docKnow and Go PowerChart Tips Jan 2008
download 
Report Transcription
Know and Go PowerChart Tips Jan 2008
Know and Go
PowerChart Tips
Jan 2008
Table of Contents
Advanced Directives__________________________________ 5
Finding a previous Advanced Directive_____________________ 5
Citrix Server_________________________________________ 6
Finding your Citrix Server Number ______________________ 6
ACIS/PowerChart Citrix Session TimeOut _________________ 7
Documents___________________________________________ 8
Document Report Dual Page __________________________ 8
ED Triage Form as a Text Document_______________________ 9
Document Search __________________________________ 10
Dual Page View ____________________________________ 11
Opening Multiple Documents _________________________ 12
Resizing and/or moving a document window_______________ 14
Save Work during Inbox Document Modification ______________ 15
Encounters_________________________________________ 16
Selecting a patient previous encounter _________________ 16
Login_______________________________________________ 17
Login and Password for ACIS_ __________________________ 17
Quick and Easy Login_ ________________________________ 18
Log out with Exit and Ready____________________________ 19
Patient Lists ________________________________________ 20
Creating a Location List: _________________________________ 20
Creating a Visit Relationship List: __________________________ 22
Customizing Columns _______________________________ 25
Options for printing a List______________________________ 26
Proxy your Patient List ______________________________ 30
Privacy Status ____________________________________ 32
PowerChart Tabs_ ___________________________________ 33
Discharge Document Tab ____________________________ 33
Navigating the Document/Reports Tab____________________ 34
Results Viewing_____________________________________ 39
Blood Bank Results___________________________________ 39
Customizing the Search Criteria Default _ _______________ 40
Setting your Default Flowsheet View ___________________ 41
What does the MORE Button do_ ________________________ 42
Printing Lab Results with Reference Ranges _____________ 43
Tools_______________________________________________ 44
Clinical Calculators _________________________________ 44
Launching other Applications through PowerChart!_ _________ 45
What is contained within the TABS of PowerChart? ________ 46
Reduce Number of Click to Search Policies_________________ 47
APPENDIX____________________________________________ 49
Cerner Learning Manager: Web Based Training (WBT)_ ______ 50
Hybrid Medical Records________________________________ 52
Documents - PowerChart Document Categories_____________ 53
Categories of Documents Types Standardized Full ______________ 54
PowerChart Document Categories Chart Order______________ 56
PowerChart Document Categories Alphabetical_ ____________ 58
test your powerchart knowledge_ ___________________ 61
PowerChart Quiz #1_ _________________________________ 62
PowerChart Quiz #2_ _________________________________ 63
ACIS PowerChart Crossword (Quiz #3)____________________ 64
Competency Test_____________________________________ 65
PowerChart Quiz #1 Answers___________________________ 69
PowerChart Quiz #2 Answers___________________________ 70
Crossword Answer____________________________________ 71
The symbol at the end of the title signals content for Physicians
page 2
page 3
•Advanced Directives
Finding a previous Advanced Directive
basic Concept of Locating a Previous document
; The search criteria must include the date of service – the date the test was performed or
the date the old chart was scanned. A discharged chart is scanned to the date of dc.
; The Ad can be found under the All results Tab or the documents-reports Tab.
Locating a Previous Ad in PowerChart
scenario – Ad has been copied during a previous admission – unknown date.
; you must check across ALL admissions [a.k.a. encounters]
Open the Patient chart and click on the Location to see the visiT LisT
double click on the earliest encounter. click yes, then close the window [Ok or exit].
There may be
a hesitation
in loading the
information if
the patient
has many
inpatient
admissions.
From any Flowsheet Tab, select the ellipse button.
[This is a search feature]
your view might be better with the grOuP view if there are many Ad entries.
note – this search will only return documents within the search criteria dates listed in the green
bar [default is 24 hr. PreAdmission to current].
Type in “Adv” and enTer:
select either option by double clicking or highlight and click Ok.
you will only see Ad related forms – summary and scanned Advanced directives.
page 4
page 5
•Citrix Server
Finding your Citrix Server Number
ACIS/PowerChart Citrix Session TimeOut
To maintain the ACis/Cerner Application response Times, the
Applications will CLOse after 60 minutes of nO ACTiviTy.
it should not log you out while using any Cerner ACis program.
Continue to leave the Log-in screen up and ready for the next user – do
not cancel out of the login screen, unless you intend to close the program
completely.
remember, when you exit PowerChart from the Organizer using the “x”
in the upper right corner, the screen will be ready for the next
user. The Log On box will automatically appear.
Login time is as quick as you can type your login username and password.
Reminder – close all patient charts before exiting
if you select “CAnCeL” when this log on box appears, the PowerChart
connection is closed and the next login will take much longer.
If you experience any slow responsiveness or if you are kicked
out of Cerner ACIS applications while being used,
Please notify the IT HelpDesk, 2249.
ACis Cerner Applications include:
PowerChart [Core Chart]
Firstnet [ed]
Profile / Provision / mrP [him / medical records]
page 6
page 7
•Documents
Document Report Dual Page
ED Triage Form as a Text Document
go to document/reports Tab
click on icOn at bottom of window
select enable dual Page view
select or de-select any other options desired.
On the FLOWsheeT
view, if you double
click on ed nursing
record you will see
the text document
and can print from
there.
Also available On the
dOCumenTs/rePOrTs tab
in the documents-reports Tab, i have opened a group
of scanned Orders. it has 129 pages. i have
enabled duAL PAge vieWer to more quickly page
through the group of documents. i have checked all
boxes. i can use the small teal arrows below to move
through 2 pages at a time. i can zoom the pages if
desired, using the magnifying glass + or -.
To reverse – i just uncheck the first item “enable dual
page view”. The other items can remain checked to
make it a quicker selection next time.
Printing Tip: you must
use the Print icon at the
bottom window – be sure
to select page(s) and not
print ALL!
WhAT This meAns TO yOu:
• you can now view the
form as it looks printed.
• you can tell who modified
what and when.
• you can print the text
document without going
to form browser!
Additional report eFFecTive 5/3/06
page 8
page 9
Dual Page View
Document Search
page 10
page 11
Opening Multiple Documents
Opening Multiple Documents in a Patient’s Chart
Opening Multiple Documents at one time in a patient’s chart
There is new functionality after the ACIS Upgrade that allows you to open more than one document in a
patient’s chart from the Documents/Reports tab. You can either open additional documents one at a
time or open multiple documents at once.
1.
Open a patient’s chart to the Documents/Reports tab.
2.
Navigate to the first document you would like to open and single click to select the document.
3.
Navigate to the additional document you would like to open, hold down the Ctrl key on your keyboard
and single click to select the document. Continue to select documents in this manner until all the
documents you would like to open are selected (highlighted blue).
4.
