Clinical Systems

1. Clinical Systems StarBrowser/StarPanel

2. Welcome • This class follows a standardized structure. The learner is expected to: • Listen and follow along with the instructor. • Participate in knowledge check activities and games. • 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.

3. StarBrowser/StarPanelLearning Objectives • Locate and define the purpose of primary menus and icons in StarBrowser/StarPanel. • Define the purpose of the StarBrowser/StarPanel systems.

4. Video Introduction: StarBrowser/StarPanel • Click here to load video

5. StarBrowser/StarPanelknowledge Check Write a response to the following: • Recall one important idea from this lesson. • Verbalize one question about material from this lesson that you want answered. • Rate your confidence with the material from this lesson.

6. Clinical Systems The Actions Menu

7. Actions MenuLearning Objectives • Define the purpose of the Actions Menu and identified links within the Actions Menu. • Demonstrate the ability to reference and apply the Training Resource information to a provided scenario. • Define the purpose of the OPC and demonstrate the ability to successfully navigate and print the required components within the Actions Menu.

8. Video Introduction: Actions Menu • Click here to load Video

9. Actions MenuQuiz Show

10. Actions MenuKnowledge Check • 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.

11. Actions MenuKnowledge Check All Documents

12. Actions MenuKnowledge Check • The link in the Actions Menu that displays medications, dosages and time administered for a specific patient.

13. Actions MenuKnowledge Check MAR

14. Actions MenuKnowledge Check • The link in the Actions Menu that allows you to assign or view a pathway.

15. Actions MenuKnowledge Check E-Docs Pathway

16. Actions MenuKnowledge Check • The link in the Actions Menu that provides a snap shot of important information charted for a patient using the SBAR format

17. Actions MenuKnowledge Check OPC

18. Actions MenuKnowledge Check – Tie Breaker! • The link in the Actions Menu that provides an overview of lab results from a patient’s hospital stay.

19. Actions MenuKnowledge Check Fast Labs

20. Clinical Systems Charting HED

21. Charting HEDLearning Objectives • Define the purpose of the HED system. • Demonstrate the method for assigning patients in Care Organizer. • Locate and define the purpose of primary menus in HED.

22. Video Introduction: HED • Click here to load the video

23. Clinical Systems Charting Navigation and Processes

24. Charting Navigation and ProcessesLearning Objectives • Demonstrate the ability to enter vitals in a patient chart. • Based on provided patient conditions, define the completion guidelines and demonstrate documenting the appropriate Plan of Care.

25. Workflow of Charting • Review Nursing Summary and Plan Priorities of previous shift from OPC. • Complete physical assessment, charted in HED. • Create Priority Problems and Short Term Goals, charted in HED. Beginning of Your Shift Tasks End of Your Shift Tasks • Assess the phase of Plan of Care for appropriateness, found in StarPanel. • Chart Nursing Summary and Plan Priorities, charted in HED. • Chart “Met/Not Met” after revaluating Short Term Goals, Charted in HED.

26. Charting Navigation and Processesknowledge Check Write a response to the following: • Recall one important idea from this lesson. • Verbalize one question about material from this lesson that you want answered. • Rate your confidence with the material from this lesson. Share your responses with the person sitting next to you.

27. Clinical Systems Medication Administration

28. Medication AdministrationLearning Objectives • Demonstrate confirming a medication order in StarBrowser and Care Organizer. • Demonstrate the use a barcode scanner and explain the 5 rights. • Demonstrate administering a matched medication. • Demonstrate the cosigning of a high alert medication.

29. Medication AdministrationKnowledge Check – “Hit” or “Myth” Coin toss to see which team goes 1st.

30. Medication Administration

31. Medication AdministrationKnowledge Check – “Hit” or “Myth” • Calling the pharmacy via telephone is the best method of communication about a medication. HIT or MYTH

32. Medication AdministrationKnowledge Check – “Hit” or “Myth” Myth Clicking “Send Rx a message” is the best method for communicating with the pharmacy.

33. Medication AdministrationKnowledge Check – “Hit” or “Myth” • IV manage in Care Organizer is for continuous medication drips and the Admin Rx tab in HED is for scheduled medications. HIT or MYTH

34. Medication AdministrationKnowledge Check – “Hit” or “Myth” Hit

35. Medication AdministrationKnowledge Check – “Hit” or “Myth” • Medications are confirmed in Care Organizer. HIT or MYTH

36. Medication AdministrationKnowledge Check – “Hit” or “Myth” Hit

37. Medication AdministrationKnowledge Check – “Hit” or “Myth” • Warnings from the system will only occur when no medication order is found. HIT or MYTH

38. Medication AdministrationKnowledge Check – “Hit” or “Myth” Myth 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.

39. Medication AdministrationKnowledge Check – “Hit” or “Myth” • Multiple orders can be confirmed for the same patient in Care Organizer. HIT or MYTH

40. Medication AdministrationKnowledge Check – “Hit” or “Myth” Hit

41. Medication AdministrationKnowledge Check – “Hit” or “Myth” • The Five Rights are: • The right dose • The right medication • The right patient • The right route • The right unit HIT or MYTH

42. Medication AdministrationKnowledge Check – “Hit” or “Myth” Myth The five Rights are: The right dose, the right medication, the right patient, the right route and the right time.

43. Medication AdministrationKnowledge Check – “Hit” or “Myth” Tie Breaker • To confirm medications you do not have to be in Active View in Care Organizer. HIT or MYTH

44. Medication AdministrationKnowledge Check – “Hit” or “Myth” Myth TIE BREAKERTo confirm medications you do have to be in Active View in Care Organizer

45. Clinical Systems Order Entry – HEO/Wiz

46. Order Entry – HEO/WizLearning Objectives • Define the purpose of the HEO/Wiz system. • Demonstrate searching for and locating active orders. • Demonstrate entering orders.

47. Video Introduction: HEO/Wiz • Click here to load the video

48. Final Knowledge Check

49. Survey and Assessment Rules