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1. 10 11 12 13 14 15 16 17 18 Revision E Page 117 of 125 OB TraceVue Trainer s Toolkit Training Tools Pre Training Decision Questions and Guidelines User Name Last first uppercase lowercase Will you include Format titles credentials IS Dept may already have required format for electronic signature Nicknames Shortened names should not be used unless it is the User s legal signature Profession Types A user will appear on all lists of the defined types Nurse Physician Midwife Other A user whose profession is identified as other will not appear on any list where patient responsibility is implied User Passwords Generic pre assigned same as other hospital systems uppercase lowercase letters numbers both Password recognition is case sensitive Passwords may be 2 12 characters and may be alpha or numeric or a combination of both Maintenance Who amp When Bring list of Users to class User Privileges System Manager and Security Add Super Users and End Users Access All aspects of OB TraceVue configuration except those specific to the Philips Engineer Super User Some or all of the Trainers and attendees of the Super User class Add new End Users and assist End Users in changing their name passwords Adjust system time settings Adjust certain system wide configurations ex adding new monitoring locations ch
2. oah 1 Table of Contents T 3 iol 7 Intended JU IC RCE sisisi n Ra ESRB arip E e I QUA alist AU ANN BAUR UAE URN Fab ka eS na nd pg 7 PEORES Woo RC ede eR 7 EG nin ae a E E E ern eee 7 2 System PCTS INO sssi hdd castaedincet ts aun Rue aiae i Salta su tendu t 7 3 System Wana ROIS MN aiie 7 especie 9 AA eea e iea a aaia CaS aia 8 5 cci POO rr T 8 support Roles and User TVDES i assicieem d PU Mad Polen e RDX a Da UE QVe d x PELA AK ER ERA MR MADE iaaa amp OB Tracie System Alllil istrator S a E 8 OB Trada WAS ystem a a ee 8 OB Tr VuMBuper Us WA 99 28 8 0 gl 9 Clinig agU ser Wa a WMD S 2 T m 9 Phils l echnicahConsultant WILD 22 28 IE 990g 9 Phys WaperEMMO WA MN Eg 9 Philips Application Consultant AC or Clinical Application Specialist CAS or Clinical Sagialst CS 98 99 88 BB E B 9 Philips Post Implementation CAS or CS esseseesessreesessessessresresstssrerrenserseesreesetstesrenseesseseeesee 9 Philips cogunt IESDAEDEc iic anao inp ra E E E bM CR S 9 Glossary of Common OB TraceVue Terms amp Concepts seen 10 Class Content OVerVieW c 12 System Administrator Trahing eseese ernen E E ER E rd DEUS 12
3. Notes Basic OB TraceVue Functions Use of the keyboard and mouse Components Icons and their associated functions Patient flow Episode concepts Data flow Log on and Log off Interact with the system with Active Directory Passwords Obtain and maintain individual passwords Security and patient confidentiality measures Managing Patients Identify mandatory fields in demographics Admit a patient open a new Episode and or a new Pregnancy Transfer a patient Discharge a patient close an Episode and or a Pregnancy Merge a patient record Retrieve a record Admit a patient with the ADT link Describe when and how to do a quick admission Explain how OB TraceVue OB TraceVue link works Show how to move a patient between OB TraceVue systems Chalkboard Enter comments Revision E Page 92 of 125 OB TraceVue Trainer s Toolkit Training Tools Topic Details Notes Assign caregivers Identify the elements of the Single trace amp Multi Bed Overview Change the patient in focus Annotate the trace Switch between the Single trace and the Multi Bed Working with Traces Overview Change the Multi Bed Overview Meaning of the vertical yellow bar in the trace screen Right edge reference time Message that appears after a FM has been disconnected for greater than 5 minutes
4. Difference between baseline and pattern alerts Meaning of different colors on the alert bell icon Change alerts for a specific FHR Alerts patient Acknowledge an alert Explain why an advanced alert takes up to four minutes to appear on the trace The FM connection Maternal parameters Fetal Monitor Functions Procedure for handling patient transducer cables When removed from a patient When unplugged from the FM Make confirm and review entries in the Flow Chart table Using the Sse ahi Flow Chart grapas Chart on a time not currently show Revision E Page 93 of 125 OB TraceVue Trainer s Toolkit Training Tools Topic Details Notes Start an IV modify the rate amp stop the IV Select and customize time on a Charting Map Confirm an Autocharted entry Difference between the Ante Partum and Post Partum flowcharts and when you would change from AP to PP Review and print entries Using Forms Enter information about the pregnancy Make modify and review entries Review and print entries Create a newborn patient Switch between the newborn and the maternal records Maternal screens in a newborn Newborn Module TU Document a newborn assessment Items placed in the newborn record from the delivery record Choose print items Identify what items to print Printin
5. Folders The search operation looks folders matching the search string Items The search operation looks for item names matching the search string Items details The search operation does not only look for the item name but also for item details matching the search string All folders The search operation searches all folders Selected folder The search operation searches the selected folder and all of its subfolders v vy VVV Yv VN Merge Dialog Properties Allfolders The merge operation merges all folders of the merge file Selected folder The merge operation merges only the folder of the merge file that corresponds to the selected folder Medication Routes and Amount Units in VTE These items are configurable beginning with the E 00 software release Medication amount units are composed of a base unit weight part optional and time part optional They can be used for Maternal General IP Specific and PP Specific drugs and Newborn Medications OB TraceVue Revision E 0 page 48 of 125 OB TraceVue Trainer s Toolkit System Managers Amount Units Dialog Properties gt Base unit Any string Must not contain V and tab characters Weight Optional Selection kg per kilogram patient weight Time Optional Selections min per minute h per hour Locations gt Maternal Maternal Medications Config Flow Chart Amount Units Newborn Newborn Medications Conf
6. In addition to the items always shown on the single trace you may also see e Note icons if you make a remark OB TraceVue displays the note icon to show when this occurred e Gaps in the trace occur when no data has been captured from the monitor A gap is never wider than the width of a single screen regardless of the time during which no data acquisition occurred Gaps can occur when switching off the fetal monitor transferring the patient to a non departmental bed or disconnecting the fetal monitor transducers e Yellow line this vertical bar symbolizes a gap in recording that has lasted longer than one screen page See the time marks before and after the yellow bar for reference This bar appears only after monitoring resumes e Right Edge Reference Time the extreme right hand edge of the trace corresponds with the time shown in the Time Box For example if the time in the box shows 12 53 then the portion of the trace at the right hand edge of the screen is exactly what was recorded at 12 53 Use this to orient yourself when the trace is scrolled and you are not viewing a real time trace This occurs in the Compressed Trend display too Traces scroll from right to left the most current tracing is at the right of the screen OB TraceVue Revision E 0 page 75 of 125 OB TraceVue Trainer s Toolkit Super Users e Scrolling the word scrolling on the screen indicates that the portion of the trace currently on display is not th
7. reflexes edema Fetal Heart Rate Baseline LTV STV Contraction frequency duration and intensity I amp O balance Graph only of maternal HR BP SPO2 dilation effacement station c Name the Charting Map Observation Make the Charting Map Observation the default AP IP charting map for the triage beds Demonstrate adding a new user who has read and write access to OB Trace Vue Create a list of maternal bed locations Include LDR beds Triage beds Ante partum beds Sort the bed list just created so the Triage beds will appear first on the Patient List and Chalkboard Demonstrate how alerts can be distributed so that in this case the LDR beds do not send alerts to the Triage and Antepartum beds but Triage and Antepartum beds send alerts to the LDR Nursing Station In the Value Table Editor configure a 100 ml bag of NS to infuse over 30 minutes In the Value Table Editor configure a 500 ml bag of LR with 30 units of Oxytocin added Enter the appropriate titration rates milliUnits min and ml hr Revision E Page 111 of 125 OB TraceVue Trainer s Toolkit Training Tools Super User and End User Training Labs iR The MD has requested a 28 week gestation patient be monitored continuously Signal Loss alerts occur frequently Demonstrate how the Signal Loss limits can be adjusted to decrease the number of nuisance alerts Identify who you would contact for each of the following questions or concerns e
8. reinstall OB TraceVue system software and want to recover the original database If the system has had an uncontrolled shutdown If you have problems trying to startOB TraceVue After running CHKDSK As part of regular system maintenance Tool System maintenance You should develop and implement a plan for scheduled maintenance The following tasks should be performed d kS e dili d kS kS e e e t wt v System Reboot servers clients Monthly Check RAID disks Weekly Check internal DB and run the Local Data Recovery Tool every 3 months Check error log files Monthly more often if using Patient Data Export Inspect amp clean Archive disks at least every 3 months Inspect amp clean Retrieval disks before each use When storing or handling optical disks follow the environmental precautions listed on the label sheet provided in their packaging If you keep your archive drive in the recommended storage cabinet you are unlikely to need to clean the storage disk Cleaning a disk unnecessarily can damage it Clean it only if it shows signs of particulate build up However if you do not keep the drive in the recommended cabinet there is real Revision E Page 27 of 125 OB TraceVue Trainer s Toolkit System Administration danger of the disk becoming contaminated In this case clean BOTH sides of the disk at least every three months Follow the instructions given in the magneto opt
9. 113 Revision E Page 5 of 125 OB TraceVue Trainer s Toolkit Overview Forms with Newborn Option 9s cchis saceacasanetesscunctanienuestastarseatenseqccholeaccandasmattastaaacataanaeieis 113 System Without ADT Interface sc docs ccc socecsuveceapheeececayeueoansaneeteacsauedacpduntdedenteds aanduaudeces evens 115 Training class evaluation OTI ie eese er aer e e eee YEAST Hep Ua Ven ESOS Eee asus on HUS HER Y meets 116 ChassAtendancee Sheet edi e deserat vetuit s R A dyes bias gnat e edid ye Ferd neo autos 117 Pre Training Decision Questions ANd Guidelines eese eene 118 Revision E Page 6 of 125 OB TraceVue Trainer s Toolkit Overview 1 Overview Intended Audience This toolkit is for anyone who educates hospital staff to use the OB TraceVue system This could be a Philips Medical System employee or representative giving system training or consultant services on site or a hospital s System Manager or Super User who needs to train new users on an established system The information provided in this toolkit makes the assumption that all users are familiar with the Windows graphical user interface use of a keyboard use of a mouse or other pointing device and have a basic familiarity with Microsoft Word Philips does not provide training on standard Microsoft applications How to Use this Toolkit This toolkit is designed to make it easy for you to customize parts of it according to the needs of yo
10. Do not remember password f Would like a new medication added to the medication list g How to document the time the patient was fully dilated h A PC display goes to a black screen after 20 minutes i You cannot print a patient record j LA PC will not reboot K You cannot see younpatient s trace on the Multibed Overview l According to OB Trace Vue the IV ran out 3 hrs ago but in reality it just ran out how do I document the discrepancy m I started monitoring a patient in a bed before the previous patient had been transferred or discharged in OB TraceVue How do I document this Identify the steps required to configure a Private Overview or User Specific Overview Change the Multibed Overview at the Multibed Overview screen Demonstrate how to document the beginning of an Oxytocin infusion Document 3 instances of changing the rate of an Oxytocin infusion Demonstrate how to print 3 hours of the Notes List for a patient Demonstrate how to Merge a Quick Admit patient with an existing patient s record Demonstrate the steps for documenting an IV fluid bolus Revision E Page 112 of 125 OB TraceVue Trainer s Toolkit Training Tools Charting Scenarios for Practice Forms with Newborn Option Scenario 1 Mrs pick a name has never been here before MR make up the number DOB make up one or your DOB Entered with complaints of mild contractions Examined in AR and a
11. File Merges data from selected file Save Saves data to OB TraceVue database online mode or to the file offline mode Save As Saves data to selected file Exit Exits VTE prompts to save data if VTE contents have changed VV VV WV OB TraceVue Revision E 0 page 46 of 125 OB TraceVue Trainer s Toolkit System Managers i OB Trace ue Database YT Edit Biophysical Profile Chalkboard Delivery Summary Universitats Frauenklinik T bingen Calwerstr 7 72076 T bingen 07071 2382211 frauenklinik med uni tuebingen de Frauenklinik und Perinatalzentrum Boblingen Bunsenstr 120 71032 B blingen 07031 6682242 frauenklinik kikbb de Kreiskrankenhaus Herrenberg Marienstrabe 25 71083 Herren 07032 161499 Filderklinik Im Haberschlai 7 70794 Filders 0711 77032850 Neonatologist bstetrician Pediatrician Perinatologist Cut Cut selected user defined folder or item s Copy Copy selected user defined folder or item s Paste Paste cut or copied folder or items s Add Add user defined folder or item Edit Open edit dialog for user defined folder or item Delete Delete user defined folder or item Find Find folder and or item Sort Alphabetical Sort user defined folders or items Properties Open properties dialog of selected folder or item VVVVVVV VV Folder Pane Displays the folders Philips defined folders are light
12. HIS charting system Patient context switching and user context switching via CCOW Revision E Page 24 of 125 OB TraceVue Trainer s Toolkit System Administration OB TraceVue Link OBTV HIS 11 Charting ble in Chapter 2 of t dgements but no very five minutes fo ely e individual patients The export set of flowchart data including vital signs derived parameters alerts and notes is configurable selected during OB TraceVue configuration It is possible to have a different selection for maternal and newborn patients The export of the messages are not event driven but are exported every five minutes Consequently the exported data can be used to complete documentation in the hospital wide third party charting system but not for surveillance or even alerting OB TraceVue does not export forms content via HL7 based outbound communication As forms contents cannot be exported via HL7 a Clinical Data Repository or other hospital system does not have access to forms data admission report delivery summary discharge report HL7 based outbound communication requires the partnering third party system to be ready to accept OB TraceVue messages and map them appropriately into the third party database This requires the involvement of professional services from Philips and from the third party Revision E Page 25 of 125 OB TraceVue Trainer s Toolkit System Administration System tools Details
13. Intake Output page to collect information about the patient s fluid intake and output and to calculate the fluid balance If you change the intake or output quantities for a period for which the fluid balance has already been calculated the system recalculates the balance and displays it in blue italics for confirmation gt Click in the appropriate cell in the Balance row of the sheet gt Select the number of hours for which you want to calculate the balance gt ltyouare calculating the balance for a period in the past use the scroll bar to make sure that the calculation time is correct gt Click OK Special Considerations for MgSO4 and Oxytocin For Magnesium Sulfate bolus doses over hour one way to set up the drip in the VTE is shown below xi Medications Drugs IP Specific Medications Name Name Code Route MgS04 4g 7 LA 50cc 4g Load I H Amount Unit _ Dose Unit Volume Uri Volume Unit Route g h x z cc h i Amount g Dose g h Volume cc Rate cc h 4 NX 8 is Dose to Dose set Bag Volume infuse in 30 For 1 hour min zi gi zi For Magnesium Sulfate maintenance infusion one way to set up the infusion in the VTE is shown below OB TraceVue Revision E 0 page 82 of 125 OB TraceVue Trainer s Toolkit Super Users T Edit x Medications Drugs IP Specific Medications Name Name Code Route MigS04 40971A 1000cc Mant Iv z Amount Unit Dose Unit Volu
14. New Pregnancy for Existing Patient Using the ADT HIS Filter Error Messages Search amp Create Patient Change Patient Location OB TraceVue Revision E 0 page 57 of 125 OB TraceVue Trainer s Toolkit Super Users Purpose Moving and Sizing Display Box Floating Scroll Arrows Trace Alerting On Off Close Note Types Editing a Note Notes Browser Review specific category Review Audit Trail Configurable Comment Fields Sort Change Overview Multi Bed Scroll Bar Overview Alerting On Off Documents Print Fax Audit Trail Fax System Fetal Monitor Setup Admin OB TraceVue Revision E 0 page 58 of 125 OB TraceVue Trainer s Toolkit Super Users istration PC Name Shutdown COM Port Bed Check FM configuration from any PC Exit OB TraceVue Controlled shutdown of PC Uncontrolled shutdown of PC Server shutdown System messages HIS record Merge Alert Level types Visual Audio Acknowledge Patient Alerting Re alert indicator on Single Trace Display Review On Off Modify Change Patient in focus individual OB TraceVue Revision E 0 page 59 of 125 OB TraceVue Trainer s Toolkit Super Users Patient Permission rights of User alerts Patient Bed Transfers Train icon Visual Audio System Messages Alerting Accept Maintain Log Implications Shutdown Shutdown sequence Mobile ystem Purpose Trace Vue OB Patient flow between systems TraceVue Link Settings Fetal Describe
15. alert after the configured time span Technical alerts ultrasound signal loss or coincidence and paper end are not reactivated if the alert is acknowledged but the condition continues beyond the user configured delay Alert Announcements There are three levels of announcements green yellow and red Each represents different information amp At the beginning of the trace shows the alert limits in force at the start of monitoring Also indicates a change in operating mode enabled alerting after a period of suspension adjusted alert limits or reached NST reassurance criteria 1naudible Traces are outside normal limits Patient needs attention a Traces are further outside the established limits or outside normal for a longer period of time Patient needs immediate attention Using the flowchart Data entry in the flowchart can be accomplished in three different ways depending on what data you want to chart See Data Entry Rules for more information Click on the time bar for the time column in which you want to chart in order to enter values for all of the data elements on that page click the time bar again to cancel OB TraceVue Revision E 0 page 77 of 125 OB TraceVue Trainer s Toolkit Super Users Click on the row label or the icon for those items that are also displayed graphically to chart a value for that data element at the current time Click in the desired data entry field for the desired time in order
16. amp Software revision number listed below Model M1383E Serial Number Software Revision E 00 Super User Name Phone System Manager Name Phone System Administrator Name Phone OB TraceVue Revision E 0 page 30 of 125 OB TraceVue Trainer s Toolkit System Managers 3 System Managers Intended Audience This chapter is designed for anyone who educates hospital staff in the system management functions and tools of the OB TraceVue system This could be a Philips Medical System employee or representative giving system training or consultancy on site or a hospital s System Administrator or System Manager who needs to train new system The assumption is made that all users are familiar with the Windows graphical user interface use of a keyboard use of a mouse or other pointing device and have a basic familiarity with Microsoft Word System managers must also be very skilled in using computers and understand system backup restore procedures They should have some experience working with other computer systems Certain information provided in Chapter 2 System Administration may also be needed by System Managers Hospital needs will dictate where knowledge overlap needs to occur Objectives System Manager training objectives By the end of System Manager Configuration training the learners will be able to Have an understanding of certain OB Trace Vue stand
17. and individuals in the planning OB TraceVue Revision E 0 page 65 of 125 OB TraceVue Trainer s Toolkit Super Users e Communicate the plans What will take place gt When it will take place gt How it will take place Who to go to with questions Prepare users to adjust and incorporate the system into their daily practice Be realistic it will take time to fit the system into the needs of the unit Evaluate as you go along keep track of where you are and how you are doing Give positive feedback te KS te kS te kS te kS Characteristics of Organizational Change Relatively Easy Changes Relatively Difficult Changes Involves little new learning or information Changes in behavior practice are required handling Does not threaten current status power Some parties likely to perceive loss of relationships power status control Results are easily or quickly visible Results are difficult to measure Requires little new commitment Needs commitment from all levels of the organization Can be adopted gradually Must be adopted all at once Most changes are Somewhere in the middle OB TraceVue Revision E 0 page 66 of 125 OB TraceVue Trainer s Toolkit Super Users System software Antepartum Phase Intrapartum Phase Postpartum Phase Newborn Nursery S J documenting in the syste How t Click on the down arrow The list that appears allows selection of a single ite
18. drive Text Copy to Floppy Backup of Database and system to Optical disk Configuration Backup to Optical disk amp Floppy Changing disks Config uration Copying and Back Up Back up disks Optical isks COM Port Bed System Admin istration amp Shutdown Check FM configuration Exit OB TraceVue Controlled shutdown of PC Uncontrolled shutdown of PC Server shutdown Revision E Page 17 of 125 OB TraceVue Trainer s Toolkit System Administration System messages Help Acceptable cleaning solutions 2 Maintenance Case schedule Determine responsibility Labeling Cleaning kit Maintenance schedule Media Disk Storage Care Purchase of spare OB TraceVue Set Up Break and Set ADT Link Purpose OBTV Advantage amp l Disadvantage with Shell NA Shell on Advantage amp with C Disadvantage with en Shell off es Run OBTV Setup Remove shell Local Data Recovery Tool use and schedule Revision E Page 18 of 125 OB TraceVue Trainer s Toolkit System Administration Patient Search Tool OB TraceVue OB TraceVue Recovery Tool Train icon Visual Audio Messages System Alerting Accept Maintain Log System Audit Trail Purpose Overview MPLE Log File Viewer FM Spy NETRAID Utility Available features Web Security Terum Start Session Server End Session Remote Support Plan 3rd Party Applications Revision E Page 19 of 125 OB TraceVue Trainer
