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OBJECTIVES: HEO and StarPanel. Explore StarPanel.. EMR Look up test results and documents Complete Admission History form Assign a Pathway (Plan of Care) Enter orders in HEO/Wiz … CPOE Enter Nursing Orders for New Admission. 3 Sections of Admission Data. Duplicate Name alert
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OBJECTIVES: HEO and StarPanel • Explore StarPanel.. EMR • Look up test results and documents • Complete Admission History form • Assign a Pathway (Plan of Care) • Enter orders in HEO/Wiz… CPOE • Enter Nursing Orders for New Admission V: training/nurse resident2011
3 Sections of Admission Data v:training/neo/rn/2011/day1
Duplicate Name alert Inpatient Admission Observation Admission (short term stay) Patient has discharge orders Pre-Orders entered by Provider for Chg Nurse or MR to playback today HEO/Wiz Census Legend P V: training/nurse resident2011
Processing of Ordersby Medical Receptionist • Orders & Reqs print to Medical Receptionist (MR) area • MR: Notifies RN of STAT Orders • MR: Places lab Req and copy of Order on chart • MR: Notifies Department of Other Tests Emergency Departments: Order do NOT print. Lab Requisitions generate to printer closest to pt’s room V: training/nurse resident2011
OBJECTIVES: HED Nursing Documentation • Set Preferences & Create Assignment • View Confirming Med Orders • Document Interventions, Assessments • Commit to use HED system safety checks V: training/nurse resident2011
GENERAL PRINCIPLES OF ASSESSMENTS • Beginning of shift or change level of care • Items in ALL CAPS on gray bar charted each shift • Line Manage charted each shift • Vanderbilt charts to Standards & only denotes variances 6 6 V: training/nurse resident2011
Nursing Summary • Brief synopsis of your shift before Shift change • Include major clinical events & information • For oncoming RN..does not replace face-to-face report • Prints on OPC as reference for nurse during shift Temp 102.4 with Tylenol Q4h. 02 Sats 94% w 2L and no nausea since vomiting on arrival to unit. Pain controlled 3 /10 on codeine. Last dose given @1530. Mom plans to return @ 2200 for night. V: training/nurse resident2011