Right click on any one of the selected documents and choose Open Multiple Documents.
“Open Additional Document” – Opens the document in a separate window for
easier viewing. If you keep selecting this option with other documents, you
will have more than 1 document opened at the same time.
1.
Open a patient’s chart to the Documents/Reports tab.
Reminder: Make sure your search criteria is set to include the documents you are looking for. To change
your search criteria, right click on the green bar and select Change Search Criteria.
2.
Navigate to the document you would like to open and single click to select/highlight that document in
your list. You can expand document folders by single clicking on the plus sign next to the folder.
3.
Right click on the selected document and choose Open Additional Document.
This will open each selected document in a separate window. Once the documents are open, you can
resize or move the windows around for easier viewing.
This will open the selected document in a separate window. Once the document is open, you can
resize or move the window around for easier viewing.
4.
Continue to open additional documents in this manner one at a time until all the desired documents
are open. To open more than one document at once, see the next page.
IMPORTANT: Once a document is open on the right hand pane of the Documents/Reports tab (if
you double click on the document instead of right click), it cannot be opened in a separate window at
the same time. You would need to navigate to a different document, and then go back to the
document you would like to view, right click and select Open Additional Document. For best
results, do not double click on any documents!
Page 1 of 3
Page 2 of 3
page 12
page 13
Once a document is open in a separate window, you can move, resize, minimize, maximize or close that
window. each of the following steps corresponds to the numbered boxes on the image below.
1.
restore
maximize
Close
2.
To move a window, click and hold on the blue title bar at the top of the window then drag to move to
the desired location.
3.
The document window for scanned documents has 2 panes (transcribed documents only have one),
the document viewer (upper pane) and the document information (lower pane). To resize the panes
to allow for better viewing of the document, hover your mouse pointer over the line separating the
panes, click and hold with the left mouse button, then drag up or down to resize the panes.
4.
Save
Work during Inbox Document Modification
The blue title bar at the top of the document window allows you to do the following actions:
minimize
Resizing and/or moving a document window
To resize a window, hover your mouse curser over any one of the 4 corners of the window. your
curser will change to a 2-headed arrow. Once this happens, click and hold with the left mouse button
then drag to resize the window.
1.
To minimize, maximize or
close the window, use the
corresponding buttons on
the blue title bar.
2.
To move the window, click and
hold on the blue title bar with
the left mouse button, then
drag the window to the
desired location.
3.
To resize the document pane:
hover your mouse pointer
over the line between the two
panes of the window. Then
click and hold with the left
mouse button and drag to
resize the pane.
4.
To resize the window: hover your
mouse pointer over the corner of
the window. Then click and hold
with the left mouse button and drag
to resize the window.
Page 1 of 1
page 14
page 15
•Encounters
Selecting a patient previous encounter
1. click on the LOCation in the banner bar
2. double click on the encounter you want to open.
click 3. yes and 4. Ok to close the windows.
•Login
Login and Password for ACIS
For first time log in, first login after a password reset and expired
password notification.
First Time
Password –
1. might be reset to
the same as your
user name
[ex. “greenejs”]
2. –or as instructed,
ex. Password1
how selecting a past encounter affects what is seen in the tabs
default search Criteria = All documents from selected encounter [only shows
documents from the encounter you select]
document/reports Tab
discharge documents
default search Criteria = 24 hour Prior to Admission to Current – will show all
documents from the past encounter admission to today’s date [includes all encounters in
between the admission date of the selected encounter to present date]
Quick view
Lab
rad
All results
page 16
yOu create your
password –
At least 2 numbers
and 4 letters.
[ex. 12remember]
The password
you just used to
login.
retype the password
you just created to
validate – make sure
you didn’t have a
typing error.
when prompted to change your password, you must change the password to
something that you have not previously used. you are no longer able to reuse passwords in Powerchart.
if you need to change your password for security reasons at a time between
scheduled changes (every 180 days) – go to Task menu > Change
Password.
page 17
Quick and Easy Login
Log out with Exit and Ready
FACT: initial login into Powerchart may take up to 20 – 30 seconds as it establishes a
ciTrix connection to denver, cO [national Offices].
FACT: you do not have to wait that long every time!
when you exit Powerchart, the login screen pops back up,
making it reAdy FOr The nexT user.
Please dO nOT CAnCeL and close Powerchart completely.
Logging in at this point is immediATe upon typing in your
name and password.
if you want it to be out of your
way…place cursor on the
screen, hold the left mouse
button and drag the screen off
to the corner of your desktop
display.
sTOP WAiTing and Access
Patient information
immediATeLy!
LimiTATiOn: The citrix
session expires after 60
minutes of inACTiviTy.
This means, if this sits
untouched for 60 minutes
– it closes.
page 18
unit secretaries
– yOu CAn heLP
Take a few minutes
before high volume
times to make sure all
of your nursing
station and
Physician Area
Computers are
powered on, open the
desktop ACis iCOn
and then the
PowerChart iCOn so
it will be up and
running and ready for
access.
exit Functionality set to decrease Login Times
when you exit PowerChart from the Organizer using the “x” in the upper
right corner, the screen will be ready for the next user. The Login screen
will automatically appear.
Login time is as quick as you can type your login username and password.
All shared, general use workstations [ex. those in the nurses
station] will be set to exit in this manner when exiting using
the upper left “X” in the Organizer.
Reminder – close all patient charts before exiting
if you select “cAnceL” when this log on box appears, the Powerchart connection
[citrix] is closed and login will take longer.
The citrix connection will time out after 60 minutes or inactivity [no user
activity] and close the PowerChart connection.
Only for private, single user computers:
you need to change the default setting if you do not want the Powerchart Login
screen to appear each time you exit.
Please go to TAsk menu > select exiT and this dialog box will appear. chose
your default setting and select yes.
exit and shut down the application – closes it out completely
check “save as the default choice”
check “don’t ask me this again”
OTher OPTiOn meAnings:
Exit application, with screen ready
for next user = the way all shared,
general use computers will exit.
Have a new user take over
application in its current state =
same as change user – will be
useful in Phase ii with co-signing
functions.
page 19
•Patient Lists
Location – Follow Steps in Screenshot Below
Creating a Location List:
Select List Maintenance from
Patient List menu or Use ICON
Select NEW
Select Location type of list
Refresh the organizer
to see New Location List
Call Paula @ 4776 or Eula @1863 with issues with Artromick Cart
Please give us objective feedback on carts, things that would help
you etc. as we do this evalution. Clean these carts with the Antimicrobial wipes frequently!!
page 20
page 21
Creating a Visit Relationship List:
select List maintenance
from Patient List menu or
select visit relationship type of list
use icOn
select neW
visit
relationship – based on yOur Powerchart position/relationship
select yOur relationship
change the Title of the List, if desired
click Finish
make the list ACTive
Patient charts you have viewed will post to the list
refresh the organizer to see patients of newly opened charts
select yOur relationship – your position in POWerChArT
Check yOur
relationship
you can change
the name to
whatever you
like.
page 22
page 23
Customizing Columns
select nexT – Filters
if you do not want to see discharged patients, select nOT disChArged.
select nexT - PrOxy
you can set PrOxy if desired – see other tip sheet for instructions
Otherwise, select Finish.
you will need to move it from Available Lists to Active List to view in the
Organizer.