19. in OB TraceVue Verify you have the correct patient in focus Verify the Bed is listed in PC Com Port box under the System Admin icon Verify the FM cable is connected to the back of the PC or the wall Verify FM is configured C13 1 OB TraceVue Revision E 0 page 89 of 125 OB TraceVue Trainer s Toolkit Super Users Trouble shoot the System s he steam locomotive icon indicates system activity When the wheels on the engine are turning and smoke puffs from the smokestack OB TraceVue is functioning correctly However if the animation stops completely this indicates a problem with OB TraceVue running on that PC If the background of the engine flashes yellow this indicates an urgent message or problem with one or more clients or the server Click on the flashing yellow engine to display the User Information Box which contains general user notifications and hints Entries come from either this the local PC or any other PC in the OB TraceVue network Entries belonging to this PC are labeled This PC entries from another PC display that other PCs name in the first column The engine continues to flash while there are entries in the box Additionally you hear an alert sound if your user profile and the PC are both configured to receive audible alerts Click Show all PCs to see entries from other PCs However if there are no entries from this local PC but the message originates at another in the network the system automatically checks Show a
20. ond a 69 System SE CHE S c ode oed onov d do eMe Du iN a tado tae aie sek a Sil at aed 69 Working vali palle HEs oeste tisch fe tse eue a a utu ade a a 70 Pregnancy Episodes Data How utate oda lestis ta Sete tuto i o Be loda ESE 72 Maternal ChalkbOard occid M OUI REOR RE A oboean RUIN TURRIS E RE RS a 73 Newborn Chalkboard 5s ciucscata ois a a a A raa ot tUe el S t 74 Viewing Trac sS Sotlotordo oreste dud bua teu qeli dede roti a etu telo tee dotata oU 74 envi un P 76 Using the flowchart qo vectes ges ganas oa tvi goad lutea ide Vates sans duced uonaees e di dies pare Ies eve UE BH TI Flowchart Medications and Intake amp Output sess 80 Using thelNotesBIOWSGES sciente adesse uuu cut S menda diae etah iara c epus N E aiai 83 Using POLES iecit dies ak tote ac dud cot esr coches tsuneo tut De ta t ud free 84 Attachment manager se eset eec ER RIXA TATUR SEN MAR Ies VUES ADU NR e Ue P eque Urea eU Up Fea a eoe EE 86 Printing ggiignt reports mmm Jg REED 86 System hag Wi OEE 2099898 ee 2L 868 Movin gamol ie workstamm Wah Z SS E E 88 Web dints MA Z 8 E 29 E 89 old we Vee fe ee FS 28 IR 6 89 Best Practices when using the OB TraceVue Application seed 89 Tr Not Displed in MB Trada EN 88 E 89 TAEDIe shoot theWcte M RR 90 5S Training Fools ccoa
21. sheets when you print the graphs and sheets on one page to avoid printing duplicate data PP Flow Chart print her postpartum flow chart properties Choose from overview page data input page vital signs assessment medications intake output events Note List print a separate list containing all available notes categories Choose from alert notes FM status vital signs assessment AP IP assessment PP medications vaginal examination intake output contractions fetus notes events remarks system By default the system prints out the overview text of each note Cliek Details to print the detailtext of each note NST Report print either all NST reports or just the most recent report gt Newborn Flow Chart and note reports Flowchart Choose from overview page data input page vital signs assessment medications intake output LAB events Select the option fit graph range to sheet range if you want to adjust the time range of the graphs to the time range of the sheets when you print the graphs and sheets on one page to avoid printing duplicate data Notes List Print a separate list containing all available notes categories Choose from vital signs assessment medications intake output LAB therapies events remarks system By default the system prints out the overview text of each note Click Details to print the detail text of each note gt Fetal Monitor traces Print her trace prope
22. the procedure for Monitor handling patient transducer cables Functions For each of the following areas Describe teach how to Enter Modify Delete and Review data and use Summary Screens Overview Data Entry Detail Pages Vital signs How Chat Assessment Medications OB TraceVue Revision E 0 page 60 of 125 OB TraceVue Trainer s Toolkit Super Users Vag Exam IO Contractions Fetus Adding Removing Fetus tabs Events Settings for patient in focus Charting Maps Charting Reminders Charting on Forms Post Partum Visit Newborn Forms Use Events to populate certain fields Delivery Discharge Create newborn patient Recon View newborn record Purpose Attach document Attachment Tool Manipulate image View attachments OB TraceVue Revision E 0 page 61 of 125 OB TraceVue Trainer s Toolkit Super Users Topic Details Notes Resolution compression amp capacity Trouble shooting FM In service only if training hours have been purchased System Manager presents End User training plan Super User selection It is important that the right staff members are selected for the Super User role as these clinicians will be the system champions and will teach all the other users in the training classes The selected clinicians should Be a full time employee Be computer literate Embrace change Have a positive attitude Haye previous educator experience Be free of other major projects during the s
23. them with an expected return date 7 Start a notebook for all Super Users to share during and after training 8 Use the Quick Reference Guide HELP and other tools freely 9 Be patient with yourself You are learning too HAVE FUN Revision E Page 101 of 125 OB TraceVue Trainer s Toolkit Training Tools System Administrator Quiz 1 The System Administrator has Philips level of permission to OB Trace Vue a True b False 2 The Magneto Optical Disk is the archiving disk and the streamer tape is the media used for backing up that optical disk a True b False 3 The System Administrator can use the System Overview Tool To review error log and log files for each PC in the network To evaluate the current status of the PCs in the network To determine which user is currently logged on to each PC in the network To end a web session To reboot the entire system RoT 4 OB TraceVue must be shutdown to use the Set Break ADT Link tool a True b False 5 List the steps to back up the archiving optical disk 9 steps 6 The Patient Administration Tool allows the System Administrator to do the following select all correct answers Delete patient records from the internal database Close pregnancy records Modify patient data in a closed episode Lock patient records Correct patient MRN numbers a ol a 7 Back up of the Main Database is a manual operation and should be performed every 24 hours a T
24. ut During the OB TraceVue Admit process the nurse may not find the patient name If the name is not listed under H S and All OB TraceVue Patients the patient has never been created in the system There are two different ways to handle this scenario You will need to decide which process you want the nurses to use for those instances The choices are Have the Nurse manually create the patient by typing the last name first name date of birth and MR number In this case when the HIS record comes across provided the MR numbers are identical the HIS record is treated as an update Use Quick Admit to admit the patient Note Initially only the date amp time of admission shows up as the patient name A Quick Admit record cannot be closed meaning the OB TraceVue Revision E 0 page 43 of 125 OB TraceVue Trainer s Toolkit System Managers tracing cannot be archived The Quick Admit will need to be manually merged to the HIS record once it comes across If the Quick Admit option is used who will be responsible for this task and when For example the Charge Nurse could check the chalkboard for Quick Admits prior to each shift change HIS Patients remain in the OB TraceVue HIS buffer for up to 99 hours If a patient is not created during this time the name is taken off the HIS Patient list If your ADT department is sending Pre Admit patients to OB TraceVue you will need to establish a process to create those records in the O
25. which the note is displayed and the content of the note The button labels are toggle switches that change according to the choices Choose from Select all Unselect all show hide all note categories select individual categories User on off show hide name of user who entered the note Date on off show hide the date of the note s display time Detail Overview show hide detailed description of an individual note Overview shows only the first line of the note detail shows the entire note using multiple lines of the description column Close to shut the notes browser Using forms If your system has forms based charting OB TraceVue lets you document information about your patient on a series of forms that cover the continuum of a pregnancy You and your hospital decide exactly what information to collect on each form Maternal Forms Maternal forms are h Prenatal Visit Patient History antepartum information about the pregnancy before the patient is admitted in your department for example lab test ultrasound scans and so forth Departmental Admission administrative information about the patient s stay F F Delivery Postpartum discharge labor and delivery information iy Postpartum Follow Up Visit postpartum follow up visit information Newborn Forms Newborn forms are Departmental Admission administrative information about the patient s stay Discharge Record disch
26. will be able to Discuss the system use model Log on Log off the system and discuss why log off is so important Discuss how the Chalkboard is used Admit Transfer Discharge patients open amp close episodes create a newborn record Explain data flow of Pregnancy gt Episodes gt Newborn record Use the OB TraceVue to OB TraceVue Link properly if applicable Retrieve view old episodes View and annotate FM traces Discuss how Basic and Advanced alerting works in OB TraceVue Respond appropriately to clinical alerts Use the flowchart to document findings Accurately enter and maintain intake and output data Accurately enter medication data bolus drips discrete dose Use forms if applicable to document assessment and care View notes in the Notes Browser Demonstrate the Attachment Manager if applicable Generate application reports View patient audit trails Perform basic troubleshooting of the system Update the user password Demonstrate proper technique for managing mobile clients if applicable Use web clients if applicable e te t te t t t te t te t t e KS te t te v e t t te v te t t e te v te v e We t te v Revision E Page 91 of 125 OB TraceVue Trainer s Toolkit End User Training Outline Training Tools Topic Details
27. yellow editable folders are yellow Right clicking the folder pane opens the Edit menu VV V Item Pane Displays all item details A grid can be switched on or off in the View menu Columns can be resized Column sizes are stored Right clicking the item pane opens the Edit menu VVVVV OB TraceVue Revision E 0 page 47 of 125 OB TraceVue Trainer s Toolkit System Managers Info pane gt Displays information about file I O load save find results merge results gt Double clicking a folder selects the folder in the folder pane gt Double clicking an item selects the item s folder in the folder pane and selects the item in the item pane gt Right clicking the info pane opens the Filter menu Icons Used in the Info Pane Information 9 Error D Folder Ca Merged folder fee Merged folder conflict folder will not be saved until conflict is resolved 2S Deleted folder Item Merged item e Merged item conflict item will not be saved until conflict is resolved w Deleted Item Find Dialog Properties Find what Text to be searched for Wildcards or regular expressions are not supported The drop down contains the items entered in the current session Match case The search operation looks only for occurrences that match the uppercase and lowercase characters entered in the Find what box Match whole word Searches only for whole words rather than matching the text as it occurs within words
28. your final nursing assessment that will include weights head and abdominal measurements How will yousindicate that thisaissthe final assessment Additional teaching is done with mom prior to newborn discharge Where will you chart that teaching Do so Discharge newborn to home with mom Follow up planned with peds in 1 week Scenario 5 Patient any patient enters in acute distress and a language barrier You need to start monitoring immediately but you don t know who she is After a short time her family arrives and informs you she was here last week Complete the correct admission and continue monitoring What charting can you do with a quick admit patient What must be delayed Scenario 6 Your patient is now admitted Chart her gestational age and EDC Gravity and Parity Chart a Vag exam shortly after she arrives Chart 2 sets of vitals Start and IV of LR at 125ml hr Review her vital signs Chart her complete admission assessment plan of care and significant prenatal information she is allergic to Penicillin a victim of domestic violence and hypertensive Scenario 7 Nancy Nurse has forgotten her password Help her update her password How do you know when she last changed her password Revision E Page 114 of 125 OB TraceVue Trainer s Toolkit Training Tools Check the rolodex for unclosed episodes Check for pregnancies greater than 12 months Print a list of VS only for any patient for a 12 hour period Find a
29. B TraceVue system A typical process could be 1 Designate staff member to monitor Pre Admits on a daily basis or 2 Obtain a daily list of Pre Admits from Admitting department A Admit Pre Admit patients in OB TraceVue to a Chart bed B Discharge Pre Admit patients to a Pre Admit bed a Patient will appear on All OB TraceVue Patient list in a Pre Admit bed b When Patient presents to L amp D start a new episode It may happen that a MR number is entered incorrectly If the ADT link exists the MR field is locked for use by the HIS system and you will be unable to enter the correct number In that case you must break the zADT link to re enable those fields for editing This is done using the Data Administration Tool Set Break ADT Link User must have System Manager permission level to access tool If you break the ADT Link no further automatic updates will be done for this record All previously HIS owned fields in the Demographic tab become available Ifyou set the ADT Link for a patient s record her last name and the configured ID field for the ADT Link are set as ADT fields gt Further ADT Link updates are made automatically for this patient record System security To increase the protection of collected data OB TraceVue offers User and data authentication and access control Use of Microsoft Active Directory to manage passwords optional VIP patient treatment substituting the patient s nam
30. OB TraceVue Trainer s Toolkit O race ue Patient Monitoring PHILIPS M1381 9401C 4512 610 14531 Software revision E 00 00 Published in Germany 02 2006 OB TraceVue Trainer s Toolkit Overview Notice Philips makes no warranty of any kind with regard to this material including but not limited to the implied warranties of merchantability and fitness for a particular purpose Philips shall not be liable for errors contained herein or for incidental or consequential damages in connection with the furnishing performance or use of this material This document contains proprietary information that is protected by copyright All rights are reserved No part of this document may be photocopied reproduced or translated to another language without prior written consent of Philips The information contained in this document is subject to change without notice Philips assumes no responsibility for the use or reliability of its software on equipment that is not furnished by Philips Federal Law US restricts this device to sale by or on the order of a physician Philips developed the OB TraceVue system in cooperation with Massachusetts General Hospital an affiliate of the Harvard Medical School Trademarks Microsoft is a U S registered trademark of Microsoft Corp s of soft Corp ks of their tive ers Revision E Page 2 of 125 OB TraceVue Trainer s Toolkit Overview Table of Contents ODIO
31. Principles of adult learning 59 PEDEM ADS eidtgs eserse 11 85 PADNE Suec dto eqs detta 91 94 Product overview a osuere 66 QUIZ odes canals Tab d etin Guests 99 102 104 Road Maps 5 5 ner cnt ied een 95 Screen configuration sees 47 Single Patient LEdCes soo er eocstot iuum 11 Super User Training eese 11 Super User training objectives 51 Super User training outline 52 Super LISeEs ie toc uae ioca endos 7 11 51 59 Surveillance Only System 11 System Admin esessss 91 94 System Administration 00M 6 System Administration System Manager training objectives eene 13 System Administrator serea enses 14 System Administrator Training 11 System Administrator training outline 14 SemAlerts A a 91 94 Revision E Index System Architecture osito etes ates 18 System configuration eeeeeeee 43 System hardware iieri teet 85 System Tiarmtenance s aeos eoo qiie ari on 25 System Mania Ger ca oor Ree 6 11 28 System Manager Training 11 System Manager Configuration training Oute o CD 29 System security 2e cie iue cio tiges 41 66 System software uo daesacsazsahcpaeeteosed unas 64 System Tools ettet er etre 24 Training class evaluation form 113 Training Labs eee oer
32. Retention Students must retain information from classes in order to benefit from the learning The instructors jobs are not finished until they have assisted the learner in retaining the information In order for participants to retain the information taught they must see a meaning or purpose for that information The must also understand and be able to interpret and apply the information This understanding includes their ability to assign the correct degree of importance to the material The amount of retention will be directly affected by the degree of original learning Simply stated if the participants did not learn the material well initially they will not retain it well either Retention by the participants is directly affected by their amount of practice during the learning Instructors should emphasize retention and application After the students demonstrate correct desired performance they should be urged to practice to maintain the desired performance Distributed practice is similar in effect to intermittent reinforcement Transference Transfer of learning is the result of training it is the ability to use the information taught in the course but in a new setting Positive transference like positive reinforcement occurs when the participants use the behavior taught in the course Transference is most likely to occur in the following situations Association participants can associatethe newrinformation with something that
33. Systemi Manager Training es odviesebi he mu ptit rao has Rum Ss M OESS EEEo Ii ERE AST ETRS ELST MM 12 Super User Training iseseisana KEER eame Calais oct Rudi cum NM dues ESSE 12 Additional ATIS M M 14 2 System Administration i5 eee eee o rano on haa ea o en anao vesper 15 tended A INCE aac aca s RU Da a Rn cd aes D tax pM REM M ENIM ES Eq SEE 15 OOO CHIVES M 3 System Administrator training Objectives eo odore trees po Let pra Rn ci c da EP eek EE ve Rede 15 System Administration training outline RT 16 System TE OCI tresnei ei E EO CT Dm 20 D ta flow within th SYSTEM END 21 Windows security amp Active DirectO Y ssssssessenssesesssessseessrssseessresseersseesstssersseseesseesseessressee 23 Revision E Page 3 of 125 OB TraceVue Trainer s Toolkit Overview Administrative Log on vs OB Trace Vue Log on eene Active Directory Tite EI OIL ece eei vec eu fase des Axe a T ined na Ee eie OH TE RU QUE ONU EES Working with the CareVue Interface Engine CIE eese eene SOMME ACE eese m e PPS oS Db t cubitum EE A Ee Me citus Patent Data EXpOP s peto n eoe ig ea d die ae eda eidem U uU uode i System TOOLS D E SVSLCNUIMOUMCN ANCE EE Sample Mamterance Log 24 eet nde Beat et Ata tae adds ave ational tees Sample System troubleshooting Guidelines and Who to call for Help sss 3 System Mana
34. The user must have a patient assignment b The user selects All Beds on the Chalkboard screen c A Super User must change the default settings for the Chalkboard d Double Click on the Chalkboard Icon After entering the required data to Create New Patient the error message This information is not unique to this patient MRN The appropriate action would be a Delete all the information that has been entered and search using only the first 3 letters of the patient s last name b Admit the patient using the Quick Admit feature c Delete all of the search criteria except the MRN and do a new search using only the MRN d Adda leading 0 to the patient MRN entered A patient has been admitted in the Prenatal Visit Record The patient s membranes rupture and she will be admitted The Admission Screen is gray how can the screen be activated a The patient episode must be closed and a New Episode started in the Admission Record b Use the Patient Transfer Icon to transfer the patient into a LDR bed c Click the cursor on the New Record button at the bottom of the Admission screen A narrative note can be made on the OB TraceVue fetal tracing by right clicking on the Single Patient Display screen a True b False Revision E Page 107 of 125 OB TraceVue Trainer s Toolkit Training Tools 7 OB TraceVue is able to determine whether a patient meets the NST criteria defined by your departments practice standards a b
35. TraceVue using the user name of an integrated user the system checks the given password against the domain password policy as confirmed for the OB TraceVue PCs not against a password stored in the OB TraceVue database This enables OB TraceVue to use the password features already available in Windows such as account locking if an incorrect password is entered whether passwords must meet specific complexity requirements dictionary checking of passwords password aging e efe e If an integrated user s password is due to expire within the next 10 days a popup message appears after each successful log in to OB TraceVue This message box shows the number of days remaining and prompts the user to change the password before it expires Revision E Page 23 of 125 OB TraceVue Trainer s Toolkit System Administration You can set up integrated users to use a single logon to both PC and OB TraceVue If the user currently logged in to Windows is known in the OB TraceVue user configuration and is marked as integrated user then OB TraceVue starts up without showing the Login Tool Working with the CareVue Interface Engine CIE The CareVue Integration Engine is a software only product that communicates with the HIS and OB TraceVue via specially formatted messages It maps the HIS format messages to the required OB TraceVue format CIE includes a Message Mapper and this mapping is not configurable It can communic
36. Trainer s Toolkit System Administration Windows security amp Active Directory Administrative Log on vs OB TraceVue Log on OBTV Administrator is NOT the same as OB Trace Vue log on Tasks described that require Administrator log on are gt changing the OB TraceVue shell settings if you have to run the OB Trace Vue Setup program gt configuring templates for reports and statistics If the PC at which you are working has autostart configured use the following steps to log off and log on again as OBTV Administrator 1 Exit OB TraceVue Shut Windows Explorer if open Press Alt Ctrl Del to open the security window Press Shift while clicking Log off Log in as OBTV Administrator Perform your task Log in again as a regular user after you have finished your task SN BIP Active Directory integration Hospitals may choose to use an existing AD Domain Controller to manage users The use of AD is explained in the nstallation and Service Manual ISM in the section titled Active Directory Integration OB TraceVue provides two ways to configure users 1 Classic OB TraceVue users OB TraceVue handles all user attributes including the password local users 2 Integrated users These are users who are linked to a user domain user OB TraceVue uses the name to identify the user and checks the password using Windows functionality OB TraceVue handles all user attributes except the user password When the user logs in to OB
