form CIS v2 TEST PATIENT ONE Y MG Pit Bx iioii 08 04 23 2008 x 1230 By Tolentino Dante RN b General Informat Height weight 6 49 Health History v TB Risk Factors r Influenza Yaccin E Alcohol p d Di TAIF E Emp Res of Institutional Living Env Health Care Employee History of Exposure to TB History of Positive Chest X Ray for TB History of Positive TB Skin Test ba Psychosocial vz Homeless Pneumococcal X Infectious Disea Allergies amp Currer X Emotion M Agencieg Jl P49 Initial 43 Environ piseases Isolation Indicated Isolation Type Infection Control Notified fice Scabies C Other C Airbome Precautions Yes wi
45. Seq uoia Hospi ta Medication Education Handouts et Interdisciplinary Education ree 170 Alameda de las Pulgas Cardiac Surgery Education E Redwood City California 94062 Interdisciplinary Readiness for Discharge A 650 369 5811 Valuables and Belongings A Mes ics rs Clinical Patient Education Instructions PERSON INFORMATION Name SeqTrainer412 Trainer412 MRN 70001434 FIN PHYSICIANS Admitting Physician Mochizuki Chris S Attending Physician Mochizuki Chris S PCP Comment PATIENT EDUCATION INFORMATION Check box ducation Handouts edication Handouts v ES a Patient family caregiver verbalizes understanding of instructions given ptions EE Save 2 start E 6 2 Microsoft E z Microsoft EY 4 Microsoft P4 Citrix ica Fg WBT Instructi fam 3 Windows 3I 6 10 21 am Sequoia Hospital Clinical Informatics Nursing Complete Guide 45 CIS PowerChart Care Connect Manual ADVANCE USER PREFERENCES Rearranging your icons in the toolbar 1 Single click the down arrow at the end of the toolbar 2 Select Add or Remove buttons 3 Select Customize t SeqTrainer412 Trainer412 70001434 Opened by Segtrain02 RN1 Task Edit View Patient Chart Links Time Scale Options Help ws e Ma Depart view Sticky Notes Tear Off 73 Attach T hange MS Charges 4 amp 9 arge Entry Exit Ca HM Patient Product Inquiry ELS o Explorer Menu Add or Remove Buttons Y
46. Time Scale Options Help i E PAL 4 Patient Lists 1 Shift Assignment 1 Inbox Demographics bar d a AdHoc a Patient Education fja Depart 2d New Sticky Note 29 view Sticky Notes tea Tear Off SA Atta o y Hfl Ext E calculator A List m Recent eo Print 28 minutes agc Hemodynamics Asmt Lab Path Rad ED Summar y BHU Immunization l Flowsheet Med Surg Y el Level Med Surg X Table C Group C Lis J Vital Signs Data Height weight Diabetic Data Orthostatic Vitals Stool Guaiac Procedural Sedation Fall Risk Table of Contents TRANA SEQTRAINOZ 04 March 2008 14 22 e fas Desv HEC SEW 910 EIU To open additional charts You can have up to 4 charts open simultaneously If you want to open additional charts without closing the one you currently have open complete the following steps 1 Search for a new patient or 2 Select the patient from the Recent icon list Sequoia Hospital Clinical Informatics Nursing Complete Guide 15 CIS PowerChart Care Connect Manual Hs SeqIrainer414 Trainer414 70001436 Opened by Seqtrain02 RN1 Cc felix Ta t Enc Note secte Sticks AdHoc harge lev ick Notes X Tear Off U E hang M Charge Ext 4 Patient Education ul Exit ij alculator gm PM Conversation E C SeaTreinert 2 Tr X SeqTrainer411 Tr X q Tres ist Recent v fb Results Flowsheets Ment 1 amp 0 Graphs Note
47. U Nae Stients SEQ CSU y Confidential Room Bed t Note 221 227 227 227 227 227 227 227 227 227 227 227 227 227 227 227 a a B a a a a a ju a a a a a a a ia a a a ju ju Add or Remove Patient Lists start Sequoia Hospital Clinical Informatics Nursing Complete Guide e OO t PowerChart Organizer for Train SEQTRAINRN19 E 7B Chat Links paf Name Age Sex SeqTrain05 Patient5 90 years F SeqTrain 4 Patient4 85 years F SeqTrain03 Patient3 37 years M SeqTrain 2 Patient2 41 years M SeqTrain01 Patient 92 years M SeqTrainer01 Trainerl 92 years M SeqTrainer315 Trainer316 60 years SeqTrainer305 Trainer305 60 years SeqTrainer252 Trainer252 40 years M SeqTrainer214 Trainer214 92 years M SeqTrainer208 Trainer209 92 years M SeqTrainer505 Trainer505 70 years SeqTrainer491 Trainer491 70 years SeqTrainer495 Trainer495 70 years SeqTrainer401 Trainer401 60 years SeqTrainer476 Trainer476 70 years SeqTrainer460 Trainer460 70 years SeqTrainer410 Trainer410 60 years SeqTrainer409 Trainer409 60 years SeqTrainer408 Trainer408 60 years SeqTrainer399 Trainer399 60 years SeqTrainer385 Trainer386 60 years Inbox Mi Ly 2 Micros TOT ee TT TT AJN MRAN Acct Admit Date 200004 200005 200006 200007 00200 00004 12 15 07 15 18 00200 00005 12 15 07 15 18 00200 00006 12 15 07 15 18 00200 00007 12 15 07 15 18 200008 00200 00008 12 15 07 15 18 200003 0
48. ag Normalize view Maximize View Show Navigator MedSurg Ic b Path Rad ED Summary BHU Immunization Bi Level Med Surg Table C Group Lis J aly 2008 12 59 Bet nmn Automatic Refresh Flowsheet Me Properties TON Navigator pun F OPEIUCS 03712708 A Result Legend d Surg 09 35 val Info Procedure History Arrival Time on Unit Procedure Name Date Pan Immunizations ED Disch Vital Signs Data Overview Pain Intensity 5 Acceptable Pain Intensity 3 Evaluation of Pain Management Effective Pa LJ Temperature PO 38 0 deg C Temperature PR Temperature Tympanic Temperature Axillary Temperature Temporal Artery LJ Heart Rate BP Method Site LJ NIBP Systolic LJ NIBP Diastolic LJ NIBP Mean LJ Resp Rate Diabetic Data Orthostatic Vitals Stool Guaiac Procedural Sedation RR ARRARBR ARR RR 100 bpm TRANA SEQTRAINRN1 13 March 2008 13 07 start E 3 Microsoft Offi EJ 5 Microsoft Offi 243 Microsoft Offi E CareConnect Tra F 4 Citrix ICA Clie amp J A 9 1 07 Pm Click the Defaults Tab Now select your default retrieval type preference Click Save Click Yes when it asks if you want to save current property settings Then click OK Dp TOO Sequoia Hospital Clinical Informatics Nursing Complete Guide 48 CIS PowerCh
49. ainer519 70001541 Opened by Seqtrain01 RN1 Task Edit View Patient Chart Links Index Documents Help E 3 PAL Patient Lists Shift Assignment Inbox E RE AdHoc 3 Patient Education S change i Suspend Al exi A Calculator amp PM Conversation I Depart EJ Patient Product Inquiry Explorer Menu d New Sticky Note Ju Y 4a List mp Recent z m rhA4 DOB 1737 Age vears Se ameri pus TEL Age U yea 5 Recorder Inpati tient Jni DLL Notes Transcription Results Flowsheets 8 Filter In Error Documents Friday April 11 2008 Friday April 18 2008 essible Date Range Completed Forms Patient Information Show Toolbar Transcription ommenl TRANA SEQTRAIMO1 18 Apri 2008 11 37 Sequoia Hospital Clinical Informatics Nursing Complete Guide 28 CIS PowerChart Care Connect Manual 3 The Note window displays Complete the following fields e Type Use the drop down arrow to select note type from the list e Authors The user s name is defaulted e Date and time Defaulted to the current date and time You can make a change by using the arrows located to the right of the Date and Time fields e Subject Type a subject e Text window Type note When done click the Sign button located at the bottom of the screen t UTFSI DSCHSOFTMED 37 79 70 Type Nursing Progress Note xf Date 07 20 05 ji 1037 HA PDT St
