Event Sets-Organization Anesthesia Type (must be completed) / Preop Eval Check your machine / document milestone events Start an IV Secure an Airway (General Anesthetic Regional Anesthetic MAC Anesthetic As previously described-should account for most activities related to a basic case Event Sets-Organization Timeline Based Approach

Event Sets-Organization Eyes / Patient Position End Activities Invasive Lines Subspecialties Timeline Based Approach Anything not found under the Basic Event Sets will be found within the appropriate Event Set Other

Adding Events via the Macro Toolbar “Documentation” Macro toolbar is your friend important event markers/symbols will be added to the timeline Standard event descriptors will be added to the Event Log Will act as like the visual prompter on the paper record to document required information

Adding Events via the Macro Toolbar “Anesthesia Start (S)” 1. Mouse over Macro & click 2. Agree with current time or adjust time Hit OK Event marked on Timeline with “S”

Adding Events via the Macro Toolbar “Equipment Check (C)” 1. Mouse over Macro & click Event marked on Timeline with “C” 2. Agree with current time or adjust time Hit OK

Adding Events via the Macro Toolbar “Patient Assess (CPSO Required)” 1. Mouse over Macro & click 2. Agree with current time or adjust time Hit OK

Adding Events via the Macro Toolbar “Patient Assess (CPSO Required)” Add events window opens. Add events from A010 event set.

Adding Events via the Macro Toolbar “ASA/Medical Team” 1. Mouse over Macro & click 2. Agree with current time or adjust time Hit OK

Adding Events via the Macro Toolbar “ASA/Medical Team” Demographics Screen appears Click on ASA Level

Adding Events via the Macro Toolbar “ASA/Medical Team” Pull down ASA menu, select ASA and hit “Close” button

Adding Events via the Macro Toolbar “ASA/Medical Team” Select Medical Team

Adding Events via the Macro Toolbar “ASA/Medical Team” Complete as appropriate First case of the day will populate “Anesthesiologist”, subsequent cases will NOT Booked Surgeon will come across from OR Manager Module Must add/change if different from booked surgeon

Adding Events via the Macro Toolbar “ASA/Medical Team” Event marked on Timeline with Blue Rectangle

Adding Events via the Macro Toolbar “Regional Anesthesia Start (R)” 1. Mouse over Macro & click 2. Agree with current time OR adjust time Hit OK Event marked on Timeline with “R”

Adding Events via the Macro Toolbar “General Anesthesia Start (G)” 1. Mouse over Macro & click 2. Agree with current time OR adjust time Hit OK Event marked on Timeline with “G”

Adding Events via the Macro Toolbar “MAC Start (M)” 1. Mouse over Macro & click 2. Agree with current time OR adjust time Hit OK Event marked on Timeline with “M”

Adding Events via the Macro Toolbar “Antibiotic First Dose (A)” 1. Mouse over Macro & click 2. Agree with current time OR adjust time Hit OK Launches count up timer Event marked on Timeline with “A”

Adding Events via the Macro Toolbar “End Surgery/Confirm Procedure (“E”) 1. Mouse over Macro & click 2. Agree with current time OR adjust time Hit OK

Adding Events via the Macro Toolbar “End Surgery/Confirm Procedure(“E”) Select Procedure

Adding Events via the Macro Toolbar “End Surgery/Confirm Procedure (“E”) 1. Hit Add Button 2. Enter text into keyword search 3. Hit “Find Now” button 4. Highlight appropriate procedure Hit OK button Booked procedure should be populated by OR Manager Will have to change if significant difference from booked

Adding Events via the Macro Toolbar “End GA (“g”) 1. Mouse over Macro & click 2. Agree with current time OR adjust time Hit OK Event marked on Timeline with “g”

Adding Events via the Macro Toolbar “Transfer to PACU/SDCU (“T”) 1. Mouse over Macro & click 2. Agree with current time or adjust time Hit OK Event marked on Timeline with “T”

Adding Events via the Macro Toolbar “Discharge within Unit (Other sites) 1. Mouse over Macro & click Any required information will appear in red Click on “Required Events” 2. Click on “Required Events”

Adding Events via the Macro Toolbar Event log with all descriptors generated by macros

Adding a Supervisory Anesthesia Event via SAM (Supervisory Anesthesia Module) As an anesthesiologist who supervises fellows and anesthesia residents, you may need to document certain events during the procedure. The Supervisory Anesthesia Module (SAM) allows you to log on and enter events and demographic data while another user is logged on. All of your entries will be attributed to you. When you have finished, the other user can continue working without having to log on again. You must have rights to open the SAM module Click on the Insert/View Menu/S.A.M. OR Click on the Icon in the Toolbar Enter your user log in

Adding a Supervisory Anesthesia Event via SAM You will be presented with all “Event Sets” Select the relevant events as described earlier A default Event Type can be picked that would be most often used by the supervisory personnel.

Adding a Supervisory Anesthesia Event via SAM At this point, you will see a complete audit of all events entered into the system You can select any event and edit/delete as required

Review the Events in the Event Log SAM Window Functions LogOut From the SAM window you can: Open the Demographics window to complete other required documentation Review the Events log and make other changes. Log out Go to Demographics Review the Events in the Event Log

Viewing the Event Log History Click on the “Audit Trail” You can now see who has added, modified, or deleted an Event and at what time.

Events in Anesthesia Manager: Exercise Open the Events window, look through the different “Event Sets”. Look through the different Event Sets and add part or all of one Event Set. Search for all Events with the word “intubation” in them. Change the time stamp and add a comment to an Event. Add a group of Events via a Macro Button Delete one of your Events. Add a S.A.M. Supervisory Anesthesia Event Open the Event History and observe the Audit Trail for the changes you made.

Questions