37. a Entry Page and the Overview Page of the Flow Chart Current User The person who has entered their name and password at the Log On screen Any notes that are entered and or alerts that are acknowledged while that user name is displayed on screen are attributed to the logged on user Values that your System Manager has configured OB TraceVue to use Whether you can Default Values change Default Values depends on your system permission level A set of network resources applications printers and so forth for a group of users The user only needs to log in to the domain to gainsaccessito the resources which may be Domain j located on a number of different servers in the network Am episode consists of all data collected by OB TraceVue during a patient visit There may Episode be multiple episodes per pregnancy External Database An OB TraceVue database that resides on the External Server Data includes patient demographics pregnancy data episode data and notes generated by the fetal monitor It does not include trace data Other applications query this database to generate patient reports and statistical reports A series of time based data entry screens within the application Maternal documentation for Vital Signs Assessment Medications Vaginal Exam I amp O Contractions Fetus and Events Maternal FC has two modes AP IP and PP Flow Chart Newborn documentation for Vital Signs Assessm
38. admission dateand g Episode belongs to a newborn Available for time in place of the patient s name review only 5 Patient from hospital information system This is an invalid patient another patient HIS patients with the same identification already exists in the system Episode retrieved from optical disk Can Remote trace transmission icon also E have multiple retrieved episodes per indicates transmission status patient Patient has no open episode The The most recent episode of this pregnancy or pregnancy or newborn documentation is newborn documentation was transferred to closed c da is mcomp a R it e ien k 3 ver the names f is pa ich been er Instead 1 patie 10ther s delivery ri Following is the recommended way to Seat a newborn patient it ensures that demographics maturity and teaching data entered in the maternal delivery record are displayed in the newborn record where it can be viewed but not amended 1 Click E Complete the details on the Labor page 3 Complete the details on the Delivery page If you have not already entered the stages of labor in the flow chart you can click on the Jump to Stages of Labor button to switch to the chart and enter the data now 4 There may be times when you need to get a Newborn Record created before you have time to enter all of the data in the Delivery Record The only data that must be entered to enable the Create Newborn Record button is the Deliver
39. ake it easier to print a group of documents all at once Single Patient Trace Home base in the system Displays trace data for the patient in focus An eight minute window of trace is displayed Surveillance Only System A Surveillance only OB TraceVue system has no optical disk storage and archiving ability All monitoring functions including alerts are available You can view the trace and document on the Flow Chart There is no permanent storage of data All information is lost when you close the patient s episode Permission Levels Security settings assigned to Users If you do not have permission to perform a task the task box will be grayed out System Administrator Responsible for the overall administration of the OB TraceVue system System Manager A user who is responsible for the clinical administration of the OB Trace Vue application Usually there is a Clinical System Manager and a Technical System Manager with the Technical System Manager being responsible for the hardware and software Super Users A user who has received detailed training on the system and is responsible for End User training and support Class Content Overview System Administrator Training Care amp Maintenance of system components gt System Administration gt System Diagnosis amp Troubleshooting gt Available Tools System Manager Training System Configuration First line troubleshoo
40. al training or consulting to the customer after the system has gone live Philips Account Manager gt A Clinical Application Specialist or Technical Consultant who is responsible for the management of the customer s account activities after the system has gone live Revision E Page 9 of 125 OB TraceVue Trainer s Toolkit Overview Glossary of Common OB TraceVue Terms amp Concepts ADT Stands for Admission Discharge Transfer and refers to actions taken to manage the patient within the system An interface to the Hospital Information System HIS that provides most of the ADT actions may be used with your system ADT interaction with the FM 20 30 Fetal Monitors Two different use models may be implemented with the newest version of Philips Fetal Monitors FM 20 30 OB TraceVue client at the bedside This is the most common setup Here all patient ADT processes are managed from OB Trace Vue In this case the fetal monitor should not be enabled to discharge a patient from the monitor user interface All transfers and discharges are triggered via the OB TraceVue user interface The system sends a DISCHARGE command to the monitor on every patient transfer causing the fetal monitor to change the context to the new patient OB TraceVue as central only no bedside clients Discharge events may be triggered from the monitor user interface OB TraceVue is able to process a remote DISCHARGE command from the mo
41. an temporarily sort by Provider Age Weight and the two custom columns Double click on the column head to sort by these criteria gt Double click again to reverse the sort order Selecting a different filter restores the sorting to bed sort order and patient name Viewing Traces yellow alerts FHRI red gray area of normocardia ted alert E Time label AAT v P LON LX NUR CLN T RUNE i ee as Rd ita w Quick alert icon Time box 1 Pd LI 1 P s FM Meda RECON FHHI US FHRZ NoTIa MHA MECC TOCO ea I a M i Spoz P ha 2 System message box Fetal monitor data Compressed trace icon Change alerts for patient in focus Data from Trace lines are well defined if the monitor signals are good A weak monitor signal may result in a broken or imperfect trace Data in the Fetal Monitor such as alert events and limits are not processed by OB TraceVue If the only transmitted data item is a constant toco value the OB TraceVue Revision E 0 page 74 of 125 OB TraceVue Trainer s Toolkit Super Users data acquisition stops after 15 minutes It resumes automatically as soon as there is any other data or the toco value changes This prevents the accumulation of useless data if for example you forget to turn off the fetal monitor or unplug the transducers after a monitoring session Quick alert This allows you to suspend all alerting for this patient if you have icon permission to do so T
42. an write access it Only one user at a time can enter data into a particular tab on a form this differs from the flow chart You cannot close an episode while a form is still open Close a form by selecting another screen such as the single trace This is particularly important before you discharge a patient close an episode or log off The purpose of a signature is to validate and sign data If the presence of a signature locks the data the data becomes read only Depending on the context this can be as much as a whole page the newborn page or as little as a single line progress notes Some data requires more than one signature The first signature locks only non empty fields for multi signature data Multiple users can be documenting on the same form icon but not the same tab within a form OB TraceVue Revision E 0 page 85 of 125 OB TraceVue Trainer s Toolkit Super Users To sign data electronically 1 Click in the signature field 2 Click on your name in the list 3 Enter your password 4 Click OK To change data on a signed form you must first remove your signature Click in the signature area and enter your password The system removes your signature from the field Change the data as appropriate and then add your signature again gt If you need to change data that has been signed by somebody else get an OB TraceVue super user to remove the signature from the form gt To signa maternal form you require ap
43. anging alert configuration and distribution and configuring Charting maps Patient Data Access Read amp Write Read Only Print Retrieve previous data Change alert limits for patient in focus when that patient s norm falls outside the system defined limits Applies primarily to parameters related to FHR baseline and Revision E Page 118 of 125 OB TraceVue Trainer s Toolkit Training Tools User Types Auto Log off of User Bed Overviews Bed Names Departmental Locations Use Revision E signal quality however also allows End User to prevent any fetal alert being generated by OB TraceVue for individual patients Change optical disk Individuals with this permission level will have unrestricted access to the optical disk When a user without optical disk permission levels attempts to physically access the archiving optical disk e g remove from the drive OB TraceVue will send a system alert RN LPN Providers Unit Clerks Who will have to access OB TraceVue for any purpose They must have a User Name Password if applicable Yes No Time frame Each PC in the network can be individually configured to automatically log off at a specific time limit Theog off timer starts with the last keystroke or mouse movement Names of beds displayed in Overview General and or User Specific 2 16 beds displayed Different General Overviews allow L amp D staff to view an Overview of only the L amp D patien
44. ap Creating new Map Change existing Map OB TraceVue Revision E 0 page 39 of 125 OB TraceVue Trainer s Toolkit System Managers Topic Details Notes Delete Map Change Patient Map Charting reminder Alert Configure and Acknowledge Auto Charting entries Switch between IP AP amp PP Icons Summary Screens Forms Chart Modify Delete Review data Notes Note Types Browser Summary information Chalkboard Two Configurable Columns Print Fax Purpose Configuration screen access Hidden Read only Read amp Page Config Write tabs Hidden Read only Read amp Write fields Table column width Purpose Value Table Access Editor Security OB TraceVue Revision E 0 page 40 of 125 OB TraceVue Trainer s Toolkit System Managers Topic Details Notes Maternal Entries Newborn Entries Search Add folder Delete folder Sort Folder Add item Delete item Sort items Chalkboard 2 Configurable Columns Medications Medication Units of Measure Exit Load file File Save As and Import into Excel Merge file Audit Trails Types Patient amp System Access Contents Where to access Review on screen Print Quick Admit Use Pros amp Cons OB TraceVue Revis
45. ap used for this patient by pressing Reset gt The modified map is available for the duration of this episode Onlya System Manager or Super User can save these changes as an entirely new charting map that can then be made available system wide for all patients Flowchart Medications and Intake amp Output These items are charted on the Flowchart in the Medications tab There are three types of items here Oxygen Drugs discrete dose medications and Infusions Fluids Medicated Drips such as an Oxytocin MgSO4 or Insulin drip are called infusions Epidurals would be entered as Drugs and regular IVs should be entered as Fluids You enter this type of information in exactly the same way as you enter other data into OB TraceVue On the Medications tab select the type of item you want to administer and then make appropriate selections from the dialog boxes This usually means selecting the name of the item and then entering enter the route unit amount volume dose and rate as appropriate for that oxygen therapy drug medicated drip infusion or IV infusion If a medication is unavailable on a pick list select Other and type in its name Infusions and Medicated Drips gt You cannot add additional volume to an active infusion indicated by grayed out volume setting You should chart the additional volume as if it is a second infusion gt You can add an additive to an infusion at any time by clicking the infu
46. ard support tools Export DB administration Link recovery if applicable Local recovery Offline backup System overview Patient data administration Configuration backups Explain the relevant system hardware layout Set up users in the system Perform system maintenance DB backups changing optical disks Perform troubleshooting for problems that may arise Understand the ADT interface as it relates to managing patients Generate system and patient audit trails Perform system configuration Perform Value Table Editor VTE configuration Perform screen configuration Demonstrate basic knowledge of report templates Retrieve patients from optical disk Determine what if any hospital policies procedures may need updating to support the OB TraceVue use model VVVVVVW te v kS e KSA d e kS te v te v d S e KSA te v e KS e OB TraceVue Revision E 0 page 31 of 125 OB TraceVue Trainer s Toolkit System Managers System Manager Confiquration training outline Topic Details Notes System Manager role amp responsibilities Patient flow Episode concepts Data flow Introduction Software Functionality Surveillance Archiving Flow Chart amp Forms Documentation options Flow Chart vs Forms Internal Server Basic or RAID Client Mouse Keyboard Display Optical disk drive Jukebox External Databas
47. arge exam maternal teaching Each form is made up of different pages Use the Next button to navigate sequentially through the pages of the form as you fill in the data You can directly access a page by clicking on its page tab If there are more tabs than can fit along the top of the screen bring the other tabs into view by using the right and left arrow keys The system automatically expands the AP Testing Fetus sub pages and the Newborn sub page if you enter multiple fetuses in the Current Pregnancy page An increase in the number of fetuses on the pregnancy page will cause an increase in the number of Fetus tabs that appear A OB TraceVue Revision E 0 page 84 of 125 OB TraceVue Trainer s Toolkit Super Users subsequent decrease in the number of fetuses on the Current Pregnancy page will not decrease the number of tabs present gt gt gt There are different ways to enter data on a page These include Clicking in a cell and entering data directly from the keyboard Click and select from the dropdown list Some pick lists also have editable strings Some pages have a search button Click this to get a selection pick list Also when you click on some fields you also see this type of list On the left are the lists available for this page Click on the beside a heading to see its sub lists On the right hand side are the values in the list Click on a value to select it then click OK Date time controls Multiple se
48. ariability values During long ongoing alterations over interval ranges any delayed charting items appear in the next charting interval To select the Autocharting interval or to select specific parameters for autocharting review the online help topics called Selecting Derived Values for Autocharting or Setting the Autocharting Time Interval Charting Maps A chatting map represents the typical care required for a standard antepartum intrapartum or newborn situation You can configure a charting map so that the measurements you require most often are available on the summary pages For example in a labor situation requiring Magnesium MgS04 infusion you will want to check your patient s reflexes regularly You can include reflexes as one of the items on the Data Entry page for which the system regularly alerts you to check and chart A System Manager or Super User can permanently save a charting map so that is available the next time this situation arises Any user can change the current charting map to keep pace with an individual patient s changing needs Any permanent changes to a charting map do not apply until the next patient transfer If you transfer a patient in the department her charting map travels with her Default Charting Map Every location enabled for monitoring has a default charting map Make sure that it is appropriate for your patient Roll your mouse over the charting map button to see the map s current sheet
49. at the time of admission on the Admission screen or at anytime during the episode in the Intrapartum Flowchart This data will be displayed on the Labor screen a b Revision E Automatically If the user enters the data manually using the calendars and drop down lists available If the user clicks on the Get Information from Flowchart button on the Labor screen When a delivery date and time are entered on the Delivery Record Page 108 of 125 OB TraceVue Trainer s Toolkit Training Tools 13 14 15 16 gA 18 OB TraceVue automatically enters an Admission Date and Time when the Admission screen is opened Can the date and time be adjusted a Yes b No OB TraceVue will only show the active beds in the Multibed Overview screen a True b False A patient reports she is due today but does not know the date of her LMP Can this information be entered a Yes b No If so where A newborn patient can be created only after entering the Delivery Date Time a True b False After the newborn patient is created the following items can be updated in the Newborn Admission Record and will be updated on the Delivery Record a MRN Sex Name b MRN Newborn measurements Delivery date time c Any demographic information d Security ID Birth Order Newborn measurements Date of Birth Sex only Revision E Page 109 of 125 OB TraceVue Trainer s Toolkit Training Tools Answers to System Admin
50. ate PC name Default user Allow Auto Sign on Integrated Users only Connections Permanent vs Mobile PC Location Overview Audible Alerts Auto lock PC Config Auto lock time Hide screen Line thickness Font size Graph size Notification of FM monitor off time and selection per PC Internal name Bed Config Definitions and Limitations See Glossary for Maternal Difference between and Newborn Maternal and Newborn OB TraceVue Revision E 0 page 36 of 125 OB TraceVue Trainer s Toolkit System Managers Topic Details Notes Locations Beds Monitor Discharge Location 1 Departmental locations Other locations Remote if have Remote FM Configuration Icon enabled Name Sort Order Default Nurse Default Provider Default IP Flow chart Default PP Flow chart Maximum number of beds Alert Default Alert rule set definition Settings Bed Alert sets Type Fixed vs Bed Alert Changeable settings Settings Paper end alert Print alert notes to FM Bed Alert distributions Alert Level types Alert Sets Pise Alerting on off OB TraceVue Revision E 0 page 37 of 125 OB TraceVue Trainer s Toolkit System Managers Topic Details Notes Alert Level Create NST Report Reactivate Alert
51. ate with multiple OB TraceVue systems but not with other products in parallel It runs as a service and is not visible to the users although the communication routes must be configured The CIE engine can be installed on an OB TraceVue client PC without data acquisition if only ADT traffic is required If outbound patient flowchart data is required the CIE engine must be installed on an additional PC which requires the appropriate operating system and SQL database See the CIE documentation for details ADT Interface The optional OB TraceVue HL 7 interface is a bi directional data integration link based on Health Level 7 AL7 that allows OB TraceVue and an external system such as a hospital information system or third party system to share patient data by either file exchange or a TCP IP network connection HL7 is an ANS approved standard for formatting and exchanging messages from areas such as admission discharge transfer laboratory results and accounting billing data It facilitates communication between systems from different vendors and across different platforms This implementation is based on HL7 Standard Version 2 4 where the messages are delimited ASCII strings with header information and identifiers for the hospital ADT system and for the OB TraceVue system The HL7 interface enables Transfer of demographic data via ADT messages between the HIS and OB TraceVue Transfer of flowchart data from OB TraceVue to
52. baby attempts first breast feeding Document feeding in newborn record and associated teaching in maternal record Scenario 3 A patient any patient is here for her 2nd NST for mild IUGR Open her episode in a triage bed and select the reason for her visit Add IUGR to her problem list You wish to view the archived NST that was done week ago You then view the previous NST while you are performing today s test Revision E Page 113 of 125 OB TraceVue Trainer s Toolkit Training Tools After review remove her retrieved NST Chart the reasons for her test and the assessment along with any other appropriate findings Chart your MD notification Her test is completed and she is discharged home undelivered Chart your instructions and then close episode Scenario 4 Mom in Scenario 2 is discharged on day 3 Baby stays behind for a couple more antibiotics and a rising bili Chart their separation and note for your exercise the impact on the baby s chart when mom is discharged Newborn now is being cared for independently Where will he now be housed Will that require a transfer to another bed location Chart the initiation of his phototherapy and your associated assessment Chart your safety procedures during the phototherapy Baby will have more frequent vital signs and assessments What charting map will you select Document 2 additional doses of antibiotic 6 hours apart Baby is discharged on evening of day 4 Document
53. cssceiesxstetsosee esee oe sete ue os ess mex E QUSd PERS 91 Intended A dienc en ee eed ait ieu te ARIES ubi dg Ie TI e Ud NEN dat I ean ORE v ERU 91 End User training obIecfivesus i se rd ea aes a heated ao aaa 9 End User Traming OUI eic ipee b e Du aille a eto ebore Rule aaiae ase aUa Qa R esed 92 End User Competency ChecklsEo d ucoecase te uu Dic ee Stl a Reed dee se e Usa De Sects 96 System Road Maps oos oett a Fer LER OR AM E TENOR TOR ERROR A d ER Va Ev ZR e uet uan 98 CHT EIS JOR TYOIWGES Aectususiovectc bi sud etie uera tert dudes ud fto doses tad dw ecard x t A a Pa antes 101 HAVE FUNSystem Administrator QuiZ 42i vedere n ace eid aon veo Aout ubl id desua datas UAE oid 101 System Administr tor Quiz oe Metti ainia eaa OM vae EL datu S Ense Bia ved aae EUR na Sud 102 System Manager and Configuration Training Quiz eene 105 Super User and End User Training OUI e siii ioci pL due e tea o Leve vU recu Ee dana engas 107 Answers to System Administrator Quiz d eee rit teet recep tic e pla eee eed eeciies 110 Answers to System Managers QUI c i Inde euius po ditto cadis nage our eee 110 Answers to Super User and End User Quiz eesssseseeeeeeeeenee eene enne 110 System Manager Configuration Training Labs eet eicit tes dec sha sities RR ko I Evo HUN dede da ud 111 Super User and End User Training Labs ees iix ette estates ded 112 Charting Scenarios for Practice d dispen atertelt uela etel uoo ciebt use ea toda tn Moendoaiades
54. culty The degree of difficulty should be set high enough to challenge participants but not so high that they become frustrated by information overload The instruction should predict and reward participation culminating in success In addition participants need specific knowledge of their learning results feedback Feedback must be specific not general Participants must also see a reward for learning The reward does not necessarily have to be monetary it can be simply a demonstration of benefits to be realized from learning the material Finally the participant must be interested in the subject Interest is directly related to reward Adults must see the benefit of learning in order to motivate them to learn the subject Reinforcement Reinforcement is a very necessary part of the teaching learning process through it instructors encourage correct modes of behavior and performance Reinforcement should be part of the process to ensure correct behavior Instructors need to use it on a frequent and regular basis early in the process to help the students retain what they have learned Then they should use reinforcement to maintain consistent positive behavior Positive reinforcement is normally used by instructors who are teaching participants new skills As the name implies positive reinforcement is good and reinforces good or positive behavior OB TraceVue Revision E 0 page 64 of 125 OB TraceVue Trainer s Toolkit Super Users