50. art Care Connect Manual es SeqTrainer181 Trainer181 70001105 Opened by Train SEQTRAINRN1 Task Edt vew patient Chart Lnks Time Seale Options Help i E PaL 4 Patient Lists 7 shift Assignment L Inbo p 180 Graphs Settings Display Defaults Notes Transcription These defaults must be saved and the application restarted for them to takel ii all Default Retrieval Type r Default Range Offsets Patient Information Meds List Allergies Posting range Bach n Diagnosis Problems Result count QuickView Clinical range Forward fum Default Result Count C New results esuts roo Years 3 L Immunizations Number of Hours Previous to the Admit Date fo ED Disch Filter by selected encounter Re apply defaults for each new chart Adjustment Increments n Days v or so Results LJ Potassium LJ Glucose Random J BUN LJ Creatinine TRANA SEQTRAINRN1 13 March 2008 13 21 i untitled Paint i FY 1 21PM 10 This only changes the flowsheet that you are in Follow steps 3 to 9 to change the default of every flowsheet Note Selecting longer time periods for your default preference may result in addition time required to open flowsheets notes transcription To change the default timescale for Notes Transcription 1 Make sure you are in a patient s chart 2 Click Notes Transcription from the Table of Contents 3 Click Documents from the t
51. ask bar and select Options t rn nr rn I Trainer181 70001105 Opened by Train SEQTRAINRN1 Task Edit View Patient Chart Links Index Documents Help i E PaL Patient Lists 2 Shift Assignment 1 E p Exi AdHoc fja Depart a Patient Educatio ATi D a ee aN a 7 rr icky No Uuspend gt arg ar gr iti k m 7 i gt Rece Name Y RM T ad A een PU Results Flowsheets I amp O Graphs Notes Transcription Complete gior rns Patient Infiirmation Print Document s Maximize View Immunizations ED Disch Options Overview By type Mi C By status s ii 2 C By date Acton Performed B Performed Date Action Status Reque C Performed by By encounter gt TRANG SEQTRAINRNI 13 March 2008 13 26 6 3 Microsof EJ 5 Microsof 743 Microsof CareConnec 34 Citrix ic untitled Paint SEE 1 26PM 4 Click Index Defaults tab 5 Select your default in the Filter by option You have a choice of date range document count or admission to current 6 Click OK Sequoia Hospital Clinical Informatics Nursing Complete Guide 49 CIS PowerChart Care Connect Manual To change timescale default for Completed Forms 1 Make sure you are in a patient s chart 2 Click Completed Forms 3 Click Options from the Task bar and select Properties t2 SeqTrainer181 Trainer181 70001105 Opened b
52. atient List Help i E PAL 4 Patient Lists 7 shift Assi r i 8 s ssid x Ea patient Education M New Sticky Note BI view Sticky Notes E Tear Off 5 Attach S change Ht suspend nat Charges 3 Charge Entry 3l exit E Calculator P 4 Reca 1 Y PAL dino 2 Print o h __ MY CUSTOM LIST Shift 04 March 2008 06 30 04 MaNh 2008 19 30 Bed Admit D All Lab All Restraints Pain Score Fall Score Temp PO HR RR SBP DBP ae 4 SeqTrainer207 Trainer207 SeqTrain05 Patient5 N Patient Search icon by Name or MRN 4 TRANA SEQTRAINO2 04 March 2008 11 10 start E Inbox Microsof Ul Enhancement M fli My Documen ts f C policies CISP t Powerchatorg amp J i n 11 10 AM o Recent icon To find a patient s chart that had been opened recently click the down arrow next to Recent This icon will show up to 5 patient s charts that have been opened 6 Refresh button To refresh click the refresh button next to the print button It will display number of minutes since last refresh rather than displaying the time Notice that it will set at zero every time your hit refresh 7 Print icon Select printer from the list to print reports such as your daily census t gt PowerChart Organizer for SeqtrainO2 RN1 Task Edit View Patient Chart Links Options Patient List Help 2 PAL E Patient Lists Shift Assignment Inbox i Bi patient Education Brew Sticky Note
53. ation List e a Allergies Diagnosis Problems QuickView 24Hr Microbiology ED Disch Overview MonData Select all reports rese Hefe m fessos G Printer destination 77 n ECISA DTOLENTINODO2 15 April 2008 12 41 E Z4 3 Microsoft Offi 4 untitled Paint Inbox Microsoft FY http fwww outr 2 3 Citrix ICA Clie amp ils 12 41 Pm Sequoia Hospital Clinical Informatics Nursing Complete Guide 14 CIS PowerChart Care Connect Manual PATIENT CHART OVERVIEW You can access patient chart from the Patient List and or the Patient Access List Either way to open patient chart complete the following Steps a Double click the desired patient record on either the PAL or Patient List OR b Searching a patient in the Name field Demographic Bar The demographic bar is the colored band at the top of the patient s chart It contains the patient s demographic information such as name age sex MRN account unit room number and patient type Patient chart view is made up of two panes 1 Table of Contents displays on the left side of the screen It is a way to quickly navigate the patient s chart 2 Workspace displays on the right side of the window This screen changes based on the menu item you selected from the table of contents ie SeqTrainer491 Trainer491 70001513 Opened by Seqtrain02 RN1 Task Edit View Patient Chart Links
54. ation Smok Multi Disciplinary Education Assessment Education Summary Topic Plan of care Unit procedures Safety Individuals Taught Patient Spouse Staff Providing Education Terry Tonya Date Time Education Provided 01 08 2007 13 48 37 Barriers to Learning None evident Cultural barrier Financial concerns Vision impairment Teaching Method Explanation Video Educational TV Staff Providing Education Dea Philip K LVN Date Time Education Provided 08 14 2007 10 16 47 Plan of care Unit procedures Safety Tolentino Dante 08 24 2007 10 00 38 Topic Staff Providing Education Date Time Education Provided Topic CHF Activity CHF Diet CHF Discharge Medications CHF Follow up appointment CHF Weight Monitoring CHF What to do if symptoms worsen Individuals Taught Patient Barriers to Learning Acuity of illness Teaching Method Explanation Printed materials Preferences Readiness Additional Info to Learning to Learn Education lt Multilpha gt lt Muti lpha gt lt Alpha gt Teaching Outcome Education Individuals Barriers to Teaching Teaching Referral Topics Taught Learning Method Evaluation Made to Multiblpha eMulti amp ipha lt Multilpha gt lt Multipha gt lt Multiipha gt lt Multiipha gt Multiblpha lt Multidlpha gt lt Multidlpha gt lt Multidipha gt lt Muttidlpha gt lt Multidlpha gt lt Multidlpha gt lt Muttidlpha gt lt Alpha gt Multiblpha
55. atus In Progress Author Test DSCHANT ry Subject Todays notes Patient Level Document D Subject 10 amp AJAJ s Patient is complaining of severe leg pain a Sign Save Save amp Close Cancel Modify a Note To modify a typed note you need to complete the following steps 1 Double click to folder and note you wish to modify 2 Right click on the Document Window and select Modify Notes Transcription um w f E PowerForm Documents FS Assessment Forms Ed 01 18 08 13 29 Result ty Add seases vi Result De anna 13 28 Result Tit seases Farr Source of 3M on 18 Jar verified E Filter In Error Documents 3M on 18 Jar Encounte SRDIHD Inpa ik dd Infectious C Pe ror 3 The original note displays the cursor below Insert Addendum Here Creme ot ne re 3 s statement 4 Type in your modification and click either the Update or the Sign Sequoia Hospital Clinical Informatics Nursing Complete Guide Forward AA Frink Document s Show Toolbar Export 29 CIS PowerChart Care Connect Manual E O c button at the bottom of the screen The modified notes displays the modification as well as a red banner stating Document Contains Addendum The document trail is also updated to reflect the following The type of action Modify Performed by name of the user Date and time and Status Unchart an Error Note
