Before we Begin. Practice Logging in to ensure your password works appropriately Once you have logged in, select the status board Select Lists Select Find Patient by Inpatient Location Select Test QMC IP Location Find patient: EMR,TESTPATIENT Launch the Open Chart Click MAR
Patient Assignment List
Status Board Function Buttons
Patient Care Routines & Function Buttons
PCS Status Board
PCS Status Board
Medical Record Number
Location, Room, Bed
Age, Sex DOB
Open Chart Routines
Gray Background = View Mode
Current Date/Time Defaults
White Column = Documentation Mode
Recall is Enabled for PMH
Recalls the entire assessment
Recalls the section
Recalls the individual query
Item Detail: Protocol, Associated Data, Item Detail Info
Care Item: Intervention, Assessment, Outcome
The item detail will be viewable by clicking the “I” from the worklist or within the assessment
Item Detail/Editing & Undoing Documentation
Item Detail Edit and Undo
15 Minute Break
Documented intake and output will be listed here. Again data will be trended by date and time and can be adjusted to display increments of 1, 4, 8, 12, and 24 hours.
The default on the Medications tab, is the medication list which is a simple list of all medications during this patient’s visit, but can be expanded to include medications from all visits.
Clicking the header of each column allows the list to be sorted accordingly. Additional filters can be applied using the footer buttons at the button.
The second tab on the Medications panel provides a view only display of the MAR. All information on the MAR can be viewed, but no documentation can take place here. You must visit the true MAR for this.
The detail footer button allows for viewing of additional medication information, such as the flowsheet, monograph, medication detail, protocol/taper schedules, and any associated data.
The Laboratory Panel displays all lab data separated out by category. This defaults to the visits selected, but all visit data can be displayed by choosing that tab. Clicking the name of the test will launch you to a list of all results for that test. Clicking the result itself will launch you to a screen to view additional test data, such as the reference range.
Lab reports can be printed by clicking on the date and time header of the lab panel. The user will be launched to a collection data screen, where he/she can select lab report and print the data.
The Microbiology panel displays all microbiology tests that have been received into the lab. The status and results will be displayed with the procedure. Clicking on the notepad will launch the user out to the final report.
The Blood Bank Panel allows for Blood related information to be tracked on the patients. The LAB/BBK department will update information in this panel along with the Blood Product Infusion Record/Reaction documentation done in nursing.
The reports panel shows all reports that have been entered on the patient, including radiology report, cardiology reports, dictated physician reports, physician documentation reports, as well as Allscripts reports once they are live in the system. *Initially Allscripts reports will be housed in the patient paper chart. Clicking the notepad will launch you to the report for viewing and printing.
The Patient Care tab provides a view only overview of all assessments and interventions documented on the patient. The plan of care is also viewable from here. The information can be sorted out by date, name, recorded by, and provider type.
Clicking onto the name of an assessment or intervention will launch you into a view only display of the documentation. No edits can be made from this panel.
The notes panel displays all notes entered on the patient by nursing, physicians, and other staff. Dictations and Physician Documentation reports (such as Progress Notes, H&P, Discharge Summary, etc) are not found here. They are on the reports panel. To view, either check off the box next to the desired note and click “View Selected” or clicking directly on the note.
Orders will be discussed in detail later in the training. For purposes of the EMR, however, the orders panel is accessible to all users on any desktop. All active orders will be displayed on the current orders table and the history panel contains these as well as cancelled, completed, and discontinued orders.
Open the Select Visits tab of the patient’s electronic medical record (EMR)If the patient has PCI data available, the “View PCI” footer button will be illuminated.Clicking this button will launch you to a view only display of their PCI information in Magic.
Accessing Magic From 6.0
The patient’s PCI chart will display and can be navigated through.