55. d 15 From the File menu select Save As 16 In the Save as Type field select Microsoft Excel 97 Excel 2003 xls 17 In the File Name field enter a name for your file such as VTE Jan11 06 xls 18 In the Save In field select the network location where you want to locate the file 19 Then select Save 20 Print out the file as desired 2 The E 0 VTE print is 225 pages so you may want to view the file on the computer rather than printing it out How VTE ch nges can affect Forms and Statistics Remember that changes to your VTE may affect some of your reports Use the Word Form Fields and SQL Queries document to see what VTE fields map to which items on individual screens Correlate the information in the Value Table information with the information In the Report Form Fields Screen Page and Form configuration You can configure the factory provided OB TraceVue forms to hide complete pages and or individual elements of data on a page Please remember however that the data held in the forms is used by the reports and statistics If you switch off an element that is required by a report or statistic the resulting output will be incomplete THEREFORE do not switch off any field column or entire form unless you are certain that it does not contribute to one of your reports or statistics When you configure a form you select which of the available fields appear on each page This way you can adjust the form so that it reflects yo
56. d Saved Settings page Sheet time range changed Settings page Graph time range s changed Settings page Input reminder type modified Data Input page General auto charting status modified Data Input page Auto charting status of parameters modified Data Input page Grid Overview Data Input page selection modified all detail pages Graph Overview page selection modified all detail pages with graphs Initial start of Flow Chart for patient in focus Initial start of postpartum for patient in focus postpartum start button maternal chart only Change of data input reminder time This may be due to activation of data input reminder audible or audible amp visual Start of Data Input page when a data input reminder is active change of sheet time range if the end time of the current charting interval is affected Y VVVVVVVV VV System Audit Trail This audit trail contains operational requests and procedures that are not directly related to patient data such as log on log off and auto log off activity attempts to access the system using a wrong password or wrong user retrieval and failure to retrieve episodes from storage user initiated shutdown requests system time changes Beginning with the E 0 release the following items will also create a system audit trail entry A configuration import occurs Flowchart layout is changed acharting map gets stored modified renamed or deleted gt the chart s
57. e d True False True if this criteria has been configured by the System Manager in OB TraceVue and the user activates the NST Alerting Rule set for their patient True only if the OB TraceVue system has an external server 8 A patient has been admitted into OB TraceVue using two different Social Security Numbers The patient has two OB TraceVue records It is possible to Merge the two patient records a b True False 9 A patient has been admitted into OB TraceVue using their actual Medical Record Number and their Medical Record Number with 3 leading zeros The two records can be enocp Merged by deleting the three leading zeros from the Medical Record Number Cannot be merged Gan be merged if Quick Admitsjare doneat two different PCsysimultaneously Use the New Record Button on the Admission screen 10 A patient has a history of serious reaction to penicillin OB TraceVue will place a red flag in the Patient Information Panel when a b c d The mark is changed to a sign next to Medications Allergies on the Allergies screen A check mark is placed in the Attention column on the Allergies sereen The user right clicks in the Patient Information Panel A Narrative Note in entered any place in the OB TraceVue record indicating the patient has an allergy to penicillin 11 Identify 2 locations where Maternal Vital Signs can viewed 12 Information regarding membrane status can be entered
58. e j e When the system or PC hangs ee e After re start for problem diagnosis Logs e If you have problems starting the PC e Whenever the system messages indicate any error situation e If the archive is not working properly e Backup before repair Offline e Backup before upgrade Backup Configuration e Backup if exchanging hardware Backup Tool e Backup TV2_Templates directory e Restore System Overview e On line and Off line Tool e To check the status of OB TraceVue PCs Revision E Page 26 of 125 OB TraceVue Trainer s Toolkit System Administration Diagnostic Tools Tool When to Use e To reboot selected PCs or the complete OB TraceVue system e To start OB TraceVue on selected PCs or to start the complete system e To ensure the correct functioning of your system s hardware as a complete unit To test individual components of your PC or PC Workstation To know the complete hardware configuration of your PC or PC Workstation A complete record of your system s configuration and test results To clean up inconsistencies read write permissions of patient records among systems connected with OB TraceVue Link After complete reinstallation of a system with OB Trace Vue Link Recovery Tool Link e After linked systems have been merged using the RFO merge feature e Off line Local Data Recovery e If the database is corrupt not accessible or errors about incorrect patient data occur If you replace the hard drive C or D
59. e 4522 962 08871 862 CTG Analysis amp Alerting NICHD Guidelines Resources as defined by Hospital usually on the hospital intranet or a network location Icons zip Page 14 of 125 OB TraceVue Trainer s Toolkit System Administration 2 System Administration Intended Audience This chapter is designed for anyone who educates hospital staff in the system management functions and tools of the OB TraceVue system This could be a Philips Medical System employee or representative giving system training or consultant services on site or a hospital s System Administrator who needs to train new system administrators or managers on an established system The assumption is made that all users are familiar with the Windows graphical user interface use of a keyboard use of a mouse or other pointing device and have a basic familiarity with Microsoft Word System Administrators must also have a good grasp on how to administer computer systems in a client server environment understand interfacing understand system backup restore procedures and if used know how to administer an Active Directory Server Domain Controller Philips does not provide training on standard Microsoft applications Objectives System Administrator training objectives By the end of System Administrator training the learners will be able to Have an understanding of the OB TraceVue standard support tools Export DB administration Link recovery if appl
60. e OB TraceVue system is running slowly Following a power failure Ono o s Optical Disk back up should be done at least Daily Weekly Three times per month Quarterly Per policy paraos The Patient Index Search Tool allows the user to Select all correct answers a Lock a patient record b Search for patient records across different clinical systems c Search for patient records across linked OB TraceVue systems d Identify on which OB TraceVue systems the patient is writable e Modify patient data from a remote OB TraceVue location The back up Optical Disk may be used to reconstruct the Main Database in disaster recovery a True b False The External Database can be restored from Revision E Page 103 of 125 OB TraceVue Trainer s Toolkit Training Tools aoe The Internal Server The back up tape The back up Optical Disk It cannot be restored 17 Only a System Administrator can perform the External Database back up a b True False 18 Which of the following statements is not true Revision E a b Patient data is archived only when the patient episode is closed The Patient Administration Tool allows the System Administrator to delete data from the Internal Database only Optical Disk back ups are an automatic function of OB TraceVue The System Overview Tool allows a System Administrator to reboot the OB TraceVue system from any PC client in the OB TraceVue network Multiple a
61. e Server Em Web Terminal Server Components Printer Scanner Fax capability Describe the FM connection to OB TraceVue Icon bar Patient panel Display Screen Task window Components System icon Quick Admit Icon Overview Identify Search Patient OB TraceVue Revision E 0 page 32 of 125 OB TraceVue Trainer s Toolkit System Managers Topic Details Notes Change Patient Location Single Patient Trace Floating Trace Charting Notes Browser Prenatal Visit Patient History Departmental Admission Record Delivery Discharge Record Newborn Maternal Selection Icons PP Visit Chalkboard Multi Bed Overview Print Fax Log on Log off Lock System Administrator Shutdown Help User name Passwords Log On Log Off Policy security Screen appearance System Configuration Philips Read only OB TraceVue Revision E 0 page 33 of 125 OB TraceVue Trainer s Toolkit System Managers Topic Details Notes Config System Information System Settings Product Order Information Mandatory Patient Identification Fields Signatures Copy Configuration to Hard drive amp Floppy Multi Bed Overview and Floating Trace General Admin Single Trace Display Autocharting Settings Temperature Paper Speed Cha
62. e real time trace It is a part of the trace recorded previously To scroll a trace move the slider box in the scroll bar at the bottom of the screen to the left or right Alternatively use the directional arrows The Time Box and right edge reference time show you exactly which portion of the trace you are now viewing and exactly when it was recorded e If you hold the scroll button for more than one second the scroll speed accelerates moving the trace rapidly in minute increments For even faster scrolling hold the left mouse button down in the scroll bar itself for more than one second Annotating Traces Double click on the single trace display at the time where you want the remark to appear Type in your remark If you also want to add an event click Add then select the event from the pull down list Check the display time to make sure you are adding this at the correct time Click OK OB TraceVue displays the note icon above the trace To change or delete a remark move the cursor to the text you want to change and use usual keyboard techniques to correct the note To delete an event select the event then click Remove This is recorded in the audit trail If you need to make a note during a gap in datagaequisition makewit on the flow chart Qu eae Clinical alerting OB TraceVue s calculations converge as closely as possible to the NICHD consensus statements The system announces alerts visually as a blinking bell in the upper
63. e the difference between baseline and pattern alerts Identify the meaning of different colors on the alert bell icon Revision E Page 96 of 125 OB TraceVue Trainer s Toolkit Training Tools Performance Expectation Assessment of Learner Outcome Done Show how to change alerts for a specific patient Show how to acknowledge an alert Explain why an advanced alert takes up to four minutes to appear on the trace Fetal Monitor Describe the FM connection to OB TraceVue Identify where maternal parameters populate OB TraceVue Describe the procedure for handling patient transducer cables FUREMORS When removed from a patient When unplugged from the FM Show how to make confirm and review entries in the Flow Chart table and graphs Show how to chart on a time not currently show f Show how to start an IV modify the rate amp stop the IV Using the ae Show how to select and customize time on a Charting Map Flow Chart Show how to confirm an Autocharted entry Explain the difference between the Ante Partum and Post Partum flowcharts and when you would change from AP to PP Show how to review and print entries Using Fornis Show how to enter information about the pregnancy Show how to make modify and review entries Show how to review and print entries Demonstrate or explain how to create a newborn patient Demonstrate how to switch be
64. e with an alias in the chalkboard alert lists and the Patient in Focus selection list Physical security and disaster recovery Protection of remote access points and external electronic communication Software discipline such as the shell function that limits access to the Windows desktop Audit trails Education and training e o oe kS kS kS e Cdi d e kS kS kS OB TraceVue Revision E 0 page 44 of 125 OB TraceVue Trainer s Toolkit System Managers Using and Viewing Audit Trails There are two types of audit trails Patient and System Patient Audit Trail Patient Audit Trail is split into Notes Audit Trail which shows the following fields entry date and time display date and time username and the PC name type and location at which the change was made application context type category of notes deleted notes and audit data detail Database Audit Trail tracks forms and patient creation changes Data about the patient and their related episode is followed by the audit trail entries These are sorted by time order They show the following fields time and date of change details of the page that was changed username and the PC name type and location at which the change was made Event Audit Trail is part of the Database Audit Trail which will show an entry for the patient in focus when one of the following events occurs Charting map selected an
65. eene 114 Class Content Overview 11 Super User Training 11 System Administrator Training 11 System Manager Training 11 Client PU sg sate ds EET 10 Clinical alerttnig eter 73 74 Configuration eee np Des cated rabies 43 Configuration MOdG eue renes 47 Co residency issecei ese to basia hunde 92 94 Critical Elements of Learning 61 Current LISer uuu esed pis ttr rei psit bes 10 Data Entry Rules essere 64 Data flow within the system 19 Default Values uei ostiis oret 10 Documentation Data Flow 19 Documentation Flow tee 64 POT ec ated esee teo oon e Ca eei is 10 End User Competency Checklist 93 End User training objectives 88 Revision E Index EDISDOD ie espoir adiuti p ton nati nes 10 External Database sssesess 10 Fetal Monitor eee 75 Fetal Monitor Alerts esses 74 Fetal Monitor Functions 90 94 FHR Alerts eeeseeee 90 93 Fl w Chatt 2 edet ceste set neces 74 Flowch tt RR 10 Flowchart summary pages 75 Fluid Balance ccccccceessssecececeeeeeenens 79 BOIS eee EG 10 48 81 Forms and Statistics affected by VTE Chang ES uos ibu ep Erde LE 47 CGIOSSBDy Lucena nien aE 9 Graphie Bes oso cunc
66. eeni 12 Hardware Data Flow esses 18 How to Use this Toolkitzz 6 Identif y Search Patient 5 10 Information Portal eeeeed 12 te a ee TI IEEE E 53 Intended Audience 6 13 28 51 88 Iita Server BBff 10 LoB BEEEEEEEEERIR 48 Maintenance Log outlook hans 26 Making a copy of your VTE 46 Managing Patients 89 93 Masked Edits esses 46 Maternal Forms eeeeeeeeenenee 81 Medicated DEHpSs uei o eibi TI M dicatioris e cetdecceadecectecteesceebeecetened TT Mobile workstations esessss 85 Mother Newborn Link Data Flow 20 Motivating Learners 60 Multi Bed Overview cenere 10 Newborn Module 91 94 OB TraceV ue Super User erue 8 OB TraceVue System Administrator 7 OB TraceVue System Manager 7 OCCU VES 2er RARI EPEEIA MIU 13 28 51 88 OVErVIEW 6 Passwords eee 89 93 Patient Data Export 23 Page 124 of 125 OB TraceVue Trainer s Toolkit PAUent In FOCUSs enisinia 11 Permission Levels iocemeseitpteidetiss 11 Practice Scenarios eite etes 110 Pregnancies and Episodes 69 Pregnancy Episodes Data Flow 19 69
67. ementation and continued support of the system The assumption is made that all users are familiar with the Windows graphical user interface use of a keyboard use of a mouse or other pointing device and have a basic familiarity with Microsoft Word Certain information provided in Chapter 3 System Managers may also be needed by Super Users Hospital needs will dictate where knowledge overlap needs to occur Objectives Super User training objectives In addition to all of the End User objectives by the end of Super User training the learners will be able to Understand the ADT interface as it relates to managing patients Explain the relevant system hardware layout Demonstrate proper technique for managing mobile clients if applicable Use web clients if applicable Generate system and patient audit trails Demonstrate basic knowledge of report templates if applicable Set up users in the system Retrieve patients from optical disk Lock unlock patient records Perform basic system troubleshooting Determine and use the appropriate resources if unable to solve problems alone fte v te v t t te v te t t e KSA te t te v e OB TraceVue Revision E 0 page 54 of 125 OB TraceVue Trainer s Toolkit Super User training outline Topc Details Nets Intro duction Super User role amp responsibilities Patient flow Ep
68. ent Medications I O Lab Therapies and Events A series of event based data entry screens that cover the course of the pregnancy and the care of the newborn Separate icons display pages designed for documentation of various stages of care The Maternal form icons are Prenatal Visit Patient History Departmental Forms Admission Record Delivery Postpartum Discharge Record and Postpartum Follow up Visit The Newborn form icons are Departmental Admission Record and Discharge Record Each icon has multiple form pages Represented by the Rolodex icon This area is used to admit open episode and Identify Search discharge close episode maternal patients in OB TraceVue It can also be used to see an Patient overview of the pregnancy and episodes for each patient Revision E Page 11 of 125 OB TraceVue Trainer s Toolkit Overview Internal Server Server that runs OB TraceVue The other OB TraceVue PCs cannot run with out this server It manages the OB TraceVue network database and archive storage Multi Bed Overview A way of viewing multiple patients FM traces at the same time Multiple different views that contain different sets or numbers of beds are configurable Patient in Focus The patient whose trace data and documentation you are currently viewing Name and location appears in the Patient in Focus white box in the upper left side of the screen Print Maps A collection of pre defined documents These m
69. eract with the system with Active Directory Passwords Show how to obtain and maintain individual passwords Describe security and patient confidentiality measure s within OB Trace Vue Managing Patients Identify mandatory fields in demographics Show how to admit a patient open a new Episode and or a new Pregnancy Show how to transfer a patient Show how to discharge a patient close an Episode and or a Pregnancy Show how to merge a patient record Show how to retrieve a record Describe what data will come from the ADT link and how to admit a patient with the ADT link Describe when and how to do a quick admission Explain how OB TraceVue OB TraceVue link works with regards to moving between systems and managing episodes Show how to move a patient between OB TraceVue systems Chalkboard Show how to enter comments Show how to assign caregivers Working with Traces Identify the elements of the Single trace amp Multi Bed Overview Show how to change the patient in focus Show how to annotate the trace Show how to switch between the Single trace and the Multi Bed Overview Show how to change the Multi Bed Overview Describe the meaning of the vertical yellow bar in the trace screen Describe the right edge reference time Discuss the message that appears after a FM has been disconnected for greater than 5 minutes FHR Alerts Describ
70. ettings of the patient in focus are modified gt when the chart configuration is modified VTE is changed gt name of user who saved the data date and time of data save and PC name OB TraceVue Revision E 0 page 45 of 125 OB TraceVue Trainer s Toolkit System Managers path amp name of new deleted renamed folders path amp name of new or deleted items deleted new pair if the item name modified path amp name of modified item if only details modified VVVV The system audit trail is split into packages each containing 24 hours of data After the time cycle has elapsed the package is automatically moved to the optical archive for long term storage Configuration System configuration Details on the system configuration are contained in the Online Help and or the Instructions for Use Please refer to one of these documents Value Table Editor VTE configuration The improved VTE is composed of a resizable window containing 3 resizable panes folders items and information a menu a tool bar and a status bar NOTE Menu items are enabled according to the properties of the selected folder item The File Menu gt Load Loads data from the OB Trace Vue database online mode or the file offline mode prompts for confirmation if VTE contents have changed replaces current VTE contents Load File Loads data from selected file prompts for confirmation if VTE contents have changed replaces current VTE contents Merge
71. ftware Application details Product overview System security Working with patients Pregnancies Episodes Data flow Clinical alerting sing the flowchart Intake amp Output Medications Using forms Attachment manager Application reports Audit trails gt Troubleshooting VVVVVV 5 Training Tools This chapter contains the following items System Roadmaps Quizzes Lab activities Practice Scenarios VVVV Support Roles and User Types OB TraceVue System Administrator Responsible for the overall administration of OB TraceVue system gt Includes Protecting and maintaining system components troubleshooting system errors managing the back up process managing the archive and retrieval process use of OB TraceVue support tools Aminimum of 2 System Administrators are recommended OB TraceVue System Manager Responsible for the clinical administration of OB TraceVue application Revision E Page 8 of 125 OB TraceVue Trainer s Toolkit Overview gt Includes Maintaining application components configuration alert settings security levels user list System Managers provide leadership for training and policy and procedure development gt A minimum of 2 System Managers are recommended OB TraceVue Super User Primary role is to provide support to the End Users Usually responsible for training the End Users during the implementation phase Serve as a resource to the staff dur
72. g and wien er Choose the destination printer and paper orientation Print Maps Importance of the train icon System Alerts Acknowledge a system alert Exit OB TraceVue System Admin Shutdown a Client PC Revision E Page 94 of 125 OB TraceVue Trainer s Toolkit Training Tools Move a Mobile Client Specify the FM connection to a Mobile Client Describe what happens if the power to the Server fails Use the Help icon Help Screen Access OB TraceVue via the hospital Intranet Explain what co residency means Show how to minimize and Co residency maximize OB TraceVue Describe what remains on the screen when OB TraceVue is minimized SAMPLE Web Access Revision E Page 95 of 125 OB TraceVue Trainer s Toolkit Training Tools End User Competency Checklist Some items listed may not be applicable to your OB TraceVue system Optional items are shown in italics Unit Date User s Name Instructor An X in the DONE column indicates that the employee met the performance expectations according to standards Performance Expectation Assessment of Learner Outcome Done Basic OB TraceVue Functions Use of the keyboard and mouse Identify the components of OB TraceVue system Identify the icons and their associated functions Describe Patient flow Episode concepts Data flow Demonstrate how to Log on and Log off Demonstrate how to int