56. ctions C Post Hospitalization Appointments and Lab Tests C Outpatient Cardiac Rehab C Daily Weight Tracking Fluid Management Sleep disturbances Fatigue C Mood Cognitive Changes C Food from home diet appetite management ICA Client E 2 5 Citrix Discharge This will be completed by Case Management only 1 Click Push Pen next to the word Interdisciplinary Readiness for Discharge 2 Complete form by clicking Case Management on Go to Assessment radio button under ES Interdisciplinary Readiness for Discharge SegTrainer412 Trainer412 Interdisciplinary F Discharge Instru Case Manageme EE Discharge Instructions Valuables Belon PT Discharge Re OT Discharge Ri _ ease Management Go to Assessment OT Discharge ST Discharoy Re O NA Recommendations O Go to Assessment By Seqgtrain02 RN1 Interdisciplinary Readiness for Discharge PT Discharge Recommendations Go to Assessment O NA Go to Assessment O N Education Progress O N Go to Assessment ST Discharge Recommendations Go to Assessment CO N Yaluables Belongings Go to Assessment O N A Influenza Immunization This Influenza Season between Oct 1 Mar 31 Date Review Influenza Screening Tool k Yes Pneumococcal Pneumonia Vaccination Within Last 5 Years Update immunization history in the immunization band Date Selecting Yes will launch screening tool
57. d forms in the Table of Contents To view the contents of a folder e Click the sign located to the left of the folder To hide the contents of a folder e Click the minus sign located to the left of the folder To view a folder document e Click the sign to the left of the desired folder e Located the desired document in the folder and double click it when done click the X box located at the right upper corner to exit To sort folders complete the following steps e Click the Sort by field down arrow e Select a sort option from the menu wh TEST PATIENT ONE 59126 Opened by Tolentino Dante RN Task Edit View Patient Chart Links Options Help 3 PAL p Patient Lists 7 Shift Assignment Inbox Q CareConnect Quick Training E E rh Location History Physician Quick Click Training Q msn E i AdHoc Mew Sticky Note E TEST PATEN x tasti Drs TY 3 Print J 0 minutes ago Results Flowsheets nn Thursday April 10 2008 Wednesday April 16 2008 Clinical Range I amp O Graphs Sort by BED ate Notes Transcription Completed Forms x Monday April 14 2008 Patient Information H 13 55 Case Management Discharge Needs Form Modified Multi Contributors Medicaion List Microbiology ED Disch Overview MonData ECISA DTOLENTINOOO2 15 April 2008 12 45 es Start E EJ 3 Microsoft Of i untitled Paint Inbox Microsof FY http www out F438 Citrix cach
58. ect Basic Output from the left side menu Enter you output values Click sign PEEL t Intake and Output SeqTrainer491 Trainer491 Y iG Peu By Seqtrain 2 RN1 Basic Output Basic Intake Enteral Tube Nasogastric Tube Continuous Bladder Irrigation Other Intake Additional Information In Progress untitled Paint E3 2 Microsol ft Offic F33citixiCAClen Inbox Microsoft amp e 3 44 PM To modify or unchart complete the following steps You can follow the steps previously outline in pages 17 to 18 OR you can complete the following steps Go to Completed forms in the Table of Contents Select the Intake and Output form you want to unchart or modify Right click that form oelect unchart or modify If you want to modify it will take you back to the Intake and Output form Enter the correct values Sign the form If you want to unchart Enter comments to why you want to unchart Sign the form o cs Iu p VIEWING I amp O GRAPHS Sequoia Hospital Clinical Informatics Nursing Complete Guide 25 CIS PowerChart Care Connect Manual To view the graphical content or to view historical I amp O with details complete the following steps 1 Go to 1 amp O Graphs from the Table of Contents 2 Click Advanced Graphs t2 SeqTrainer184 Trainer184 70001108 Opened by Train SEQTRAINRNS EIE Task Edit view Patient Chart Links Options Documentation Orders Help
59. ect l amp O Graphs from the Table of Contents Sequoia Hospital Clinical Informatics Nursing Complete Guide 20 CIS PowerChart Care Connect Manual us SeqTrainer491 Trainer491 70001513 Opened by Segtrain02 RN1 Edit View Patient Chart Links Options Documentation Orders Help 1 amp 0 Graphs Ey 0S Results Flowsheets I amp O Graphs Notes Transcriptd i Intake And Output CJ Intake Dral Intake 03 March 2008 06 00 05 March 2008 05 59 rg Che s Intake Output Balance Yesterday s Intake Output Balance Completed Forms Patient Information Enteral 03 04 08 03 03 08 a NE 06 00 Dai Total Shift Total 18 00 Sh tTotal C 17 59 05 59 Crystalloids Intak Total cco Output Total xr scm Ford Balance Eanes Ee INE CIS Parenteral Nutr Continuous Bladder Irrig Immunizations Other Intake ED Disch OF Intake Dialysis Overview a Dutput Urine Output Stool Output Emesis Output NG Tube Output Estimated Blood Losses Other Output Misc Output Hemofiltration Fluid Output OR Output Drains Peritoneal C4 Advanced Graphs 4l I E i TRANA SEQTRAINO2 04 March 2008 15 00 start E Lu 3 Microsoft Offi i5 untitled Paint E3 2 Microsoft Offi 2 Citrix ICA Clie Inbox Microsoft 2 i 3 00 PM To enter Intake and Output complete the following steps 1 Single click the Customize View Icon l
60. ed as your toolbar preferences Sequoia Hospital Clinical Informatics Nursing Complete Guide 46 CIS PowerChart Care Connect Manual Changing timescale default The current timescale default for your flowsheets notes transcriptions and completed forms is set to Clinical Range which goes back the last 4 days and 1 day in advance You can change your default timescale to a different retrieval type The following default are available in the system Clinical Range Date Range Posting Range Result Count New Results Admission date to current date ae a To change your default timescale complete the following steps Changing I amp O timescale 1 Go to 1 amp O Graphs from the Table of Contents 2 Click Customize View below Today s Intake Output Balance detail t Seg Trainer184 Trainer184 70001108 Opened by Train SEQTRAINRN5 Task Edit View Patient Chart Links Options Documentation Orders Help t PAL 4 Patient Lists 7 Shift Assignment Inbox 3l Exit Bf AdHoc y Depart 3 Patient Education 8 Calculator P Charge Entry Attach AX Tear Off S change Tilt suspend us Charges a PM Conversation ies Sticky Motes 4m List mp Recent V c Print J 1 minutes ago Results Flowsheets I amp O Graphs Notes Transcription q Intake And Output no Completed Forms Cg Intake d ws Intake 551 25 Output 50 Balance 501 25 Yesterday s
61. ended Care Facility Correctional facility Escorted to Exit by Transportation Valuables Form Signed by Pt C Employee Private vehicle O Bus Van Service O Yes Modify and print C Volunteer Ambulance Medical Transport Walking CO No Valuables Other C Air ambulance O Taxi C Other Belongings Form thru Forms Browser Sent With Equipment Tubes Drains C Belongings Cl None C Commode 3 in one CI HHN C Tub bench C Home health orders C Bedside Commode C Crutches C vascular Access Device C Walker C Orders C Cane C Wound care supplies C Oxygen C Wheelchair C Valuables C Catheters C Drains C Raised toilet seat C Ostomy C Other C Chair Riser CIECG monitor C Specialty bed C Other v lt gt Invalid date amp time Both date amp time must be entered In Progress start E 2 Microsoft E32 Microsoft 4 4 Microsoft P4 Citrix Ica E WBT Instructi fim 3 Windows amp JjFJ 10 18AM After you have completed all the required elements make sure to select the check box at the bottom of the depart screen stating that the patient family caregiver verbalizes understanding of instructions given When patient is ready to be discharged transferred PRINT the Clinical Summary and hand it to your patient lll Depart Process DHR Templates Clinical Summary SEQ 022 v Clinical Summary Patient Summary Patient Education Handouts rA
