1. MISH MASH Entering and Exiting the Operating Room
Compliance Statements
Completing the Anesthetic Record
Remote View
Progress Notes

2. Admission Scenario (Current) 1. SDA-MD Assessment 2
Admission Scenario (Current) 1. SDA-MD Assessment 2. SDCU-MD Assessment 3. Anesthesia Consultation
19/08/2019

3. Admission Scenario (Current) 1. SDA-MD Assessment 2
Admission Scenario (Current) 1. SDA-MD Assessment 2. SDCU-MD Assessment 3. Anesthesia Consultation
19/08/2019

4. Admission Scenario 1. SDA-MD Assessment 2. SDCU-MD Assessment 3
Admission Scenario 1. SDA-MD Assessment 2. SDCU-MD Assessment 3. Anesthesia Consultation
Current
Practice and Future

5. Admission Scenario (Current) 1. SDA- NO MD Assessment 2
Admission Scenario (Current) 1. SDA- NO MD Assessment 2. SDCU- NO MD Assessment 3. NO Anesthesia Consultation
19/08/2019

6. Admission Scenario (Current) 1. SDA- NO MD Assessment 2
Admission Scenario (Current) 1. SDA- NO MD Assessment 2. SDCU- NO MD Assessment 3. NO Anesthesia Consultation
MD Assessment belongs between
PAST SURGICAL HISTORY &
NURSING PREOP PLAN OF CARE

7. Admission Scenario (Current) 1. SDA- NO MD Assessment 2
Admission Scenario (Current) 1. SDA- NO MD Assessment 2. SDCU- NO MD Assessment 3. NO Anesthesia Consultation

8. Admission Scenario (Current) 1. SDA- NO MD Assessment 2
Admission Scenario (Current) 1. SDA- NO MD Assessment 2. SDCU- NO MD Assessment 3. NO Anesthesia Consultation
Open

9. Admission Scenario (Current) 1. SDA- NO MD Assessment 2
Admission Scenario (Current) 1. SDA- NO MD Assessment 2. SDCU- NO MD Assessment 3. NO Anesthesia Consultation

10. Understanding the Flow Encounter and Sessions
Transfer OUT
Transfer IN
Transfer OUT
Transfer IN
Preop Session
Intraop Session
Postop Session
ENCOUNTER (GA)
From time of admission until time of discharge

11. Compliance Statements ANES: Compliance Statements A030_Milestone-Documentation
Working with a Resident
If the resident has been the one to open the session, then all entries into the system will be attributed to him/her
Use the SAM button to gain access to the Compliance Events and enter your involvement with the case
The resident does NOT need to log off for you to use SAM

12. 2. Enter your credentials
Compliance Statements ANES: Compliance Statements A030_Milestone-Documentation
1. Click on the “SAM” icon
2. Enter your credentials

13. Compliance Statements ANES: Compliance Statements A030_Milestone-Documentation
Default screen that appear is “ALL EVENTS”
(every event in Anesthesia Manager belongs to a Category defined in the underlying database)
Alternatively, you can switch to the “Event Sets”
-choose Event Set A030

14. Compliance Statements ANES: Compliance Statements A030_Milestone-Documentation
Descriptors appear under your
User ID
1. Select desired descriptors and move to active window, click “OK”
1. Select desired descriptors and move to active window
SAM events now appear in Main Event
window under your User ID
2. Logout of SAM

15. Compliance Statements ANES: Compliance Statements A030_Milestone-Documentation
Relief
When you are being relieved by another individual, you should “log off”.
Screen disappears but data is still being captured.
Relief should “log on” and document in Event Set A030_Milestone-Documentaion

16. Completing the Anesthesia Record PACU/SDCU/ICU
The anesthetic record is NOT complete until care of the patient has been transferred to the nurses in PACU
On entering the PACU, the nurses will “Start Session” the patient on the local workstation.
It has been agreed that all further Anesthesia Documentation will be completed on dedicated workstations in the PACU/ SDCU using “REMOTE VIEW”
1. Locate patient in census and click “Remote View”
1. Locate patient in census and click “Remote View”
Template shows the movement of the patient from the
GA (transfer) session to the GA (PACU Post Op) session

17. Completing the Anesthesia Record PACU/SDCU/ICU
3. Select relevant descriptors and make ACTIVE, then hit “OK”
3. Select relevant descriptors and make ACTIVE, then hit “OK”
2. Hit the “Report Icon” which opens the “Add Events” window-
A005_PACU-SDCU-ICU Report
2. Open Event Sets (use icon or F4) and choose
A005_PACU-SDCU-ICU Report

18. Completing the Anesthesia Record PACU/SDCU/ICU
We now have to place the “Finish Time” on the record
We also have to print the record (upload to vOacis) which appears after the “Finish Time” has been entered.
Hit the “Finish” icon-current time is displayed. Adjust as appropriate and hit “OK”
Hit the “Finish” icon-current time is displayed. Adjust as appropriate.
2. Hit the < icon to explode

19. Completing the Anesthesia Record PACU/SDCU/ICU
Hitting the < icon breaks the General Anesthesia Encounter into its respective sessions:
Surgical Pre-Op
GA (Standard) not shown
PACU Post Op
Surgical Post-Op
Select the GA (Standard) session
Hit OK and record is sent electronically to vOacis
Logoff Remote View (detailed instructions to follow)

20. PACU Progress Notes
All notation by anesthesia in the PACU will convert to an electronic format
Pull down Menu-Insert/View, choose “Patient Summary”
2. Choose “Notes”

21. PACU Progress Notes
3. Choose “Add Note”
4. Complete Note