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The Tool Bar-Macro Toolbar The Tool Bar is designed to help users easily access functions in the application they most commonly use. MACRO TOOLBAR •The Macro Toolbar is responsible for adding a series of one or more key events to the Event Log • Designed to help the end user document key events from start to finish • Designed to follow a typical timeline from start to finish •A more detailed discussion on “Events” is to follow Date Presentation Title MACRO TOOLBAR “Anesthesia Start” Date 1. Hit the “Anesthesia Start” icon 2. Adjust the time as required, hit OK Presentation Title MACRO TOOLBAR “Anesthesia Start” Places an “S” on the timeline • Running cursor over the letter “S” will bring up the event descriptor Adds event descriptor to the “Event Log” Date Presentation Title MACRO TOOLBAR “Equipment Check” 1. Hit the “Machine Check” icon Date 2. Adjust the time as required, hit OK Presentation Title MACRO TOOLBAR “Equipment Check” Places a “C” on the timeline • Running cursor over the letter “C” will bring up the event descriptor Adds event descriptors to the “Event Log” Date Presentation Title MACRO TOOLBAR “Patient Assessment” 1. Hit the “Patient Assessment” icon 2. Adjust the time as required, hit OK Date Presentation Title MACRO TOOLBAR “Patient Assessment” Incorporated into the program to deal with concerns of the CPSO • Typically, a repeat anesthesia evaluation is performed and transcribed on the written record despite the fact that a patient may have been seen in the PAU Our concern was that there was going to be duplication of effort as well as electronic preoperative assessments on a patient in this scenario 2 After considerable discussion with an Anesthesia Auditor who was not able to give any specific direction (new territory for the CPSO) • We elected to incorporate an Event Set titled (A010_Preop Evaluation) which should address the concerns of the College: a. that certain aspects of the Preoperative Assessment has been reviewed b. that an A/W exam be conducted by the anesthesiologist of record Date Presentation Title MACRO TOOLBAR “Patient Assessment” 3. Event Set Dialogue Box opens. 4. Click on A010_Preop Evaluation 5. Select relevant relevant descriptors and descriptors hit > and hit > 6. Hit OK Date Presentation Title MACRO TOOLBAR “Patient Assessment” Places a “P” on the timeline • Running cursor over the letter “P” will bring up the event descriptor Adds event descriptors to the “Event Log” Date Presentation Title MACRO TOOLBAR “Regional Start” 1. Hit the “RA” (Start Regional) icon 2. Adjust the time as required, hit OK Date Presentation Title MACRO TOOLBAR “Regional Start” Places a “R” on the timeline • Running cursor over the letter “R” will bring up the event descriptor Adds event descriptors to the “Event Log” Date Presentation Title MACRO TOOLBAR “GA Start” 1. Hit the “GA” (Start General) icon 2. Adjust the time as required, hit OK Date Presentation Title MACRO TOOLBAR “GA Start” Places a “G” on the timeline • Running cursor over the letter “G” will bring up the event descriptor Adds event descriptors to the “Event Log” Date Presentation Title MACRO TOOLBAR “MAC Start” 1. Hit the “MAC” (Start MAC) icon 2. Adjust the time as required, hit OK Date Presentation Title MACRO TOOLBAR “MAC Start” Places a “M” on the timeline • Running cursor over the letter “M” will bring up the event descriptor Adds event descriptors to the “Event Log” Date Presentation Title MACRO TOOLBAR “Antibiotic First Dose” 1. Hit the “Hourglass T” (Antibiotic(s)first dose give) icon 2. Adjust the time as required, hit OK Date Presentation Title MACRO TOOLBAR “Antibiotic First Dose” Places a “A” on the timeline • Running cursor over the letter “A” will bring up the event descriptor • Launches a timer (count up) - reminder to administer a subsequent dose of antibiotic Adds event descriptors to the “Event Log” Date Presentation Title MACRO TOOLBAR “End Surgery/Confirm Procedure” 1. Hit the “Suture/Thread” (End Surgery/Confirm procedure) icon 2. Adjust the time as required, hit OK Date Presentation Title MACRO TOOLBAR “End Surgery/Confirm Procedure” Demographics Navigation Bar is launched Are all required events documented? Any item in RED requires ATTENTION prior to transfer • • • • • • Anesthesia Case Start (S) Anesthesisa Case Finish (F) QA Indicator Anes: Anesthesia Type Anes: Positioning Anes: Equipment Check/ Preinduction • Anes: Peripheral IV Access • Anes: Airway/Intubation (if relevant) ASA/Medical Team/Surgical Procedure Date 3. Complete as required Presentation Title MACRO TOOLBAR “End Surgery/Confirm Procedure”” Places a “E” on the timeline • Running cursor over the letter “E” will bring up the event descriptor Adds event descriptors to the “Event Log” Date Presentation Title Macro Toolbar “Bag Level” Date 1. Hit the “Bag Level” (Fluid Balance) icon, Window opens Presentation Title Macro Toolbar “Bag Level” “Please enter bag levels for all cumulative fluids” Date Presentation Title Macro Toolbar “Bag Level” “Fluids IN/OUT” need to be documented at end of surgical procedure • This will require validation of the respective “Fluid(s) In” • This will require documentation of cumulative fluid(s) out To be discussed in future lecture Date Presentation Title MACRO TOOLBAR “Emergence-End GA” 1. Hit the “End GA” icon 2. Adjust the time as required, hit OK Date Presentation Title MACRO TOOLBAR “Emergence-End GA” Places a “g” on the timeline • Running cursor over the letter “g” will bring up the event descriptor