Survey
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
Northern Health – Emergency Department Record Genesys Patient First Medical Record Entry Genesys Patient First Login Screen For Consultant Enter Your EDIS ID (Capital Letters) Password is the Same. For The Nursing Staff it is your employee number. Confidential and Proprietary 2 © 2014, Genesys Telecommunications Laboratories, Inc. All rights reserved. Navigation Click Menu, Select Screen Required Confidential and Proprietary 3 © 2014, Genesys Telecommunications Laboratories, Inc. All rights reserved. 2 Parts to the application There are 2 parts to the Genesys Patient First Application • • 1. The Electronic entering of the Patient’s presenting • • • • Background and History, Medical Assessment, and Recommendations 2. Notifications for • • • • Pathology, Radiology, and cardiology Results Patient Waiting time Re-observation time Decision prompting This enables you to provide a better patient experience Confidential and Proprietary 4 © 2014, Genesys Telecommunications Laboratories, Inc. All rights reserved. An Example Notification Confidential and Proprietary 5 © 2014, Genesys Telecommunications Laboratories, Inc. All rights reserved. Notifications Notification Number Notification 1 Waiting Room Observation 2 Clinical Instability Criteria entered 3 Admission/Discharge Decision 4 No Doctor Assigned 5 Results Ready Notification All Notifications follow similar paths and escalations Will go to 1. Treating Doctor, 2. Then Senior Doctor / hub Controllerand 3. Escalated to Flow Controller Confidential and Proprietary 6 © 2014, Genesys Telecommunications Laboratories, Inc. All rights reserved. Notification Descriptions Notification Description Waiting Room Observation Automatic notification after being in waiting room for 60 minutes to hub controller, and senior consultant Escalation to flow controller after 20 minutes. If no flow controller continue to queue to Senior Consultant and hub controller Clinical Instability Criteria entered notification for when patient outside threshholds for Clinical Instability Criteria: Temp: Below <35 or >38 Pulse: <50 or >120 Systolic: <90 or >200 Respiratory Rate: <10 or >30 SaO2: <90% Automatic notification to Treating Doctor escalation to Senior Doctor and Flow Controller Confidential and Proprietary 7 © 2014, Genesys Telecommunications Laboratories, Inc. All rights reserved. Notification Descriptions Notification Description Admission/Discharge Decision Automatic admission/discharge decision prompt 2.5 hours post allocation to assigned doctor Escalation to flow controller after 20 minutes. If no flow controller continue to queue to Senior Consultant No Doctor Assigned Automatic notification after 2 hours if not assigned by senior consultant Escalation to flow controller after 20 minutes. If no flow controller continue to queue to Senior Consultant Results Ready Notification Change results notifications to go to doctor assigned or senior consultant if not assigned, in addition to flow coordinator currently receiving them. Confidential and Proprietary 8 © 2014, Genesys Telecommunications Laboratories, Inc. All rights reserved. Ways to Enter Notes Using Tablet or Keyboards Swype Voice Keyboard Confidential and Proprietary 9 © 2014, Genesys Telecommunications Laboratories, Inc. All rights reserved. 1. Entering Information Select Patient Location • The Patient is placed in the location in EDIS Confidential and Proprietary 11 © 2014, Genesys Telecommunications Laboratories, Inc. All rights reserved. Select Patient from Location Select Patient Zone Location Click on the location list Select the location and then click done Confidential and Proprietary 12 © 2014, Genesys Telecommunications Laboratories, Inc. All rights reserved. Accompanying Documentation If there is Accompanying Documentation it will be highlighted under the patient name Confidential and Proprietary 13 © 2014, Genesys Telecommunications Laboratories, Inc. All rights reserved. Select the Waiting Room Select Waiting Location Click on the location list Select the waiting room Confidential and Proprietary 14 © 2014, Genesys Telecommunications Laboratories, Inc. All rights reserved. Select the Patient from the List Click the Patient Confidential and Proprietary 15 © 2014, Genesys Telecommunications Laboratories, Inc. All rights reserved. EDIS triage information and any observations Performed. The EDIS Triage information is visible here All Observations at triage are shown here Confidential and Proprietary 16 © 2014, Genesys Telecommunications Laboratories, Inc. All rights reserved. Consultant to Enter Background and History Consultant Enters 1. Presented Complaint 2. History of Presenting Illness 3. Past Medical History 4. Social History 5. Medications and Allergy... Please note on Medication Management Plan Must Press Save When you click save all fields above become read only and viewable by other Users . This is time and user stamped Confidential and Proprietary 17 © 2014, Genesys Telecommunications Laboratories, Inc. All rights reserved. Consultant to Perform Assessment Consultant Enters 1. Assessment Examination findings 2. Impression When you click save all fields above become read only and viewable by other Users . This is time and user stamped Confidential and Proprietary 18 © 2014, Genesys Telecommunications Laboratories, Inc. All rights reserved. Consultant Recommendations Consultant to Enter Management Plan and Recommendations Consultant Selects Decision (only Discharge, Bed Request and SSU) Must