1. Presentation TitleDate Anesthesia Manager Training Adding and Documenting Medications

2. Presentation TitleDate Objectives By the end of this module the participant will be able to: Be familiar with the Medications (All) flowsheet Be able to add a dose to a default medication Be able to add non default medications to the flowsheet Be able to modify, delete a dose of medication Be familiar with the medication summary

3. Presentation TitleDate Medications (All) Default Flowsheet Default List of Medications can be found on: Anesthesia Summary Flowsheet Medications (All) Flowsheet Can be organized by: Subheading Alphabetical (defect in 8.5) Default medications include the most common drugs used in the vast majority of procedures Organized by Subheadings

4. Presentation TitleDate Medications (All) Default Flowsheet Organized alphabetically (defect in 8.5)

5. Presentation TitleDate Adding a Dose for a Default Medication 1. Click cursor at desired time-Document Window opens 2. Enter dose 3. Adjust time if required 4. Change route if required 5. Hit check mark

6. Presentation TitleDate Adding a Dose for a Default Medication

7. Presentation TitleDate Adding Additional Medications to the Flowsheet Standard Option 1. Mouse turns to hand when placed over the “Medications” title bar 2. Can choose “All Families” or a “Specific Family” List of drugs appears “All Families” will list ALL drugs in the database alphabetically.

8. Presentation TitleDate Adding Additional Medications to the Flowsheet Standard Option Selecting a family will list ONLY the drugs specific to that family in alphabetical order

9. Presentation TitleDate Adding Additional Medications to the Flowsheet Standard Option Mouse turns to hand when placed over a specific Medication subheading Only medications specific to that family will be listed alphabetically

10. Presentation TitleDate Adding Additional Medications to the Flowsheet Standard Option Regardless of option used to add a new medication, you can now: “Add and Document” Brings up “document window” prior to order appearing on the flowsheet  Can adjust time  Can adjust dose  Can adjust route (site) “Add” Enters new order onto the flowsheet User must now click on desired time on the timeline to open the “Document Window” and enter information

11. Presentation TitleDate Adding Additional Medications to the Flowsheet Protocol Option Protocols are groups of standard orders one or more which can be added to the patient chart Anesthesia Manager has been configured with multiple drug protocols which classify medications by families or other logical means

12. Presentation TitleDate Adding Additional Medications to the Flowsheet Protocol Option Selecting any of the medication protocols will list: Drugs/drug combinations or infusions specific to that family rather than just single drugs as per previous methods Drugs/drug combinations or infusions that are commonplace in anesthetic practice rather than ALL drugs as per previous methods

13. Presentation TitleDate Adding Additional Medications to the Flowsheet Protocol Option Eg: Selecting the *Anes_Analgesics protocol will list all common analgesics/analgesic infusions and drug combination analgesic infusions

14. Presentation TitleDate Adding Additional Medications to the Flowsheet Protocol Option 1. Highlight one drug or “shift/click”, “control/click” to select multiple drugs 2. Hit “Add” button to include selected medications in flowsheet

15. Presentation TitleDate Documenting an Additional Dose in the “SAME” Time Interval The default time interval (resolution) in Anesthesia Manager is 5 minutes If an Additional dose is added in the same time interval, see next slide

16. Presentation TitleDate Documenting an Additional Dose in the “SAME” Time Interval 1. Click on previous dose- Document Window opens 2. Click on “Add Dose” 3. Enter additional dose (default will be previous value) 4. Hit check box

17. Presentation TitleDate Documenting an Additional Dose in the “SAME” Time Interval Total dose is preceded by an = sign to indicate divided dosing in the 5 minute interval You must wait at least 1 minute before attempting to add an additional dose to the preceeding dose Display of Doses given

18. Presentation TitleDate Documenting an Additional Dose in the “SAME” Time Interval Notice how the = sign disappears when the resolution is changed to 1 minute

19. Presentation TitleDate Modifying a Dose 1. Click on dose that you want to change- Document Window opens 2. Check the time of dose that you want to modify 3. Modify the dose 4. Hit OK

20. Presentation TitleDate Modifying a Dose 5. Agree to the modification Modified Dose appears on flowsheet

21. Presentation TitleDate Deleting a Dose 1. Click on dose that you want to undo/delete- Document Window opens 2. Check the time of dose that you want to undo/delete 3. Hit “Undo” 4. Agree to the modification Dose removed from the flowsheet

22. Presentation TitleDate Medication Summary Total Dose administered over the current encounter Data sorted by “Administration Time” OR alphabetically OR by family Access by pull down menu OR Medication Summary icon

23. Presentation TitleDate Adding and Documenting Medications: Exercise Add a few doses of various default medications Add new Medications to the flowsheet via: List of medications belonging to a specific family Using protocols Add a second dose of a medication Modify a medication dose Review the medications administered in the Medications Summary

24. Presentation TitleDate Questions And Answers