Operating Room Console User Manual
Contents
1. FRIARTUCK User Manual Operating Room Console User Documentation Series February 04 2010 Version 2 0 User Manual Operating Room Console F R A HI U C K Document Version History Author Document Title Date Version Brian D Sheehan User Manual Operating Room Console February 04 2010 Sridhar Reddy ORD User Manual July 14 2009 Document Conventions This document uses the Microsoft Manual of Style for Technical Publications 3 edition Disclaimer This document is provided As Is and copyright holders make no representations or warranties express or implied including but not limited to warranties of merchantability fitness for a particular purpose non infringement or title that the contents of the document are suitable for any purpose nor that the implementation of such contents will not infringe any third party patents copyrights trademarks or other rights The name and trademarks of copyright holders may NOT be used in advertising or publicity pertaining to this document or its contents without specific written prior permission Title to copyright in this document will at all times remain with copyright holders Private and Confidential i User Manual Operating Room Console F R A RI U C K Table of Contents MOda CON er E omm 1 Optimised Operating Theatre Management OOTM eeeseeeeeennnnn nens 1 Operating ROOM CONSOLE EE 1 CSTE SC zo NP TTL 2 Forisiuisdicers02. 7 Finalise a When done touch OK b The Staff Update Panel will list all selected roles Private and Confidential page 8 of 20 User Manual Operating Room Console amp F R A HI C K Edit Staff and Role To edit staff and or role information 1 Inthe Staff Update Panel touch Update a The Update Surgery Team window appears 2 Select a Staff Title a Select a staff title at the top of the window i A list of the currently active staff in the selected role appears in the Staff List panel 3 Select a Staff Member to Edit a Inthe Staff List panel touch the name of the staff member to edit the selected box turns green b Touch the Edit button pen icon i The Edit Staff window appears c The active staff member s name is highlighted in the Staff Filter panel and their role is highlighted in the Staff Role panel Update Surgery Team Scrub Nurse AU Nurse OT Technician Anaesthetist Surgeon Staff Filter l Select Staff Title Touch Edit pen icon Advance Dip Jael Tan Qin Ping Staff List 3 Miche deich Select a Staff Member Leoni Balasamy 4 Change the Role In the Edit Staff window note that the active staff member s name is highlighted in the Staff Filter panel and their role is highlighted in the Staff Role panel a In the Staff Role panel touch the desired role box b Click Set Private and Confidential page 9 of 20 User Manual Operating Room Console FRIARTUCK Update
3. 1 Launch OOTM via an Internet Explorer web browser a The Login to OOTM window appears 2 Enter your login credentials a In the Username box enter your username b In the Password box enter your password c Click Login i The Operating Room Console appears in a new window Login to OOTM EN i Username MORIO L Lost n IL s 4 TOO 2 0 0 Adele Wong Arlene Mae F Circulating Nurse Heng Aik Wa AU Nurse Qun Wang Figure 1 Logging in to OOTM Private and Confidential page 2 of 20 User Manual Operating Room Console F R A HI C K Interface i Dor 2 0 0 aH RN mmm en PATIENT INFORMATION TEGUH SANTOSO W0027455J Male 61 Yrs Fost Op Mone DEOGRESS LoG Medical Alert Information SsCOTTE Birius d Frantal varisus Leseni Radical OR ration Anaezstharist Primary Surgean Wary be em AE in i Swinical Requisite Implants checked Swap Scrub View All Update ee Surgical Requisites Sterility ol surqig f seis checked SERVICE REQUEST e 2 e a t a a I ET F Pma p Bed Paa Op Eed IOID HER checked d applicables Pre Dp Canfirm with 5urngean regulremearn for parent s positinn NEXT PATIENT Edit JARS Thursday February 4 070 14 11 ERR T OSHTE 0G he KEE Dar 11 Te Patient Information Panel Progress Log Next Patient Panel Surge