73. gers oe eoe ere Eee re eR Hpe Ee OvesEpRM PA OPES 31 Intended Audi TICE MM TD Dm ODI CCT VES TRENT Ne m DRE EN EET OE UN TENES System Manager training objectives eesseessssesseeeseeeeeeee enne enne enne enne eene enne System Manager Configuration training outline eese esee eee eene The T OE CES EE EE R SEES apap en oU ATTE ni des e Me e LE SYLEN SECUN Ae a LT Using and Viewing Audit Taggils EEE oo oo UR oo ooo ooo oo BEREE 00v e nnne Patient MEMATrail 8 99898 9 Md System di rail S WA 8 n E Oh Vw few S ea ee S rs SystdiliconfigWillition S 9 272 E T E Val mm VTE configuration s e 88 BE sees Screen Page and Form configuration 894 MN Esse Patient Reports and Statistical Loop 8 80 fo Maternal Word FOTITIS 4 eterne rien rna Seen eene Sa REEOSYn lea ESSA NV Ve ERAN RE pera ra eo ine Teo eae roe Ease Matertial Excel Logs Se Statistics onnistu tr oet tuia ee cde dead saves oet i eCoi eiaei e adn Newborn Word EOS uoa escono um adc hieu ary solve a paces Ludo ed Newborn Excel EOSS us tiani tt abase ign domita abis ue nl cc te abete eese Training P lantoctusssiitudida vaa aiv suec vedantic SIVE A v Dd ANT D Us dU sons UL dta dig dus Benefits of the Super User Train the Trainer Model eee Traite Plan 6e Cu eue erede acti adea eden e ae eee Identity End USers z o2 ipd e e e t
74. hange which care providers are assigned responsibility for patients and can shift all of the patients assigned to one provider to another When you scroll the chalkboard the patient s name and location remain static at the left of the screen The other columns scroll To bring a patient into focus click on the episode and click Select Patient The magnifying glass indicates this is the selected patient She is the patient in focus even though you cannot see the focus selection at this screen The view of the chalkboard you choose applies only until the next time you return to the chalkboard then your view reverts to your default view own patients or all patients This is set in your user profile in configuration mode Use the Comment column to enter up to 50 characters of your own text Activate the text entry window by either clicking the Comment button or clicking directly in Comment column The two columns to the left of the Comment column are for your institution s own configuration and use Select what you enter into them from the predefined choices in the dropdown list that activates when you click in either of the columns If your institution configures your system appropriately the chalkboard lines may have background colors The color of the entire line is determined by the configuration of the first custom column The second custom column can also have its own color different to the line s color The meaning and use of these col
75. has not been addressed Click once on the question mark to indicate a positive finding Click a second time to indicate a negative finding The Tri State buttons on the Assessment section of the Flowchart operate on the same premise as those discussed above however note the addition of the yellow circle symbol representing a suspicious finding Select the Add New to e g start a new examination with in the same episode or Select New Record for example to open an Admission Record for a patient whose episode was started as a Prenatal Visit Record Press this button from the delivery page to go to the Flowchart to document the special events surrounding delivery When this button is selected on the examination screen the examination data items not marked for a finding will be assigned a finding symbol Click cursor on desired selection Click cursor on a different selection to change selection page 68 of 125 OB TraceVue Trainer s Toolkit Super Users Application details Product overview The OB TraceVue computer system combines surveillance and alerting with comprehensive patient documentation and data storage in one system It gives you all the information you need to document and manage maternal and newborn patient care in your OB department Patient documentation can include both flow chart based patient records and forms based patient records OB TraceVue allows comprehensive documentation from the fi
76. hen amp Maintenance Spare optical disks for back up and storage location of back ups Policy amp Procedure ex use new optical disk annually May want to refer to IS Dept for schedule of System Back up amp Maintenance and Maintenance log Web Clients Type Standard or Alert mode Screen size OB TraceVue log on Local or Remote Web Session timeout setting Use model SAMPLE Revision E Page 123 of 125 OB TraceVue Trainer s Toolkit Acknowledging Alerts 74 Acttye DITeGlODY iecit erence 21 Additional Resources ss 12 Administrative Log on 21 Admitting a Maternal Patient 67 Admitting a Newborn Patient 68 ADT Discharge NU NE 9 ADT Interface eee cc cece eeseeeeees 22 40 Adult Learning essen etti toes 59 60 61 Alert Announcements eese 74 Alerting Levels oett teta 713 Alerting Rule Select ette eus 9 Application reports 83 ATCHIVIN E NER AO 9 Attachment manager eese 83 Audit Trail eer ro inei 9 42 Autocharting AIm e 9 75 Basic OB Trace Vue Functions 89 93 Bed Name Physical Location 9 CareVue Interface Engine E WA 22 Bhalkboage 99 MN 10 89 93 Change management 1 eed 62 Uerundiiap 9 88 10 76 Class Attendance Sheet
77. hen defaults are modified inet ene P iey Procedure for disposal of printed spons Policy amp Procedure for disposal of printed reports e e a 5 Em a d Procedures should incorporate use of OB TraceVue ay Tee A w eee Location Finalize all OB TraceVue locations Training Room Large enough to accommodate Servers Printer FM and 1 Location Client attendee Secure room that is available for length of training Adequate Power amp Climate Control Tables amp Chairs and Telephone Network drops if applicable Identify Who System Administrator System Manager Super User Will Be Need to identify prior to training End User Use of script competency checklist clinical training scenarios Training Plan handouts of attendees class length of class scheduling of class different classes for different users 2 trainers class staff sign up Vs assigned timeslots Will need to simulate FHR on FM during training Sample printed reports on walls Include Policy amp Procedure draft OB Trace Vue Yes No Shell Software Which PC s Patient Record Maintenance Who amp When Management Monitor closed Episodes Pregnancies and duplicate records Admit time into OB TraceVue vs start time on FM Designated screen displayed on User Log Off Confidentiality of Printed Records Open Episodes are not sent to the Archive disk Revision E Page 122 of 125 OB TraceVue Trainer s Toolkit Training Tools System Back up Who amp w
78. icable Local recovery OB TraceVue setup Offline backup System overview Patient data administration Configuration backups Log file viewer Administer Active Directory for OB TraceVue if applicable Explain the system hardware layout Maintain and troubleshoot the OB TraceVue to OB TraceVue link if applicable Perform system maintenance DB backups changing optical disks client set up Perform troubleshooting for problems that may arise Explain how the ADT interface works Discuss co residency and how it will be used if applicable Generate system and patient audit trails VVVVVVV VW DG t te t te v t e KSA te t te Revision E Page 15 of 125 OB TraceVue Trainer s Toolkit System Administration System Administration training outline Topc Details Nes System Administrator responsibilities Patient flow Episode Intro concepts Data duction flow Software Functionality Surveillance Archiving Flow Chart amp Forms PC User name User name System curity for Routine Maintenance Importance of System Maintenance log Text readable Configuration System Back up Back Up Configuration Back up Optical Disk Back up Value Table Editor Back up External Server Back up Automatic Hard drive Back up Revision E Page 16 of 125 OB TraceVue Trainer s Toolkit System Administration Text Copy of Configuration Text Copy to C
79. ical media cleaning kit Incorrect cleaning can damage the disk SAMPLE Revision E Page 28 of 125 OB TraceVue Trainer s Toolkit Sample Maintenance Log System Administration Date External Back up Copy Back up Inspect Run Local DB Rebuild Value Check User who Database Config amp Config Archive Optical Recovery Tool Table Patient List Completed Back up Database Optical Disk amp Tool DB Defrag Editor For Open Task to backup to Optical Disk to Clean Repair Drive Export Episode amp folder Disk 2 Disk PRN Pregnancy its c dem 9 A T3 Per plan Per policy Each Per Monthly Quarterly PRN Each change policy change Revision E Page 29 of 125 OB TraceVue Trainer s Toolkit System Managers Sample System troubleshooting Guidelines and Who to call for Help When a problem occurs with OB TraceVue any user can troubleshoot If you are unable to troubleshoot the problem and resolve it then During normal working hours Monday through Friday 8am 4pm call Clinical Engineering at xxxx After those hours Have the operator page the Clinical Engineer who s on call The Clinical Engineer will either direct you to resolve the problem come in to resolve the problem or direct you to call MIS or Philip s Response Center 1 800 722 9377 coverage 24 hrs per day You will need to give them the Model Serial
80. ied as being the minimal data required for admission usually First and Last Name Data of Birth and an identifying number such as Social Security Number or Medical Record Number then select Create Patient 7 Click New Episode Assign her to a location If New Episode is not an option see 9 8 Optionally when admitting a patient you can a Click Reason and select a reason for her admission b Selectthe type of record you are opening for this episode Choose from prenatal visit admission record or postpartum follow up visit then click OK The system takes you immediately to the appropriate page and opens a record of that type This is available only in systems with forms based charting 9 Switch on the fetal monitor and begin monitoring your patient 10 If New Episode is not an option because her last episode is still open a Click Close Episode b Choose Home from Other Location c Click OK Do not close the pregnancy Start the admission sequence again When the system lists the patients it finds during a search it uses icons to indicate the patient and episode status See the picture below for a list of those icons OB TraceVue Revision E 0 page 70 of 125 OB TraceVue Trainer s Toolkit Super Users i Postpartum charting P Regular patient with open modifiable i episode y AP IP charting 8 Regular patient with no open episode Patient has open pregnancy or open newborn documentation wy Quick Admit shows
81. iefing Begin End User training as soon as possible after Super User debriefing Create Go Live schedules for Super User coverage d kS e oe 1 kS e e t out e di d kS KS KSA KS Q e Identify End Users List the types of users that will be interacting with OB TraceVue gt Nursing Staff gt Technicians gt Clerks Physicians Midwives gt Other d kS Different class content may be needed for different user types 8 hours of class for nurses are usually needed for a customer using forms 4 hours of class for nurses are usually needed for a customer using only Surveillance amp Archiving 1 End User per PC is recommended with a maximum trainer to student ratio of 1 6 gt May consider 2 trainers per class if staffing allows for this Schedule self directed practice after training for Completion of End User skills lab and or Competency checklist Validation of each users training proficiency by Super Users Completion of the CBT if used e OB TraceVue Revision E 0 page 53 of 125 OB TraceVue Trainer s Toolkit Super Users 4 Super Users Intended Audience This chapter is designed for anyone who educates nursing and other clinical staff who have been selected to be super users and provide training to end users on the OB TraceVue system Super Users are typically senior staff who have a desire to be more involved with the impl
82. ig Flow Chart Amount Units Limitations gt The unit including weight part and time part must not exceed 15 characters gt Time or weight based units must be composed using the supplied contents of the weight and time combo boxes gt Entering time or weight based units entirely in the base unit edit field e g mg per min will lead to incorrect results in the Flow Chart s medication display Running the VTE on a non OB TraceVue PC You can run the value table editor on a non OB TraceVue Windows PC This allows you to administer lists for several OB TraceVue systems away from OB TraceVue itself 1 At the OB TraceVue internal server PC log in as OBTV Administrator 2 Copy the following files from T V21 PROG to any directory such as C temp on thedoeal computer MFC 71 dll MSVCR71 dll VT Edit exe WVTED dll 3 Launch the VTE editor by double clicking VT Edit exe from its location on your local computer The system displays the usual VTE login dialog 4 Log into the VTE using the general administrator s password 5 Select the value table editor file you want to edit from the location in which it is stored on the local computer 6 Edit the value tables and save your edits in the normal way Using Masked Edits on certain Fields For some fields you can configure an input mask that forces users to enter data in the correct format for your institution These folders are prefixed by the word Mask When you append
83. ime label Identifies the time and date at which the trace was made and the scale of the trace display for example three cm per minute Trace The trace is divided like a traditional paper trace into squares Each background square represents one centimeter on paper The grid color depends on whether you are using US or European paper FM mode Turn on and off the display of modes recorder status FHR1 FHR2 signal button MHR TOCO and their source such as US or MECG received from the fetal monitor or fetal maternal monitor Maternal Turn on and off the display of values MHR SpO2 MBP received from Button the maternal monitor Maternal pulse rate derived from the Maternal SpO2 signal appear in the MHR field even if the MECG transducer is not plugged in The true source can be determined by reviewing the flowchart or the notes browser Compressed Switches between the normal view of the trace and a compressed view Trace Icon showing three hours of data Time box Shows the trace time at the right border of the page System This gives information about the displayed trace For example No Data message box shows that no data is being received from the fetal monitor Normocardia The grey horizontal bar on the single trace display and the compressed trend display reflects the inner tachycardia and bradycardia alert limits not the severe limits OB TraceVue alerts when a trace goes outside this area for the configured time delay
84. in the field can be calculated or taken from another field or page frame c does not appear on the page blue frame 7 Leave the form by clicking on any other icon Changes become active system wide as soon as you leave the form ne cd Yellow frame Check box gt Masias Iv ACEi mag md MaritalStatus Il Race01 z R Red frame Blue frame Selecting Pages to Include in Forms and Flow Charts In configuration mode each form and flow chart starts with a Page Configuration tab showing all of the pages that comprise this form or chart Here you select and deselect the pages you want to include in the form You cannot select or deselect the sub pages of pages in a form at this level Configuring a Flow Chart 1 Click on the Page Config tab 2 Click on the checkboxes beside the page names to choose whether a detail page is visible and included in the global overview and data entry summary 3 Click on the individual page tabs and then on individual parameters to determine whether these are available in the global overview or data entry summary pages as appropriate For more details please refer to the System Administration and Configuration Guide Patient Reports and Statistical Logs Details of Patient Reports and Statistical logs configuration will be taught you when you attend the class designed for this purpose Your project Manager will help you arrange a time before your go live to attend this class In preparati
85. ine such as the shell function that limits access to the Windows desktop Audit trail Education and training e Cdi d kS e Cdi d kS e Cdi d kS kS kS OB TraceVue Revision E 0 page 69 of 125 OB TraceVue Trainer s Toolkit Super Users Working with patients Use the Search Identify Patient Rolodex screen to view a list of all patients past and present in the system both departmental and non departmental You can create a new patient record find an existing patient close retrieve and merge patient data Use the Prenatal Visit and Admission Rec buttons to switch immediately to the corresponding pages One search can display up to 100 patients Use search filters to narrow down the search criteria if necessary Admitting a Maternal Patient Searching When admitting a maternal patient first search to see if she has been entered previously into this OB TraceVue system either during this pregnancy or an earlier one The system lists up to 100 search results in a scrollable list with status icons that tell you more about the patient episodes 1 Click ER 2 Click Clear 3 Enter some limited identifying data for the patient such as a few letters of her last name 4 Click Search 5 Click on the correct patient avoiding patients with similar names 6 If she does not appear on the list create a new patient record for her by entering the information your institution has identif
86. ing Go live and beyond May be involved in configuration decisions and day to day support of the system Representative of all shifts and units are recommended VVVVV Clinical User gt Clinically trained nurse or healthcare provider who uses the system May change her his own overview screen password and if permitted some patient data gt There are three default users Philips for support purposes which cannot be deleted Nurse shown as and Physician shown as Neither default nurse nor default physician has any permission levels set Philips Field Service Engineer FSE Responsible for initial setup including giving access to the System Manager Has full system permission Your institution can change the password for this user Philips Technical Consultant TC gt Responsible for setting up system interfaces and other technical setup Philips Project Manager PM Responsible for the overall project implementation from the Philips side gt May also provide some training to System Administrators System Managers and or Super Users Philips Application Consultant AC or Clinical Application Specialist CAS or Clinical Specialist CS gt A Registered Nurse or other clinician who is responsible for providing System Manager and Super User training during the project implementation Philips Post Implementation CAS or CS gt A Registered Nurse or other clinician who is responsible for provided addition
87. ion b System Manager permission only c Super User and Read and Write permission levels d System Manager or Super User permission levels Revision E Page 105 of 125 OB TraceVue Trainer s Toolkit Training Tools 9 The System Manager has Optical Disk Access permission by default a True b False 10 Location Configuration determines c the order in which bed locations will appear in the Patient in Focus List a the locations that will have audible and visual alerting b the default AP IP and PP charting maps for each location c the names of non monitoring locations 11 List four items saved as part of System Configuration back up a b e d 12 The sort order of beds determines where the beds appear on the Multi Bed Overview screen s e used to rest pc Revision E Page 106 of 125 OB TraceVue Trainer s Toolkit Training Tools Super User and End User Training Quiz 1 Enter as much patient information as is known when searching for a patient in OB TraceVue a True b False While entering patient data in the Intrapartum Flowchart the yellow alert bell begins to flash To determine which patient is alerting a Click the cursor on the yellow flashing bell b Select the Multibed Overview icon c Press the esc key on the keyboard d Select patients from the Patient List until the patient with the alert is displayed To view all beds on the Chalkboard a
88. ion E 0 page 41 of 125 OB TraceVue Trainer s Toolkit System Managers Topic Details Notes Develop Criteria for use Resolution of record Who amp When Include in P amp P Who Opens amp Closes Episodes When Mandatory baseline documentation with Patient Admission Onset PP documentation Who amp When Pre admit Patients Manual or HIS Patient Raced OB TraceVue time delivery time Management z E Create Newborn patient Form Signature fields Yes No Print What to Print When to Print Who Prints Database Administration Tool Set Break ADT Link Considerations related to electronic data collection amp Policies amp storage Pes Provide guidelines Super User training packets End User training packets Preparation EP for Super User Class Develop End User training plan for Super Users Present End User training plan to Super Users OB TraceVue Revision E 0 page 42 of 125 OB TraceVue Trainer s Toolkit System Managers The ADT Interface See the previous chapter for an overview of how the ADT Interface works The following fields can be populated in the OB TraceVue Demographics tab from your HIS system Account number and or Medical Record number and or Social Security number Name Address Date of Birth Birth Place Language Insurance Company Race Marital Status Home ph
89. isode concepts Data flow Software Functionality Surveillance Archiving Flow Chart amp Forms Documentation options Flow Chart vs Forms Internal Server Client Mouse Keyboard Display ptical disk drive Jukebox al Data rver V minal Scanner Fax capability Describe the FM connection to OB TraceVue Icon bar Display Patient panel pein Task window Component System icon Quick Admit ron Identify Search Patient Overview OB TraceVue Revision E 0 Super Users PLE page 55 of 125 OB TraceVue Trainer s Toolkit Super Users Maternal Newborn icons Change Patient Location Single Patient Trace Floating Trace Charting Notes Browser Prenatal Visit Patient History Departmental Admission Record Delivery Discharge Record MPLE Log on Log off Lock System Administrator Shutdown Help User name Passwords Log On Log Off Policy security Screen appearance Patient in Focus Panel Single Patient Trace Trace OB TraceVue Revision E 0 page 56 of 125 OB TraceVue Trainer s Toolkit Super Users FHR Numeric Display Scroll Bar FM amp Maternal Buttons Compressed Trace Configure Bed Alerts Alerting On Off Right Edge Trace Time Multi fetus monitoring Information at bottom of display Create New Patient amp New Pregnancy Identify Close Episode Search i cs Patient Start New Episode for Existing Pregnancy Review Retrieve Episode Close Pregnancy Create
90. istrator Quiz Answers to question 5 Retrieve back up disk from storage Log on to OB TraceVue at the Internal Server Click on the System Administration icon Click on the Optical Disk Tool icon Select the Back Up choice Insert back up disk in the retrieve back up M O drive Press Next Select Close Remove the back up disk from the drive after it is ejected and return to storage rotga moO AO op Answers to all other questions 1 b 2 b 3 b e 4 b 6 a 7 b 8 b 92d 102a 112a 12 a c 13 b e 14 c d 15 a 16 b 17 b 18 c e Answers to System Managers Quiz l a 2 a b d 3 c 4 a 5 a b c 6 a 7 a 82d 9 b 10 a c d 12 b 13 b Answers to Super User and End User Quiz 1 b 2 a b 3 b 4 c 5 c 6 b 726 8 b 9 b 10 b 11 Single Patient Display Flowchart 12 d 13 a 14 b 15 a 16 Pregnancy Tab 17 a 18 d Revision E Page 110 of 125 OB TraceVue Trainer s Toolkit Training Tools System Manager Configuration Training Labs J 10 11 Demonstrate how the System Manager may configure an Advanced Alert Rule Set with Severe Tachycardia limits at greater than 180 bpm for 10 minutes Identify the keys that must be activated to start Page Configuration Demonstrate how a User may be given System Manager access but limited to Read Only access to the patient record Create an AP IP Charting Map using the Global Overview format and includes a Maternal activity position lungs