62. ent Back 1 1 0 Graphs Collapse Sections Li Collapse Time Li Show Clinical Range Total ch 2008 05 53 KIC Customize Results Flowsheets Notes Transcription Completed Forms Default Timescale 8 HR Shift 1 HR Cha lutput Balance Patient Information Chronological Time Sort Chronologic x 03 14 08 Medication List Font Size 1500 1800 19 00 Z_ cor WITEOGGEE Column Time Display E 17 59 18 59 19 59 Allergies Diagnosis Problems Ss eS ea QuickView i es MESSING DNI 24Hr Immunizations ED Disch Overview CA N Advanced Graphs I 3 TRANA SEQTRAINMD1 14 March 2008 15 49 start Ee B 8 2 Microsoft E32 Microsoft 243 Microsoft C policies c 5 PowerChart t SeqTrain 1 JE 9 3 49em To change timescale default for Results Flowsheets 1 Open a patient s chart 2 Click Results Flowsheets from the Table of Contents 3 Click the specific flowsheet you want to change the default for example Lab tab 4 Click Options from the task bar and select Pro us SeqTrainer181 Trainer181 70001105 Opened by Train SEQTRAINRN1 east Edit view Patient Chart Links Time Scale i PAL 4 Patient Lists 7 Shift Assignment Plexi Behe 3 patie ion 2 c Set to Today oerties dHoc Wa Depar Seeker Results Flos Results Flowsheets 7 gt En 9 1 amp 0 Gr
63. ess instruction in your New 4 Enter your CareConnect Username and Password Click OK Hire Packet After logging into CIS CareConnect notice that the Patient List and Patient Access List PAL are now on the toolbar The following positions will have the PAL as their default when they sign in CIS Care Connect otherwise you will open up to the Patient List Nursing RN LVN Case Management Diabetic Clinic Pharmacy and Rehab Services To learn more about the PAL turn to page 8 Sequoia Hospital Clinical Informatics Nursing Complete Guide 4 CIS PowerChart Care Connect Manual ORGANIZER BASICS The two main parts of PowerChart are a Organizer similar to a chart rack holding multiple medical records b Individual Patient Medical Record represents single patient charts tn PowerChart Organizer for Test SEORN Tool bar Edit View Patient Chart Links Patient List Help i 4 Patient Lists PAL Shift Assignment Inbox d fj AdHoc E Exit amp Calculator it Suspend Patient Education F Depart i Tear Off iia Attach ge Change 1 CareConnect Quick Training Physician Quick Training TESTSEQ EDONE Recen 3 Charges i4 Charge Ei try PM Conversation Search for specific patient Patient Lists Print 54 minutes ago i e EE B Anthony gracie Pam test lisa SEQ CSU Confidential Unit Room Bed Facility Note Name Age Sex MAN Acct
64. esults Flowsheets 1 amp 0 Graphs Notes Transcription Completed Forms Patient Information Medication List Allergies Diagnosis Problems QuickView 24Hr Microbiology ED Disch Overview MonData Pain Intensity Acceptable Pain Intensity Evaluation of Pain Management Temperature PO Temperature PR Temperature Tympanic Temperature Axillary Temperature Temporal Artery Heart Rate BP Method Site NIBP Systolic NIBP Diastolic NIBP Mean Resp Rate CVP Pardina Dhuthen Procedural Sedation Fall Risk RREBRBREBRBRERKRAR ARR EK ECISA DTOLENTINOOO2 15 April 2008 15 29 e Q43Mir i untitled e 2Mir FJ33cii BA MDHalf 3 Microso f LiClinit Ed Microso amp 3 29PM This will take you to the Powerchart Online Tutorials Follow instructions or select modules you want to complete or review Sequoia Hospital Clinical Informatics Nursing Complete Guide 51 CIS PowerChart Care Connect Manual NOTES Developed for Sequoia Hospital Contact your Clinical Informatics Team if you have any questions suggestions Anthony Tolentino RN x5661 or Brent Kawaye RN x6815 September 201 1 Sequoia Hospital Clinical Informatics Nursing Complete Guide 52
65. f Results Flowsheets I amp O Graphs Notes Transcription Ej ke And Output no 10 March 2008 06 00 12 March 2008 05 59 Intake Today s Intake 551 25 Output 50 Balance 501 25 v Oral Intake KEE Inta CJ Yesterday s Intake Output Balance Enteral ES 03 11 08 03 10 08 03 10 ND 06 00 Daily Total Shift Total 18 00 Shift Total OEO0 v Crostalloids 17 59 05 59 17 59 Colloid 3 Intake Total 551 25 pei Oral Intake 300 Bld Products Oral Intake mL 300 CIS Parenteral Nutr Conti Bladder Ini 7 Crystalloids 251 25 ontinuous bladder img NS 0 90 mL 250 Other Intake Drip1 mL 125 Output Total 50 ee ae BERNER RN Overview 7 Urine Output 50 Cj Output Urine Voided L 7 Uine Ou Balance OT TL 501 25 a ee Stool Output EE zu Emesis Output NG Tube Output Estimated Blood Losses Other Output Misc Output Hemofiltration Fluid Output OR Output Drains Peritoneal ranhe v pe ud d Advanced Graphs i i E TRANA SEQTRAINRNS 11 March 2008 12 21 start 228 3 Microso E 2 Microso D 2 Microso Fg WBT Instru fam 5 Window PQ3citrixic EN S OEE 3 Click the Plus sign next to Intake and Output Totals Graph 4 Select I amp O Totals 5 Graph will display E SegTrainer184 Trainer184 70001108 Opened by Train SEQTRAINRN5S 1 amp 0 Graphs Results Flowsheets og 4 I amp O Graphs y Intake And Output 04
66. ft Offic W untitled Paint E32 Microsoft Offic 3 Citrix ICA Clien gt amp Inbox Microsoft z 3 12PM 6 Click cell to enter data Type in your data 7 When done hit enter and then click the green check mark 8 Data are now entered in I amp O and color changes from purple to black To add values within the same timeframe complete the following 1 Double click the timerange timeframe you want to add values to 2 Click the cell you want to add once you click that cell will be blank even if you already charted on it 3 Enter the desired amount 4 Hit enter from your keyboard 5 Click Sign bs SeqTrainer491 Trainer491 70001513 Opened by Seqtrain02 RN1 Results Flowsheets I amp O Graphs Notes Transcription 03 March 2008 06 00 05 March 2008 05 59 Intake Today s Intake 300 Output 0 Balance 300 Yesterday s Intake Output Balance Oral Intake Completed Forms Patient Information Enieral 03 04 08 03 03 08 l ot Meds List NG 06 00 Daily Total Shift Total 18 00 Shift Total C Allergies SF Add Crystalloids intake Total EN 05 53 Diagnosis Problems CIS Colloids Oral Intake Quickview zm perm Nutr Oral Intake mL 100 24Hr Continuous Bladder Irrig aa m Ea Immunizations Other Intake Bld Products ED Disch in Fresh Frozen Plas mL 100 Overview ad PRBCs mL 100 ES 7 utput Total Stoo
67. he white cell and not on any other color 2 Select Unchart from the menu 3 From the screen select the reason why you want to unchart Do this by clicking the yellow box under Reason 4 Select the reason for uncharting incorrect patient incorrect order incorrect time or other ee Seglrainer491 Trainer491 70001513 Opened by Seqtrain02 RN1 Task Edit View Patient Chart Links Options Documentation Orders Help 2 PAL Patient Lists 7 Shift Assignment Inbox w Sticky Note View Sticky Notes E Tear off E Suspend a Charges Charge Entry List mb Ls Recent i a 6180 Graphs c Print 4 minutes ago Results Flowsheets E ETFI CoM ETT MAT EYES BAR 180 Graphs p me s TENE Notes Transcription Unchart Date Time Item Reason Comment 04 March 2008 06 00 D5NS 200 ns Completed Forms a Patient Information C uAl mmnt tS Meds List alect t Allergies reason m Diagnosis Problems SUUM QuickView 24Hr Immunizations i Charted on Incorrect Patient ED Disch Charted on Incorrect Order Charted at Incorrect Time Dther credas Bal 700 Other Output Mun a m Misc Qutput Hemofiltration Fluid Qutput S DR Output Sign Drains nosci Peritoneal A ad lt Advanced Graphs T a TRANA SEQTRAINO2 04 March 2008 15 38 7 3 Microsoft Offic i5 untitled Paint E32 Microsoft Offic 3 CirixICA Clien amp Inbox