4. in the Checklist window Progress Log The Progress Log is a progress bar from top to bottom that displays all procedural steps involved during the surgery The Progress Log is typically used by the circulating nurse or AU nurse so that the surgery progress can be updated in real time How to Use the Progress Log 1 Complete the Pre Op checklist 2 Complete the Pre Induction checklist 3 Touch the yellow OR In button a The current time will appear to the left of the OR In button and the button will turn green b Note If you touch OR In before completing the Pre Op and or Pre Induction checklists then you will be prompted to complete each checklist before the OR In stage is activated PROGRESS LOG PPUPPPTTTTTTTTTTTTETTTTTTTUTTTTTTTTTTTITTTTTTTTTETOTTM Amas uranio arab Ha ori irre iral Kitz Gb m Ip s hari pre 28 15 RAL Bt Lite ETE Figure 19 Pre Induction to OR In Phase 4 Touch Anaesthesia Induction 5 Complete Pre Incision checklist 6 Touch Surgical Preparation a The current time will appear to the left of the Surgical Preparation button and the button will turn green Private and Confidential page 17 of 20 User Manual Operating Room Console F R A HI C K b Note If you touch Surgical Preparation before completing the Pre Incision checklist then you will be prompted to complete the checklist before the Surgical Preparation stage is activated e Timeout Pre Incision Checkli
5. 1j pe T 2 IUBE Io TEE 3 Watgen Emm 4 Exiting the OR qiio PN TT 4 Using the Operating ROOM COnSOlB s irri stia vasa FURY a Ue FER S SET RUE MINE Ur a eE Eea enai 5 Start UDOAte Tale EE 5 Inter de Oars E MBINM ENIM I MEM SEMEN EM UN MEM T NRI MI ANIME 6 Add Staff and ROIG EE 6 Ear Statt Tue We 9 Hee EE 11 PATIENT UT 12 SWS dU E 13 Patient information PAM Cl E 14 Critical information Pane riimtetdessutinte ode iiie a tears uq EEEE EENE 14 PAULINE PW CE CIOS RETE 14 Planned die e Ui e 14 KEE 15 Nature OT UC e CNN TO OTT 15 Preparing for the OR In Plhase ssccccssressssscscsesscccsssencussrencassceceessencnsrecnensscenssencusrs 15 Howto Complete Checklist us coosedesutiua e rmn I EE pP CEU Udvo mvNE telooedea E atra OH URS E PeUR EDITUS 16 Beet Ee f 17 Howto Use the Progress BE 17 ORP OR OUT AY OOo t ti 19 Jene SRP OR OUT a E E E EEE 19 Next PatlenE ie E 19 SUM ALSE E S U T E N E E A EEEE NIMM ANE T N 20 FANCHON AN TR TERR Nx 20 Private and Confidential li User Manual Operating Room Console F R A RI U C K Table of Figures Figure T Logging NTO E A HE 2 Heure 2 OR Console NTEN TOO aseseemecn iere RE EA EEE E E ETE 3 Figure 3 Exiting the OR Rn Ee ier eerte th Eh Io VE SE TIRE Ia Pav SU Er Pad RUP S SII S dbUPMME ra gU YPF TA Dr o HI
6. 6 Patient Allergies Section Planned Procedures The Nature of Operation section lists the type of operation to be performed while the Code section details the hospital code assigned to the operation This data is retrieved from booking file of the patient Nature Of Operation Code Knee arious Lesions Total Joint Replacement Figure 17 Planned Procedures Section Private and Confidential page 14 of 20 User Manual Operating Room Console F R A RI U C K Checklists There are 4 checklists which should be completed before and after the surgical procedure Pre O To be completed by the circulating nurse before calling for the next P patient l To be completed by the circulating nurse during time out before Pre Induction un l anaesthesia induction in the presence of the anaesthetist in the presence of the surgeon To be completed by the anaesthetist circulating nurse based on the Post Op patient s need in the recovery room before the start of the patient s reversal Nature of Questions All questions within each checklist are wholly configurable by an Administrator level user The questions are designed to promote patient safety within the perioperative environment Examples of the checklist questions include e Implants checked Pre Op s e Sterility of surgical sets checked e Patient information confirmed Pre Induction l e Pulse oximeter on patient and functioning e Surgeon confirms any
