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:
-refers to advisories that appear depending on the information contained in the system for the patient.
-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.
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.
available for completion include:
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.
section is quite extensive.
It contains the
of the patient as completed by the RN or contributed to by a physician (through the problem list)
Family Hx of Anesthetic Problems
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.