Active: List that you see in the organizer.
Available: “Waiting in
the Wings” - List that are
made, but not viewed in
the organizer.
You can change the order – highlight and
use the arrows to the right to move up or
down in the order.
From the PowerChart Organizer –
select the patient list you want to
customize.
go to Patient List in Task bar and
select Customize Columns.
Columns Available:
*Admitted
Admitting Physician
*Age
*Attending Physician
consulting Physician
*dOb
*discharged
expiration date
*Fin
Leave status^
Length of stay
*Location
*mrn
medical service
*name
*new results
note^
Primary care Physician
Priority^
Privacy status [Opt Out]
sec^
*sex
Temp Location^
viP code
visit reason
visitor status^
4. sAve when completed
– and close out using
3. sort
use this arrow
to move the
selected
column to the
position you
desire
*default
1. Available Columns
highlight the
column you want to
add from the
Available column
box on the left
2. existing Columns
use the teal arrow
to move it to the
existing columns
box on the right
^
disclaimer: not all column data may be sent
at this time.
A visit relationship List has a few more options.
page 24
if you want
to delete a
column –
highlight
the selected
column
name and
click here
The new column should
appear once you close the
customize columns
window. use the “As Of”
button to refresh data is
needed.
page 25
Options for printing a List
start the explorer menu from the Powerchart Organizer by clicking on the icOn
Patient List
Click on “Patient List” to show options in the box to the right.
Select the list you want to print from the drop-down box.
Select your Sort Priority
Click Execute
double-click to Open
“main menu”
Types of Lists are
Available:
click the “+” to Open
the Powerchart Audits
menu [or double-click]
Select the list you
want to print from the
drop-down menu
Patient List
This provides a different print layout of yOur Patient Lists [Only lists yOu
have created under your login]
if you print the Patient List from the Powerchart Organizer – it prints
exactly like it appears on the screen.
if you select one of your patient lists from the explorer menu, it will be
formatted on two rows with space in between each patient name row.
The Patient List report Contains: Patient name, Privacy status,
Location, Age/sex, dOb, mrn, Fin, Admit, dc, Attending md and Patient
Type.
station Census
The station census provides a printed list based on a patient care location.
The list can be printed
non-spaced [single spaced] or
spaced [a few rows in-between each patient name, separated by a line]
The station Census report Contains: room-bed, Patient Type, Account,
Privacy status, Patient name, service, Age, sex, and Attending
Privacy status is abbreviated – only “do no” is seen for “do not Publish” =
no information Patient
You have the option to
sort by Name or by
Location.
Then click EXECUTE.
It will not take long for
your list to appear in a
new window.
2
page 26
page 27
Station Census
Select MBO – LEX, only choice
Select Facility
Select Unit [you can select more than 1, and they will page break between units]
This report takes longer to execute than the Patient List – may take 20-30 seconds – or
more if multiple units have been selected.
Select MBO – only 1
choice - LEX
Check
Facility
Once you have
opened the
report, it will be
listed in this
“recent
Programs” folder
Check Unit
Choose
Spacing
The report appears in a new window. Use the print ICON to start printing. NOTE: The
Thebefore
report
appears
in a new
window.
Use
thechoice
printof
ICON
to start
printing.
asterix
the
patient name
signifies
an OPT
OUT
privacy
– do not
give out any information on location or condition – treat as if this person is not on
the list.
4
page 28
page 29
Proxy your Patient List
Proxy Your Patient List
Proxy Your Patient List
Select the list you want to proxy to another provider:
Select a stop date and
time if desired. This will
automatically remove
the Patient List from the
Proxy.
Click APPLY. The Proxy
name must be in the left
box.
Select PROPERTIES from Patient List Menu or ICON
:
The Provider must activate the Patient List through list maintenance
to see the tab in their Patient List.
IT will stay in the Available lists column until needed or until it
expires.
Select PROXY Tab.
Select NEW.
Select PROVIDER.
Enter a provider name –
it will auto-search for
matches.
For multiple matches –
click the address book
ICON
Select LIST MAINTENANCE.
Move the list from AVAILABLE LISTS to ACTIVE LIST using the arrow.
Click OK.
Select ACCESS –
Important! READ is best.
Full Access would allow the proxy to DELETE your list!
page 30
page 31
•PowerChart Tabs
Sept. 7
2006
•Privacy Status
Discharge Document Tab
th
Clicking into Safety
PowerChart can now be the
Privacy Source of Truth
In STAR, when patients are registered, they are asked if they want to Opt Out of the
Census. It is entered in STAR if they say YES, I want to Opt Out or NO, I don’t want to Opt
Out. If they choose to OPT OUT – this means they want they stay to be private and
NO INFORMATION should be given out… even their presence in the hospital should
not be revealed. If you receive and inquiry, you should say “They do not appear on our
hospital census.” You should not have the computer screen where others can see it.
A new Powerchart Tab for Physicians, nurses and him staff.
PurPOse: To assist with discharge summaries and for quick past visit
in the same layout as documents/reports Tab
Filter shows
All documents from the selected encounter
includes limited categories
defaults to show documents “by encounter”
hover above categories to see details of document name
In the STAR station census, it is designated by an * before their name.
In PowerChart, it is designated by “Do Not Publish” if they chose to OPT OUT – or- “na”
if it is Not Applicable and they chose No, they are OK with the standard level of HIPAA
privacy.
You will see this in a NEW Column in the Patient List – “Privacy Status”. It also appears
on the Visit History Tab [Under the Patient Information Tab] and the Face Sheet.
hover
shows
document
name
If you have used the “Customize Column” feature to add/delete columns, you will need to
add this column manually since your personal settings have priority over global settings.
review.
Content
Categories:
Face sheet
h&P
consult
Orders
Progress note
Operative report
Procedure record
heart cath report
cardiac Procedure
ekg
echo stress
dc Plan
PFT
cardiac Other
doubleclick to see
document
Positions with the new
Tab:
move page
to page
Arrows
expand folder
and select
next
document
page 32
settings – look
here to set dual
Page view seen in
this example
dbA
mbO core Analyst
Pathnet: Pathologist
Physician e-signature
Physician no e-signature
Physician Assistant esignature
Physician Assistant no e- sig
nurse Practitioner e-sig
nurse Practitioner no e-sig
nurse rn
Physician office staff
Provider co-signature
him:Analyst
him:coders
him:emPi
him:managers
page 33
Navigating the Document/Reports Tab
navigating the documents and reports Tab
categories to their maximum, showing the document in the window.
if you hover your mouse pointer over the form category name – you see the
entire entry – showing the “name of the document”
Current search Criteria is set to All
documents from selected encounter.
