What do I do if Anesthesia Manager freezes up on me?
If there is a "Not responding" message at the top of the screen, you need to force closure of the program. Press Ctrl-Alt-Delete and open Windows Task Manager. Highlight the task Anesthesia Manager and click the End Task button. The Task should disappear from the list. Close Task Manager and double-click on Anesthesia Manager to start it again. After logging in, you will see a message that a case in-progress has been discovered - click 'Restart" to continue. You should resume where you were before the program crashed.
On Auto-login computers (i.e. SIMS computers) the Ctrl-Alt-Del route may not work - nothing happens. The only solution is to *Press-and-Hold *the computer power button until the computer shuts off. Then press the power button again to reboot and when the desktop with icons appears, continue as above.
The "Start Session" is greyed out. I can't start my case. What do I do?
There are several causes for the "Start Session" button to be "greyed out" and non-operative:
- Check to see if you are in RemoteView (highlighted tab at bottom of screen). It is easy to lose track between Anesthesia Manager and RemoteView. You cannot Start Sessions in RemoteView. You need to click on the Anesthesia Manager tab and select your patient again from the Census List.
- Perhaps it was some time ago that you opened the Census List while the patient was still in SDCU and Start Session was not possible. Now the patient is at the OR door but the Start Session button is still "greyed out". Click on the Refresh button and update the Census List and the Start Session button may become active.
- It is possible that SDCU did not place the patient into Transfer when the patient left to go to the OR. You will need to phone SDCU and remind them to do this.
I have admitted my Main OR patient to Anesthesia Manager but the screen looks weird - the macro buttons repeat and many are missing . What did I do?
You have accidentally admitted your patient to the Eye Institute / Eye Care Centre template. When the "Admit Patient" dialog was waiting for you to hit the Admit button, you must have rolled the wheel on the mouse and changed the default template from "Anesthesia - Standard" to "Anesthesia - Eyes".
This is easy to correct, even if you have entered some data. Transfer your patient out of the Eye template and start a new session in the Standard template. Remember, however, that your Anesthesia Start time may have been entered in the previous session. This is important when you Print your case - make sure you start your print interval so it includes the time in the Eye template when the Anesthesia Start was entered.
I have just realized that I have been charting on the wrong patient! Help!
This is a serious error and we may not be able to correct it. It highlights the need to double-check both patient name and MRN. Some patients have identical names! Sometimes it is not your fault - the clerk who registered the patient in the Census List made the error. Vigilance is key.
If the case is nearly finished and no other anesthetist needs the patient incorrectly selected at the moment, the best course is to complete the entire case under the incorrect name. Before placing the patient into Transfer, make a memo which states the data has been accidentally entered into the wrong patient's record. Make sure the PACU staff open their session on the correct patient. Notify the campus SuperUser what has happened with names and MRNs of both correct patient and incorrect patient (the one with the case data). In this scenario, we may be able to electronically "reassign" the record to the correct patient.
If the case has just started (less than 30 minutes, for example), you should do a Printout of your case so far. Then delete all events and leave a memo which says: "Please ignore all data for this session. Patient data from a different patient was accidentally entered." Then place this incorrect patient into Transfer. Now, select the correct patient and Start a New Session.
Go to the top bar and under Orders, select Cancel/Discontinue. Discontinue all the items. Now, go to Protocols and select the default protocol named "Anes-RoutineMeds&Fluids".but do not select any individual item. Before clicking "Add", change the time in the lower left to before the time your started the case. Unless you do this back-timing step, you will not be able to enter drugs in the correct time columns. You will now need to re-enter as much data as you need from the Printout you made before on the incorrect patient. It is a good idea to add a memo explaining what happened, too.
(Note: The back-timing step will work only if the patient was in Transfer before you started the case. If the patient has come from the ward or the ER, there is no Transfer section to back-time into. However, all is not lost! You can back-time drugs into the BeforeAdmission section; you just cannot enter vital signs. You can document in one memo with a number of lines, each with a time and the associated vital signs. Or, if it is only a few time columns missing, you could place a separate memo in each 5-min timeblock for the associated vital signs. Alternately, switch to a paper chart.)
You may not have realized you are charting on the incorrect patient until someone phones you and tells you that they need you to release the incorrect patient so they can begin their case. In this case, even if you are 2 hours into the case you need to follow the same directions as above when the case has just started. In this case, you may wish to switch to a paper record rather than enter all the physiologic data by hand into the new electronic record for the correct patient.