91. l eagles edu er eratuma tus ea eM eec A Super USES ouoceeeecesossses sinsero pape ROUEN Oe SO PIRIM MENS E OPE cR NR ERES 54 Intended ANGE S sette EE E dia A E eM ette ld A E uet Ed OOP NAVIES nee actatutu a e n dM citat uec Do ou d aa LIA cc bala E Dude Cb e EM HL USUAL Ta FLUE Super User training objectives uten RS NR os ARS P IRE ha Eq en ES Ene PR TEN VE FER n S per User training DUIIWO Sin Lica ota arid uate clases E uelis dee eei auae De pat NUM o Teaia Super Us r selection ariii eii o eodd a tad i dude e a eu Se aces OO Ta Sls doomed dud Principles of adult learning ciarescitpa ite tut ea rarasachaiauls Ath tcm er aD epu EE aM M Rn d AGUIE Learning THEORY dose uri a tesis tee ants dede mite etu uti dul Qu V ad iq ipe Motivating ICH EE Revision E Page 4 of 125 OB TraceVue Trainer s Toolkit Overview Critical Elements DP Ett f ooo tatg a IO rebat ota picti adt ox adt a nae 64 Ch hpge malapemelliucsisuseun equa iive cendi LA at daba EDEN PE ULL oe LUN M aea TRAE Ud ON ON 65 Characteristics of Organizational Change eeeeseeeseeeeeeeeeeeeee enne enne nennen 66 DYSIEHI SOWIE G codes catase rales Sic costns tain decens redu tou d d oo nude or pd ee dua TEREE qu Ere CR cada 67 Data Eutr RUES eem eed o ete dp ated RAI abeat oh mU d 67 Application details 4 2 ei i c EDO AXI EDEN TUE e hides EX ANE ee ee as 69 Product OVE le Wooten mendi fulsit sedi utei suey eds equae IU udo a aeo edere ide
92. le episodes A pregnancy record is made up of a collection of episodes The complete maternal patient record which contains her administrative data OB history and so forth includes information about one or more pregnancies Creating a new patient automatically starts a new pregnancy and opens the first episode Starting a new pregnancy for an existing patient automatically opens the first episode of the new pregnancy Similarly each newborn patient has one or more episodes that make up the newborn documentation record Typically the newborn is covered within one episode but multiple episodes are possible to permit transfer between OB TraceVue systems Creating the newborn patient from the maternal delivery record ensures that there is an automatic link between the maternal and newborn patient s Patient Mother Pregnancy 2 Episode 1 Episode 2 Pregnancies and Episodes OB TraceVue Revision E 0 page 72 of 125 OB TraceVue Trainer s Toolkit Super Users Maternal Chalkboard Like a traditional handwritten chalkboard this gives an overview of the status of admitted patients You can see their location whether this is an actual bed or a departmental location Vv Y VVV WV You can configure the chalkboard to determine which patients and beds you see You can transfer the patient and enter comments It gives you alerting status on or off and fetal monitor status on or off It allows you to see and c
93. lection with optional comment you can choose items from a list and also enter a text comment Check boxes these can have multiple states where a check mark indicates positive indicates no information is available unknown and indicates no positive finding indicates one or more positive findings By default the system uses the unknown status See Data Entry Rules on page 64 for more details Free text entry with automatic scroll Some pages offer grids for data entry Click in a cell in the grid and then use the controls the system offers If available the last rows the append row of a grid is always empty When you enter data into the last line the system automatically creates another empty row Some grids are divided into categories The beginning of each new category is marked with light blue un editable row Saving and Closing a Form The system automatically saves the form when you select another tab change the patient in focus log off select another icon from the toolbar or shut down the system The Undo button allows you to reject all changes made since the last save or the last time the form was visible Some demographic fields may be configured as mandatory If any mandatory field is empty the system will allow you to save but warns you that it will not write over anything already stored in those fields You must exit a particular form tab before another client PC c
94. lert rule set NST and reactivate alert time stay with the bed they do not travel with the patient Identifying Fetal Monitor Alerts Fetal monitor alerts technical alerts are independent of the current OB TraceVue alert settings The system issues them even when the alerting level is No Alerting The FM alerts are Coincidence occurs if any two of the heart rates FHR1 FHR2 FHR3 and MHR are picked up by the fetal monitor show the same value for 50 seconds within one minute Usually this indicates that two sensors are measuring a single physiological process thereby losing one signal Any subsequent coincidence events are ignored for 10 minutes Paper end the system generates a yellow bell when the fetal monitor detects that the recorder paper has run out The system does not repeat the paper end alert This alert is configurable separately for each bed Signal loss if you remove the FHR from the maternal abdomen Acknowledging Alerts Acknowledging an alert silences all visualand audible alert indications All bells on the trace stop blinking However if the situation causing the alert ceases but reappears later on the System issues a new alert As the alert sources operate independently an acknowledged yellow alert issued by FHR1 does not suppress a yellow coincidence alert generated by the fetal monitor If you acknowledge an alert but the alert condition persists the system generates a reactivation
95. lient PC with real time alerting offers full OB Trace Vue capability except for local data acquisition including both visual and audible alerting and real time data update The system status indicator is the usual locomotive engine gt If OB TraceVue is running in a minimized Internet Explorer window visual alerts cannot be seen audible alerts can still be heard if the PC and user are appropriately configured If youminimize OB TraceVue during a web access session and then open up another package you must ensure that the system and alert status indicator is still visible Printing from a web session is possible Aysession ends if you do not use the PC for the configurable session idle timeout Troubleshooting Best Practices when using the OB TraceVue Application Following these guidelines will minimize problems with the system VVVVVVVVV VV Trace gt gt gt gt Always use your clinical judgment Ask for help if you need it Keep your password confidential Make sure you Log On and Log Off each time you use OB Trace Vue Return to Single Trace Display if you get lost Make sure you have the correct patient in focus Do not leave the patient name displayed in a public area Do not shut down Client PCs without carefully following the directions Do not shut down the Internal or External Servers Do not eat or drink near PCs You cannot play games listen to music or surf the internet on OB TraceVue PCs Not Displayed
96. ll PCs for you The user information box has the following buttons gt Hide Press this to remove the box from the screen but keep the entries for later reviews The engine continues to flash gt Accept Press this to remove the box from the screen and remove from the box all entries relating to this local PC The engine stops flashing on this PC However entries from this PC are shown as remote on other PCs in the network The engine continues to flash on the other PCs gt Accept Net wide Press this to remove the box from the screen All entries relating to the local PC are removed from the box on this PC and throughout the network Lhe engine stops flashing on all PCS if there were no other unrelated messages there Exercise care when using this Make sure you understand the problem and have taken appropriate action before dismissing the message The message is recorded in the PCs logfile which is the only place from which it can be viewed OB TraceVue Revision E 0 page 90 of 125 OB TraceVue Trainer s Toolkit Training Tools 5 Training Tools Intended Audience This chapter should be used by the System Managers and Super Users to prepare custom training materials for End User training sessions and to use as a reference when performing End User training The electronic version can be found on the Documentation CD that came with your system End User training objectives By the end of End User training the learners
97. ll not be monitored archived Pre Admit ABC Medical Center Essentially these are locations were a patient is sent when the Episode amp or Pregnancy is closed Mandatory Last first MI uppercase lowercase DOB MR ID SS Fields for Patient The first question that must be answered is how much Admit information must the End User enter to create a patient In order to minimize the occurrence of duplicate patient records a unique identifier should be considered Usually the MR is specific to a single patient as not all patients have SS s You could have 2 patients with the same name amp DOB What to do if mandatory field ex MR is not available Alphabetizing of patient names is case sensitive names in all caps will appear at the top of the database list upper case lower case will appear next and all lower case will appear last A consistent case type should be identified Patient Admit DOB Vaginal exam Membrane status G P EDC this Baseline information populates Patient in focus panel amp Chalkboard Charting Additional information Flowcharting Yes No Phased approach If yes bring copies of Pitocin amp MgSo4 protocols standing orders to class Period of dual charting amp chart audits Involve Medical Records amp Other departments persons as required by your facility Print Data Yes No Who When Frequency Charting Maps Creation of multiple maps ex PIH PTL Normal Labor C S PP Recovery Default map assig
98. llowed to walk Chart her Vag exam and her vital signs Her bed is needed for another patient After 1 hour she is settled into a labor bed for additional observation Chart your triage assessment and MD notification She is discharged undelivered after three hours Chart your patient instructions Scenario 2 Your patient in Scenario 1 returns 3 weeks later with ROM and labor She is placed in a labor bed and monitoring is begun immediately Chart your VE IV start assessment admission and anything else that you would complete ona new admit including the ROM date and time Start some Oxytocin to help her contractions out a bit She develops a non reassuring tracing along the way Chart your interventions and notification Chart her Pitocin is stopped in medications Document 300ml IV bolus 3 hours later she is transferred in an emergency to the OR where she delivers Chart your prep notes Baby boy is born with 6 and 8 APGAR scores 3500 gms Complete her labor summary and delivery record Create a newborn record for her baby boy She is then transferred to PP charting and charting continues She is given a couple doses of antibiotic due to her prolonged ROM Chart the initial assessment on the newborn in Scenario 2 Indicate that this is the initial assessment Baby has a slight murmur Add this to the problem list for the newborn Chart that you have notified the pediatrician Complete the newborn admission sheet 2 hours later
99. m You may need to place your cursor in the field where you wish to enter data before the down arrow appears Click on the Search Button A dialogue box will Located in the Search Forms Providers Procedures appear on the screen A list of categories lower left hand button Problems Medications Spei t9 ine MM id appa us Ls corner of the window items specific to each category will screen appear in the right window The down arrow appears throughout OB TraceVue Forms and Flowchart Click on the Browse Button A dialogue box will appear on the screen A list of categories specific to the screen will appear in the left window items specific to each category will Forms Labs Diagnosis Plans Browse Delivery Record Button Flowchart Events Screen un SPEI Events appear in the right window Iv Forms Admission V E Check Psychosocial Medical Click cursor in checkbox to enter check Click box History Allergies Procedures on check to remove D Providers Medications OB TraceVue Revision E 0 page 67 of 125 OB TraceVue Trainer s Toolkit Tool Name x Down Arrow Slide Bar EE es Key Pad 4 5 6 1 2 3 0 CE Spontaneous labor labor Combo Select tems Box Spontaneous labor 7 Labor augmentation Medical induction Tri State Summary Buttons s Y C no positive findings C j observe C WP positive findings Add New Special Jump to Stages of Labor Buttons Mark all o
100. may include work related activities family responsibilities and previous education They need to connect learning to this knowledge experience base To help them do so they should draw out participants experience and knowledge which is relevant to the topic They must relate theories and concepts to the participants and recognize the value of experience in learning Adults are goal oriented Upon enrolling in a course they usually know what goal they want to attain They therefore appreciate an educational program that is organized and has clearly defined elements Instructors must show participants how this class will help them attain their goals This classification of goals and course objectives must be done early in the course Adults are relevancy oriented They must see a reason for learning something Learning has to be applicable to their work or other responsibilities to be of value to them Therefore instructors must identify objectives for adult participants before the course begins This means also that theories and concepts must be related to a setting familiar to participants Adultsyare practical focusing on the aspects of adesson most useful to them in their work They may not be interested in knowledge for its own sake Instructors must tell participants explicitly how the lesson will be useful to them on the job As do all learners adults need to be shown respect Instructors must acknowledge the wealth of ex
101. me Unit Route g h X ES 100 Rates added to Bag for List EC ENT zi zi E E For Oxytocin induction infusion one way to set up the infusion in the VTE is shown below VT Edit xj Medications Drugs IP Specific Medications Name Name Code Route Pitocin 30u amp LR 500cc J v E Dose Unit Volume Unit Route Using the Notes Browser Use the Notes Browser to see all remarks and flow chart notes including modified and deleted ones for the current episode of the patient in focus You can start the notes browser from the toolbar when you are in patient forms the single and compressed trace screens or the flow chart The list is updated approximately every 10 seconds Select the notes icon to access the notes browser Click on the note categories you want to see and use the buttons to determine how much or how little data you display The default display shows all of these items Choose from Alert notes FM Status Vital Signs Assessment AP IP Assessment PP Medications Vaginal Intake Output Contractions Fetal Events Remarks shows the first line of all text notes OB TraceVue Revision E 0 page 83 of 125 OB TraceVue Trainer s Toolkit Super Users System shows notes automatically generated by OB TraceVue that inform you of a situation that you might not otherwise recognize Determine how much detail you want to view You will always see the time at
102. n You must be at the end of the entry chain If the Stop button is unavailable click gt gt to go the end of the chain You can restart the medication by pressing Restart Bolus applies a bolus to a continuous dose drug or to an infusion that is already running or stopped Click Bolus and then enter either the total volume or the OB TraceVue Revision E 0 page 81 of 125 OB TraceVue Trainer s Toolkit Super Users remaining volume The system automatically calculates the values if you do not enter them via the keyboard This is included in the I O balance calculation The amount volume of the bolus is subtracted from the medication s amount volume Update updates the record with any new information added after you started the infusion or drug without the initial dose rate amount or volume To delete a medication gt Double click on a drug or infusion in the graph gt Choose from Delete Change delete the most recent entry in the chain Press lt once to enable the Delete Change button It is not possible to delete individual entries within the body of the chain you may delete only the last entry in the chain As soon as you press this button the change is deleted There is no undo Delete All press this to delete the entire medication You must be at the start of the entry chain If this button is not available click lt lt to go to the start of the entry chain Calculating a Fluid Balance Use the
103. n Counselor or Post Partum Limit 20 Physical Locations describe places that the patient may be physically located while still being admitted to a bed such as Walking in Hall Limit 40 Other Locations are located outside the clinical unit such as Radiology or Home Limit 20 Remote Location is used for received FM traces from a remote location Limit 1 Revision E Page 10 of 125 OB TraceVue Trainer s Toolkit Overview Newborn Module There are no beds assigned to newborns since in OB TraceVue beds are only assigned to Fetal Monitor locations Departmental locations are used to distinguish areas of care within the newborn area such as Newborn Nursery or Transitional Care Nursery Limit 20 Physical locations can be used as beds in the sense of isolette or crib locations or can be used for areas such as Treatment Room or at Mom Limit 40 Other Locations are located outside the clinical unit such as Radiology or Home Limit 20 A screen that provides an overview of admitted patients Chalkboard A Client PC is where you document your information Information is sent from here to the Client PC Servers where the data is permanently stored A flowchart setup that represents the typical care required for a clinical situation with the obstetrical or newborn patient The measurements that comprise a Charting Map are shown Charting Map P P 8 Map on the Dat
104. nd print the printing map for a delivered patient prior to discharge What is included in that printing map Print the chalkboard for report How would I print with empty and occupied beds displayed Dr Dan needs to be on the user list so that he can be assigned to patients on the chalkboard but he will not be using OB TraceVue yet What will we do about a password for him System Without ADT Interface Scenario 1 Mrs pick a name has never been here before MR make up the number DOB make up one or your DOB Entered with complaints of mild contractions Examined in AR and allowed to walk Her bed is needed for another patient After 1 hour she is settled into_a labor bed for additional observation She is discharged undelivered after three hours Scenario 2 Your patient in Scenario 1 returns 3 weeks later with ROM and labor She is placed in a labor bed and monitoring is begun immediately 3 hours later she is transferred in an emergency to the OR where she delivers She is then transferred to PP Scenario 3 Patient any patient is here for her 2nd NST and you wish to view the archived NST that was done 1 week ago Your patient is admitted to a bed You then view the previous NST while you are performing today s test After review her retrieved NST is removed Her test is completed and she is discharged home undelivered Scenario 4 Patient any patient enters in acute distress and a language barrier You need to sta
105. ned to bed locations allows you to apply charting standards with parameters and time ranges to specific locations The End User is able to select a different pre configured Charting Map and is able to modify the Charting Map assigned to the Revision E Page 120 of 125 OB TraceVue Trainer s Toolkit Training Tools specific location depending on the patient type and status Forms Phased Approach Documentation Identify paper forms to be replaced by electronic documentation Print Data Yes No Who When Frequency Customize Forms prior to Super User training Period of dual charting amp chart audits Chalkboard Has 2 configurable columns Columns 1 13 are populated automatically when data is entered in the appropriate fields this data is not changeable on this screen Columns 14 amp 15 can also be populated from other places but may be entered and changed here Which Fields to be displayed Quick Admit Yes No Criteria for use Rectify at end of shift Use OB TraceVue will not save patient data not attached to some identifying information In those situations where a patient s data must be archived and no information ts available the Quick Admit can be helpful The patient s record will be identified by the date and time she is admitted in OB TraceVue When the patient information becomes available the date and time record can be merged to an actual patient record or a new patient record can be created Use OB Yes No Sho
106. nfigured to require manual acknowledgement of either or both these types of values If these values are displayed on your flow chart in blue italics it is your responsibility to confirm or discard these values The system displays values you confirm in black Values from the Fetal Monitor The system can derive Toco contraction related data number of contractions frequency the mean number of contractions in 10 minutes mean duration in seconds intensity resting tone shown in mmHg IUPC interval the mean relaxation time between contractions MVU FHR related data VVVVVVV OB TraceVue Revision E 0 page 78 of 125 OB TraceVue Trainer s Toolkit Super Users mean baseline number of accelerations and decelerations with values for early late severe variable prolonged and total Be aware that the reported values for the four classes do not necessarily add up to the total value of decelerations gt long term variability gt mean short term variability beat to beat STV FMP related data for twins triplets this is given in parallel as it cannot be attributed to an individual fetus Although it is collected by the Cardio 1 transducer it is not possible to be certain which fetus generated the movement picked up by the transducer percentage and duration of fetal movement total number and mean duration of fetal movement clusters The system leaves out decelerations and accelerations when calculating v
107. nformation such as the volume administered the total volume administered so far or the remaining volume and pressing the Update button You can apply boluses gt If you specified an initial volume amount the sum of all boluses the update amounts volumes and the yolume amount infused so far cannot exceed what you specified initially The more regularly you update the infusions or continuous medications the more accurate the patient s I O balance will be When you administer a medication and then add to it or change it these alterations are stored as a linear chain of entries Use the Edit Navigate arrows to move backwards and forwards through the chain The buttons allow you to gt step back one entry in the chain gt step forward one entry in the chain gt lt lt go to the start of the entry chain that is the earliest entry in the chain gt gt go to the end of the entry chain that is the most recent entry in the chain To change a medication gt Double click on a drug or infusions in the graph to view its current status Choose from Modify modifies the most recent entry in the chain Type in your change to the dose or volume and press Modify This button is available only after you type your modification The modification applies from the time shown in the display time it does not delete the figure you overtyped Click gt gt to reach this entry if necessary Stop stops the medicatio
108. nge System Time Name amp Address Hospital t2 Tines label optical disk amp patient data print outs Implementation implications Clinical importance of Unique Identifier Develop P amp P for downtime HIS record not available HL 7 Link Setting ADT Philips engineer configures this screen Obtain IP address Subnet mask Default gateway from IS Department General Settings Connections OB TraceVue Revision E 0 page 34 of 125 OB TraceVue Trainer s Toolkit System Managers Topic Details Notes OB Implementation issues oo Philips engineer configures this screen TraceVue This Svst Link Settings iid eu Remote FM Configure Remote Fetal Config Monitors User Administration Integrated vs Classic users UserName Display Surrogate users Name Passwords 2000 Users maximum User Name login Display Name real name Profession Password Access to Maternal Newborn Patients Patients Start User Config Multi Bed Overview System Manager Super User Write Change Patient Data Read View Patient Data Change Alerts Print OB TraceVue Revision E 0 page 35 of 125 OB TraceVue Trainer s Toolkit System Managers Topic Details Notes Retrieve Episodes Optical Disk Access Audible Alerts Integrate Integrated Users Upd