To change search criteria - right mouse click on the
green search range bar.
you may prefer “by encounter” to see 1 list of ALL document types.
you can use the green arrows at the
lower left to easily expand the
2
page 34
page 35
navigating the documents and reports Tab
navigating the documents and reports Tab
To access the Progress notes/Orders, click the documents and reports
category and expand to see all categories within. select / go to Physician
Orders. [you can double click on a category or form to expand or you can use the
green arrows]
ideally, ALL orders / progress notes are under one heading of “Orders”. some
orders are scanned in separate if the paper chart is not complete when sent to
medical records.
making the view larger:
move window border – hover over border until -||- appears, hold down
mouse button and drag.
you can expand your view somewhat by going to view and deselecting
(clicking each one) demographic bar, Toolbar and status bar to help minimize
your up and down scrolling to view the entire document.
use the small green arrows in the lower portion of the document window to
move through the pages from admission to discharge.
3
page 36
4
page 37
•Results Viewing
Blood Bank Results
navigating the documents and reports Tab
holding your place while you double check a result
if you come across a Progress note that makes you want to check a Lab result or
an OP note, use the tabs of the chart to navigate to those documents (like the All
results tab) and you will not lose your place in the Progress notes when you
navigate back to the documents/reports tab.
blood bank results in PowerChart
new result navigator Panes may be
seen in PowerChart:
[category types are only seen if your patient has
results posted to the chart for the category]
1.
2.
3.
4.
5.
6.
7.
8.
blood group and Type
Antibody screens
hemolytic investigation
Antigen information
Crossmatch results
Therapeutic Phlebotomy
rh immune globulin investigation
Transfusion reaction results
example: Crossmatch results - for each blood product prepared for transfusion, up to 6 fields
will be sent to Powerchart
1. Product id – Type of product [ex. Platelets, cryoprecipitate, red blood cells, etc.]
2. unit number – assigned by the collecting / processing facility
3. Crossmatch result – if applicable
4. status info – ready, issued, Transfused, canceled
5. Product Code – corresponds to the product barcode on the blood product label
6. unit Type – the blood type of the product [ex. O Pos, A Pos, etc.
each “set” of result codes will be prefaced by a numerical identifier, e.g. 01, 02, 03,
etc. where the 01 is the first unit, 02 the second unit, etc.
status info messages for crossmatched products will be sent to Powerchart immediately at
the completion of the crossmatch. status messages for FFP, Platelets, and cryoprecipitate will
not be sent until the product is ready to release, i.e. thawed, pooled, etc.
1. you may want to change the view on this screen and can easily do that by
selecting the grOuP radio button to group items by date and make your
scrolling up and down only. This view is a nice way to see Trending.
each product is
designated by
01, 02, etc.
example: All
information for
the first unit is
designated by
“01”
2. you can use the navigator bars to quickly pull the category to the top of the
window – click once on the navigator bar category [example coagulation].
3. you may want to change the seArCh CriTeriA to view more results [right
click green bar – select a date range or admission to current]
4. you can then view labs or other transcribed reports, radiology results, etc… and
still return to the documents/reports tab and not lose your place.
The crossmatch
specimen expires in 3
days.
until expired as shown
here, it will show a date in
this format:
yyyymmddhhmm
[year, month, day, hour, minute]
status: ready,
issued, Transfused,
cancelled
5
page 38
page 39
Customizing the Search Criteria Default
Setting your Default Flowsheet View
Setting your favorite Flowsheet View as the Default View
This will set your personal default properties for the Flowsheet you have selected
[ex. Quick view, Lab, rad, All results].
As a default setting, you will see your search criteria every time you open a chart.
each Flowsheet Tab default is set individually.
Open a patient chart. select the Flowsheet Tab on which to set defaults.
go to OPTiOns in menu and select PrOePrTies.
setting your Favorite Flowsheet vieW as the default view
example:
you want to always see your Powerchart Quick view flowsheet in grOuP
view
1. Open a patient chart Quick view flowsheet and set it to grOuP view
select defaults Tab
choose your defaults and
select sAve*.
“yes” to are you sure?
And Ok to exit the
window.
This sets criteria for the
arrows on each end of
the search criteria bar –
how many days it skips
forwards and backwards.
days for
“clinical/Posting range”
Or results for “result
count”
your default view will be set.
you must close the chart and reopen to see your changes.
*if you are setting your flowsheet view to Table, group or List,
select the desired view, and go to the default tab and select sAve.
There is not an item on the defaults tab window to select.
similar settings for other tabs can be found:
documents/reports Tab: go to “document” > “Options” > select “index defaults”
Forms browser Tab: go to “Options” > “Properties”
page 40
2. go to OPTiOns in
the menu bar –
select PrOPerTies
a. select the
deFAuLTs tab
b. click sAve
c. click yes
This is set per
flowsheet.
page 41
What does the MORE Button do
Printing Lab Results with Reference Ranges
A cap to the number of results that are returned in Powerchart has been set
to help maintain system performance. This is set to 1000 results per
cerner’s recommendation.
Only the first 1000 will be returned regardless of what the search
criteria is set to. if you want to see all of the results, you have to click on
the mOre button. clicking the mOre button will return all results for that
patient (nOTe: you could experience a slight delay if a patient has a lot of
results).
you will encounter this using the Flowsheet Tabs [Quick view, Lab results,
and All results, which contain large amounts of information].
For these tabs, the default search range is set to 24 hours Preadmit to
current date. if you select a previous encounter this search range
might span several month to years of encounters.
it is easier to click mOre than to alter the search criteria.
If you see the MORE button active [bold, not grayed out];
click it before looking through the chart.
grayed out = all results are showing
bold = results are capped to show only 1000 –
click to see ALL resuLTs
page 42
page 43
•Tools
Clinical Calculators
Select the ICON to launch the Clinical Calculator functions.
Select the desired calculation from the drop down menu. Enter the data
and the result will automatically calculate.
There is a basic calculator that can be accessed in the lower left of the
window if desired.
Below are the available calculations:
Calculation
Formula
Body mass Index English
Body mass Index Metric
BSA
Cardiac Index
Cardiac Output
[(weight)/(height*height)]*703
[(weight)/(height*height)]*1000
sqr [(ht x wt)/3600] Mostellar formula
CO/BSA
HR x SV (stroke volume)
ml per hr
(mcg desired x wt x 60)/(concentration of drip)
Celsius to Fahrenheit
Centimeters to inches
32 + [(9/5) x c]
Cm/2.54
Diastolic BP – PWP
(Pulmonary Wedge Pressure)
(0.48 x ht x BSA)/(S.Cr. x 1.73)
(140 – age) x wt / (72 – S.Cr.)
