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FirstNet Tracking Lists Overview

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1 FirstNet Tracking Lists Overview
The use of tracking lists in FirstNet allows the user to quickly identify that activity has been done and what needs to be done on a patient. Multiple tracking lists allow the user to view the availability (ie. staff & rooms) and status (ie. patients) of different sectors within the Emergency department. This allows our Emergency department to provide efficient medical care to our patients. The multiple tracking lists are a part of your FirstNet Organizer which will display as a series of tabs. Depending on your position in the department, only the tabs that pertain to you will be viewable from your sign-on.

2 Tracking List Tabs Depending on your role, the tracking list tabs may vary. The tab you select displays the active tracking list spreadsheet.

3 Available Provider Check-In
When you log into FirstNet you will be prompted to Check-In as an available provider. Click Yes to advance to the Provider Check-In window.

4 Provider Check-In Window
You may enter a short Display Name in the field if you would like it to display on Tracking List instead of your initials. Enter a valid Provider Comment if applicable such as “lunch from 12:00- 12:30” Make sure the Available Provider and Available Reviewer checkboxes are selected. 1 2 3

5 Tracking List Window When the tracking list window is open, the tracking lists you have access to are displayed on tabs. Depending on security level, tabs on tracking lists will change with department specific roles. If a button or icon is grayed out and not active, you either do not have security access to that function or it is not a function in use at this time. Note: The buttons and icons on the Tracking list will differ based on your security and logon.

6 Tracking List Toolbar Functions
Telephone Triage – Launches the Pre-Arrival screen when telephone referrals are recorded.. Open Patient Chart – Opens the selected patient’s chart. Set Events – Launches Set Events screen. Allows you to set/complete events such as physician exam, nursing assessment or lab specimen collection needed. Return to Base Location – Returns the patient to their prime location. Assign Provider – Assigns a provider to the selected patient. Unassign Provider – Unassigns the provider for the selected patient.

7 Tracking List Toolbar Functions
Provider Check In – Checks in the provider for availability. Provider Check Out – Checks out the provider and makes provider unavailable. Reports – Launches Reports for the use of the Emergency Department. Discern – Launches interactive reports. Depart Process – Launches the Depart Process to depart patients. Remember…toolbar buttons may differ depending on your security.

8 Patient Name Box The tracking list will also contain a Patient Name box indicating the selected patient that is active. Click on the downward triangle in the Patient Name box to go to a specific part of the patient’s chart.

9 Patient Toolbar & Refresh Button
A Patient Toolbar is also available which: Displays the selected patient Recent – Allows you to select recently viewed patients Name Search – Allows you to search for and open a patient’s chart A Refresh button is also available to display the most current patient information.

10 Tracking List Quick Filters
Directly from your Tracking List, you are able to filter the view of the patients you see on the spreadsheet by using the Quick Filters option. Select the down arrow in the Quick Filter box and select the desired filter(s). The spreadsheet will then populate with the filtered results. Note: This is a typical filter view for a physician.

11 Tracking List Columns The Tracking Lists provides a list of columns so you can track activity on a patient. The following is a list of some key columns and their purpose. Bed Displays the bed the patient has been assigned to Acuity Displays the severity of the patients’ visit Name Displays the patient’s name Age Displays the patient’s age and gender. Blue = boy and Pink = girl. Allergy Indicates if the patient has any recorded allergies, no known allergies or no known medication allergies Reason for Visit Displays the patient’s reason for visit. This data comes from information entered by the nurses when completing PowerForms or from entering this information on the Tracking List. Chief Complaint Displays the chief complaint of the patient’s visit. This data comes from provided by the parent or patient at the time of registration in Eclipsys.

12 Tracking List Columns Continued
Isolation Displays any isolation precautions that may need to be taken for the patient. This data comes from results in a PowerForm. Infusion Billing Displays an IV Bag icon indication the Infusion Billing Form task needs to be completed. Task Displays Patient Care tasks that are indicated by a green cross. Task can be launched and completed here for the patient ATT Displays the attending physician assigned to that patient, hovering over the initials will display the name. RES Displays the resident assigned to that patient, hovering over the initials will display the name. RN Displays the nurse assigned to that patient, hovering over the initials will display the name. Events Displays the event icons that represent activity done on the patient MC (Minor Care) Displays if the result for Minor Care was entered on the Primary Triage form Lab Indicates if there are any lab results for the patient. Also displays outstanding orders and their statuses.

13 Tracking List Columns Continued
Rad Indicates if there are any radiology results for the patient. Also displays outstanding orders and their statuses. Image Indicates if there is an x-ray image posted for the patient Comments Displays any comments on the patient Add’l Comments Allows the user to add any additional comments on the patient TLOS Displays the Total Length of Stay the patient has been in the Emergency Department LOS Displays the Length of Stay in current location (room/area within the department) PCP Displays the patient’s primary care physician Pre-arrival Displays the pre-arrival type chosen

14 Tracking List Icons Tracking List Icons located on the tracking board serves as indicators of patient care status. Icons located on the toolbar provide a launching point to access specific locations/forms within PowerChart.

15 Tracking List Icons Continued

16 Toolbar Attending Physicians and Residents will have Discern Analytics button on the toolbar to access reports.

17 Tracking List Tabs The tab you select will be the active tracking list spreadsheet. Depending on your role and security, the chart tabs displayed may differ. MD Tab -- Displays all patients in the Emergency department and is designed to assist the physician with their provider assignments by organizing the patients according to patient location. All Beds – Displays all the beds in the Emergency Department and their status. This list allows you to track patients by bed, sort the spreadsheet, and stay informed of the status of beds. All ED Patients -- Displays Patient Name, Age, Bed Location and Acuity.

18 Tracking List Tabs Continued
Waiting Room Tab – Only displays patients who are currently located in the Waiting Room. Minor Care Tabs – Displays patient assigned to Minor Care (Fast Track). A green circle in the MC column indicates the patient has been assigned to Minor Care. This is triggered by a response in the Primary Triage Assessment. 72 Hour DC and 72HR DC LWBS Tab – Displays a lists of patients that were discharged within the last 72 hours.

19 Tracking List Tabs Continues
Checkout Tabs – The Checkout tab lists patients who have been discharged from the Emergency Department. When discharge from the registration system is complete, the patient will automatically drop from the Checkout tab. Pending Micro Tab – The Pending Micro Results tab lists patients discharged within the past seven days who still have outstanding lab results. The number ordered and the number resulted will display. For example, 3/2 indicates three tests were ordered and two have been resulted. A clipboard with a red check icon in the Micro column indicates all tests have been resulted. 72 Hour DC and 72HR DC LWBS Tab – Displays a lists of patients that were discharged within the last 72 hours.

20 Provider Check Out At the conclusion of your shift you will need to “Check Out” as an available provider by clicking on the Provider Checkout icon. If you still have patients assigned to you, you will be prompted to reassign them to an available provider by selecting the patients to reassign and the receiving provider. Then click the Assign button. You are no longer listed as an available provider.

21 This concludes FirstNet Icons, Columns and Tabs You are now ready to proceed to the Next Lesson


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