68. ix 5 untitled E3 Microsoft 4 Adobe Re Ji o 12 56 PM To add another unit repeat steps 1 to 16 Sequoia Hospital Clinical Informatics Nursing Complete Guide 12 CIS PowerChart Care Connect Manual Creating a Custom List Click the wrench icon in the toolbar below patient list bar Click the New button on the bottom of the window Patient List Type window displays Select Custom and click Next Custom Patient List window displays Enter a name for the list in the bottom of the screen t PowerChart Organizer for Seqtrain02 RN1 Task Edt view patient Chart Links Patientlist Help Cae eS Ye Shift Assignment l Inbox E a Depart J iew Sticky Notes 3 Tear Off S Attach 8A Change suspend s charges arge Entry Hfl Exit 3 calculator p SeqTrainer491 Tr x 91 y Recent gt P Patient Lists Print 0 minutes ago TW Modify A Custom Patient List 2 E Available lists 1 t MY CUSTOM LIS Care Teams i CI DSCH OP Oncology CILE OCC THERAPY C SFMH Hospitalist Team A C SFMH Hospitalist Team B C SFMH Hospitalist Team C C amp dmission Criteria C SFMH Hospitalist Team D C Discharged Criteria CI SFMH Hospitalist Team E C Use Best Encounter C SFMH Night Hospitalist Confidential Unit Ra SEQ C3 C SFMH OR 1 SEQ C CI SMMC Hospitalist Resident SEQ C3 C SMMC Orthopedic Resident Team C
69. l Output Emesis Dutput NG Tube Output Estimated Blood Losses Other Output Misc Output Hemofiltration Fluid Output OR Output Drains Peritoneal Urine Voided 7 Other Output Other Output A X Advanced Graphs al TRANA SEQTRAINO2 04 March 2008 15 20 TEM E D Z4 3 Microsoft Offic untitled Paint E32 Microsoft Offic 3 citrixicaclen 8 Inbox Microsoft Z 3 20PM To modify I amp O you already entered complete the following steps Sequoia Hospital Clinical Informatics Nursing Complete Guide 22 CIS PowerChart Care Connect Manual 1 Right click the value you want to modify Remember to right click on the white cell and not on any other color 2 Select Modify from the menu Es SeqTrainer491 Trainer491 0001513 Opened by Seqtrain0O2 RN1 Task Edit View Patient Chart Links Options Documentation Orders Help i EPAL 4 Patient Lists 7 Shift Assignment 1Inbox Results Flowsheets hg 69 1 amp 0 Graphs Notes Transcription Intake And Output no 03 March 2008 06 00 05 March 2008 05 59 Completed Forms Cj Intake Today s Intake 400 Output 0 Balance 400 Yesterday s Intake Output Balance Patient Information v Oral Intake EC 03 04 08 03 03 08 Di Meds List Enteral 06 00 Daily Total Shift Total 18 00 ShitTota C us 17 59 05 59 a Allergies v Crystalloids Total 40
70. ll send AIC MASA Contact Precautions hdd ad Advance Directi I Hepf p 15TDs C Droplet Precautions Coutrel Dept 654 Discharge Plann C Hepatitis C Cite Standard Precautions CHIV CI VRE Neutropenic Precautions Additional Information O Yes O No Verified Previous Data w Pt Family In Progress 2 start E e Cy 5 Micro B Inbox fi 1 Clinical E3 Microsoft P46 citrix 2 Inter E Microsoft 38 VEL 12 30PM Single Alpha Numeric fields When you see a radio button or a drop down menu you can only select one response Acceptable Intensity Multi Alpha Numeric fields When you see a check box you can select multiple responses Associated Behaviors C Agitated C Confused C Forgetful C Restless _ Anzinus C Crying Relaxed Other Sequoia Hospital Clinical Informatics Nursing Complete Guide 32 CIS PowerChart Care Connect Manual Power Grid To chart click the cell where it says Alpha or lt MultiAlpha gt Pain Assessment Esc Location Quality Radiation Onset Duration Time Pain Alleviating Associated Interventions ocation attern Aggravating Factors Symptoms Factors Alpha Multi amp lpha Multi amp lpha lt Alpha gt Multi amp lpha Multi amp lpha Multi amp lpha lt Multidipha gt Multi amp lIpha gt gt gt Alpha Multi amp lpha eM ulti lpha Alpha eM ulti
71. ment form complete the following steps 1 Click the ad hoc icon from the toolbar 2 Depending on your position the multidisciplinary ad hoc form will be located in different folders For nursing it will be under Nursing Assessment folder For other disciplines it will be under Multidisciplinary Education folder Select the check box next to the form Click chart Charting is done at the bottom of the screen where you see a grid like table Charting is done from left to right 6 To start charting click the cell where you see the word lt Multialpha gt vie pa E Multi Disciplinary Education Asmnt Form v2 SeqTrainer412 Trainer412 MG Sle u aui 03 11 2008 By Seqtrain02 RN1 Multi Disciplinary Cardiac Surg Ed Multi Disciplinary Education Assessment Education Rehal Education Trach Education Summary Education End o Education Topic Education Spirit Education CHF Education Smok Multialpha education Individuals Barriers to Teaching Teaching Referral Teaching Preferences Readiness Additional Info Topics Taught Learning Method Evaluation Made to Outcome to Learning to Learn Education lt Multidipha gt J Multi amp lpha Multi amp lpha Multi lpha Multi amp lpha Mulli lpha Multi amp lpha Multi amp lpha lt Alpha gt biulkisetta gt lt MultidIpha gt Multi amp Ipha lt Multidlpha gt lt Multidipha gt lt Multidipha gt Multi amp
72. muel 03 03 78 SEQ SCC 2052 SEQ t E TESTSEQ IPFOUR 84 years M 776913 50000 01973 01 04 08 16 24 12 0 Days Jain Rashmi Jain Rashmi 08 08 23 to O l b ar SO yo u can h ave SEQSRUO31 SEQ 7 4 TESTSEQ IPTHREE 62years F 776912 50000 01700 12 11 07 818 22 2 Days Bailey Eileen Eiffert Michael 08 08 45 SEQ OUTPT SEQ TESTSEQ OBVONE 83years F 776923 50000 01817 12 11 07 14 33 22 0 Days Krakower Jeffery F Krakower Jeffery F 01 01 25 th e ICO n S yo u u S e m ost SEQOUTPT seEQ J TESTSEQ OBVTW O 84years M 776924 50000 01925 12 11 07 14 38 22 0 Days Krakower Jeffery F Krakower Jeffery F 04 01 23 SEQ MSO 351 4 SEQ t TESTSEQ OIB ONE 73years M 776932 50000 01999 01 07 08 14 21 8 1 Days Test SEQTESTMD Jain Rashmi 01 01 35 n fro nt of yo u 9 To d O SEQ OUTPT SEQ t TESTSEQ OIBTHREE 5 years F 776927 50000 01858 12 11 07 14 58 22 0 Days Krakower Jeffery F Krakower Jeffery F 06 12 50 SEQ OUTPT SEQ oO Lb TESTSEG OIBTWO 77 years M 776926 50000 01841 12 11 07 14 54 220 Days Krakower Jeffery F Krakower Jeffery F 02 25 30 t h H t n t 4 5 f SEQ OUTPT SEQ TESTSEQ OPONE 97 years M 776916 50000 01742 12 11 07 11 15 0 5 Days Krakower Jeffery F Krakower Jeffery F 10 10 10 S 5 u r O p ag e O r SEQ OUTPT SEQ oO TESTSEQ OPTHREE 34years F 776918 50000 01767 12 11 07 11 22 0 5 Days Krakower Jeffery F Krakower Jeffery F 04 04 73 SEQ OUTPT SEQ T LS TESTSEG OPTWO 2fyears F 776917 50000 01753 12 11 07 11 20 0 5
73. nt4 SeqTrainerl B7 Trainerl 67 SeqTrainer 79 Trainerl 73 SeqTrainO2 Patient2 SeqTrainerl 58 Trainer 68 SeqTrainer180 Trainer 80 SeqTrainer02 Trainer2 SeqTrainerl 56 Trainerl 55 SeqTrainer206 Trainer206 Val Check box SeqTrain03 Patient3 SeqTrainerl 70 Trainerl 70 SeqTrainer207 Trainer207 SeqTrain05 Patient5 SeqTrainerl 71 Trainer 71 SeqTrainer205 Trainer205 SeqTrainer01 Trainerl SeqTrainer163 Trainer168 SeqTrainer209 Trainer209 SeqTrainerl61 Trainerl 61 SeqTrainerl 73 Trainerl 73 SeqTrainer210 Trainer210 SeqTrainerl52 Trainer 52 SeqTrainerl 74 Trainerl74 X SeqTrainer208 Trainer208 SeqTrainerl 50 Trainer160 SeqTrainerl 72 Trainer 72 SeqTrainer212 Trainer212 SeqTrainerl 64 Trainer 54 SeqTrainerl 76 Trainer 76 SeqTrainer213 Trainer213 SeqTrainerl55 Trainer 5 SeqTrainerl 77 Trainerl 77 SeqTrainer215 Trainer215 IRS EST ST S ST EST ST ST ST ST ST ST Y c c c c c ce cO m nm lt Ji v TRAMA SEQTRAINRN19 04 March 2008 11 51 F 2 citrix ICA cli untitled Paint SENEC 91 11 51 am All the patients in that are listed in the patient list you selected will now show up in your PAL To change the PAL to a different patient list simply follow steps 1 5 o manually add patients to your complete the following steps From the PAL click the Add Patient icon located in the left side of the screen The icon looks like a green man with a yellow ray t3
