Chart +: Events, Equipment, and QA

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Transcript Chart +: Events, Equipment, and QA

Anesthesia Manager Training
“Events”
Objectives
By the end of this module the participant will be able to:
Open the Events Window from the Menu command and the toolbar icon
Add an Event from an Event Set
Add an Event after choosing an Event Type
Add an Event that is a free text comment
Add a comment and change the time for an Event
Use the Search tab to search for an Event
Use the S.A.M. module to add supervisory data
Delete an Event
View the History for all additions, deletions and modifications to Events
Date
Presentation Title
Current Anesthesia Record
“Documentation”
The paper record provides
visual prompts to complete
required information
End user moves from field to
field and
• Documents
• Circles
• Ticks
all relevant information to
insure a completed
anesthesia record
Date
Presentation Title
Current Anesthesia Record
“Documentation”
Events typically documented on the
paper record:
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Date
Anesthesia Start
Demographic Information
Procedural Information
Machine/Monitor check/functionality
Review of appropriate documentation
Technique (GA/Regional/MAC,etc)
+relevant details
Airway management
+ relevant details
IV and other invasive lines
Monitors
Patient position/eye status
Additional Equipment
Transfer/Discharge information
Anesthesia Finish
All other comments
Presentation Title
Future Anesthesia Record
“Documentation”
Electronic Record is a BLANK
SLATE
• No visual prompting
• Potential to forget essential
documentation to insure a
completed anesthesia record
Date
Presentation Title
Future Anesthesia Record
“Documentation”
Macro toolbar is your friend
• important event markers/symbols will be added to the timeline
• Standard event descriptors will be added to the Event Log
• Will act as like the visual prompter on the paper record to document
required information
Date
Presentation Title
Future Anesthesia Record
“Documentation”
Events will
replace
• Written comments
• Check Boxes
• Circled Short cuts
Date
Presentation Title
Adding Events
Events can be added by:
• Function key F4
• Using pull down menu
Insert/View-Events (F4)
• Selecting icon
Date
Presentation Title
Adding Events
2. Click on
the Add
Button
1. Event Log
Window appears
Date
Presentation Title
Adding Events
3 options to pick:
Event Sets
• These are custom
groups created locally
by the Anesthesia
Workgroup
• This is the DEFAULT
view
All Events
• These are generic
groups created by the
software developers
Keyword Events
• Provides search
functionality
Date
Presentation Title
Adding Events via “Event Sets”
Event Sets
Timeline organization
• Groups all events specific
to a given activity
Redundancy
• Various events can be
found repeated within the
same or different event
sets
Complete
• Minimal dependence to
insert descriptive
comments
Date
Presentation Title
Adding Events via “All Events”
All Events
Consists of multiple “event
types” that were created by
the software vendor and
listed as ANES: …….
Any new custom event
entered by the Anesthesia
Workgroup has to belong to
one “ANES Event Type”.
Every event is listed
alphabetically under “All
types”
Date
Presentation Title
Adding Events via “Event Sets”
“Adding an Event to the Event Log (Anesthesia Record)”
1. Pick the
relevant
“Event Set”
Date
2. Highlight
the desired
“Event”
3. Double click
on the “event”
or click
ORon the
click
“forward”
on the >
arrow
Presentation Title
Adding Events via “Event Sets”
“Adding an Event to the Event Log (Anesthesia Record)”
Event(s) will move over to the
“Selected Events” window
(4.) To document to the
record, you must hit OK.
4. Hit
OK
Selected event now appears
in the Event Log
Date
Presentation Title
Adding Events via “Event Sets”
“Adding an Event to the Event Log (Anesthesia Record)”
Add multiple events
simultaneously by:
“Control-clicking” to select
non contiguous events
“Shift-clicking” to select
contiguous events
Date
1. Highlighting
multiple events
2. Click on
the >
arrow
Presentation Title
Adding Events via “Event Sets”
“Adding an Event to the Event Log (Anesthesia Record)”
Selected “Events”
added to event
window by
control/shift click
Hit OK button
Date
3. Hit OK
Presentation Title
Adding Events via “Event Sets”
“Adding an Event to the Event Log (Anesthesia Record)”
Multiple “Events” now
appear in the Event Log
Date
Presentation Title
Adding a Comment to an Event
1. From the “Selected Events”
window, click on the
Comment Field adjacent to
the event and type your
comment
2. Hit OK
Date
Presentation Title
Changing the time of an Event
1. Adjust the timedefault is current time
2. Hit
OK
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Presentation Title
Add/Revise a “Comment” on an existing Event
From the Event Log window, double click on the Event/Comment OR
Select the Event and click on the Edit button
Change the time of the event if required
Add or revise existing comment
Date
Presentation Title
Deleting a “Comment” on an existing Event
1. Highlight event to be
deleted
3. OR highlight event
from Event Log
2. Hit the < arrow (this
stops event from ever
populating the Event Log)
4. Hit Delete
Date
Presentation Title
Adding a Free Text Event via “Memo”
1. From Event Log window, click on
“Memo” button
OR
Select “Memo” macro from the toolbar.
Default name of this type of Event is
“Memo”
2. Type your memo. Maximum
characters is 255.
Memo/Comment now is Event Log
Date
2. Type
memo
and hit
OK
Presentation Title
Searching for an Event
From the “Add Event”
window, select “Keyword
Search”
Enter in Keyword and
Find
Move event to “Selected
Event” window by double
clicking or hitting > arrow
Date
Presentation Title
Viewing Events on the Timeline
Once an event is added, a blue rectangle appears on the timeline
Run your mouse over the blue rectangle and the events entered at that
time are displayed
Date
Presentation Title
Adding Events from the Timeline
Click on Timeline and the
“Add Event” log opens with
the current time selected
Date
Presentation Title
Adding Events from “Basic” Event Sets
Four “Basic” Event Sets have been created
• to contain the most common events for a
typical GA/Spinal/MAC or simple Eye
procedure
• This will eliminate the need to jump around
to other Event Sets for the required
information
Date
Presentation Title
Reminders to
include
required
information
Event Set-”Basic GA”
Reminder to document
Patient position, arm
position,eyes
Reminders
to include
required
information
(Fluids)
Reminder to select
“Anesthesia Type”
Reminder to document
IV Start
Reminder to
document End
Activity
Reminder to
document A/W
Management
Date
Reminder to
document A/W
Management
Presentation Title
Event Sets-”Basic Spinal”
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Presentation Title
Event Sets-”Basic MAC”
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Presentation Title
Event Sets-”Basic Eye”
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Presentation Title
Click on this Box
to continue to second
half of the Presentation
Date
Presentation Title