1. Registration Process Emergency Department 1/6/2015

2. Registration Process
The registration process is an integral part of the patient experience here at Community Hospital of San Bernardino
It is ESSENTIAL that patient’s are registered correctly to ensure
That the correct patient receives treatment
To ensure each patient’s information is kept confidential
That charges are billed to the correct patient
Registration in the Emergency Department is done by the EMT or RN at the reception desk using Meditech

3. Registering the Patient in Meditech
The registration process begins after the patient has completed the Information Sheet
Log into Meditech and select number 1

4. Registering the Patient in Meditech, cont.
Select number 21

5. Registering the Patient in Meditech, cont.
Registration short form
If the patient listed a social security number this is the PREFERRED method for registering the patient
This method can avoid discrepancies, misspellings or searching the Master Patient Index (MPI) through many names
Enter the # sign and then the patient social security number without any dashes then hit the F9 (lookup) key
Meditech will then require you to confirm that this is the correct patient
IF the name is correct you may select YES, if not select NO and verify the social security number listed

6. Registering the Patient in Meditech, cont.
If the patient did not provide a social security number you will
Enter the last name then a comma and the first name
Enter the birthdate
Enter the sex
Continue to hit enter until you get to the Unit# screen and the following screen will appear
Search for the patient, select the correct patient

7. Registering the Patient in Meditech, cont.
Example: In this instance the RN was attempting to register a patient who signed in as Noe Smith, but her legal name is Noemi Smith.
The RN selected Noemi Smith and the system recognizes that there is a name conflict and prompts the nurse that there is a conflict.
You should always take care to note any prompts from the system regarding name conflict or DOB conflicts

8. Registering the Patient in Meditech, cont.
Example: Carol Jones signed in and Carol has *** after her name, when she signed in she did not add the *** after her name.
The system pulls up Carol and asks the RN/EMT is this the one? The staff member compares the birthdate and the address and verifies that this is the correct patient and clicks YES
You can use the address as verification to ensure this is the correct patient (use street name and city-DO NOT use house/apt. number)

9. Registering the Patient in Meditech, cont.
The system recognizes that there is a name conflict because one patient has *** after their name and one does not. The staff member clicks OK
The staff member had verified the address and recognizes that this is the correct patient

10. Registering the Patient in Meditech, cont.
The system prompts the user to (U) Update Medical Record OR (C)Copy Medical Record. The user should COPY the Medical Record
When you Update the Medical Record you are changing the information to what you have JUST entered in the system-ED STAFF SHOULD REFRAIN FROM UPDATING THE MEDICAL RECORD
When you copy you are copying the information that is maintained in Meditech

11. Registering the Patient in Meditech, cont.
The system conducts double checks to ensure that you have selected the correct patient
Verify the address listed with what was provided on the Information Sheet
If the information does not match call the patient to the desk and ask if they previously lived at the address
If YES select this patient
If NO verify the information you have entered and if it is correct select NO and continue (this will register the patient as a NEW patient)
If you cannot locate a patient who has previously visited CHSB verify with the patient that the information on the information sheet is correct
NOTE: At times the patient may have entered the information incorrectly or transposed a number or letter

12. Registering the Patient in Meditech, cont.
If the patient is in the Meditech system, it will prompt you to View Critical Care Indicators
Select YES to view these indicators
The indicator allows you to see if the patient has had a history of MRSA, C-Diff, etc.
If the patient has an infection control flag listed notify the triage RN immediately and follow CHSB policy

13. Registering the Patient in Meditech, cont.
After viewing the critical indicator continue to the ED Physician field
This field allows you to select the ED physician on duty
Enter the first three letters of the last name and the first initial of the first name then hit the F9 (lookup) key

14. Registering the Patient in Meditech, cont.
Tab down to the “Adm Priority” field and hit the F9 (lookup) key to find ER Emergency
Select number 3 and continue to “Reason for Visit” field

15. Registering the Patient in Meditech, cont.
Enter the “Reason for Visit” from the Information Sheet

16. Registering the Patient in Meditech, cont.
In the “Arrived By” field select how the patient arrived to the ED

17. Registering the Patient in Meditech, cont.
In the “Location” field select “8 ERD” for Emergency Department

18. Registering the Patient in Meditech, cont.
In the “Service Date” field hitting the enter key will populate this field with the current date

19. Registering the Patient in Meditech, cont.
In the “Service Time” field CHANGE the time to reflect the TIME STAMP on the Information Sheet

20. Registering the Patient in Meditech, cont.
Continue to tab and the “Yes/No Confirmation” dialog box appears. This is your last chance to verify the information entered.
This step is CRITICAL to ensure you have entered the correct information, take the time to ensure that the information is correct before filing it

21. Registering the Patient in Meditech, cont.
The next screens will print out the patient stickers, armband, etc.
Take care to compare the information printed against the Information Sheet, if you notice that you have made an error contact ED registration IMMEDIATELY and ask them to correct the information and reprint a packet. DO NOT depart the incorrect patient, DO NOT re-register the patient. STOP and allow REGISTRATION TO FIX THE ERROR!!!!

22. Verifying the Patient
The triage RN must have the chart and armband prior to beginning the triage process
The RN will call the patient by name (A-Acknowledge)
When the patient arrives for the RN to triage he/she will have the patient verify his/her name and DOB, at this point the armband will be placed on the patient (this will prevent the triage from being placed on the incorrect patient)

23. Start of the Triage Process
The RN will then begin the triage process
Don’t forget to introduce yourself to the patient (I-Introduction)
Example: “Hello, my name is Carol and I will be the triage nurse completing your triage”
Don’t forget to let the patient know how long it will take (D-Duration)
Example: “The triage process will take approximately 5 minutes”
Don’t forget to let the patient know why we are doing the triage process (E-Explanation)
Example: “The triage process includes vital signs, a brief review of your medical/surgical history and a review of your medications, this process will help the provider when he/she comes to see you”
Don’t forget to THANK your patient (T-Thank you)
“Thank you for choosing Community Hospital of San Bernardino”

24. Thank You