7. HUS RUE 4 Figure 4 Staff Update Panel Intertace 6 Figure 5 SelecHmg q SESTT E E it mit buit ste reete mU A ITI III RO Eed TE DHIENNUPTNEIUE 6 Figure 6 Searching for a Staff Member 7 meure 7 SCI CEN Eeer 8 Figure 8 Editing a Staff Member 9 Figure 9 Changing a Staff Member s Role 10 Figure 10 Selecting Different SCANT EEN 10 Figure 11 Removing a Staff Member 11 Figure 12 Viewing All Staff Membere 12 Breet TC KEE 13 Figure 14 Swapping NUEFSOS sissssetsnsesevyeseiveset vit eyPa UY oe P vvkt Cue redd osten va no O nua Les ea y nao UvPS euet eHO 13 Figure 15 Patient Information Panel 14 Figure 16 Patient Allergies EEN reese ao Uhr rc bet Us ca Teka pa ux eege 14 Figure 47 Planned Procedures SCCUIOM use cvm e aa kr ri EE p Faux EEG 14 Figure 15 Completing a CHeCcKIISL sesso risit pe pOE ba E eE Ss EX esti Nu EAE dept dtes pUR d eH 16 Figure 19 Pre Induction to OR In Phase 17 Figure 20 Pre Incision to Surgical Preparation ccccsscccsseceecsececesececssceesesscesaucesauscessenees 18 Figure 21 Post Op to Skin Closure Phase eene nennen nennen 18 Figure 22 Next Patient Fat E 20 Figure 23 SUFPerv e ue UE 20 Ligure e Ee RE ge meri dsc E UD aV n sve Mop ERU M M Ervm MOENR von TU MM DIEN UNE 20 Private and Confidential lil User Manual Operating Room Console F R A RI U C K Introduction Optimised Operating Theatre Management OOTM OOTM is a unified system that provi
8. Surgery Team Scrub Nurse OT Technician Anaesthetist Surgeon Edit Staff Staff Role SE Staff Filter Circulating Nurse Heng Aik Wah Ho Siew Foo Albert Relief Circulating Ho Tat Kui Hoo Xioo Jia Hu Xiao Ling Figure 9 Changing a Staff Member s Role 5 Change the Staff a Inthe Staff Filter panel navigate to the desired staff member using the drop down list or launch the mini keypad to search for a staff member by name b Click Set Edit Staff Staff Role Staff Filter Circulating Nurse Heng Aik Wah Ho Siew Foo Albert Relief Circulating Circulating Nurse 2 E Staff Filter Tat Kui Ho Tat Kui Figure 10 Selecting Different Staff Private and Confidential page 10 of 20 User Manual Operating Room Console amp F R A HI U C K 6 Finalise a Click OK b Information within the Staff Update Panel will change according to the modifications made Remove Staff To remove a staff member 1 Inthe Staff Update Panel touch Update a The Update Surgery Team window appears 2 Select a Staff Title b Select a staff title at the top of the window i A list of the currently active staff in the selected role appears in the Staff List panel 3 Select a Staff Member to Remove c Inthe Staff List panel touch the name of the staff member to remove the selected box turns green d Touch the Remove button X i The staff member is removed from the Staff List panel ii Note
9. You cannot remove the Primary Surgeon Update Surgery Team he Ais i Ji gm c seems Adv Dip Veronica Wong Kim Erl Advance Dip Choo Li Ping eee etam el pe H bh 2 Select a Staff Member Figure 11 Removing a Staff Member Private and Confidential page 11 of 20 FRIARTUCK User Manual Operating Room Console View All Staff 1 In the Staff Update Panel touch View All a The panel will expand to display a list of all assigned staff members 2 When done touch OK OT Technician Tao Poi Lon Paul Anaesthetist Loh May Han Primary Surgeon Yuan Si Yang STAFF Adele Wong Princy Joy OT Technician Anaesthetist Loh May Han Primary Surgeon Yuan 5i Yang Figure 12 Viewing All Staff Members 3 Additional Functionality a If available the handphone number of staff members will appear to the right of their name b To contact the staff member via SMS touch the appropriate SMS button and touch Yes to confirm the action Private and Confidential page 12 of 20 User Manual Operating Room Console SMS Confirmation Ie Figure 13 Sending an SMS Swap Scrub The Swap Scrub tool is used to switch scrub and circulating nurses 1 Touch Swap Scrub a The Swap Scrub amp Circulating Nurse window appears 2 Select the nurses to exchange remember that the same number of nurses must be selected in each panel i e if you s