Crockcoft-Gault formula
(140 – age) x wt / (72 – S.Cr.) x 0.85
[Crockcoft-Gault]
(F-32) x (5/9)
(ht^2) x 1.65/1000
Coronary Perfusion Pressure
Estimated Creatinine Clearance < 17 yo
Estimated Creatinine Clearance Men
Estimated Creatinine Clearance Women
Fahrenheit to Celsius
Ideal Body Weight (IBW) < 60” Child
Ideal Body Weight (IBW) > 60” Female
Child
Ideal Body Weight (IBW) > 60” Male
Child
Ideal Body Weight (IBW) Male
Ideal Body Weight (IBW) Female
Inches to Centimeters
IVF rate
Kg to Lb
Lean Body Weight (LBW) Male
in Acis/Powerchart, click on the WhiTe iCOn
in the toolbar
– you can select Lex intranet or Chi micromedex.
From the intranet – you can connect to UpToDate and
search for the latest ebP information on diagnosis,
Treatments and drugs!
42.2 +2.27 x (ht – 60)
39 + 2.27 x (ht – 60)
50 + 2.3 x (ht – 60) Devine 1974
45.5 + 2.3 x (ht – 60) Devine 1974
Inch x 2.54
(ml x drop factor) / time
Kg x 2.2
1.10 x wt – [128 x{(wt^2 / (100 x ht)^2}]
Lean Body Weight (LBW) Female
1.07 x wt – [148 x{(wt^2 / (100 x ht)^2}]
mcg / kg / min
mcg / min
Lb to Kg
Pulmonary Vascular Resistance
Stroke Volume
System Vascular Resistance
Total Pulmonary Resistance
Total Systemic Resistance
(ml x concentration of drip) / (60 x wt)
(ml x concentration of drip) / 60
Lbs / 2.2
[9mean PAP – PWP) / 60] x 80
CO / HR
[(MAP – mean RAP) / CO] x 80
mean PAP / CO
MAP / CO
page 44
Launching other Applications through PowerChart!
All clinicians have access to this new resource from any sJhc/chi
computer. For more information on upTodate – click on the FAQ
link in the “what’s new” section on the sJhc intranet.
page 45
Quick View
TAB
Only Lab
Results
Lab TAB
Only Rad
Results
Rad TAB
Everything
under
Documents/
Reports Tab
Lab and
Radiology
Results
All Results
Transcribed Documents – ex.
H&P, Consults, Op records,
Procedure Records, DC
summary etc.
Transcribed Radiology
Reports
Documents/ Reports
Orders
Progress Notes
H&P
Consults
Facesheet
Discharge
Documents
Will contain
Clinical
Documentation
directly in to
PowerChart/
FirstNet
ED Triage
Forms Browser
TAB
Visit List – current
and prior visit dates
[Double-Click to go to
another encounter]
Patient
Demographics
Patient
Information TAB –
contains other tabs:
FaceSheet
FaceSheet
We are NOT
using this
funcation at
this time
PowerOrders
PPR Summary
[List of providers
associated with the
chart]
All Scanned Documents –
posted to DC date, including
OR documentation from the
HSM system
Intellistrip [quick
view of activity more later]
Operative Report
Procedure Report
Visit History locations the patient
has been during an
encounter
All ED Records, including
Patient ED Discharge
Education
ED Triage
Heart Cath
Report
Cardiac
Procedure
EKG
Echo Stress
Cardiac Other
DC Plan
PFT
What is contained within the TABS of PowerChart?
Lab and
Radiology
Results
Discharge
Summary
H and P
Consults
Operative
Record
Procedure
Record
ED Physician
Record
page 46
Reduce Number of Click
to Search Policies
page 47
•APPENDIX
page 48
page 49
Cerner Learning Manager: Web Based
Training (WBT)
The Cerner Learning Manager home replaces Mymeded. Several Cerner
WBTs are available to CHI employees. You may complete as many as you
would like but Cerner does not keep a record or provide documentation of
completion.
3.
Click My Learning in the upper left corner. All Cerner WBTs available to CHI
display on your My Learning Plan tab. You may also see the status of your
progress for each WBT ( Enrolled, In progress, Completed).
Steps to Access Cerner WBTs:
1.
Click here to log into Cerner Learning Manager. The Welcome to Cerner
Learning Manager login window displays.
My Learning Plan tab displays all available WBTs.
2.
Register in Cerner Learning Manager. Even if you have a Cerner.com account,
you must create a new account to access the WBTs that can be accessed by CHI.
a.
Click the phrase Click Here to Register. The Self Registration window
displays.
b.
In the Registration Key field, type CHI011808. You must enter this key
to access the CHI WBTs.
c.
Complete all required fields (*). If you already have a Cerner.com
account, you must choose a different username.
d.
Click Submit.
e.
Click Login. The Welcome to Cerner Learning Manager! window
displays.
Note: You will use your username and password when you log into
Cerner Learning Manager in the future.
page 50
4.
To begin or resume a WBT, locate the WBT name.
5.
Scroll to the right and click Begin or Resume on the line with the appropriate
WBT name. A window displays with the name of the WBT or the components
WBT.
6.
Click the name of the WBT or a component to launch it.
If you need assistance or have problems with your account, please
contact:
Kristi Blazek
Catholic Health Initiatives ∞ ITS-Denver
ACIS Cerner Training Coordinator
kristiblazek@catholichealth.net
(720)874-1195 – office
page 51
Hybrid Medical Records
Documents - PowerChart Document Categories
CATEGORIES
We are living in a hybrid world –
How do paper and electronic mix?
Electronic
During admission – does not
contain progress notes, orders,
MARs, nursing notes, ancillary
evaluations and progress notes.
Dictated reports – viewable
immediately upon transcription
Dictated reports – viewable
immediately upon completion of
dictation when physicians use
PowerScribe and self-edit.
Lab results – viewable immediately
upon completion
Paper
During admission may contain
most all records – but may not, it
depends on printing and associate
management of the chart.
Dictated reports - print out upon
completion of transcription, but
must be physically retrieved by an
associate, chart located and placed
[ranges from a few minutes to
never making it to the chart]
Lab results - print out upon
completion, but must be physically
retrieved by an associate, chart
located and placed [ranges from a
few minutes to never making it to
the chart]. Final lab summary not
in the paper chart.
