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PAU Review

 

After selecting the patient on the PAU Status Board, you will be presented with the following:

 

 

We will now focus on “Review” contained on the left-hand side of the screen.  “ Left to Look ” with a few important exceptions.

 

From your hands-on session, remember that there are multiple tabs at the top of this section.  Clicking the arrow will take you to the information in a “read only” format.  Clicking the tab will take you to the section with the ability to enter information.

 

 

The tabs are self-explanatory with a few exceptions:

1.       BestPractice -refers to advisories that appear depending on the information contained in the system for the patient.

2.       Prev. Anesthesia -will contain all previous anesthetic records documented in EPIC.  All legacy information for a patient going back to mid 2016 will be available by opening the chart and navigating to Chart Review\Media.  Sort by document type.  Anesthesia Records (since they start with “A”) will be found close to the top.

 

 

 

In the Vitals tab, the RN will be entering in patient height and weight.

 

 



It is very important the method be documented.  Otherwise, the values will not be used in a calculation (eg. STOP BANG)

 

 

 

 

 

 



Review the Allergies.  It is very important to click “Mark as Reviewed” as this will time stamp and include this confirmation in the note.

 

 

 

 

 

 

 



Review the Medications.  It is very important to click “Mark as Reviewed” as this will time stamp and include this confirmation in the note.



 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Scoring Systems available for completion include:

 

STOP BANG

 

Frailty Index

 

Revised Cardiac Risk Index

 

If you do not complete the score prior to opening up your note, it will not show in the note.  You will have to refresh the note.

 

 

 

The History section is quite extensive.

It contains the Medical Hx of the patient as completed by the RN or contributed to by a physician (through the problem list)

 

 

 

 

 

 

Surgical Hx

 

Family Hx of Anesthetic Problems

 

 

Smoking Hx

 

Alcohol Hx

 

 

Substance Abuse and Sexual Hx

 

It is very important to click “ Mark as Reviewed ” as this will time stamp and include this confirmation in the note.

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