10. critical or unexpected steps anticipated blood Pre Incision loss e Anaesthetist confirms if there are any patient specific concerns e Nurse verbally confirms the name of the procedure recorded Post Op e Nurse verbally confirms whether there are any equipment problems to be addressed Preparing for the OR In Phase After the patient has entered the Operating Theatre OT Reception area he she is then prepared to enter the operating room On entry into the reception area a pop up will appear on the OR Console notifying the surgery staff that the patient is ready Next Patient Call To bring the patient to the OR 1 Touch Bring Patient to OR 2 Patient TEGUH SANTOSO X0027455J has arrived at OT Delay the OR In phase Reception 1 Touch Wait in Waiting Area Please send the instructions to Reception nurse to proceed further When the Bring Patient to OR button is selected the checklists and Progress Log Bring Patient Wait in features are enabled toOR Waiting Area Private and Confidential page 15 of 20 User Manual Operating Room Console 8 R A HI U C K How to Complete a Checklist 1 Select the appropriate checklist tab 2 Touch Edit a The checklist appears in a new window 3 Select Yes No or NA for each question _Pre Or Prednduction Pre incision Post Op em Pulse oxinoter on patient and functioning Does patient havea dilficul Airway Aspiration risk Noes patient ha
11. des the clinical and administrative applications needed to efficiently operate the perioperative environment Instead of autonomous systems for operating room management procedure scheduling and anaesthesia information these applications are fully integrated and use a single database server The result all data collected validated and documented by care providers and staff is available wherever and whenever it is needed In addition management gets the data needed to improve efficiency and make the best business decisions Operating Room Console The Operating Room OR Console within OOTM is used to efficiently manage all procedural stages within a perioperative environment The OR Console application launches when the Operating Room logs in to the system i e using an OR specific username information is then displayed on a touch screen monitor within the operating theatre Examples of the kind of functionality offered by the OR Console include e Operation staff management e Display of patient data and critical information such as drug allergies and medical alerts e Safety checklists from the pre operative stage to the post operative stage e Surgery progress log e Operating room calendar e Service requests e g request blood equipment and medication in real time using SMS technology Private and Confidential page 1 of 20 User Manual Operating Room Console F R A HI C K Getting Started Logging in to OOTM
12. elect 1 scrub nurse you must select 1 circulating nurse If you select 2 scrub nurses you must select 2 circulating nurses 3 Click OK a The Staff Update Panel will reflect the modification Pr mary Surgeon S Tuan Si fang Swap Scrub amp Circulating Nurse Scrub Nurse Circulating Nurse Scrub Nurse Adele Wong Figure 14 Swapping Nurses Private and Confidential page 13 of 20 User Manual Operating Room Console F R A HI C K Patient Information Panel The Patient Information Panel conveys basic information about the patient as well as identifying the Operating Room number Displayed data includes Operating Room number Patient name Patient identification number Gender Age Weight Anaesthesia type Case Description Post operation destination and bed PATIENT INFORMATION Patient TEGUH SANTOSO X0 Male 61 Yrs Kg GA None Case LT TKR KIY STEM Post Op Description Figure 15 Patient Information Panel Critical Information Panel The Critical Information Panel displays important information about patient allergies the nature of the planned operation and a series of checklists based on operational procedure Patient Allergies If the patient has any allergies or other medical alerts they will appear in this section DrugAllergy Allergy Drug Allergy Medical Alert Information Medical Alert Information Alert Information Figure 1