109. nitor and transfers the affected patient to a system departmental Monitor Discharge No Bed location A subsequent Monitoring session on the same FM will automatically generate a new temporary patient A group of circumstances preprogrammed into OB Trace Vue allowing the computer system to automatically determme when it should display an alert The Alert Sets are Aiting Ruled Basic AP Advanced and IP Advanced Saving the patient s data and trace information to permanent storage on an optical disk Archiving Information can be retrieyed at a later date All user interactions with the system are tracked in the audit trail and can be retrieved by a Audit Trail user with the proper permissions Two types patient data and system data The capabilities of OB TraceVue to collect data from fetal monitors derive calculated Auto Charting parameters from this data and enter it automatically into the Flow Chart These items have different meanings in the Maternal and the Newborn modules Maternal module Bed is a Fetal Monitor location Limit 200 Monitor Discharge Location is the single defined location that is used with the FM 20 30 model When the Discharge Patient button is selected the patient is transferred to this location Limit 1 Bed Name Physical Departmental locations are areas within the clinical unit where the patient may be located Location that are not connected to a FM such as Lactatio
110. ock Connect Help Revision E Page 98 of 125 OB TraceVue Trainer s Toolkit Training Tools o Help OB TraceVue Newborn Road Map Revision E 0 mj 3 AE m mu Patient Flow Notes Admit Discharge Chalk Print Lock System Browser Record Exam board Fax Unlock Manager ON Revision E Page 99 of 125 OB TraceVue Trainer s Toolkit Training Tools OB TraceVue Configuration Road Map Revision E 0 DE EET g System Alert Config System H Manager U PCs i ome Lock Help Philips Hat d sers Locations Defaults Back Up Manager Unlock SAMPL Revision E Page 100 of 125 OB TraceVue Trainer s Toolkit Training Tools Ten Tips for Trainers 1 Cover the basics first Episode concept Admit Transfer Discharge Lock and unlock consistently Acknowledge alerts Flow sheet expectations Fetal Monitor functions VVVVVV Keep your class with you Team teaching can help one to talk one to help students Use all opportunities to reinforce the desired behavior gt Locking and unlocking and WHY gt Using Quick Admit for emergencies only gt Turning off the fetal monitor when not in use Allow time for hands on Save the following topics to the end just in case you run out of time to cover everything gt Introduction of flow sheet Printer icon gt Changing overviews Changing patient in focus alerts If Lab Exercises or the Competency Checklists are not used distribute
111. of 125 OB TraceVue Trainer s Toolkit Super Users Learning results from stimulation of the senses In some people one sense is used more than others to learn or recall information Instructors should present materials that stimulate as many senses as possible in order to increase their chances of teaching success Critical Elements of Learning There are four critical elements of learning that must be addressed to ensure that participants learn These elements are gt motivation gt reinforcement gt retention gt transference Motivation If the participant does not recognize the need for the information or has been offended or intimidated all of the instructor s effort to assist the participant to learn will be in vain The instructor must establish rapport with participants and prepare them for learning this provides motivation Instructors can motivate students via several means Set a feeling or tone for the lesson Instructors should try to establish a friendly open atmosphere that shows the participants they will help them learn Setanappropriate levelyof concern The level of tension must be adjusted to meet the level of 1mportance of the objective If the material has a high level of importance a high r level of tension stress should be established in the class However people learn best under low to moderate stress if the stress is too high it becomes a barrier to learning Set an appropriate level of diffi
112. on please make sure the following items are completed gt Identify the patient reports that need to be built These are the paper forms you currently use to chart on OB TraceVue Revision E 0 page 51 of 125 OB TraceVue Trainer s Toolkit System Managers Identify where in OB TraceVue the data charted on these various paper forms will be entered by staff so that your newly designed Forms will be populated with the data you require Review the templates included in OB TraceVue found on your system Customize your Value Table Editor If not provided for you by your Project Manager or Educator print the Word Form Field amp SQL Query Examples manual in COLOR VV V Bring the following items to the class with you Medical Records requirements and standards for patient documentation at your facility Samples of your current reports Samples of your current statistics and logs gt A file containing your facility s logo if you want to print a logo on the reports Following is a list of the Patient Reports and Statistical Logs provided with the system Maternal Word Forms Admission Antepartum Discharge Discharge Record Discharge Summary FC Assess by Time FC Assess by Type Inpatient Postpartum Labor and Alternate Delivery Labor and Delivery Labor amp Delivery NST Overview NST Obstetric Admit Patients Pregnancy Episodes Postpartum Visit Postpartum Visits Progress Notes Teaching Maternal Excel Logs amp Statistics Admis
113. on that client gt the PC desktop appears on the screen 3 select START 2SHUTDOWN 2 Shutdown the computer and the computer will automatically turn itself off 4 unplug the power cord and the LAN cord from the wall and move the cart to the new location you may hear beeping because the cart is on battery power plug in the power cord and plug the LAN cord into the wall jack 6 turn on the computer and wait for the desktop to appear on the screen you may have to log on to the computer 7 click START DOB TRACEVUE and wait for the log on screen to appear 8 log on to OB TraceVue pi OB TraceVue Revision E 0 page 88 of 125 OB TraceVue Trainer s Toolkit Super Users 11 12 the PC starts in fetal monitor configuration screen in the bed field select the name of the bed to which you are connecting this monitor then click Save e You must verify the fetal monitor connections gt you will get a confirmation message FM x connected to lt bedname gt click on Single Trace icon and put your pt in focus or admit the patient to OB TraceVue attach the monitor to the patient and turn on the fetal monitor Web Clients e gt A WEB or Terminal Server client PC without real time alerting does not have real time data update It has no system status indicator engine although the background to the system name flashes yellow in the same way as the engine to indicate problems and urgent messages A WEB or Terminal Server c
114. on the use of the commonly used system tools is contained in the System Administration and Configuration Guide Some tools are used while OB TraceVue is running on line and some can only be used when OB TraceVue has been shut down off line Tool When to Use e Offline e To correct wrong patient entries or modifications e After a training session to delete practice patients JAdiministadonfosr To delete data for patients which you do not expect to have any more episodes at the hospital For example patient has moved away patient has died e To gain responsibility for a patient when the responsibility token has been assigned to another server and the server is down or you are not able to get the responsibility back via the usual methods Online or Offliue Backup After finishing a userconfiguration so that you can recover in case the configuration gets lost Always do a backup after a software upgrade or after applying a service pack e Reload Directly after OB TraceVue software is reinstalled DB Rebuild Tool Used off line to optimize the database data organization To purge patient data from the external database in order to reduce PARP E eloo its size When External DB is off line Off line on Data Acquisition clients When you first set up a system Patient Data Administration Tool Configuration Backup Tool E Spy to check that you have the correct cabling and connections to all fetal py monitors e Onlin
115. one number Alternate phone number Religion kS kS e Su kS e dil d kS kS kS kS e Cdi d kS kS As part of the ADT set up you will need to select a unique patient identifier Use of the Medical Record number is the most commonly used in the US because that number usually stays the same for life within the same institution Not all patients may have Social Security numbers If you use Patient ID or Account number that number changes with each visit The Patient is only admitted one time to the system Thereafter new episodes visits can be opened and old episodes viewed using the Open Episode or Retrieve Episode button in the Identify Search Patient icon Tn preparation for the ADT Link you must address the following questions How does the patient admit process flow in L amp D now How quickly do patients get entered into the HIS system Will there be a lag time before the L amp D Nurses see the patients in OB TraceVue Do the L amp D Nurses have control over the bed board in the HIS system What different HL 7 types of Patients visit L amp D In Patient Out Patient Observation Lab Radiology Pre Admits etc What other areas of the hospital are Patients transferred to L amp D from ex ER Do you want to send any admission data from OB TraceVue back to the HIS kS kS e di d e kS KS e t
116. ors is determined by your own institution The following icons indicate the episode status Retrieved episode ax Bed with admitted patient amp Remote patient episode received from Indicates this patient has a departmental remote fetal monitor un monitorable location such as BATH E Empty bed i Delivered patient The chalkboard is sorted by bed sort order and patient name Alternatively you can temporarily sort by other fields Double click on the column head to sort by these criteria Double click again to reverse the sort order Select a different filter to restore the default sort order gt gt Provider Dilation OB TraceVue Revision E 0 page 73 of 125 OB TraceVue Trainer s Toolkit Super Users gt Membrane Status gt Gestational Age undelivered patients are shown before delivered patients gt Labor duration in hours undelivered patients are shown before delivered patients gt The two custom columns Newborn Chalkboard gt The newborn chalkboard shows details of the newborn including both administrative and physical location gestational age current weight weight gain and so forth The patient s age is shown in hours for the first 24 hours and thereafter in days gt Youcan change shift care provider and enter comments and so forth using the same techniques you use for the maternal chalkboard gt The chalkboard is sorted by bed sort order and patient name Alternatively you c
117. part of the Screen and a bell on the trace display that moves with the trace If the alert is still active but not acknowledged and moves out of the trace display to the left over time and the alert condition still persists the system repeats the alert bell on the right of the screen The repetition time depends on the current paper speed setting If configured the system also announces technical or system alerts audibly with different pitch and frequency for red and yellow alerts See Configuring Alert Defaults Sets in the online help for more details Alerting Levels There are four alerting levels No Alerting no basic or advanced alerts are generated Basic Alerting covers signal loss low FHR bradycardia and severe bradycardia high FHR tachycardia and severe tachycardia and increased IUP Advanced Intrapartum IP Alerting includes all basic alerting criteria and adds baseline variability and deceleration alerts Advanced Antepartum Alerts AP includes basic alerting intrapartum alerts and antepartum alerts Assignment of Alerting Levels 4 Patient is admitted to a bed receives the alert rule set with limits amp durations for that bed Patient is transferred to another bed current limits amp durations transfer with her she does not receive the new beds default limits amp durations OB TraceVue Revision E 0 page 76 of 125 OB TraceVue Trainer s Toolkit Super Users Alert on off a
118. periences that adult participants bring to the classroom These adults should be treated as equals in experience and knowledge and allowed to voice their opinions freely in class Motivating Learners Another aspect of adult learning is motivation At least six factors serve as sources of motivation for adult learning Social relationships to make new friends to meet a need for associations and friendships External expectations to comply with instructions from someone else to fulfill the expectations or recommendations of someone with formal authority Social welfare to improve ability to serve mankind prepare for service to the community and improve ability to participate in community work Personal advancement to achieve higher status in a job secure professional advancement and stay abreast of competitors Escape Stimulation to relieve boredom provide a break in the routine of home or work and provide a contrast to other exacting details of life Cognitive interest to learn for the sake of learning seek knowledge for its own sake and to satisfy an inquiring mind Educators must remember that learning occurs within each individual as a continual process throughout life People learn at different speeds so it is natural for them to be anxious or nervous when faced with a learning situation Positive reinforcement by the instructor can enhance learning as can proper timing of the instruction OB TraceVue Revision E 0 page 63
119. propriate maternal responsibility To sign a newborn form you require appropriate newborn responsibility These are defined in the system configuration Complete the newborn forms using the same techniques as you use for maternal forms By default the system starts a new admission record for the newborn for you to complete later with the newborn s admission data such as the planned length of stay LOS the weight at admission and so forth For convenience some maternal data demographies delivery teaching and problems are shown in the newborn forms You cannot change this data here you must return to maternal charting to make any changes This information is only visible while the maternal episode is open If the mother s episode is closed before the newborn s episode the maternal data will not longer be visible Attachment manager This allows you to attach external documents to a particular episode Typically this might be scanned paper documentation but it could also be a file imported from another application You can integrate up to 10 MB of electronic attachments into each open maternal or newborn episode The total number of documents per patient per pregnancy is 1000 1 Bring into focus the patient to whose record you want to add a document 2 Click the appropriate form icon For example use the admission form if this attachment relates to your patient s admission 3 Click the Attachment page tab scrolling to the right
120. rchiving disks can be backed up using a single back up disk The Patient Index Search and Link Recovery Tools apply only to TV to TV Link systems Page 104 of 125 OB TraceVue Trainer s Toolkit Training Tools System Manager and Configuration Training Quiz 1 A System Manager has access to disable Advanced Alerting in system settings a True b False 2 The Value Table Editor allows the System Manager to create new OB TraceVue folders create new Pick lists for data entry insert additional fields in OB TraceVue forms modify the default medication list displaying most commonly used drugs and dosages aoe 3 The System Manager password for page configuration is a the same as the System Manager s log on password b con_fig c none of the above 4 The Value Table Editor is saved as part of system configuration a True b False 5 The End User can modify a charting Maps for the patient in focus a alert settings for the patient in focus b their own password c the configuration of the General Overviews 6 In Page Configuration a red outline on a form field indicates a the field is a Read and Write field b the name of the field can be modified c the field has been hidden d itis an auto calculation field 7 A User must be assigned permission to print data from OB TraceVue a True b False 8 A user can access the Value Table Editor if they have been assigned a Read and Write permiss
121. rst antepartum visit until delivery postpartum discharge postpartum follow up and newborn well baby across several pregnancies OB TraceVue creates an awareness of questionable tracings based on cardiotocograph CTG trace analysis It is a diagnostic aid that does not replace the clinician s judgment The interpretation of alerts and the appropriate clinical response remains with the clinician The system is configured at the factory with default settings that determine for example temperature unit of measure or trace display settings Whether you can modify default settings depends on your permission rights In the obstetrical care environment OB TraceVue Release E is intended to gather and display patient information for the purposes of surveillance alerting diagnostic aiding and Storage archiving from the first antepartum visit until delivery and discharge OB TraceVue is not intended to replace current fetal monitor paper OB TraceVue offers a choice of JCAHO compatible or traditional abbreviations for medication doses and units of measure System security To increase the protection of collected data OB TraceVue offers User and data authentication and access control Use of Microsoft Active Directory to manage passwords optional VIP patient treatment substituting the patient s name with an alias Physical security and disaster recovery Protection of remote access points and external electronic communication Software discipl
122. rt monitoring immediately but you don t know who she is After a short time her family arrives and informs you she was here last week Complete the correct admission and continue monitoring Revision E Page 115 of 125 OB TraceVue Trainer s Toolkit Training class evaluation form Name optional Class Title Training Tools Date Class Evaluation Excellent 4 Good Fair Poor Not Applicable 1 Class met the stated objectives 2 Content covered topic adequately 3 Overall quality of this class 4 How well did this class meet your personal objectives 5 How well do you believe you can incorporate class content into your practice Speaker Evaluation Excellent 4 Good Fair Poor Not Applicable I Objectives covered the stated objectives 2 Audiovisuals contributed to presentation 3 Content relevant to my job 4 Presentation speaker qualified and held my interest 5 Effectiveness speaker was organized and effective 6 Practice content helped to validate or change practice Comments Revision E Page 116 of 125 OB TraceVue Trainer s Toolkit Class Attendance Sheet Training Tools Hospital Name Address Order Class Title Date amp Time Location Instructor Name Please Print Title Phone Email 1 2
123. rties Choose from alert notes FM status vital signs AP IP assessment medications vaginal examination intake output contractions fetus notes events remarks system notes Click the normocardia option to print the normocardia area Statistics A statistical report contains data that is generated automatically from the database and is displayed in a pre designed Microsoft Excel spreadsheet These are NOT patient specific and are primarily used for unit management purposes Audit Trail Prints all changes to this patient s data during the selected episode Choose whether to print database audit trail and or notes audit trail NOTE the audit trail DOES NOT print with the document that it references To see changes modifications to charted data you must use these audit trail reports gt Current Screen Print a snapshot of the screen OB TraceVue Revision E 0 page 87 of 125 OB TraceVue Trainer s Toolkit Super Users Creating Print Maps You can store print settings in a printing map which is similar in concept to a flow chart charting map A printing map includes the data from the checked boxes in the Data list box the print range excluding the start and end times the default printer and all properties of the data such as the included notes pages options and paper settings You can define up to 30 printing maps When you start the printing module the system uses the printing map most recently used on this PC If OB TraceV
124. rue b False 8 Philips Medical Systems recommends the Local Data Recovery Tool is run a Daily b Every 90 days or following an uncontrolled Server shutdown c Following any changes to the System Configuration d Prior to optical disk backup 9 The Log File Viewer allows you to see select all correct answers a Transaction and error logs for each PC in the OB TraceVue network b ADT transactions Revision E Page 102 of 125 OB TraceVue Trainer s Toolkit Training Tools 10 11 12 13 14 15 16 c Configuration changes made to OB TraceVue d Failed user log on attempts e Patient records stored on the archiving disk FM Spy allows the System Administrator to a Evaluate data flow between the OB TraceVue client and the respective fetal monitor b Adjust fetal monitor calibration c Change the date and time on the fetal monitor d Evaluate data flow from the fetal monitor to the OB TraceVue Internal Server The Set Break ADT Link Tool allows the System Administrator to a Correct data sent by the HIS to the OB TraceVue patient record b Merge duplicate patient records c Unlock a patient record that exists on another OB TraceVue server d Lock a patient record from further access The External Database Administration Tool should be used Select all correct answers Prior to runningyaystatistical report On a monthly basis Prior to backing up the External Database to tape Whenever th
125. s Toolkit System Administration System Architecture OBTV Architecture Clients hosting SPSs FM4g FatClient I Fat Client n Client Client 4 FMI FMI6 FM32 OBTV OBTYV OBTYV Client Client Client OBTY Client OBTV LAN OBTV OBTV External Internal S Pe Sonor prear Web Clients OBTV WinWord Web TS OBTV OBTV Server Client Client stem Your comprises Patient Demo Internal DB External DB p E Traces amp wai Close Charted Data Episode Archive Optical Disk Pregnancy Data Episode Data Printer Philips Project Manager or TC will explain your particular system architecture 1 Hardware Data Flow Revision E Page 20 of 125 OB TraceVue Trainer s Toolkit System Administration Data flow within the system Antepartum Phase Intrapartum Phase Postpartum Phase Newborn Nursery dmit asse 2 Docume 3 Pregnancy Episodes Data Flow Revision E Page 21 of 125 OB TraceVue Trainer s Toolkit System Administration Patient Mother Patient J Newborn 4 Mother Newborn Link Pregnancy Complete ae Newborn an Documentation Child 1 Delivery Record Child N Delivery Record 4 Mother Newborn Link Data Flow Episode i Revision E Page 22 of 125 OB TraceVue
126. sion Log ChalkboardM Log Delivery Log Discharge Log Fetal Death Log Labor amp Delivery Log Live Birth Log Obstetric Statistics Open Cases 12 Month Open Pregnancies Patient Creation Log Perinatal Death Log Providers Log Regular Admin Statistics Scheduled Log Stillborn Log System Audit Trail Log Transfer Log Undelivered Log Yearly Admin Statistics Zip Log Newborn Word Forms Nursery Admission Nursery Discharge Nursery FC Assess by Time Nursery FC Assess by Type OB TraceVue Revision E 0 page 52 of 125 OB TraceVue Trainer s Toolkit System Managers Newborn Excel Logs ChalkboardN Log Nursery Admission Log Nursery Discharge Log System Audit Trail Log Training Plans Benefits of the Super User Train the Trainer Model Develops a core group of competent and confident Super Users In house Trainers provide cost effective training through the life cycle of your system and your staff Utilizes your hardware for Training Training Plan Identify team members and set appropriate expectations for their new roles Maintain and document dialog between all team members Identify Training location Begin proactive strategic planning for system Consider Policy amp Procedure issues Discuss configuration options and change system as needed for staff training Evaluate and revise teaching outlines competency tools and other training documents as needed Consider team training Create class schedules Conduct Super User Trainer debr