74. ntensity Diabetic Data Evaluation of Pain Management Temperature PO Stool Guaiac Temperature PR Temperature Tympanic Temperature Axillary Procedural Sedation Temperature Temporal Artery Heart Rate Fall Risk BP Method Site NIBP Systolic NIBP Diastolic NIBP Mean Resp Rate Orthostatic Vitals RR amp amp amp amp amp amp K BR BR BK TRANA SEQTRAINO2 04 March 2008 14 22 M M a v E2 Micro fm 5 Wind W untitled E32Miro AdobeR Fis citrix SEN FAD 2 22em CAN T FIND IT 2 he patient education handout screen will pop up 3 Search the desired education handout you want to give in the Er uno your pare Search field located on the upper right side corner education icon It might be hiding Click the drop L Patient Education down arrow at the end Wee Launch Help of the toolbar to show als REDOR Instructions Follow Up more ICOnS Search l x Language English Y B Suggested GJDepartmental 7XPersonal PAI Patient Education Seq Diaertfes Clinical Practice Guidelines Blood Glucose Goals v1 Custom Inactivated Infl Vaccine 2007 2008 Custom Re m e m ber yo u Ca n 5 d Pneumococcal Polysaccharide Vaccine v1 Custom i Seq Sequoia Congestive Heart Failure CHF v1 Custom rearrange your icons To i lt do this turn to page 29 ei EE a Selected Instructions t Arial yi 12 x
75. ocated below the blue time range 2 Single click the desired categories under the On View section e g Oral Intake IVPB Scroll down to see other categories e Seqlrainer491 Trainer491 70001513 Opened by Seqtrain02 RN1 it View Patient Chart Links Options Documentation Orders Help Moke ear OFF 2 Attar lll Seqirainer491 Trainer491 70001513 nView Intake Results Flowsheets I amp O Graphs Notes Transcription uch 2008 05 59 Completed Forms lutput Balance Patient Information 03 03 08 ig Meds List E hift Total Em Allergies Diagnosis Problems D5w QuickView DSLR 24Hr D5NS D5 0 20 NS Immunizations D5 0 45 NS ED Disch D10w Overview NS 0 45 NS 0 90 1 2 NS w Bicarb Lactated Ringers IVPB Search for Item In Section v m SS Advanced Graphs T i TRANA SSEQTRAINO2 04 March 2008 15 04 start O 7 3 Microsoft Offic W untitled Paint E3 2 Microsoft Offic FA 3 Citrix ICA T Inbox Microsoft Jo 3 04PM When done click OK This will build your I amp O form DE 5 Double click the time range timeframe to activate the cells e g 0600 0659 located just below the blue bar You can also double click the blue bar specific to the category that you want to chart on Sequoia Hospital Clinical Informatics Nursing Complete Guide 21 CIS PowerChart Care Connect Manual DID YOU KNOW The total displayed is
76. odify P Location Patient List Available lists Locations SEQ CSU C Medigal Services JC Locations All Patients SEQ CS relationships Confidential Room amp P 7 Time Criteria H CE SEQ AMU 271 E C Discharged Criteria Gd g C Admission Criteria D SEQ ER DIGS SEQ ICU 9 SEQ MSO E SEQ OUTPT 9 SEQ scc I SEQ SRU Be Locations Groups Enter a name for the list 227 SEQ CSU 227 227 227 Finish Cancel m 227 1 a SeqTrainer460 Trainer460 70 years 70001482 00700 01482 12 15 07 15 18 79 9 Days Mochizuki Chris S Mochizuki Chris S 08 01 37 22h EI t SeqTrainer410 Trainer410 60 years 70001432 00700 01432 12 15 07 15 18 79 9 Days Mochizuki Chris S Mochizuki Chris S 05 01 47 227 1 t SeqTrainer409 Trainer409 60 years 70001431 00700 01431 12 15 07 15 18 73 3 Days Mochizuki Chris S Mochizuki Chris S 05 01 47 227 1 t SeqTrainer408 Trainer408 60 years 70001430 00700 01430 12 15 07 15 18 79 9 Days Mochizuki Chris 5 Mochizuki Chris S 05 01 47 227 1 t SeqTrainer393 Trainer399 60 years 70001421 00700 01421 12 15 07 15 18 79 9 Days Mochizuki Chris S Mochizuki Chris S 05 01 47 227 1 a SeqTrainer385 Trainer386 60 years 70001408 00700 01408 12 15 07 15 18 79 9 Days Mochizuki Chris 5 Mochizuki Chris 5 05 01 47 E i TRANA SEQTRAINRN19 04 March 2008 12 52 untitled E3 Microsoft Adobe Re
77. rence window displays Neurological Reference information 5 To exit this window click the Curved icon at the top left or X in the right hand corner 33 CIS PowerChart Care Connect Manual Sequoia Hospital Clinical Informatics Nursing Complete Guide Conditional Fields In Ad Hoc forms specific responses will trigger related documentation fields such as Isolation Indicated and Isolation Type If your answer was YES to isolation indicated the isolation type field is available for you to make a selection Isolation Indicated Isolation Type O Airbome Precautions O Contact Precautions O Droplet Precautions n O Standard Precautions Alerts Fields Alert Key Fields are designed to automatically send an alert message to the appropriate Care provider Example e Pastoral Care Dietitian Case Manager Infection Control Nurse Suicide Watch Report Required Fields some Ad Hoc forms contain required fields Some forms can t be signed until all required fields are completed Required fields are highlighted in yellow The example shown below is a nursing s form required field 34 CIS PowerChart Care Connect Manual Completed Forms is where you can view ad hocs forms completed for the patient during their stay in the hospitals Forms include but not limited to Adult Admission History form Vital Signs Physical Assessment Multidisciplinary Education etc To access Completed forms click Complete
78. rial H Z Z Print v Sign DK Cancel s start E 7 Microsoft 0 24 5 Microsoft O EJ Microsoft Excel fam 4 WindowsEx PQ Nus Tu E EN TER 9 ks Scroll to find the desired education handout If you find it double click the specific handout to view the content of the handout Click Print You can click OK if you do not want to print the handout Sequoia Hospital Clinical Informatics Nursing Complete Guide 38 CIS PowerChart Care Connect Manual patient education n M TIPS FOR SELECTING AND PRINTING PATIENT that handout displays on the Clinical Summary If EDUCATION DOCUMENTS the patient does not wish to receive another copy of the handout e When searching for a Sequoia specific handout make sure to go to single click the Printer Departmental folder to see if we have Sequoia approved handouts icon next to that available to use in the system Bue ce Ms us e When searching type in only the first three letters of a topic of remove the text your choice For example if you are interested in searching rendition of the handout congestive heart failure type Con in the search box from the Clinical e You can search by Starts with or Contains amna e Sequoia specific handouts will have the title of the handout start with Seq e f your department uses a particular handout the title will start with Seq department name For example for MSO it will be under Seq M
