Access for: Ge, Tianjia

User Login : S0279135

Password: <call service desk> 650-723-3333

Log-in: Medical Student SPLTY

Patient lists: (personal vs. system)

• System lists
• MD primary (team lists)
• Nursing unit
• Census list
• Recently Discharged
• Personal
• My Lists -> Edit -> Create, name
• Copy template (eg template physician)
• Change column order (adjust in Properties)
• Add patients through system list (eg MD primary team, drag and drop to your list), or by 'add patient'
• Print rounding report
• Patient report button
• Rounding report: identifiers, vitals, medications, recent labs
• Treatment team
• Right click patient, 'treatment team' or 'assign me'
• Show or hide past providers (top right corner)
• Patient quick info - Vitals, I/O, etc.
• Alter with 'wrench' button
• Chart - click patient name
• Patient summary (add toolbar buttons with wrench; double click to add)
• Chart review - historical data
• Filter by encounter type; save filter
• Select multiple, review selected to concatenate
• Advance directive under 'Media' then filter
• 'Episodes' for all documentation related to certain event
• 'LDAs' = lines and drains
• Results review
• Date range wizard; 'time mark' to say you have reviewed all current values (new results are bold/italicized)
• Hover over to see ref range at bottom, or click ref range
• Prelim/pending: must go to Labs in Chart review
• Documentation activities
• Allergies
• Problem list (resolve, etc)
• Notes - new note; smarttext template (e.g. h&p, show preview, add favorite)
• R click to refresh smartlink, or refresh all with button (to R of smarttext)
• Yellow - single choice
• Turquoise - multiple choice
• *** - wild card
• F2 to tab to next selection
• L click to pick, R click to insert
• Dotphrases - type . to bring up list
• Smartphrase butler - to L of SmartText
• Have to c&p the labs in
• Pend = Save
• Filter - uncheck show deleted
• Copy forward a note
• Orders
• Rounding on L toolbar -> Orders vs Order sets, or Order Entry
• Open Order sets - insulin, transfusion, heparin drip are only in order set
• R click to add to favorites
• Preference vs. facility list for more options (pref list - department specific; 'only favorites')
• Orders are during visit (bed icon) vs. after visit (house icon)
• Split checkbox to split up order set
• Click on order to change details
• Select & Stay to select multiple at once
• Purple box means it's a duplicate order
• Pend/sign order
• Admit
• Admit (may be under more activities)
• Modify problem list
• H&P note
• Order reconciliation
• Review Prior to admission (PTA) med rec; last dose. Med List status -> complete; mark as reviewed
• Current orders (modify ED orders)
• New orders for floor
• Reconcile PTA meds (e.g. replace PO with IV)
• Review and sign
• Summary line
• Expected discharge date (e.g. t+3)
• Rounding navigator
• Transfer
• Mark as reviewed - problem list, history, allergies
• Order reconciliation (by default will remain active)
• New orders upon transfer - transfer order, click to select level of care, precautions, etc.
• Dx association
• Sign & hold, receiving unit will initiate orders
• Discharge
• Reconcile problem list, orders
• General discharge vs. general + interagency set (for SNF)
• Associate orders with problems
• Discharge summary (IP general discharge)
• Preview AVS (after visit summary)
• In basket
• Results
• Red exclamation/yellow header = abnormal results
• Click 'reviewed/review + release' after viewing; results released to pt 72 hrs later
• Write result note: Route Note To recipient - 'p' + pool name
• Forward to physician e.g. PCP: R click and forward, +/- reassign responsibility or informational only
• Refill

MDS: OR master daily schedule

Log-out: secure vs. log-out

Ambulatory

• Schedule
• Review chart
• Open encounter (double click name)
• Med rec, diagnosis, orders (associate diagnoses, or will be done when trying to sign)
• Visit navigator -> pt instructions; follow up
• Visit note (.dict to dictate)
• Comm mgt to send to referring providers
• LOS (billing)
• Close encounter
• Click green ball to change to black 'complete'
• Double click to create addendum

Phoenix - ambulatory add-on for transplant

• Transplant navigator tab on sidebar
• Document infection, rejection in problem list
• Link to an episode
• Committee review - create 'Abstract' Encounter
• Reason: Transplant Candidacy update
• Transplant checklist - add 'discuss patient', etc
• Add committee members, 'chair' signs off on the minutes
• Check all the boxes before opening the note; F2 to smartlist in the info
• Share on saving note to send to the committee chair
• Synopsis
• Spotlight results - click to R of item name.
• Graph values - click L checkbox