1. W ELCOME 1.This class follows a standardized structure. The learner is expected to: Listen and watch the instructor demonstrate and explain at the beginning of each lesson with HANDS OFF THE WORKSTATION. Practice individual exercises. Participate in knowledge check activities. Practice working through group activities. 2.The material presented in this class is a foundational overview of the Clinical Systems. Unit specific information and practice will be covered when you are active on your unit.

2. C LINICAL S YSTEMS S TAR B ROWSER /S TAR P ANEL A CTIONS M ENU

3. S TAR B ROWSER /S TAR P ANEL A CTIONS M ENU L EARNING O BJECTIVES 1.Locate and define the purpose of primary menus and icons in StarBrowser/StarPanel. 2.Define the purpose of the StarBrowser/StarPanel systems. 3.Demonstrate accessing the Actions Menu. 4.Identify links located on the Actions Menu and their use.

4. V IDEO I NTRODUCTION : S TAR B ROWSER /S TAR P ANEL 1.Click here to load video.here

5. S TAR B ROWSER /S TAR P ANEL L OGGING O NTO THE S YSTEM INDIVIDUAL ACTIVITY 1.Log onto the system using the training ID.

6. A CTIONS M ENU Q UIZ S HOW

7. A CTIONS M ENU K NOWLEDGE C HECK 1.The link in the Actions Menu that is a record of any document that pertains to a patient’s medical history at Vanderbilt University Medical Center.

8. A CTIONS M ENU K NOWLEDGE C HECK All Documents

9. A CTIONS M ENU K NOWLEDGE C HECK 2.The link in the Actions Menu that displays medications, dosages and time administered for a specific patient.

10. A CTIONS M ENU K NOWLEDGE C HECK MAR

11. A CTIONS M ENU K NOWLEDGE C HECK 3.The link in the Actions Menu that allows you to request assistance from the IV team.

12. A CTIONS M ENU K NOWLEDGE C HECK IVT Request Form

13. A CTIONS M ENU K NOWLEDGE C HECK 4.The link in the Actions Menu that provides a snap shot of important information charted for a patient using the SBAR format

14. A CTIONS M ENU K NOWLEDGE C HECK OPC

15. A CTIONS M ENU K NOWLEDGE C HECK – T IE B REAKER ! 5.The link in the Actions Menu that provides an overview of lab results from a patient’s hospital stay.

16. A CTIONS M ENU K NOWLEDGE C HECK Fast Labs

17. C HARTING A N EW P ATIENT ’ S A DMISSION H ISTORY

18. C HARTING A N EW P ATIENT ’ S A DMISSION H ISTORY L EARNING O BJECTIVES 1.Locate required sections of the Admission History and define the completion deadlines for those sections. 2.Demonstrate the ability to complete a patient admission history.

19. A DMISSION H ISTORY F ORM A CTIVITY  With a partner, please complete an admission history form.  Make sure to include information in each section and do not skip sections.  After the allergies section, please save the form as a draft and switch roles with a partner.  Take turns being the nurse and the patient, providing information for completion of the form.  Each partner should have an opportunity to practice!

20. C LINICAL S YSTEMS O RDER E NTRY – HEO/W IZ

21. V IDEO I NTRODUCTION : HEO/W IZ 1.Click here to load the videohere

22. O RDER E NTRY – HEO/W IZ L EARNING O BJECTIVES 1.Define the purpose of the HEO/Wiz system. 2.Demonstrate searching for and locating active orders. 3.Demonstrate entering orders.

23. O RDER E NTRY – HEO/W IZ L OCATING A CTIVE O RDERS INDIVIDUAL ACTIVITY Use patient name on the patient card. 1.Practice selecting a patient and locating a diet order for the patient on your patient card. 2.Practice locating the tranfuse PRBCs order.

24. O RDER E NTRY – HEO/W IZ E NTERING O RDERS INDIVIDUAL ACTIVITY 1.Practice entering a telephone order from Dr. Physician Test for a routine, one-time CBC w/platelets for 5 a.m. tomorrow. 2.Click done and Accept Orders.

25. O RDER E NTRY – HEO/W IZ R EQUESTING A B LOOD P RODUCT INDIVIDUAL ACTIVITY 1.Practice requesting your remaining blood product from the blood bank for your training patient.

26. O RDER E NTRY A CTIVITY Enter the following order: Protocol order Test, Physician Diabetic diet consistent cho Daily NXT meal Until discontinued IT’S LUNCH TIME! PLEASE LOG OFF OF YOUR WORKSTATIONS BEFORE EXITING THE ROOM!

