Can you change case tracking events once they've been documented? -
ANSWER Yes, utilise the "All Events" button.
What does releasing orders accomplish? - ANSWER Makes the orders active
and documentable. The pharmacist can see which medications they need to
prepare and validate. Orders are also sent to Pyxis. (Signed orders remain
inactive until released.)
What does the Acknowledge Orders tab display? - ANSWER All new orders,
whether newly placed, newly changed, or recently withdrawn.
What does Acknowledging Orders Do? - ANSWER It just indicates that you
have seen the orders; it does not perform any actions or activate them. It does
remove the symbol to make it easier to keep track of new documents.
Can you allocate a patient to a bed before determining the proper stage of care?
- ANSWER No. Update the phase of care first. Put in pre-op before settling into
the pre-op bed.
Are there icons to distinguish between patient-reported meds and prescription
medications? - The answer is YES! You can find them on the patient's home
medicine list. (Patient symbol with speech bubble indicates patient reported;
home icon represents prescription medicine)
Do you need to document the diseases/conditions that a patient's family does not
have, i.e. all the negatives? - ANSWER Only the relevant/notable ones. You
may always add comments by right-clicking the cell.
Why would you use Add Column instead of Insert Column (in flowsheet)? -
ANSWER Add a column for the current time; insert a column for another
time/in the past.
, Where can you see all of the active, signed, and held orders, as well as place
new orders? - ANSWER Order activity
Is it possible to update the LDA if you make a mistake in your line
documentation? - ANSWER Yes, Click on the blue LDA hyperlink, then the
blue IV properties hyperlink, and finally click modify.
Do you need to use units when entering temperature? Height/Weight? -
ANSWER Temperature - No. Height and Weight: YES. (F and I for feet and
inches are acceptable; lb for weight. Can also handle kilogrammes.
What is generated automatically when you provide height and weight units? -
The BMI and BSA are determined for you.
What items must be documented in the pre-op checklist (for example, a hard
stop indicated with a stop sign)? - ANSWER Hard roadblocks include patient
identification (ID band), preparation verification (pre-op test results, pregnancy
lab), and a signed inpatient admit order.
Which items are required but not marked with a stop sign on the pre-op
checklist? - ANSWER Consents confirmed and advanced instructions in chart
verification
Where do you keep records of patients' belongings? - ANSWER In pre-op
activity under the Checklist portion.
T/F It is the pre-operative nurse's responsibility to start care planning
documentation. - ANSWER: TRUE.
How do you personalise a care plan? - ANSWER Click on Adult
Individualisation and Mutuality, then document. It is critical to do this for all of
your patients. Especially critical if we are ever audited. Some of this
information should be known because the care plan and flowsheets are linked.
You can also Apply Template to add more templates to her plan. (Example:
Perioperative Period/adult; there are about 400 total to pick from)
T/F After you've submitted a learning assessment as complete, you can go back
and change it. - ANSWER FALSE. If you are not ready to save the file, you can
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