Adds event descriptors to the “Event Log” Date Presentation Title MACRO TOOLBAR “Transfer to PACU/SDCU” 1. Hit the “PACU/SDCU/ICU” icon 2. Adjust the time as required, hit OK Date Presentation Title MACRO TOOLBAR “Transfer to PACU/SDCU” Demographics Navigation Bar is launched Are all required events documented? Any item in RED requires ATTENTION prior to transfer • • • • • • Anesthesia Case Start (S) Anesthesisa Case Finish (F) QA Indicator Anes: Anesthesia Type Anes: Positioning Anes: Equipment Check/ Preinduction • Anes: Peripheral IV Access • Anes: Airway/Intubation (if relevant) ASA/Medical Team/Surgical Procedure Date 3. Complete required information Presentation Title MACRO TOOLBAR “Transfer to PACU/SDCU” Places a “T” on the timeline • Running cursor over the letter “T” will bring up the event descriptor Adds event descriptors to the “Event Log” Date Presentation Title MACRO TOOLBAR “Transfer to PACU/SDCU” ADT Dialogue Box opens to provide “Transfer” option. If all required information not completed, you can CANCEL at this point 4. Hit Transfer Date Presentation Title MACRO TOOLBAR “Transfer to PACU/SDCU” Places a on the timeline • Running cursor over the will bring up the event descriptor Adds event descriptors to the “Event Log” Notice Timeline divided into the various sessions • Before Admission • GA (Anesthesia Standard) • GA Transfer Date Presentation Title 2. Choose A005_PACUSDCU-ICU Report Macro Toolbar “Report” When you arrive in the PACU, the patient will be transferred by the nurses into the PACU template Monitors will be attached and real time variables will be captured (post op vital signs) You now document your handover Date 1. Hit the “Report” (PACUSDCU-ICU) icon. Event Set Window will open 3. Choose appropriate descriptors 4. Hit the > button Presentation Title Macro Toolbar “Report” 5. Hit OK Date Adds event descriptors to the “Event Log” Presentation Title Macro Toolbar “Finish” 1. Hit the “Finish” (Anesthesia Case Finish Time) icon 2. Adjust the time as required, hit OK Date Presentation Title Macro Toolbar “Finish” Print Dialogue Box • Upload to vOacis • Print hard copy •May have to adjust “STARTING” and “ENDING” time Date Presentation Title Macro Toolbar “Finish” Places a “F” on the timeline • Running cursor over the letter “F” will bring up the event descriptor Adds event descriptors to the “Event Log” Date Presentation Title MACRO TOOLBAR “Discharge to Other” 1. Hit the “X-SIMS” icon 2. Adjust the time as required, hit OK Date Presentation Title MACRO TOOLBAR “Discharge to Other” Demographics Navigation Bar is launched Are all required events documented? Any item in RED requires ATTENTION prior to transfer • • • • • • Anesthesia Case Start (S) Anesthesisa Case Finish (F) QA Indicator Anes: Anesthesia Type Anes: Positioning Anes: Equipment Check/ Preinduction • Anes: Peripheral IV Access • Anes: Airway/Intubation (if relevant) ASA/Medical Team/Surgical Procedure Date Presentation Title MACRO TOOLBAR “Discharge to Other” Used when NOT transferring patient to PACU or SDCU (Stage I or II) Typically, this would be the ICU • They do not have the SIMS system Date Presentation Title Viewing Options The upper left corner of flowsheets contains controls for changing the the way data is displayed: a. d a b c e f g Resolution: Allows you to change the viewing resolution. b. Show only rows with data: Eliminates rows with no data. c. Show subheadings: Adds rows with subheadings showing family names. d. Restore: Reapplies flowsheets defaults and returns to current time view. e. Freeze/unfreeze: Turns autoscrolling on and off. f. Go to column: Allows you to go directly to the column closest to a specific date and time. g. Order filters: Allows you to activate and clear filters for discontinued and canceled orders. Date Presentation Title Viewing Options Resolution Resolution changed from 5 minutes to 1 hour Each flowsheet has a default viewing resolution (5 minutes) Changing resolution has NO effect on data collection from devices or how data is stored in the patient record. Blue triangles in flowsheet cells means you need a higher resolution to view all data samples. Further discussion on this topic will take place in an upcoming lecture Training Tip: Right-clicking time or date cell in time bar is shortcut for zooming to a higher/lower resolution. Date Presentation Title Viewing Options “Order Filters” Filters allow you to eliminate orders that were never administered (canceled) and orders that were partially administered (discontinued). Check mark on button indicates that one or more filters are active. Only flowsheets that contain order-based items such as medications and fluids. Hide cancelled and discontinued orders: • Canceled orders were terminated before any documentation. • Discontinued orders were terminated after documentation started. Can apply to all flowsheets or only current one. Date Presentation Title Viewing Options “Order Filters” Normal Saline and Propofol discontinued Apply Filter Normal Saline and Propofol disappear Date Presentation Title Pull Down Menus “Function Keys” Date Presentation Title Pull Down Menus “Function Keys” Date Presentation Title Pull Down Menus “Function Keys” Date Presentation Title Pull Down Menus “Function Keys” Date Presentation Title Pull Down Menus “Function Keys” Toolbar, Macrobar, Navigation Bar, Patient Information Band Removed Additional screen real estate recruited when all supplemental menus and bars are removed Date Presentation Title Questions And Answers Date Presentation Title