DOCUMENT TYPES
DISCHARGE-FACE SHEET
ADVANCED DIRECTIVE
Face Sheet
Discharge Summary
Coding Summary
Cancer Staging Forms
Problem List
Advanced Directive-Living Will
HISTORY and
PHYSICAL-CONSULTATION
H and P
Prenatal Record
Consults
EMERGENCY
PHYSICIAN ORDERS
ED Record
ED Physician Record
ED Nursing Record
Orders
Restraints
PROGRESS NOTES
OPERATIVE PROCEDURE REPORTS
Progress Note
Photos
Operative Report
Procedure Record
Anesthesia
Operative Documentation
LABORATORY REPORTS
Blood Administration
Laboratory Document
Pathology
Referral Lab
PKU
DIAGNOSTIC IMAGING
Radiology
Nuclear Med
Vascular Diagnostics
CT Artery
CARDIAC
Cardiac Procedure
EKG
Echo-Stress
Cardiac Other
MONITORING STRIPS
Monitoring Forms
TECH SERVICES
Tech Service Reports
GRAPHICS
Graphic
Viewable from any computer –
unit, hospital, office, home.
Viewable only in the nursing unit
MEDICATION RECORDS
MAR
MAR-Diabetic
MAR-Anti-Coagulant
MAR-Other
Viewable by many clinicians at the
same time
Viewable by 1 clinician at a time
Record complete with paper
records scanned 24-48 hours post
DC
Record never complete
NURSES NOTES
Assessment
Flowsheets
Nursing Notes
Plan of Care
Pathways
Care Record
Updates continue post DC
[physician signatures, etc]
Is never updated post DC
PSYCH ASSESSMENT TX PLAN
DISCHARGE PLANNING
PATIENT EDUCATION
PSYCH Assessment
PSYCH Treatment Plan
PSYCH Therapist Notes
Transfer Form
Discharge Plan
Instructions
Patient Education Forms
During admission - Legal Medical
Record [hybrid during admission]
During admission - Legal Medical
Record [hybrid during admission]
Post DC – Legal Medical Record
Post DC, NOT the legal record –
interfaced documents removed and
destroyed, other documents moved
off site immediately
CLINICAL ANCILLARY
CONSENTS
OTHER-MISCELLANEOUS
CARE CENTER
Respiratory
Pulmonary Function Test
PT-OT-Speech
Nutrition
Other Ancillary
Consent Forms
Special Consents
Legal Documents
Patient Rights
Miscellaneous
ROI
Other Facility
Care Center Records
page 52
page 53
page 54
N
N
Y
N
N
N
Transfer Form
Discharge Plan
Instructions
Patient Education Forms
Respiratory
Pulmonary Function Test
PT-OT-Speech
Nutrition
Other Ancillary
DISCHARGE PLANNING
PATIENT EDUCATION
CLINICAL ANCILLARY
N
Other Facility
N
N
ROI
Care Center Records
N
Miscellaneous
CARE CENTER
N
N
Legal Documents
Patient Rights
OTHER-MISCELLANEOUS
N
Y
Consent Forms
Special Consents
CONSENTS
Y
Y
N
Y
Y
Y
PSYCH Assessment
PSYCH Treatment Plan
PSYCH Therapist Notes
PSYCH ASSESSMENT TX PLAN
N
N
N
N
MAR
MAR-Diabetic
MAR-Anti-Coagulant
MAR-Other
N
N
N
N
N
N
Y
N
N
N
Cardiac Other
Monitoring Forms
Tech Service Reports
Graphic
Assessment
Flowsheets
Nursing Notes
Plan of Care
Pathways
Care Record
Y
Y
Y
Y
N
N
Y
Y
Y
Y
Y
Y
Y
Y
Y
N
Y
Y
Y
N
N
N
Y
N
Y
Y
Y
Y
Y
Y
Y
Y
Face Sheet
Discharge Summary
Coding Summary
Cancer Staging Forms
Problem List
Advanced Directive-Living Will
H and P
Prenatal Record
Consults
ED Record
ED Physician Record
ED Nursing Record
Orders
Restraints
Progress Note
Photos
Operative Report
Procedure Record
Anesthesia
Operative Documentation
Blood Administration
Laboratory Document
Pathology
Referral Lab
PKU
Radiology
Nuclear Med
Vascular Diagnostics
CT Artery
Cardiac Procedure
EKG
Echo-Stress
DOCUMENT TYPES
DEFICIENCY
ANALYSIS
NURSES NOTES
MONITORING STRIPS
TECH SERVICES
GRAPHICS
MEDICATION RECORDS
CARDIAC
DIAGNOSTIC IMAGING
LABORATORY REPORTS
OPERATIVE - PROCEDURE REPORTS
PROGRESS NOTES
PHYSICIAN ORDERS
EMERGENCY
ADVANCED DIRECTIVE
HISTORY and PHYSICAL-CONSULTATION
DISCHARGE-FACE SHEET
CATEGORIES
Signature
Required
N
N
N
N
N
N
N
Y
N
N
Y
N
N
Y
Y
Y
Y
Y
N
N
N
Y
N
N
N
Y
Y
Y
N
Y
Y
Y
Y
Y
Y
Y
Y
Y
N
Y
Y
Y
N
N
N
Y
N
Y
Y
Y
Y
Y
Co-signature
Required
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Allow
multiple
anticipated
documents
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Match
anticipated documents with
physician
HIM EVENT EXTENSION TOOL QUESTIONS
Document Delinquent and suspension
times will be dithered
since we are using
visit aging only.
Categories of Documents Types Standardized Full
page 55
page 56
Ch
EMERGENCY DOCUMENTATION
DEPART SUMMARY [1st Level]
ANATOMIC PATHOLOGY
PATHOLOGY REPORTS [1st Level]
LABORATORY DOCUMENTS
LABORATORY REPORTS [1st Level]
NUCLEAR MED
SP
SCANNED DIAG IMAGES
XRAY
CT
SURGERY DOCUMENTS
PHOTO SENSITIVE
CARE CENTER
OTHER-MISCELLANEOUS
CONSENTS
CLINICAL ANCILLARY
TREATMENT RECORDS
PATIENT EDUCATION
DISCHARGE PLANNING
PSYCH ASSESSMENT TX PLAN
NURSES NOTES
MEDICATION RECORDS
GRAPHICS
TECH SERVICES
MONITORING STRIPS
CARDIAC
OPERATIVE PROCEDURE REPORTS
PROGRESS NOTES
PHYSICIAN ORDERS
EMERGENCY
DIAGNOSTIC IMAGING [1st Level]
In
r
tO
ar
de
r
HISTORY and
PHYSICAL-CONSULTATION
ADVANCED DIRECTIVE
CATEGORIES –
[Navigator Bar and in Doc/ Reports - 2nd
level of “by TYPE”]
DOCUMENT AND REPORTS [1st Level]
DISCHARGE-FACE SHEET
Depart Summary
Blood Administration [Blood Txn Report]
Laboratory Document [POC, Outside Labs, Blood Txn – moved to above May 2007]
Pathology
Referral Lab – Results from
PKU
CT [Test Name]
XRAY [Test Name]
Radiology
Vascular Diagnostics
Special Procedures [Test Name]
NM [Test Name]
PSYCH Assessment
PSYCH Treatment Plan
PSYCH Therapist Notes
Recurring Psych
Transfer Form
Discharge Plan [DC Medications. CareNotes Summary]
Instructions
Patient Education Forms
Patient Questionnaire
Treatment Records
Respiratory
Pulmonary Function Test
PT-OT-Speech [Evals and Progress Notes]
Nutrition
Other Ancillary
Consent Forms
Special Consents
Legal Documents
Patient Rights
Miscellaneous [License, Insurance Card]
Other Facility [Summary from LC system]
ROI [Release of Info]
Care Center Records
Photo Sensitive
Surgery Documents
Face Sheet
Discharge Summary
Coding Summary
Cancer Staging Forms
Problem List
Advanced Directive-Living Will [Summary and Actual AD]
H and P
Prenatal Record
Consults
Psych Eval
ED Record
ED Physician Record
ED Nursing Record [Triage]
Orders [Orders/Progress Notes – all pages together]
*NOTE – Med Reconciliation and Pneumo/Flu Vaccin will be the last 2 pages.