127. sion on the flow chart and then adding the drug details If necessary you can administer a bolus gt Ifa dialog offers a choice of radio buttons against a dose rate initial amount or initial volume click the button for the item that you want the system to calculate automatically then enter values for the other items gt You can pause stop restart and modify a medication Click Stop to stop and Restart if you need to restart it To modify a medication click on it in the flowchart change the dose and click Modify Always ensure that the start and stop times are displayed correctly OB TraceVue Revision E 0 page 80 of 125 OB TraceVue Trainer s Toolkit Super Users While fluid is available the flow chart displays a running infusion it with an arrow The end is squared off if the item was stopped gt A ragged end indicates that the infusion fluid ran out before the infusion stopped gt Dark shading indicates the period during which a medication was paused EE You can start an infusion without a rate but with an initial volume with neither a rate nor an initial volume Similarly you can start a continuous medication gt with neither a dose nor a rate but with an initial amount and initial volume gt without any of the following dose rate initial amount and initial volume You cannot modify the rate but you can subsequently update the record by clicking on the infusion or drug adding the new i
128. te 108 109 Training Outlines 14 29 52 Traing Planson dioi setji a 50 Training Tipsene iseni di 98 Training Tools Lerner 7 88 Troubleshooting eee 27 86 Using Forms eere 81 91 94 Using the Flow Chart 25 74 90 994 VTE configuration deedee 43 wdi ccess E E 92 94 Weil lients AEN E 86 Windows security amp Active Directory 1 21 Working with patients eee eeeeey 67 Working with Traces 1 90 93 Page 125 of 125
129. thers negative Qoo 0 OG Locations The down arrow appears throughout OB TraceVue Forms and Flowchart Flowchart Vital Signs Vag Exam Flowchart Maternal Vital Signs Vag Exam Fetus and Contractions Forms Admission Labor Record Delivery Record Anesthesia Record Forms Allergies Screening Examination Flowchart Assessment Forms Admissions Diagnosis Plans Examination Postpartum Follow up Progress Notes Forms Labor Record Forms Examination The pictures are examples of those used to enter fetal position information OB TraceVue Revision E 0 Super Users How to Use Click on the down arrow The list that appears allows selection of a single item You may need to place your cursor in the field where you wish to enter data before the down arrow appears Click and hold the cursor on the vertical slide bar Move up and down to select the desired numeric value Click cursor on the appropriate numeric values e g to enter a systolic BP of 116 click on 1 1 6 on the keypad on the left Enter the diastolic BP using the key pad on the right Combo boxes allow the user to make multiple selections from a list and to enter free text comments When using a combo box click cursor in the white area a dialogue box opens The select items from the list at the top by highlighting and clicking A comment section is provided at the bottom The default selection implies the item
130. they already know Similarity the information is similar to material that participants already know that is it revisits a logical framework or pattern Degree of original learning participant s degree of original learning was high Critical attribute element the information learned contains elements that are extremely beneficial critical on the job Although adult learning is relatively new as field of study it is just as substantial as traditional education and carries a potential for greater success Of course the heightened success requires a greater responsibility on the part of the teacher Additionally the learners come to the course with precisely defined expectations Unfortunately there are barriers to their learning The best motivators for adult learners are interest and selfish benefit If they can be shown that the course benefits them pragmatically they will perform better and the benefits will be longer lasting Lieb Stephen Arizona Department of Health Services Retrieved from http honolulu hawaii edu intranet committees FacDevCom guidebk teachtip adults 2 htm December 29 2005 Change management For a successful transition to the new system it is important that the team manage the change Ways to do this include Help people perceive the value of the new system Plan all phases of the implementation including configuration training and conversion go live Involve the impacted groups
131. time FHR severe Tachycardia limits FHR Tachycardia limits FHR Bradycardia limits FHR severe Bradycardia FHR signal loss Coincidence Global NST Settings Minimum time range Minimum number accelerations Maximum number decelerations Change Individual Patient Alerts Patient in focus Permission rights of User Considerations for patient Patent Bed transfer to another bed Transfers Backup of Database to Config Back Optical disk Up Configuration Backup to Optical disk amp Floppy Fetal Monitor Setup PC Name System Admin Shutdown COM BON Bed OB TraceVue Revision E 0 page 38 of 125 OB TraceVue Trainer s Toolkit System Managers Topic Details Notes Check FM configuration from any PC Exit OB TraceVue Controlled shutdown of PC Uncontrolled shutdown of PC Server shutdown System messages Single Return to Main screen Patient Trace Help Single Screen elements Patient Trace Identify Search Patient Create New Patient amp New Pregnancy Close Episode Start New Episode for Existing Pregnancy Review Retrieve Episode Close Pregnancy Flow Chart Config Flow Chart elements columns rows tabs scroll bar switch between IP AP amp PP Overview Data Entry amp Detail Page tabs Contents Chart Modify Delete Review data Charting M
132. time and graph range settings 1 Click E E to go to the flow chart 2 Click the Charting Map button at the lower left corner of the screen to go to the Settings page 3 Click on the down arrow beside the name of the current charting map 4 Click on the name of the charting map you want to use 5 Click Save to apply it to this patient If the sheet time range for the new charting map is different from the previous one acknowledge the change in time and select the start time for the new time range OB TraceVue Revision E 0 page 79 of 125 OB TraceVue Trainer s Toolkit Super Users Modify a Charting Map You can change an individual patient s charting map 1 Click Ed to go to the flow chart Set up the summary pages by putting at the detail pages a check mark in the column for each measurement you want to see on the overview page and on the data entry page Set up autocharting maternal AP IP only if required pz Set up automatic reminders to input data if required Click on the charting map button to jump to the Settings page Configure the sheet time range Configure the graph time range Click Save p 4 d po CIN UA e o9 v The word modified is displayed adjacent to the charting map name This indicates that you are now using a copy of the original charting map and that the new settings apply to this patient only gt Atany time you can return to the previous charting m
133. ting gt Policy and Procedure Update and or Development gt User Training Plan Development Super User Training Development of a core group of Trainers and resource staff Information the End User requires to effectively use OB TraceVue in daily work activities First line troubleshooting Revision E Page 12 of 125 OB TraceVue Trainer s Toolkit Overview SAMPLE Revision E Page 13 of 125 OB TraceVue Trainer s Toolkit Additional Resources Resource Type On line Help User Documentation Reports Statistical Log Templates Technical Documentation Sales Documentation Application Notes Information Portal Graphic files for system icons amp graphics used in this document Revision E Where Found Overview Name Part Number Available by clicking the HELP icon 2 Documentation CD In the TV2 Templates directory Documentation CD Available from your Philips representative Documentation CD SHIFT CLICK on Help Icon Documentation CD Instructions for Use Quick Reference Guide System Administration amp Configuration Guide Word Form Fields and SQL Query Examples On the OB TraceVue internal server usually called the O V drive Database Dictionary Installation amp Service Manual Integration Guide Site Preparation Guide Sales Guide dntermalonly System Guide 4522 962 0925 1 862 Technical Data Sheet 4522 962 08022 Product Brochur
134. to enter just that particular value Flowchart summary pages Two summary pages are available in the FC to make it easier for you to enter data See also Charting Maps This is the overview icon that shows your data in a graphic format S9 This is the data entry icon that enables you to chart the most common data elements without having to access different pages in the FC Review the online help topic called Configuring the Flow Chart Summary Pages to review how to add or remove items from these pages NOTE The flowchart use and navigation is the same in a Surveillance and Archiving only system although the screens are slightly different Two png files are available that show this type of Flowchart They are called S amp A FC APIP and S amp A FC PP These are included in the GRAPHICS folder on the OB TraceVue Documentation CD Autocharting Autocharting which is available for the maternal AP IP chart only is composed of s Values sent from fetal monitors to the flow chart such assmaternal NBP MHR and SpO2 These chart automatically NOTE not all FMs are enabled to send data to the system for autocharting Values such as accelerations and decelerations derived from the fetal trace and toco trace data These chart when derived value autocharting is enabled and the flowchart s time range interval is 60 minutes or less Values are available within five minutes of the end of a monitoring period Your system may be co
135. to reach it if necessary 4 The system displays the document management and manipulation icons and progress bar showing how much storage capacity remains 5 Click the appropriate icon to import a document into the patient record Review the Attaching a Document topic in the online help for more information Printing patient reports Various patient application reports are available in the system that can be printed on demand Some printing options are common to both maternal and newborn patients Click in the check boxes to determine what to print for the patient in focus You can save your choice in a printing map and apply this rather than having to select each element individually each time you want to print OB TraceVue Revision E 0 page 86 of 125 OB TraceVue Trainer s Toolkit Super Users You can print the following types of reports Documents A document is a patient report generated using a Microsoft Word template containing patient information You can see the list of available reports in the System Managers chapter of this toolkit Maternal Flowchart and note reports AP IP Flow Chart print her antepartum intrapartum flow chart properties Choose from overview page data input page vital signs assessment medications vaginal examination intake output contractions fetus events Select the option fit graph range to sheet range if you want to adjust the time range of the graphs to the time range of the
136. to the folder use the mask characters to set the format The mask characters are also the prompt characters that the system displays in the input field See the Instructions for Use or the Online Help for more information about these Masked fields Making a copy of your VTE At some point you may want to have a printed copy of your VTE The steps to save your V TE as a text file and then importing that text file into Microsoft Excel so that you can print it or view it on the computer are listed below Open your VTE and select Save As from the File menu In the Save as Type field select Text Tab delimited In the File Name field enter a name for your file such as VTE Janl11 06 txt In the Save In field select the network location where you want to locate the file Then select Save ls T OB TraceVue Revision E 0 page 49 of 125 OB TraceVue Trainer s Toolkit System Managers 6 Close your VTE 7 Open Microsoft Excel 8 From the File menu select Open and navigate to the network location where you stored the text file 9 Inthe Files of Type field select Text Files 10 In the File Name field enter the name of the saved text file or select it from the directory A wizard will appear 11 In the Text Import Wizard Page 1 select Delimited then Next 12 On Page 2 in the Delimiters box select Tab then Next 13 On Page 3 in the Column Data Format box select General 14 Select Finish The text file will be importe
137. ts Triage staff to view an Overview of only Triage patients etc Individual Users can be assigned a specific General Overviews Users are able to configure a User Specific Overview that displays only their own patients The gray area of Normocardia can be displayed on the Overview to assist in evaluating FHR baseline 16 bed overview displays 8 minutes of tracing screen 12 bed overview displays 5 minutes of tracing screen 8 bed overview displays 3 5 minutes of tracing screen 6 bed overview displays 4 minutes of tracing screen 4 bed overview provides 6 minutes of tracing screen 2 bed overview provides 14 minutes of tracing screen Do you need a policy that Overview displays on screen at log off Location names to appear in OB TraceVue Bring list of patient locations to class Bed locations are those locations where the patient will actually be monitored ex LDRs etc Yes No Name ex Chart Hold Criteria for use Patient data can be entered manually but will not be sent from a Page 119 of 125 OB TraceVue Trainer s Toolkit Training Tools fetal monitor Departmental beds are useful when a patient record must be left open ex for additional documentation but the patient has physically left the department Also useful if a patient episode is opened for a reason other than to monitor ex Pre admit enter Lab results etc Other Locations AP will not be monitored Home PP delivered PP not delivered and wi
138. tween the newborn and the maternal records Newborn Explain how the Maternal screens work in a newborn record Module Demonstrate how to document a newborn assessment Discuss which items are placed in the newborn record from the delivery record Describe how to choose print items E Identify what items to print and when Printing TIE Show how to choose the destination printer and paper orientation Explain how Print Maps are used System Describe the importance of the train icon Alerts Show how to acknowledge a system alert Show or describe how to exit OB TraceVue System Show or describe how to shutdown a Client PC Aden Show or describe how to move a Mobile Client Show how to specify the FM connection to a Mobile Client Describe what happens if the power to the Server fails Help Screen Describe how to use the Help icon Web Access Show how to access OB TraceVue via the hospital Intranet Co residency Explain what co residency means Show how to minimize and maximize OB TraceVue Describe what remains on the screen when OB TraceVue is minimized Revision E Page 97 of 125 OB TraceVue Trainer s Toolkit Training Tools System Road Maps OB TraceVue Maternal Road Map Revision E 0 ed zm a zd ed a t E pa Log e Quick Patient Change Single Float Flow Chalk Mulit Print Lock FM Admit Search Location Trace Trace Trace Fax Unl
139. ue has just been restarted no default printing map is applied Super User permission is required to create a printing map To define a printing map 1 Define all the data items and their properties that you want to include in the printing map 2 Click the Configuration tab in the print module 3 Choose whether to a Save current settings as save the current print settings as a new printing map b Update with current settings save any changes you have made to this printing map using the same name as before c Delete erase this printing map d Rename change the name of this printing map You must then enter the new name for this maps Printing Documents of Closed Episodes Documents of closed episodes can be printed up to 96 hours after the close After this time the documents checkbox is disabled This is because theyshort term notes vital signs alert notes fetus notes contraction notes fetal monitor notes and details of assessments notes are erased from the external database after 96 hours System hardware Moving mobile workstations These instructions apply to workstations that have direct connections to a fetal monitor but are moved from one location to another To avoid possible errors in the patient record it is important that you follow the steps below when you move a mobile workstation from one patient to another 1 turn off the fetal monitor 2 log on to the client you want to move and shutdown OB TraceVue
140. uld be consistent through out the staff TraceVue Time for Birth Time Pre Admit AP Yes No Patients Patient data can be entered before the patient arrives in the department if the mandatory fields are available Ex your MDs send paper prenatal records and the patient has a MR much of the patient demographic pregnancy prenatal and medical history can be entered before she is ever seen in L amp D Episode Close Who amp When An episode is best described as an encounter or an event Ex The patient is monitored for decreased FM and sent home a patient is admitted in labor and delivers lab results are entered in OB TraceVue a patient is pre admitted Typically the episode is closed at the end of the encounter A patient may have a single or multiple episodes within a pregnancy Pregnancy Close Who amp When Revision E Page 121 of 125 OB TraceVue Trainer s Toolkit Training Tools Documentation model impacts decision L amp D vs PP vs Clinics This decision is sometimes determined by the care delivery model FHR Alert Name FHR amp duration settings for Tachycardia Severe Tachycardia amp Limits Bradycardia amp Severe Bradycardia Signal loss amp time Time amount for re alarm Do you have similar settings for your current system Policy amp Procedure considerations acknowledging changing amp disabling alerts actions amp documentation include default settings at Go live update P amp P w
141. ur existing data gathering process Some data fields consist of lists where you either check a box beside the items in the list or select one or more of the items You configure the items in a list using the Value Table Editor Entering Configuration Mode You can configure the screens and forms from any PC in the system You cannot configure the screen or form that is currently on the screen If you want to configure the currently selected screen or form you must first change to the single trace screen then follow the steps below 1 Make sure you are logged in as a super user or system manager 2 Press and hold down the Ctrl and Shift keys OB TraceVue Revision E 0 page 50 of 125 OB TraceVue Trainer s Toolkit System Managers 3 Select the icon of the screen or form you want to configure Release the Ctrl and Shift keys after the form has opened This will place the screen or form into the Configuration mode 4 The colored outline around fields and tables indicates that you are in configuration mode and can configure these items 5 Click on the tab of the page you want to configure The fields that you can configure are outlined in red yellow or blue depending on the status of the field 6 Click on the checkboxes at the top left of the field to choose whether the field a appears on the page for editing red frame b appears on the page but can only be read and not edited only applicable if the value
142. ur hospital Philips Medical Systems retains the copyright to all material contained in the toolkit B cause this document is written using Microsoft Word a tool available to most of you on your OB TraceVue system you can easily copy parts of the material for your use and place it into your customized documents All of the graphics files used in this Toolkit are available on the Documentation CD in a file called icoris zip 1 Overview This chapter contains the following items Description of the various users needed to interact with the system Objectives for the various training classes End user competencies Training outlines Lists of available other resources VVVVV 2 System Administration This chapter contains information about the following topics System Administration tools Windows security Data flow within OB TraceVue Servers and databases System maintenance System troubleshooting VVVVVV 3 System Managers This chapter contains information about the following topics gt ADT information gt Audit trails in the system Training tools Revision E Page 7 of 125 OB TraceVue Trainer s Toolkit Overview gt Configuration System configuration Value table editor Screen configuration gt Application and Statistical reports 4 Super Users This chapter contains information about the following topics Super User selection Principles of adult learning Change management System hardware System so
143. y Date Time 5 Click Create Newborn Record 6 Enter the details you can for the name medical record number and newborn ID in the Newborn Patient Identification window 7 Click Create Patient 8 Complete the newborn location details Typically a newborn has two locations within a department She has her administrative location such as Nursery She also has her physical location such as Mom OB TraceVue Revision E 0 page 71 of 125 OB TraceVue Trainer s Toolkit Super Users 9 Click OK The system displays the newborn chart The switch now displays a red border to indicate that the maternal newborn link is established You can click on this to automatically bring the mother into focus n alternative way to create a newborn patient is by clicking on the newborn half of the maternal newborn switch and then clicking Create Newborn Record Make sure you have first completed the maternal labor and delivery pages in the maternal record before creating the newborn patient The newborn record contains read only views of the maternal delivery data If you have not completed all the fields although you can retrospectively enter them in the maternal record some such as the newborn s sex are not dynamically updated in the patient panel Pregnancy Episodes Data flow During her pregnancy a patient usually pays multiple visits to her healthcare provider Each encounter is an episode Multiple encounters may be documented with multip
144. ystem implementation time period Represent the various work shifts clinical departments and user types who will be using OB TraceVue Understand adult learning principles and how they apply to OB TraceVue training Understand change management principles and how they apply to system implementation te v te v e e v e e t e Principles of adult learning Adult Learning Theory Part of being an effective instructor involves understanding how adults learn best Compared to children and teens adults have special needs and requirements as learners The field of adult learning was pioneered by Malcolm Knowles and he identified the following characteristics of adult learners Adults are autonomous and self directed They need to be free to direct themselves Teachers must actively involve adult participants in the learning process and serve as facilitators for them Specifically they must get participants perspectives about what topics to cover and let them work on projects that reflect their interests They have to be sure to act as facilitators guiding participants to their own knowledge rather than supplying them with facts Finally they must show participants how the class will help them reach their goals OB TraceVue Revision E 0 page 62 of 125 OB TraceVue Trainer s Toolkit Super Users Adults have accumulated a foundation of life experiences and knowledge that

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