79. rrow at the end of tool bar Once you click this you will now be able to view more icons to choose from Drop arrows t PowerChart Organizer for Test SEORN Edit View Patient Chart Links Patient Lja lp P Patient Lists PAL Shift Assignment mie 4 Calculator Til suspend a Pa TESTSEQ EDONE Recent Search for specific patient Patient Lists Print 54 minutes ago p H i LB e EF amp Anthony gracie Pam test lisa SEQ CSU Confidential Unit Room Bed Facility Note Name Age Sex MAN Acct Admit Date Los Attending Admitting DOB D D Y Oo U K N oO WwW SEQ 35 3062 SEQ TESTSEQ BABY BOY 5weeks M 776915 50000 01734 12 11 07 9 50 22 2 Days Ballon Samuel Ballon Samuel 12 11 07 e _ S a SO SEQ EAR SEQ TESTSEQ EDTHREE 7 years F 776922 50000 01809 12 11 07 14 18 O4Days Krakower Jeffery F Krakower JefferyF 07707700 SEQ E R SEQ TESTSEG EDTWO 37 years M 776921 50000 01791 12 11 07 14 04 0 4 Days Krakower Jeffery F Krakower Jeffery F 04 04 70 SEG MSO 3501 SEQ TESTSEG IP ONE 30 years M 776910 50000 01684 12 10 07 16 05 22 3 Days Madan Shema Kapur Vineet 01 01 78 Y t SEQ 1E 121 1 SEQ t TESTSEG IP TWO 62 years F 776911 50000 01692 12 10 07 16 11 22 9 Days Krakower Jeffery F Krakower Jeffery F 09 08 45 O u ca n C u S Ol l Ize yo u r SEQ 3S 3061 SEG TESTSEQ IPFIVE 29 years F 776914 50000 01726 12 11 07 9 48 22 2 Days Ballon Samuel Ballon Sa
80. s Transcription Completed Forms Table Group Lis J Vital Signs Data Height weight Diabetic Data Orthostatic Vitals Stool Guaiac ADL s Procedural Sedation Fall Risk Temperature Axillary Temperature Temporal Artery RRARRARAR BRB TRANA SEQTRAINO2 11 March 2008 16 08 ce Start Ee D Microsoft Offi E32 Microsoft Offi 24 2 Microsoft Offi fim Ir Citrix ICA Clie j i E22 4 08 PM Note To close a chart from your view simply click the X next to the patient name s tab The following bands in the Table of Contents are currently being used at Sequoia Hospital Results Flowsheets I amp O Graphs for select units Notes Transcription Completed Forms Patient Information QuickView 24Hr Overview pO SL a ee Tuc DID YOU KNOW What s stays on paper You can hide the table of contents in order to a avis your 1 Allergies gold standard for allergies is your Medication workspace area Reconciliation MAR Nursing Plan of Care I amp O for select units ED Medication Reconciliation Discharge Instructions To hide it 1 Click on the pin icon 2 The Table of contents will slide to the left of the screen DIU Lm ad Ie To unhide it 1 Hover on the word Menu 2 Click the pin icon again Sequoia Hospital Clinical Informatics Nursing Complete Guide CIS PowerChart Care Connect Manual RESULTS FLOW
81. s Total Intake Daily N 24Hr Total Output Microbiology Daily Net Balance ED Disch Subtotals B NS04 Overview MonData Oral Int Drip 1 B PB Urine Voided B NS 0 8 ll DSNs 2508 B urine v 3344 4180 Partial De 04 08 08 04 10 08 04 12 08 04 14 08 iG il E 04 08 08 04 11 08 04 13 08 04 15 08 ey ICU Flowsheet 2 CIS PowerChart Care Connect Manual This is where you can add your nursing progress notes view and read H amp P OP reports RT PT case management notes and other transcribed notes To access notes transcription complete the following steps 1 Click Notes Transcription from the Table of Contents 2 Double click the specific folder 3 Double click the specific note to open the document Results Flowsheets I amp O Graphs Notes Transcription Completed Forms C3 Case Management Note Consultation EJ Emergency Note Patient Information Medication List By type By status 4 C By date C Performed by C By encounter EARS Notes can be sorted based on e Document type e Date e Status of Completion e Author or Encounter DID YOU KNOW The default screen for Add a Note Note Transcription is To add a note to a patient s chart complete the following steps Document Type 1 Click Notes Transcription from the Table of Contents 2 Right click the white area in the Document window to display the Add Document option e SeqTrainer519 Tr
82. s f Plans OrderSummary MAR MAR Summary Flowsheet Summary ES Level E Is ty Activities Interventions Summary Icu ab Rad Path MedSurg Asmt Rehab BHU ED Clinical Info 14 April 2008 12 32 16 April 2008 12 32 Clinical Range Notes Transcription Patient Information Navigator x Allergies F add Diagnosis Problems Completed Forms Medications F add Quickview 24Hr Immunizations Iview I amp O Graphs ED Disch No Results Found Overview Reference Information Microbiology Misys Microbiology EncounterSummary MonData Custom Reports ECISA DTOLENTINODO1 15 April2008 12 39 Lu 3 Microsoft Offi 15 untitled Paint Inbox Microsoft 73 http Jwww outr FJ 3 Citrix ICA Clie jis 6 12 40 PM 4 Click the box located to the left of Physician Reports No Meds 5 Select a printer under printer destination if no printer is selected 6 Click Print TEST PATIENT ONE 759126 Opened by Tolentino Dante RN Task Edit View Patient Chart Links Time Scale Options Help QN i E PaL 4 Patient Lists 7 Shift Assignme abo Reports C Additional Clin Doc Info C Allergies C Physician Rounds Results Flowsheets 1 amp 0 Graphs C Uncharted Data Notes Transcription Immunization Completed Forms Patient Information Mm Table Group Lis j Medic
83. t Click OK Kes SeqTrainer51 9 Trainer519 70001541 Opened by SeqtrainO1 RN1 Task Edit View Patient Chart Links TimeScale Options Help PAL 4 Patient Lists 7 Shift Assignment Inbox Suspend Ml Exit E Calculator amp PM Conversation ly Explorer Menu New Sticky Note 4a List ow Recent i T Patient Product Inquiry Results Flr a rer Result Uncharting SeqTrainer519 Trainer519 7000 Print 2 3 minutes ago 1 amp 0 Graphs Temperature PR Notes Transcription MedSurg BHU Immunization Completed Forms Comments i Patient Information Flowsheet Wrong Patient X Table Group Lis J Meds List nS cal Range nmn Allergies add Diagnosis Problems Navigator 18 08 QuickView v Y 16 24Hr v Prd Immunizations ED Disch L4 Vi Overview wt H EA 4 Dr 4 Stool Guaiac LJ Temperature PR 38 dea C Temperature Tympanic x ADL s Temperature Axillary poca E MN Elona Geneon Temperature Temporal Artery SSS Heart Rate Lex E x Fall Risk BP Method Site E NIBP Systolic ae e NIBP Diastolic s eI NIBP Mean 3 Resp Rate Ss TRANA SEQTRAIMO1 18 April2008 11 16 TRANS SEQTRAINO1 18 April2008 11 16 ECIS MedSurg n 0771570 07 15 510 26 574 Pain Pain Intensity Vital Signs LJ Temperature PO b n Error C 37 5 de INTAKE AND OUTPUT TO ACH o d n S To access I amp O sel
84. the Patient List you want to see on your PAL for example your own customized list or your department census list SEQ MSO 4 Establish a Relationship You will only do this the first time and Sequoia Hospital Clinical Informatics Nursing Complete Guide 8 CIS PowerChart Care Connect Manual DID YOU KNOW You can select or deselect patients you want or do not want to establish relationship by clicking the check box before the patient s name ESTABLISHING RELATIONSHIP You should not add patients to the list you do not need data on unless you are a Charge Nurse If you don t associate yourself display will say No Relationship To see data select patient and you will be prompted to establish your relationship DID YOU KNOW Your patient list and your PAL communicate If you add a patient in the PAL that will update your patient list and vice versa T 1 anytime a new patient is added to your PAL Click the drop down arrow in the Select an appropriate relationship box to select a relationship type from the list If you are a nurse select Primary Staff RN Click OK t PowerChart Organizer for Train SEQTRAINRN1 9 Recent Search for specific patie Print 2 minutes at Establish Relationship Select an appropriate relationship Patients without relationships SeqTrain01 Patientl SeqTrainerl 53 Trainerl 63 SeqTrainer175 Trainer 75 SeqTrain04 Patie