Restraints
Progress Note [Only Progress Notes, not Orders/Progress Note Combo]
Photos
Operative Report [OP Report, Sedation and Analgesia Procedure Flowsheet]
Procedure Record
Anesthesia
Operative Documentation [McKesson HSM Printout, PeriOP Flowsheet]
Cardiac Procedure
EKG
Echo-Stress
Cardiac Other [Rhythm Strips]
Monitoring Forms
Tech Service Reports
Graphic [VS, Glucose, Nutritional Assessment]
MAR [All in order Admit to DC]
MAR-Diabetic
MAR-Anti-Coagulant
MAR-Other
Assessment
Flowsheets [Scanned Daily Flow sheets – 1 day per entry]
Nursing Notes [all other nursing forms, like ADMISSION HISTORY, restraint documentation, care plans, wound photos, etc.]
Plan of Care
Pathways
Care Records
[shows in Doc/Reports 3rd level “by Type” and only level in other views]
DOCUMENT TYPES –
PowerChart Document Categories Chart Order
electronic and scanned documents are placed under category headings.
These are shown in the Navigator bars in the flow sheets [ex. Quick View]
and in a folder “tree” format under the Documents/Reports Tab – “Tree”
branches=levels 1, 2 and 3.
page 57
CATEGORIES –
page 58
MONITORING STRIPS
MEDICATION RECORDS
GRAPHICS
HISTORY and
PHYSICAL-CONSULTATION
EMERGENCY
DISCHARGE PLANNING
DISCHARGE-FACE SHEET
CONSENTS
CARE CENTER
CLINICAL ANCILLARY
PATHOLOGY REPORTS [1st Level]
ANATOMIC PATHOLOGY
DEPART SUMMARY [1st Level]
EMERGENCY DOCUMENTATION
SP
XRAY
NUCLEAR MED
LABORATORY REPORTS [1st Level]
LABORATORY DOCUMENTS
PROGRESS NOTES
TECH SERVICES
DIAGNOSTIC IMAGING [1st Level]
CT
SCANNED DIAG IMAGES
NURSES NOTES
OPERATIVE PROCEDURE REPORTS
OTHER-MISCELLANEOUS
PATIENT EDUCATION
PSYCH ASSESSMENT TX PLAN
PHYSICIAN ORDERS
ha r
Alp rde
n
O
I
DOCUMENT AND REPORTS [1st Level]
ADVANCED DIRECTIVE
CARDIAC
l
ca
i
t
be
[Shown in Navigator Bar and in Doc/ Reports
- 2nd level of “by TYPE”]
Depart Summary
Blood Administration
Laboratory Document
Pathology
Referral Lab – Results from
CT [Test Name]
Radiology
Vascular Diagnostics
Special Procedures [Test Name]
XRAY [Test Name]
NM [Test Name]
PSYCH Assessment
PSYCH Treatment Plan
PSYCH Therapist Notes
Orders [Orders/Progress Notes – all pages together]
*NOTE – Med Reconciliation and Pneumo/Flu Vaccin will be the last 2 items.
Restraints
Progress Note [Only Progress Notes, not Orders/Progress Note Combo]
Photos
Tech Service Reports
Legal Documents
Patient Rights
Miscellaneous
Other Facility
Patient Education Forms
Operative Report
Procedure Record
Anesthesia
Operative Documentation [McKesson HSM Printout]
Assessment
Flowsheets [Scanned Daily Flow sheets – 1 day per entry]
Nursing Notes [all other nursing forms, like ADMISSION HISTORY, restraint
documentation, care plans, etc.]
Plan of Care
Pathways
Advanced Directive-Living Will
Cardiac Procedure
EKG
Echo-Stress
Cardiac Other
Care Center Records
Respiratory
Pulmonary Function Test
PT-OT-Speech
Nutrition
Other Ancillary
Consent Forms
Special Consents
Face Sheet
Discharge Summary
Coding Summary
Cancer Staging Forms
Problem List
Transfer Form
Discharge Plan [DC Medications]
Instructions
ED Record
ED Physician Record
ED Nursing Record [Triage]
Graphic
H and P
Prenatal Record
Consults
MAR
MAR-Diabetic
MAR-Anti-Coagulant
MAR-Other
Monitoring Forms
[shows in Doc/Reports 3rd level “by Type” and only level in other views]
DOCUMENT TYPES –
PowerChart Document Categories Alphabetical
electronic and scanned documents are placed under category headings.
These are shown in the Navigator bars in the flow sheets [ex. Quick View]
and in a folder “tree” format under the
Documents/Reports Tab – “Tree” branches- levels 1, 2 and 3.
page 59
•test your powerchart knowledge
page 60
page 61
PowerChart Quiz #1
Answers may be found on page 64!
True/False:
1. True or False: The following picture depicts the desktop icon i need to click on to access Power
chart.
PowerChart Quiz #2
Answers may be found on page 65!
using the picture below, answer the following question:
Print
Icon #1
Print
Icon #3
2. True or False. i have successfully logged on to Power chart at least once in the last week, and
have been able to access a patient chart. i am using my own user id and password to get into
Power chart.
Mystery
Area
Fill in the blanks:
3. List at least 2 super users in your department:
__________________________________________
__________________________________________
4. List two (2) ways you can locate a patient, to gain access to a patient’s electronic chart in Power
chart.
What does
the X
indicate?
Question
#4
___________________________________________
___________________________________________
Print
Icon #2
referring to the picture of the “tabs” available in Power Chart, answer the following questions:
5. under which “tab” will you find the scanned paper charts (old charts)?
