CNMC PICU WR Rotators

Getting Started Things to get on first day in PICU –Ascom phone –Pager (WR resident pager 1939) –Orientation packet with articles/resources Security Office –For badge (make sure get access to PICU areas 3E and 3M –scan access to ward) –Paying for parking (metro that goes from front of bldg to Red Line metro)

Passwords Cerner is the Electronic Medical Record for inpatient Password is 2 step process –First is access to general login for computer (like when you first login to navy computer) –Second is access to Cerner (the charting system) –Credentials office must submit info to security office and IT for passwords to get access to both systems

Passwords Cont’d Trouble shooting: –Dial HELP on any Ascom phone (IT office 24 hours) –Can temporarily activate old ED acct for Cerner access if credentials haven’t gone through –Same people to fix the COW computers too

Using Portable COWs Where are they? –On 3 main toward the back –Need to refresh battery, chargers in back storage room of 3 main General logins to try (3 fields to fill in) –Login: Hemocuser, password: Drbear111 –Login: Nicum1, password drbear1111 –Login: 7east, password Drbear111 –In the location field type: cnmc

Contacting Places Get laminated card from chiefs with general numbers Helpful links tab on intranet main page. Access via logging into cerner and clicking links on top menu bar then intranet Same tab will take you to the Lexicomp formulary and special labs formulary Helpful links

Access to the call- schedule (just like our plan of the day on WR intranet) Paging system and directory to send text pages (use the 4 digit pager number)

Working with Patient Charts To open Cerner (med rec): –Click link to bear tracks or thin client on desktop or –If not see Follow instructions to shown here to alternatively get to it through the start menu Bear Tracks!

First get mapped to PICU care team set with patient list : Step 5 Now Add: 1. “3 main” 2. “Picu care team” 3. “3 east unit” This will let you see all picu pts 2. Options 4. Location 3. New1. Patient list

Admitting Patients Must go to ad hoc and record patient weight and allergies before can put in orders

Admitting Continued Once you do that go to ADD link, then type in PICU. Now you can click on the general picu orders. Now, this same “Add” link will allow you to type in any order request. You can search by “contains” or “starts with” sometimes have to try both to find the order you want. If a lab order is not found, then go to the ‘Links’ then lab formulary to search for a special send out test. Must click ‘submit’ not just enter for it to search properly On general PICU orders are prn electrolyte orders for nurses in case you are asked

Overall…. Computer system is user friendly Ask how to copy forward notes Do your History and Physical under the progress note format for ease of daily note the next day Update hospital summaries weekly End of shift post-call at 0930 Grand rounds on Wednesdays at 0800 Radiology rounds at 0930 daily Daily lectures by senior PICU fellow at 1030 Contact chief residents at any time for support on issues