Anesthesia Manager Training “Events”

Objectives By the end of this module the participant will be able to: Open the Events Window from the Menu command and the toolbar icon Add an Event from an Event Set Add an Event after choosing an Event Type Add an Event that is a free text comment Add a comment and change the time for an Event Use the Search tab to search for an Event Use the S.A.M. module to add supervisory data Delete an Event View the History for all additions, deletions and modifications to Events

Current Anesthesia Record “Documentation” The paper record provides visual prompts to complete required information End user moves from field to field and Documents Circles Ticks all relevant information to insure a completed anesthesia record

Current Anesthesia Record “Documentation” Events typically documented on the paper record: Anesthesia Start Demographic Information Procedural Information Machine/Monitor check/functionality Review of appropriate documentation Technique (GA/Regional/MAC,etc) +relevant details Airway management + relevant details IV and other invasive lines Monitors Patient position/eye status Additional Equipment Transfer/Discharge information Anesthesia Finish All other comments

Future Anesthesia Record “Documentation” Electronic Record is a BLANK SLATE No visual prompting Potential to forget essential documentation to insure a completed anesthesia record

Future Anesthesia Record “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

Future Anesthesia Record “Documentation” Events will replace Written comments Check Boxes Circled Short cuts

Adding Events Events can be added by: Function key F4 Using pull down menu Insert/View-Events (F4) Selecting icon Events window Anesthesia Manager includes a log for documenting important Events or conditions affecting the patient, such as the beginning of anesthesia, intubation, or a chest x ray.

1. Event Log Window appears Adding Events 2. Click on the Add Button Events window The Add Events window can default to the “Event Sets” tab or the “Events by Type” Tab. configure this in CS Customize/Events Icon/ radio button let you pick the default view. Event Sets are a way to group an Event, that can only exist in one Event Type, into a meaningful clinically relevant list for the end users. 1. Event Log Window appears

Adding Events 3 options to pick: Event Sets These are custom groups created locally by the Anesthesia Workgroup This is the DEFAULT view All Events These are generic groups created by the software developers Keyword Events Provides search functionality

Adding Events via “Event Sets” Timeline organization Groups all events specific to a given activity Redundancy Various events can be found repeated within the same or different event sets Complete Minimal dependence to insert descriptive comments

Adding Events via “All Events” Consists of multiple “event types” that were created by the software vendor and listed as ANES: ……. Any new custom event entered by the Anesthesia Workgroup has to belong to one “ANES Event Type”. Every event is listed alphabetically under “All types”

1. Pick the relevant “Event Set” 2. Highlight the desired “Event” Adding Events via “Event Sets” “Adding an Event to the Event Log (Anesthesia Record)” 1. Pick the relevant “Event Set” 2. Highlight the desired “Event” 3. Double click on the “event” OR click on the > arrow 3. Double click on the “event” or click on the “forward” arrow

Adding Events via “Event Sets” “Adding an Event to the Event Log (Anesthesia Record)” Event(s) will move over to the “Selected Events” window (4.) To document to the record, you must hit OK. Selected event now appears in the Event Log 4. Hit OK

1. Highlighting multiple events Adding Events via “Event Sets” “Adding an Event to the Event Log (Anesthesia Record)” 1. Highlighting multiple events Add multiple events simultaneously by: “Control-clicking” to select non contiguous events “Shift-clicking” to select contiguous events 2. Click on the > arrow

Adding Events via “Event Sets” “Adding an Event to the Event Log (Anesthesia Record)” 3. Hit OK Selected “Events” added to event window by control/shift click Hit OK button

Adding Events via “Event Sets” “Adding an Event to the Event Log (Anesthesia Record)” Multiple “Events” now appear in the Event Log

Adding a Comment to an Event 1. From the “Selected Events” window, click on the Comment Field adjacent to the event and type your comment 2. Hit OK

Changing the time of an Event 1. Adjust the time-default is current time 2. Hit OK

Add/Revise a “Comment” on an existing Event From the Event Log window, double click on the Event/Comment OR Select the Event and click on the Edit button Change the time of the event if required Add or revise existing comment

Deleting a “Comment” on an existing Event 1. Highlight event to be deleted 2. Hit the < arrow (this stops event from ever populating the Event Log) 3. OR highlight event from Event Log 4. Hit Delete

Adding a Free Text Event via “Memo” From Event Log window, click on “Memo” button OR Select “Memo” macro from the toolbar. From Event Log window, click on “Memo” button OR Select “Memo” macro from the toolbar. Default name of this type of Event is “Memo” 2. Type your memo. Maximum characters is 255. Memo/Comment now is Event Log 2. Type memo and hit OK A tooltip exists to view longer memos from this window. However if the comment is very long, it is easier to see it in the tooltip for the blue box at the top of the time column. You can also double click the event to see the full comment in this custom event window.

Searching for an Event From the “Add Event” window, select “Keyword Search” Enter in Keyword and Find Move event to “Selected Event” window by double clicking or hitting > arrow

Viewing Events on the Timeline Once an event is added, a blue rectangle appears on the timeline Run your mouse over the blue rectangle and the events entered at that time are displayed

Adding Events from the Timeline Click on Timeline and the “Add Event” log opens with the current time selected

Adding Events from “Basic” Event Sets Four “Basic” Event Sets have been created to contain the most common events for a typical GA/Spinal/MAC or simple Eye procedure This will eliminate the need to jump around to other Event Sets for the required information

Reminder to document Patient position, arm position,eyes Reminders to include required information Event Set-”Basic GA” Reminders to include required information (Fluids) Reminder to select “Anesthesia Type” Reminder to document IV Start Reminder to document End Activity Reminder to document A/W Management Reminder to document A/W Management

Event Sets-”Basic Spinal”

Event Sets-”Basic MAC”

Event Sets-”Basic Eye”

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