13. m the operating theatre During an operation the surgeon may decide that the patient needs to temporarily leave the operating room In order to do this without activating the OR Out stage i e via the RFID tag when the patient leaves the OR the circulating nurse can use the Skip OR Out feature The Skip OR Out feature simply overrides the OR Out functionality of OOTM temporarily during the patient s absence from the operating theatre Using Skip OR Out 1 Touch Skip OR Out when the patient needs to leave the OR 2 Touch Skip OR Out again after the patient re enters the OR and the surgery is ready to proceed Next Patient Panel The Next Patient panel displays the following information about the next patient for surgery e First name e Current location e g ward e Site exact operation i e surgical site of operation data retrieved from the booking e Mode of transport e g wheelchair If there is no patient scheduled then the panel will display None Private and Confidential page 19 of 20 User Manual Operating Room Console F R A HI C K Next Patient Panel displays the next patient this is also conveyed on the 5u reery Schedule NEXT PATIENT SAIM Ward 1430 1730 3h J 18 25 21 35 ATS 1830 2130 3h J Figure 22 Next Patient Panel Surgery Schedule The Surgery Schedule displays all booked surgeries for the current day on a 24 hour timescale i e day starts at 00 00 00 and e
14. nds at 23 59 59 All surgeries are colour coded based on their current status Colour Description Completed Patient in Ward Zeen 20 5 KADER Functionality 1 Navigating through the Schedule a Click on the navigation buttons to scroll the schedule forward or backward in time Figure 24 Schedule Scrolling 2 Change Schedule a Drag and drop a surgery to a different time schedule The OOTM system automatically places a 20 minute time window between surgeries Private and Confidential page 20 of 20
15. ntal time based calendar tool that displays all eni surgeries scheduled for the day colour coded Exiting the OR Console 1 Click the close icon Ed Est 3 Post Op Mone Figure 3 Exiting the OR Console Private and Confidential page 4 of 20 User Manual Operating Room Console f R A RI U C K Using the Operating Room Console Staff Update Panel The Staff Update Panel conveys information about the staff assigned to the current surgery and is also used to modify surgical staff The type of staff that can be represented in the Staff Update Panel along with their role if applicable include Staff Role Scrub Nurse Scrub Nurse Scrub Nurse 2 Circulating Nurse OT Technician Anaesthetist Anaesthetist Primary Anaesthetist Secondary Anaesthetist Surgeon Private and Confidential page 5 of 20 User Manual Operating Room Console F R A RI U C K Interface STAFF ee e Swap Scrub View All Update Figure 4 Staff Update Panel Interface Add Staff and Role To add staff to the Staff Update Panel 1 Touch Update a The Update Surgery Team window appears 2 Select a Staff Title a Touch the desired staff title at the top of the screen i e Scrub Nurse Circulating Nurse AU Nurse OT Technician Anaesthetist or Surgeon Update Surgery Team Scrub Nurse Figure 5 Selecting a Staff Title 3 Select a Name a Drop d
16. own List I Navigate through the drop down list and select a name Or b Search i Touch the mini keypad to launch the keyboard utility Private and Confidential page 6 of 20 User Manual Operating Room Console FRIARTUCK ii Enter search letters all names that contain the selected letters will appear in the result window as you type iii Select the desired name when it appears Update Surgery Team Scrub Nurse Staff Filter as All names that include won Adele Wong are displayed here TR Dip Veronica Wong Kim Erl Wong Cheng Kim Josephine Wong Psia Ping Staff List Circulating Nurse Circulating Nurse 1 Heng Aik Wah LEOTE Eee Fed Food Feb Eee Pete Pd Fen Ee Eo Backspace Clear Figure 6 Searching for a Staff Member 4 Add the Staff Member a Touch the plus button 5 Select a Role If Applicable a Ifthe staff member is a scrub nurse circulating nurse anaesthetist or surgeon then a role needs to be specified If this is the case the Role Selection window appears b Touch the button that represents the applicable role for the staff member c Touch Set Private and Confidential page 7 of 20 User Manual Operating Room Console F R A RT U C K Update Surgery Team Scrub Nurse Adele Wong Role Selection Figure 7 Selecting a Role 6 Add Remainder of Staff a Repeat steps 2 5 to add more staff