27. C LINICAL S YSTEMS C HARTING HED

28. C HARTING HED L EARNING O BJECTIVES 1.Define the purpose of the HED system. 2.Demonstrate the method for reviewing and completing labs in Care Organizer. 3.Demonstrate confirming a medication in Care Organizer. 4.Locate and define the purpose of primary menus in HED. 5.Demonstrate administering a medication through Admin-Rx. 6.Describe charting by exception. 7.Demonstrate charting a physical assessment, priority problems, education, and appropriate interventions.

29. M EDICATION A DMINISTRATION C ONFIRMING A M EDICATION O RDER 1.Practice verifying that you are in “Active view” prior to confirming medication. 2.Practice selecting your patient from laminated sheet and confirming hydralazine using the confirm button. 3.Confirm the remaining medications using the view, confirm/unconfirmed menu. 4.Using any medication, demonstrate sending a message to the pharmacy. 5.Click the refresh button.

30. M EDICATION A DMINISTRATION A DMINISTERING M EDICATION INDIVIDUAL ACTIVITY 1.Locate and click the Admin Rx tab. 2.Administer using the barcode scanner  Ondansetron (Zofran)  Milk of Magnesia 3.Address warnings if necessary.

31. M EDICATION A DMINISTRATION K NOWLEDGE C HECK – “H IT ” OR “M YTH ” Coin toss to see which team goes 1 st.

32. M EDICATION A DMINISTRATION

33. M EDICATION A DMINISTRATION K NOWLEDGE C HECK – “H IT ” OR “M YTH ” 1.Calling the pharmacy via telephone is the best method of communication about a medication. MYTH HIT or

34. M EDICATION A DMINISTRATION K NOWLEDGE C HECK – “H IT ” OR “M YTH ” Clicking “Send Rx a message” is the best method for communicating with the pharmacy. Myth

35. M EDICATION A DMINISTRATION K NOWLEDGE C HECK – “H IT ” OR “M YTH ” 2. IV fluids are scanned into Admin Rx. Nurse will select “extra dose” and scan the patient armband. Then the nurse will choose “protocol.” This will chart the fluid and account for the missing schedule and is expected behavior. MYTH HIT or

36. M EDICATION A DMINISTRATION K NOWLEDGE C HECK – “H IT ” OR “M YTH ” Hit

37. M EDICATION A DMINISTRATION K NOWLEDGE C HECK – “H IT ” OR “M YTH ” 3.Medications are confirmed in Care Organizer. MYTH HIT or

38. M EDICATION A DMINISTRATION K NOWLEDGE C HECK – “H IT ” OR “M YTH ” Hit

39. M EDICATION A DMINISTRATION K NOWLEDGE C HECK – “H IT ” OR “M YTH ” 4.Warnings from the system will only occur when no medication order is found. MYTH HIT or

40. M EDICATION A DMINISTRATION K NOWLEDGE C HECK – “H IT ” OR “M YTH ” Warnings from the system will occur when an incorrect dose is selected, medications is administered too late or too early, or when no medication order is found. Myth

41. M EDICATION A DMINISTRATION K NOWLEDGE C HECK – “H IT ” OR “M YTH ” 5.Multiple orders can be confirmed for the same patient in Care Organizer. MYTH HIT or

42. M EDICATION A DMINISTRATION K NOWLEDGE C HECK – “H IT ” OR “M YTH ” Hit

43. M EDICATION A DMINISTRATION K NOWLEDGE C HECK – “H IT ” OR “M YTH ” 6.The Five Rights are: The right dose The right medication The right patient The right route The right unit MYTH HIT or

44. M EDICATION A DMINISTRATION K NOWLEDGE C HECK – “H IT ” OR “M YTH ” The five Rights are: The right dose, the right medication, the right patient, the right route and the right time. Myth

45. M EDICATION A DMINISTRATION K NOWLEDGE C HECK – “H IT ” OR “M YTH ” T IE B REAKER 7.To confirm medications you should be in Active View in Care Organizer. MYTH HIT or

46. M EDICATION A DMINISTRATION K NOWLEDGE C HECK – “H IT ” OR “M YTH ” TIE BREAKER To confirm medications you do have to be in Active View in Care Organizer and will be confirming ALL doses. HIT

47. W ORKFLOW OF C HARTING  Review Response to Care/Recommendations and Priority Problems of previous shift from OPC.  Complete physical assessment, charted in HED.  Select 1-2 problems identified on assessment to create Priority Problems with matching Goals.  Assess the Plan of Care, which includes Priority Problems and targeted interventions for appropriateness.  Chart Response to Care/Recommendations, charted on PLAN tab. B EGINNING OF Y OUR S HIFT T ASKS E ND OF Y OUR S HIFT T ASKS

48. F INAL K NOWLEDGE C HECK