85. the Sign icon a on the toolbar to save your documentation Click the Refresh icon to refresh your view 3 4 9 6 t SeqTrainer519 Trainer519 70001541 Opened by Seqtrain01 RN1 Task Edit View Patient Chart Links Time Scale Options Help i PAL 4 Patient Lists 2 Shift Assignment Inbox Results Flowsheets E E3 pss n cow I amp O Graphs Notes Transcription MedSurg ICU Hemodynamics Asmt Lab Path Rad ED Summary BHU Completed Forms Patient Information Flowsheet tied Surg m Level Med Sur mM Lc EE 14 April 2008 10 16 19 April 2008 10 16 Clinica range Allergies IP add Diagnosis Problems c Arrival Info Vital Signs Data E4 QuickView Procedure History Temperature PO Immunizations Temperature PR m ED Disch Temperature Tympanic a Vital Signs Data Temperature Axillary Overview Temperature Temporal Artery Height weight Heart Rate Diabetic Data BP Method Site NIBP Systolic Orthostatic Vitals NIBP Diastolic Stool Guaiac NIBP Mean Resp Rate CYP Procedural Sedation Cardiac Rhythm Sp02 K amp K ARBRRBRBRBRARR RK Fall Risk xygen Amount Oxygen Method Fi02 Fetal Heart Tones Height weight TRANA SEQTRAINO 18 April 2008 11 09 Add or View a Comment Sequoia Hospital Clinical Informatics Nursing Complete Guide 18 CIS PowerChart Care Connect Manual Add a Comment 1 Right
86. ting result comment TRANA SEQTRAINO1 18 April 2008 11 13 TRANA SEQTRAINO1 18 April 2008 11 13 7 View a Comment 1 Right click on the same cell and select View Comment 2 When done click Close 4 Result Details SeqTrainer519 Trainer519 Result History Valid Until Value Valid From 04 18 08 11 13 04 18 0811 17 Result Comments Action List Medium Importance Result Comment by SeqtrainO01 RH1 on 18 April 2008 11 17 This is a test Forward Modify Unchart Print LEE Modify Charted Results Outside Range Value Sequoia Hospital Clinical Informatics Nursing Complete Guide 19 CIS PowerChart Care Connect Manual TIP You cannot delete data from CIS You can only modify or unchart 1 Right click the charted result 2 Select Modify The Result Modification window displays Enter a different value in the flashing blue box 3 Click OK If you have charted a value outside the feasible range a Charting Warning text box displays Click Yes and OK 4 Enter a comment and click OK 5 Click OK to the second warning The flowsheet displays the outside range value in Red Color Unchart Erroneous Data Sometimes you may enter data on the wrong patient and you will want to unchart that data 1 Right click the charted data 2 Select Unchart Enter a comment 3 Type in the reasons for charting such as Wrong Patien
87. u can only drag icons in the 2 row and 3 a icons in the 2 row will 6 show up and any icons in the 3 row will be MEN Hs SeqTrainer41 2 Trainer412 70001434 Opened by Seqtrain02 RN1 hidden After you re done click Close from the customize tool bars screen Results Flowsheets 1 amp 0 Graphs iL Notes Transcription To rearrange the order of the icons within a toolbar click on BHU Immunization the icon you wish to move and drag it into the desired position Icons may not be moved between toolbars Completed Forms Flowsheet X Patient Information Meds List I Table Group Lis J Rit nical Range gt Navigator Allergies Diagnosis Problems My Custom Links QuickView Add 24Hr Immunizations Modif ED Disch Hass Vi Reme Overview Diabetic Data Evaluation of Pain Management Vital Signs Data Temperature PO Temperature PR Temperature Tympanic Orthostatic Vitals Stool Guaiac KRKRSERERERSRRRKRKRKR ADUs Temperature Axillary Procedural Sedation Temperature Temporal Artery Heart Rate Fall Risk BP Method Site NIBP Systolic NIBP Diastolic sunm as TRANA SEQTRAINO2 11 March 2008 10 34 Ee CO 6 2 Microsoft E32 Microsoft 44 Microsoft 34 Citrix Ica Fel WBT Instructi fim 3 Windows amp JH 10 34 AM 7 Your changes will be stor
88. w cecee n nnn rmn hrn nnn DEMOGraphICS BaP REO o oo 0 o Table of Contents Menu bar esee li eld i e HET Opening additional charts c ccc cece cena ee eeaeeeeeeeeeneeees Table of Contents used at Sequoia sees What Stays on Paper cece ccc cece eee e nee e eee e eee eeaeeeeeeenaes Table of Contents in details HeSsUultS FIOWSDnBelS ce ssrrdnonsnieubeinuseceatSatiomratun arse MICO SUNG adoccidai Geetha dae es cect tata ieee dean ie PETIERE HOITodyrialml6S 2 2 oce teint seuset pata OEN desint Uir ca oiei ASSESSMENT S551 eruere bte esi aid ect urtept seb eMe idu ip TO sy Uv PCR Sequoia Hospital Clinical Informatics Nursing Complete Guide I2 o NNN O O O1 OO OO OO CO CIS PowerChart Care Connect Manual Direct Charting Flowsheet cccccccceceeeeceeeeeseeeeeeenaaees Adding or Viewing a Comment sssssseeeeessssseeeee Modifying Charted Results sese Uncharting Erroneous Data cccc cece cece eee ee eeee seen eee eees Intake and Oulput Graphs cesiccccaiecsndovscsocieusessincecineeeeeedeneeeeids ENENG ISO erm Adding values within the same time ssssueeesueeee MOONIVING TRO Rn Bisfearzigigiel IS er Charting I amp O for BHU Staff Only ccc cece cece cece ee eeaes rie Mer X N
89. y P rovi d e Cancel group list C DSCH GI Rounding Group TRANA SEQTRAINMD1 17 March 2008 11 34 C DSCH Harbor Med OB Se le 7 Enter a name for the list ss Start E p 3 Microsof E33 Microsof 743 Microsof C policies H SeqTrainer4 SET A 11 34 4M 1 Click Finish 2 Use the move button to move your list from the available list to the active list window 3 Click OK Sequoia Hospital Clinical Informatics Nursing Complete Guide 13 CIS PowerChart Care Connect Manual DID YOU KNOW MD Rounding reports are printed prior to a Planned Downtime CIS not available event DID YOU KNOW To print a paitent census summary complete the following 1 Go to Patient List 2 Click the Unit you want to print census 3 Click the Printer Icon below the patient banner 4 Select the printer 5 Click OK PRINTING ROUNDING REPORTS To print a MD Rounding Report complete the following steps 1 Open a patient chart 2 Click Task on the menu bar 3 Click Reports 2 TEST PATIENT ONE 759126 Opened by Tolentino Dante Task Edit View Patient Chart Links Time Scale Options Help Change Password Assignment 4 Patient Information a Multi Patient Tasks i Change User Suspend wes 1 Print List mb l Recent 1 Refresh Exit C a Results Flowsheets 7 minutes ago Order
90. y Train SEQTRAINRN1 EIE Edit View Patient Chart Links Options Patient Lists 7 Shift Assignmer Results Flowsheets 1 amp 0 Graphs Notes Transcription EET ORE Det P Wednesday March 12 2008 Blo9 47 Physical Assessment Form v2 Auth verified Train SEQTRAINRN1 Hos 35 Pain Assessment Form v2 Auth Verified Train SEQTRAINRN1 Blo9 16 Inpatient Discharge Transfer Note v3 Auth Verified Train SEQTRAINRN1 Hos 15 Interdisciplinary Readiness For Discharge Auth Verified Train SEQTRAINRN1 Blos 06 Multi Disciplinary Education Asmnt Form v2 Auth verified Train SEQTRAINRN1 Bios ss Pneumococcal Influenza Vaccination Auth Verified Train SEQTRAINRN1 Blos 57 Pneumococcal Influenza Vaccination Auth Verified Train SEQTRAINRN1 Overview change the properties TRAMA SEQTRAINRN1 13 March 2008 13 41 start D E 3 Microsoft Offi E35 Microsoft Offi 293 Microsoft Offi Z Timecard Source FJ 3 Citrix ICA Clie amp J i sg 1 41 PM 4 Select your default under Date Range You have an option of choosing Date Range or Admission to Current Tni Iraineri 80 70001104 Opened by Train SEQTRAINRN1 Completed Forms Results Flowsheets Saturday December 15 2007 Thursday March 13 2008 Admission Current 1 amp 0 Graphs Notes Transcription Sort by Date Form Browser Properties Completed Forms Default

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