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3/26/2012. 2. Introduction . Here are some tips for Instructors when working with Cerner documentation system Guidelines are included for charting and navigating the documentation system. 3/26/2012. 3. Topics Covered . Checking Student ChartingTask List vs. Ad HocTargeted Focused AssessmentsMe
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1. 3/27/2012 1 Tips for Instructors
2. 3/27/2012 2 Introduction Here are some tips for Instructors when working with Cerner documentation system
Guidelines are included for charting and navigating the documentation system
3. 3/27/2012 3 Topics Covered Checking Student Charting
Task List vs. Ad Hoc
Targeted Focused Assessments
Medication Administration Safety Tips
Medication Administration Wizard
Therapeutic Class View
Remember Suspend
Patient List
Order Summary
4. 3/27/2012 4 Overview These tips are to assist you in overseeing students mastery of our documentation system
The tips discussed are aids to assist you in your clinical time on our units
5. 3/27/2012 5 Vocabulary eMar- electronic Medication Administration record
Ad Hoc folder- this folder contains all forms for charting
Task List- contains activities and tasks for the nurse scheduled throughout the shift
Targeted focused assessments-assessments focused on specific body systems as identified in the care plan
MAW-Medication Administration Wizard
6. 3/27/2012 6 Checking Student Charting Utilize the nursing tab. The nursing tab is found on the menu under assessment results.
The nursing tab provides an easy way to view charting in a flowchart design.
7. 3/27/2012 7 Task List vs. Ad Hoc Check with unit Manager/CNS regarding charting activities/tasks from the task list vs. charting from the ad hoc folder.
Units may not want students to chart activities/tasks off the task list.
Students may be directed to chart activities/tasks from the ad hoc folder.
8. 3/27/2012 8 Targeted Focused Assessments On the general units physical assessments are focused on targeted specific body systems. These focused assessments are designated by the nurse when creating the care plan
These focused body systems will display when the physical assessment is accessed for charting
If you want your students to assess more than the targeted systems have the students access additional systems thru the ad hoc charting folder.
9. 3/27/2012 9 Medication Administration Students should not administer medication that has an eyeglass in the left upper corner of the MAR box. This eyeglass signifies that the nurse has not reviewed and signed off the order.
Students should prepare medication from the eMar.
The eMar continues information regarding preparation, location, and length of administration that is not found on the Task list
10. 3/27/2012 10 Medication Administration Wizard (MAW) Must have a computer/scanner at the point of care for medication administration
Identify medications to be administered using eMAR
Gather medications-keep in original package with barcode intact
Select MAW icon from the Action Toolbar
Scan patient wristband,scan medication, if no errors administer the medication, sign medication given via MAW
11. 3/27/2012 11 Error Messages- MAW Various error messages may appear
Medication not on patient profile
Different route of medication than ordered
Expired medication
Always call Pharmacy with these messages
12. 3/27/2012 12 Error Messages-MAW Error messages- Call Pharmacy do not administerError messages- Call Pharmacy do not administer
13. 3/27/2012 13 Therapeutic Class View This feature is located at the bottom of the eMar menu.
Clicking on this option will give you the medications organized in drug classes
14. 3/27/2012 14 Remember Suspend Reinforce with students to suspend the computer chart when leaving the computer
This will prevent open information concerning the patient from being viewed by people passing by
15. 3/27/2012 15 Patient List The patient list icon is located in the left upper hand corner of the screen.
By clicking on this icon you can view all patients in the unit
16. 3/27/2012 16 Order Summary To view recent orders placed for patient find Order Summary under Menu
Click on this option and orders placed for patient will be displayed in chronological order
17. 3/27/2012 17 Order Summary Click on this option and orders placed for patient will be displayed in chronological order
18. 3/27/2012 18 Summary The tips are ways to assist you in overseeing your students charting in an efficient manner
The tips provided will assist you in providing guidance to your students in navigating our documentation system
We look forward to your feedback on our Tips For Instructors - please send feedback to patricia.volkert@aurora.org
19. 3/27/2012 19 Where to Get More Information Patricia Volkert, Academic Liaison can be contacted for additional information you may need concerning our documentation system at 414-647-6483
The Help Desk is always available should problems arise when using our documentation system 414-647-3520