Emergency Department (ED)

Tracking lists

• SVI ALL ED Beds
• SVI Triage
• SVI Reg
• SVI DR
• SVI Tech
• SVI Provider
• SVI Admit
• SVI Fin Planner
• SVI Waitroom
• SVI Checkout
• SVI Tracking Board

Bed

Held

Status

Name

Acuity

LOS

ED Visit Reason

DR

RN

Events

Lab

Rad

Comments

• Triage ED
• Trauma Scoring
• EENT
• Cardiovascular
• Respitory
• Muscoloskelatal
• OB/GYN
• Glasgow Coma
• Skin Risk Asmnt
  • Braden / Skin Risk Assessment
  • Sensory Perception
  • Moisture (incontinence)
  • Activity
  • Mobility
  • Friction and Shear
  • Nutrition
  • Braden/Skin Risk Assessment Score
  • Psychosocial
  • Pain

Triage Assessment

Mode of Arrival

• Ambulatory
• Ambulance
• Carried
• Police
• Stretcher
• Walked
• Wheelchair
• Other

Triage Date / Time

• ED Visit Reason
• Acuity
• Chief Complaint
• Accompanied by
• Family / Spouse / SO
• Friend
• No One
• Parent
• Caregiver
• Guardian
• Guard / Security
• Police
• EMS
• Other

Oral Temp

Rectal Temp

Tympanic Temp

Axillary Team

Systolic BP

Diastolic BP

Pulse Rate

Resp Rate

O2 Sat

Ht/Lgth

Weight

Pain

LMP

Last LMP

Last Tetanus

Workmen’s Compensation

Immunizations

PowerChart

• Patient Information
• All Results
• Laboratory
• Radiology
• Vital Signs
• Reports
• Orders
• MAR
• Fluids
• Pathways
• 48 Hr Review
• One Wk Review
  • PAL
  • Patient List
  • Multi Patient Activities List
  • Scheduling
  • In-box
  • Assignment
  • Vital signs

• Temperature
• Temperature Method
• Heart Rate
• Repository Rate
  • Respiratory Post-Treatment Care
  • Cough/Sputum
  • Airway Section
  • Incentive Spirometry
  • IPPB Treatment
  • Nebulized Medications
  • MDI Medication
  • Ventilatory Settings
• Systolic Blood Pressure
• Diastolic Blood Pressure

Respiratory

Pain Asmt

Electrolytes

• Sodium
• Potassium
• Chloride
• Carbon Dioxide
• Anion Gap

Organic/Inorganic Components

• Glucose, Random
• Creatinine
• BUN

Blood Gas Analysis

• pH, Arterial
• pC02, Arterial
• p02, Arterial
• %02 Saturation, Arterial
• Carbon Dioxide, Arterial
• HC03, Arterial

Nursing Documentation

Complete Blood Count

• WBC
• RBC
• HGR
• Sodium
• LvL
• Chloride
• C02

Differential

Emergency Services Document

Patient List

Sign and Review

Type

Patient Name

From

Subject

Created Date

Update Date

Status

Notification Comment

All results

Lab results

Radiology

Documents/Reports

• Clinical Ancillary
• Consents
• Discharge Planning
• Social Work / Case Assessment
• Instructions
• Emergency
• ED Record
• Graphics
• Operative – Procedures
• Physician Orders

Form Browser

Patient Information

Facsheet

Orders

eSignature

Computerized Physician Order Entry

Drug

Food

Disease

Lab

Dose checks

Dose calculators

Contradictions

Warnings

Drug lab monitoring

Order communicated electronically to Pharmacy

Rules / Based Logic

Medication & Disease Protocols

Allergy & Adverse Drug Reaction

Unify Care Across the Entire Medication Process

Assess

• Monitor

Order

• Monitor

Dispense

• Monitor

Administrator

• Monitor

Automated Workflow

Evaluate Patient Status

Consider Evidence

Enter Orders

Communicate Orders

Acknowledge Orders

Act on Orders

Document Order Action

Patient Info

Last 48 Hours

Vital Signs

Lab

Radiology

Assessments

Reports

Orders

MAR

Fluids

Patient Care Summary

Med Profile

Script Writer

Order Profile

Diagnosis

Condition

Allergies

Vital Signs

Activity

Diet

Nursing Orders

IV Solutions

Medications

Laboratory

Diagnostic Tests

Consults

Ancillary Services

Order Sets

Deficiency filters

All ages

Deficient visits

Delinquent visits

Suspended visits

Delinquent docs

Suspended docs

All Status

Pending Dictation

Pending Transcription

Pending Modify

Pending Signature

All Document types

Anesthesia

Cancer Staging Forms

Cardiac Other

Cardiac Procedure

Coding Summary

Consultants

CT Artery

Discharge Plan

Discharge Summary

Echo-Stress

ED Nursing Record

ED Physician-Record

ED Record

EKG

Face Sheet

H and P

Operative Report

Orders

Pathology

Kardex

• Patient Info
• Flowsheet
• Orders
• Task List
• Clinical Notes
• Intake and Output
• MAR
  • Medications
  • Closes the loop in workflow and safety
  • Include 5 rights
  • Extends information to physician
  • POC devices – trial and involve end-users
  • Delivers efficiencies
• Pathways

Pharmacist Reviews Orders

Depletes Inventory

Medication data sent to automated dispensing machine

Automated dispensing machine vendor medications

Charges sent to pharmacy

Point of care nursing documentation of administrations

Physician places order via CPOE