Press Save Note: If this is not saved you may receive a notification asking for a decision to be made. Confidential and Proprietary 19 © 2014, Genesys Telecommunications Laboratories, Inc. All rights reserved. Add Progress Review on Entry Screen Clicks Save When complete Confidential and Proprietary 20 © 2014, Genesys Telecommunications Laboratories, Inc. All rights reserved. Confirms Progress Review If you save an observation all clinical instability criteria is tested against the entered information and notifications created Confidential and Proprietary 21 © 2014, Genesys Telecommunications Laboratories, Inc. All rights reserved. Progress Reviews are Shown on Entry Screen And the Consultant Assessment Screen Timestamps and USERs are added to printed Medical Record Confidential and Proprietary 22 © 2014, Genesys Telecommunications Laboratories, Inc. All rights reserved. Set Patient Out and Print Form and then Move Patient in EDIS and Location Submit Form. This sends the medical record to CPF Submit A Submit confirmation will occur with a reminder to Discharge patient from EDIS All Fields then become Read only and Any further entry should be in CPF Confidential and Proprietary 23 © 2014, Genesys Telecommunications Laboratories, Inc. All rights reserved. Wallboard Select The Zone you are working in Confidential and Proprietary 25 © 2014, Genesys Telecommunications Laboratories, Inc. All rights reserved. Click on Menu and Wallboards Confidential and Proprietary 26 © 2014, Genesys Telecommunications Laboratories, Inc. All rights reserved. Either your assigned patients or all in the area Show all patients for zone or “My Patients” Click on a Cubicle and it will take you to the Entry Screen with the patient information already loaded Confidential and Proprietary 27 © 2014, Genesys Telecommunications Laboratories, Inc. All rights reserved. Waiting Room Wallboard Select Wait All Waiting room patients are shown on the list Confidential and Proprietary 28 © 2014, Genesys Telecommunications Laboratories, Inc. All rights reserved. Receiving Notifications Go Ready Click on Not Ready Confidential and Proprietary 30 © 2014, Genesys Telecommunications Laboratories, Inc. All rights reserved. Shows you are Ready Here you are Ready Confidential and Proprietary 31 © 2014, Genesys Telecommunications Laboratories, Inc. All rights reserved. An Example Notification – Click on Accept Confidential and Proprietary 32 © 2014, Genesys Telecommunications Laboratories, Inc. All rights reserved. New Results for a saved Patient Confidential and Proprietary 33 © 2014, Genesys Telecommunications Laboratories, Inc. All rights reserved. Notification An Example Notification – Click on Accept Confidential and Proprietary 35 © 2014, Genesys Telecommunications Laboratories, Inc. All rights reserved. Results are Bundled Confidential and Proprietary 36 © 2014, Genesys Telecommunications Laboratories, Inc. All rights reserved. Initial Results Screen Shows Patient UR number for Entry into CPF Shows current Location of Patient. If still in ED All Results of the test or here Confidential and Proprietary 37 © 2014, Genesys Telecommunications Laboratories, Inc. All rights reserved. Multiple Results notification Multiple test results notifications comes up and prompt you to go to the Patient tab Confidential and Proprietary 38 © 2014, Genesys Telecommunications Laboratories, Inc. All rights reserved. Patients Tab Any Test with a star is unread, if you click on it the test will come up for viewing To Close click Menu Confidential and Proprietary 39 © 2014, Genesys Telecommunications Laboratories, Inc. All rights reserved. Add Notes ( Progress or otherwise from Results) Click on Menu to open the Menu. Select the Consultant assessment to continue or the Entry Screen to add a Progress review Confidential and Proprietary 40 © 2014, Genesys Telecommunications Laboratories, Inc. All rights reserved. Adding a Progress review with a task Notice the Task is still here at the top Here is a progress review note, click save Confidential and Proprietary 41 © 2014, Genesys Telecommunications Laboratories, Inc. All rights reserved. To Get back to the Treatment screen Click on Menu to open the Menu. Select the Treatment results to get back to the Results page Confidential and Proprietary 42 © 2014, Genesys Telecommunications Laboratories, Inc. All rights reserved. Complete Remaining Notifications after results are reviewed Press Complete All Button Then Go Back to Treatment Plan TAB Confidential and Proprietary 43 © 2014, Genesys Telecommunications Laboratories, Inc. All rights reserved. Complete or Save Task Complete will close the results (Results can still be accessed via CPF), save will go to your Patients tab. Note These are your tasks so complete your review before handing over patients! Confidential and Proprietary 44 © 2014, Genesys Telecommunications Laboratories, Inc. All rights reserved. Radiology Notification An Example Notification – Click on Accept Confidential and Proprietary 46 © 2014, Genesys Telecommunications Laboratories, Inc. All rights reserved. Radiology Report only Confidential and Proprietary 47 © 2014, Genesys Telecommunications Laboratories, Inc. All rights reserved. Recommendation Reminder An Example Notification – Click on Accept Confidential and Proprietary 49 © 2014, Genesys Telecommunications Laboratories, Inc. All rights reserved. Recommendation Reminder Example • TBC Confidential and Proprietary 50 © 2014, Genesys Telecommunications Laboratories, Inc. All rights reserved.