17. ry Schedule Critical Information Panel Figure 2 OR Console Interface Private and Confidential page 3 of 20 User Manual Operating Room Console F R A RI U C K Interface Elements Description Displays the names of the surgery participants Staff Update Panel Functionality includes staff selection add remove staff view and nurse switching Communication panel used to request services and or items during surgery Functionality includes item request equipment x ray image intensifier service request blood medication and next patient request Displays patient name gender age weight current Patient Information Panel anaesthetic type if applicable case description and post operation information Displays critical patient information including drug Service Request Panel allergies medical alerts nature of the operation and Critical Information Panel operation code Functionality includes procedural checklists for all surgical stages pre operation pre induction pre incision and post operation Displays a step by step progress guide to all major steps of arearen Lor the surgical procedure Functionality includes touch screen confirmation of each step as it is completed and an indication of the time of completion for each step Displays the patient s first name current location surgical Next Patient Panel information site of surgery and their mode of transport SENT Horizo
18. st poe i EX PROGRESS LOG inquam Wei ET uud Ra ta sS ee HRH ae PO PEERS FECI krame ird mro nal ee gems unum lani Hh essanmt Figure 20 Pre Incision to Surgical Preparation 7 Touch Knife to Skin a The current time will appear to the left of the Knife to Skin button and the button will turn green 8 Complete Post Op checklist 9 Touch Skin Closure a The current time will appear to the left of the Skin Closure button and the button will turn green b Note If you touch Skin Closure before completing the Post Op checklist then you will be prompted to complete the checklist before the Skin Closure stage is activated Em p Reversal Figure 21 Post Op to Skin Closure Phase Private and Confidential page 18 of 20 User Manual Operating Room Console F R A HI C K 10 Touch Patient Reversal PROGRESS LOG a The current time will appear to the left of the Patient Reversal button and the button will turn green 11 Touch OR Out a The current time will appear to the left of the OR Out button and the button will turn green 12 Touch OR Ready a The current time will appear to the left of the OR Ready button and the button will turn green Skip OR Out In order to facilitate patient tracking and movement throughout the perioperative environment patients are fitted with an RFID tag This tag automatically notifies the OOTM system of patient movement including entrance and egress fro
19. ve a risk of S00 ML Blood Loss MLKG in children Valid gui and crass mateh available Surgeon confirmed Surgical Site Sube Marked Surgeon Anaesiliatist and Nurse verbally canlirm final positioning of patient Are thee any Pre Induction discr pancias Af there are Pro Inductian discrepancies have they been resolved Select Staff aa not All e ots d MTM OR Maid group anzi ccppsamgirh available pinplete US E mI Bie gren tonlimes Bue Bde eis Marked Wes peadisrng al gated Ara itur amy Pre4n ur an farrapnanzaw Dux patierd Sacr diiit Airey fapiration rak Dara palier Sar a ak ol oO IL God Lans i ML in Ciek t enn Figure 18 Completing a Checklist 4 Default Answers a Select Select All from the Critical Info panel or from within the Checklist window to set default values to checklist entries the default value for Yes No questions is No 5 Emergency Operations a Select P1 e Case from the Critical Information panel or from within the Checklist window to skip the checklist This is typically used in the event of an emergency operation with a P1 priority level Private and Confidential page 16 of 20 User Manual Operating Room Console amp F R A RI U C K 6 Select Staff a Inthe Critical Information panel touch Select Staff to specify active staff members that will be involved in the checklist stages i Alternatively you can touch Staff Checklist
Download Pdf Manuals
Related Search