EMR 101 Intern Bootcamp 2019-2020
Message Center Display: Change duration (#days) Inbox Review: Patient summaries forwarded to you regarding patients you are scheduled to see in primary care clinic Messages: MD/RN/Ancillary messages regarding care of patients you have or are scheduled to see Orders: Check status of orders (unsigned, needs co-sign (PT/OT)) Results: Follow up outpatient order results Work Items: Will need to complete deficient documents as PGY3 Notifications: All documents signed/sent to attending
Physician Handoff: Accessing Care Team Lists Right Hand Corner Click 3 bars Select Care Team Lists
Physician Handoff: Adding/Removing Care Team Lists 1. Select service 4. Save 2. Select LAC+USC > Service 3. Click Add
By PGY3, will have all the services on dropdown menu! Physician Handoff: Care Team Dropdown Menu By PGY3, will have all the services on dropdown menu!
Physician Handoff: Sample Wards List
Physician Handoff: Printing List Cover Sheet To print the cover sheet: >Right-hand corner: 3 lines >Select Print >Select Simplified
Physician Handoff: Printing List Cover Sheet
Physician Handoff: Printing List Cover Sheet 1 2 Select 2 sided print Select 2 pages per sheet
Physician Handoff: Printing Detailed List (Handoff summary, vitals, I/Os, labs, meds) Click “Explorer Menu” button Left: Click Hospital Inpatient > Physician Handoff Detail Report Right: Click Care Team List > Desired List
Physician Handoff: IPASS > Updating Signout Patient’s 1 liner here, update as appropriate
Physician Handoff: IPASS > Removing Patients From Your List
Results Review
Results Review View: Search Function Search for (almost) anything!
Documentation Use ‘Display’ to change type of note you want to see: ALL NOTES: To see RN, PT/OT, SW documentation) ALL PHYSICIAN NOTES: Default ONLY… (date, author, type…)
Documentation: Filters Create and save documentation filters Eg Inpatient > H&P & DC summaries Eg Outpatient > PMD Clinic Notes
Documentation: Filters
Notes Select notes by type, status, date, or author Under ‘Type,’ choose between outpatient vs inpatient notes, H&P, consult notes, procedure notes, etc.
MAR Summary
Ins & Outs I/Os: 2 views Intake & Output: 24hr or total clinical range I/Os Physician View
Ins & Outs I/Os: 2 views Intake & Output: 24hr or total clinical range I/Os Physician View: Hemodynamics, Lines, Vent Settings
Blood Bank Summary Pay attention to dispensed/completed transfusion status Check status of transfusions
Patient Schedule Confirm follow up appointments Track cancellations, no shows
General Medicine Admission Order Set
Discharge Orders
Discharge Order Set
Discharge Planning
Writing Notes
Writing Notes
Writing Notes Recommend AutoTexts for: - normal physical exam - common inpt dx (eg cirrhosis, CHF, chest pain) - common oupt dx (eg DM, vaccinations, screening) - signature (DWA --; Name, PGY 1, Pager #)