CLINICAL SYSTEMS

STARBROWSER/STARPANEL

WELCOME

1. This class follows a standardized structure. The learner is expected to:

• Listen and follow along with the instructor.

• Participate in knowledge check activities and games.

2. The material presented in this class is a foundational overview of the Clinical Systems. Unit specific information and practice will be covered when you are active on your unit.

STARBROWSER/STARPANELLEARNING OBJECTIVES

1. Locate and define the purpose of primary menus and icons in StarBrowser/StarPanel.

2. Define the purpose of the StarBrowser/StarPanel systems.

VIDEO INTRODUCTION: STARBROWSER/STARPANEL

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CLINICAL SYSTEMS

THE ACTIONS MENU

ACTIONS MENULEARNING OBJECTIVES

1. Define the purpose of the Actions Menu and identified links within the Actions Menu.

2. Demonstrate the ability to reference and apply the Training Resource information to a provided scenario.

3. Define the purpose of the OPC and demonstrate the ability to successfully navigate and print the required components within the Actions Menu.

VIDEO INTRODUCTION: ACTIONS MENU

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ACTIONS MENUQUIZ SHOW

ACTIONS MENUKNOWLEDGE CHECK

1. The link in the Actions Menu that is a record of any document that pertains to a patient’s medical history at Vanderbilt University Medical Center.

ACTIONS MENUKNOWLEDGE CHECK

All Documents

ACTIONS MENUKNOWLEDGE CHECK

2. The link in the Actions Menu that displays medications, dosages and time administered for a specific patient.

ACTIONS MENUKNOWLEDGE CHECK

MAR

ACTIONS MENUKNOWLEDGE CHECK

3. The link in the Actions Menu that allows you to assign or view a pathway.

ACTIONS MENUKNOWLEDGE CHECK

E-Docs Pathway

ACTIONS MENUKNOWLEDGE CHECK

4. The link in the Actions Menu that provides a snap shot of important information charted for a patient using the SBAR format

ACTIONS MENUKNOWLEDGE CHECK

OPC

ACTIONS MENUKNOWLEDGE CHECK – TIE BREAKER!

5. The link in the Actions Menu that provides an overview of lab results from a patient’s hospital stay.

ACTIONS MENUKNOWLEDGE CHECK

Fast Labs

CLINICAL SYSTEMS

CHARTING HED

CHARTING HEDLEARNING OBJECTIVES

1. Define the purpose of the HED system.

2. Demonstrate the method for assigning patients in Care Organizer.

3. Locate and define the purpose of primary menus in HED.

VIDEO INTRODUCTION: HED

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CLINICAL SYSTEMS

CHARTING NAVIGATION AND PROCESSES

CHARTING NAVIGATION AND PROCESSESLEARNING OBJECTIVES

1. Demonstrate the ability to enter vitals in a patient chart.

2. Based on provided patient conditions, define the completion guidelines and demonstrate documenting the appropriate Plan of Care.

WORKFLOW OF CHARTING

Review Nursing Summary and Plan Priorities of previous shift from OPC.

Complete physical assessment, charted in HED.

Create Priority Problems and Short Term Goals, charted in HED.

Assess the phase of Plan of Care for appropriateness, found in StarPanel.

Chart Nursing Summary and Plan Priorities, charted in HED.

Chart “Met/Not Met” after revaluating Short Term Goals, Charted in HED.

BEGINNING OF YOUR SHIFT TASKS END OF YOUR SHIFT TASKS

CLINICAL SYSTEMS

MEDICATION ADMINISTRATION

MEDICATION ADMINISTRATIONLEARNING OBJECTIVES

1. Demonstrate confirming a medication order in StarBrowser and Care Organizer.

2. Demonstrate the use a barcode scanner and explain the 5 rights.

3. Demonstrate administering a matched medication.

4. Demonstrate the cosigning of a high alert medication.

MEDICATION ADMINISTRATIONKNOWLEDGE CHECK – “HIT” OR “MYTH”

Coin toss to see which team goes 1st.

MEDICATION ADMINISTRATION

MEDICATION ADMINISTRATIONKNOWLEDGE CHECK – “HIT” OR “MYTH”

1. Calling the pharmacy via telephone is the best method of communication about a medication.

MYTHHIT or

MEDICATION ADMINISTRATIONKNOWLEDGE CHECK – “HIT” OR “MYTH”

Clicking “Send Rx a message” is the best method for communicating

with the pharmacy.

Myth

MEDICATION ADMINISTRATIONKNOWLEDGE CHECK – “HIT” OR “MYTH”

2. IV manage in Care Organizer is for continuous medication drips and the Admin Rx tab in HED is for scheduled medications.

MYTHHIT or

MEDICATION ADMINISTRATIONKNOWLEDGE CHECK – “HIT” OR “MYTH”

Hit

MEDICATION ADMINISTRATIONKNOWLEDGE CHECK – “HIT” OR “MYTH”

3. Medications are confirmed in Care Organizer.

MYTHHIT or

MEDICATION ADMINISTRATIONKNOWLEDGE CHECK – “HIT” OR “MYTH”

Hit

MEDICATION ADMINISTRATIONKNOWLEDGE CHECK – “HIT” OR “MYTH”

4. Warnings from the system will only occur when no medication order is found.

MYTHHIT or

MEDICATION ADMINISTRATIONKNOWLEDGE CHECK – “HIT” OR “MYTH”

Warnings from the system will occur when an incorrect dose is selected, medications is administered too late or too early, or when no

medication order is found.

Myth

MEDICATION ADMINISTRATIONKNOWLEDGE CHECK – “HIT” OR “MYTH”

5. Multiple orders can be confirmed for the same patient in Care Organizer.

MYTHHIT or

MEDICATION ADMINISTRATIONKNOWLEDGE CHECK – “HIT” OR “MYTH”

Hit

MEDICATION ADMINISTRATIONKNOWLEDGE CHECK – “HIT” OR “MYTH”

6. The Five Rights are:

• The right dose

• The right medication

• The right patient

• The right route

• The right unit

MYTHHIT or

MEDICATION ADMINISTRATIONKNOWLEDGE CHECK – “HIT” OR “MYTH”

The five Rights are: The right dose, the right medication, the right patient, the right route and the right time.

Myth

MEDICATION ADMINISTRATIONKNOWLEDGE CHECK – “HIT” OR “MYTH” TIE

BREAKER

7. To confirm medications you do not have to be in Active View in Care Organizer.

MYTHHIT or

MEDICATION ADMINISTRATIONKNOWLEDGE CHECK – “HIT” OR “MYTH”

TIE BREAKERTo confirm medications you do have to be in Active View in Care Organizer

Myth

CLINICAL SYSTEMS

ORDER ENTRY – HEO/WIZ

ORDER ENTRY – HEO/WIZLEARNING OBJECTIVES

1. Define the purpose of the HEO/Wiz system.

2. Demonstrate searching for and locating active orders.

3. Demonstrate entering orders.

VIDEO INTRODUCTION: HEO/WIZ

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FINAL KNOWLEDGE CHECK

SURVEY AND ASSESSMENT

Rules