_______________________________________
6. under which “tab” will you find a patient’s encounters?
________________________________________
referring to the picture of the “icons” available in Power Chart, answer the following question:
7. scenario: i’ve been logged into Power chart for 20 minutes. i’m looking for a radiology result
that i know was “resulted” within the last 10 minutes, but i can’t find the result in Power chart. i
should click on which icon to “refresh” my view in Power chart and obtain the most recent results
since i logged in.
___________________________________________
1. To print a copy of this scanned document, which print icon should be used
(Print icon #1, #2, or #3)? Print icon #_____
2. what is the “official” name of the mystery area?? _____________________
3. what action do i take to change the range described in this mystery area?
___________________________________________________________
4. what does the “x” in the red square indicate?
This document is ______________.
what is one reason for this document being assigned this indicator?
____________________________________________________________
5. what “domain” was accessed in the picture above?
buiLd, PrOd or TrAin?? ___________
6. how do you know this?
________________________________________________________
page 62
page 63
ACIS PowerChart Crossword (Quiz #3)
Name: _________________________
Competency Test
Department: _______________
Directions: Please complete this crossword puzzle and return to the
designated Super User in your department.
This person is _________________________________. Answers may be
found on last page!
1. The AS OF Icon on the toolbar is used for:
a. A. Searching for a patient
b. Refreshing the screen and showing changes in the chart
c. Reviewing old records
d. Exiting the system
Crossword Puzzle:
1.
When logging out of PowerChart, you can:
a.
Use the Exit Icon
b.
Use the Change User Icon
c.
Use the “X” in the upper right hand corner
d.
2.
The All Results tab is:
a.
b.
c.
d.
3.
ACROSS
1. ___ Bar - contains basic demographic information.
3. Each nursing unit has a default ___ patient list.
6. Marks new results as “viewed.”
7. Function used to create “drawing” of discreet results.
9. Critical results display in ___.
10. ___ List - patients in a physician group.
11. New results display in ___.
14. ___ Bar - shows every result category.
15. System prompts you to change this every 180 days.
16. ___ List - can include any patient, and is built by the user.
DOWN
2. “Refresh” information.
4. Initial screen obtained when logging
into Power Chart.
5. Name of “live” domain.
8. ___ Summary - names of anyone who
has accessed a patient’s chart.
12. Relationship not being used.
13. Patient information organized in ___.
page 64
or use All of the Above
Best overall view
Contains every result
Lab, Radiology, Documents/Reports
All of the above
The Orders Tab is non-functional in this phase:
a. True
b. False
6. It is ok to look up any patient records, including your own, a family member
or friend:
a. True
b. False
8.
By right clicking on the Green Search Bar, you can change the search criteria:
a. True
b. False
page 65
9.
It is not recommended to print results or old charts?
12. If a document is multiple pages, to view the other pages, you can:
a. True
b. False
10.
a. use the scroll bar
b. Use the arrows
c. Enter the page #
d. a & c
e. b & c
You will need to double-click on a Lab Result to display the normal ranges and
view any
comments that may be present:
a. True
b. False
13. To print this document, which printer icon will you use:
A. TOP
B. MIDDLE
C. BOTTOM
11. A Final Report is:
1. A Discharge Summary
2. A transcribed document
that has been
electronically signed by a
physician
3. The final results of a lab
test
14.
Under the Patient Information Tab, which tab will show you the movement
of a patient from unit to unit (per Bed Control) for the current visit or most
recent visit?
a. Patient Demographics b. Visit List
page 66
c. PPR Summary d. Visit History
page 67
page 68
page 69
Answers:
Form Browser Tab is used to find:
Patient meds
Emergency Dept visits.
Patient Demographics
Patient diagnosis
1. True or False: The following picture is the desktop icon i click on to access Power chart.
The
a.
b.
c.
d.
Answer: FALse – the Acis icon looks like this. it should be found on each Pc and/or wyse/winterm
terminal in your department.
20.
if you find a Pc or wyse/winterm terminal that is missing this icon, please call the heLP desk at 3132249.
The Visit Reason lists the diagnosis of the patient:
a.
True
b.
False
The Navigator Panel shows:
2. True or False. i have successfully accessed Power chart at least once in the last week. i am using my
own user id and password to get into Power chart
19.
c. Everything that has been done and completed in
Patient’s chart.
a. The items that have been ordered only
b. A list of only the important items on a patient
18.
Answer: hopefully, True! if you have not, please work with your super user to practice logging on to
Power chart at least once a week! if your login and password don’t work, please call the heLP desk at
313-2249!
3. List at least 2 super users in your department: if you could do this, great! if not, please speak to a
member of your management team. They should be able to direct to a list of super users in your
area!
4. List two (2) ways you can locate a patient, to gain access to a patient’s electronic chart in Power chart.
• you should be able to find a patient on a patient list – nursing units should have a “default”
patient list that should be specific to that nursing unit, and have a list of that unit’s patients on
it. if you double click on a patient name on that list, the electronic chart should open up for
you!
drawn
resulted
ordered
received in
In PowerChart, Lab Results are displayed:
• use the Find Patient icon
a. When they are
b. When they are
the Lab
c. When they are
d. When they are
or completed
17.
or select Task – Find Patient from the menu bar.
5. under which “tab” will you find the scanned paper charts (old charts)? documents/reports
6. under which “tab” will you find a patient’s encounters? Patient information
Under the Patient Information Tab, under which tab will you locate the
patient’s previous visit information?
7. i should click on which icon to “refresh” my view in Power chart and obtain the most recent results
since i logged in. The “As Of” button!
a. Patient Demographics b. Visit List c. PPR Summary d. Visit History
16.
a. Patient Demographics b. Visit List c. PPR Summary d. Visit History
15.
Under the Patient Information Tab, under which tab will you locate insurance
information?
PowerChart Quiz #1 Answers
page 70
page 71
Answers:
1. if you’re in the document/reports tab, you need to print using Print icon #2
at the bottom of the screen. in this tab, if you print using the icons on the top of
the screen (Print icons #1 or #3), you will just get a blank page! scanned
document pages are the only pages with 3 print icons!
On non-scanned document pages (i.e. transcribed reports – h&P) in the
document/reports tab, there are 2 print icons (1 and 3) at the top of the screen.
both of these will print the document!
2. search range bar
3. using your mouse, you need to point to the search range bar, and perform a
righT CLiCk. A little box will display that says “change search criteria.” After
clicking on this box, another window will display with the options available in that
tab to change search criteria ranges.
4. This “x” indicates that this box is in errOr. various reason for this exist:
a. This document may have come down with the paper chart and had the
incorrect patient’s name addressographed on the paper form
5. The domain used was the TrAin domain.
6. you know this because the screen tells you (refer to the area circled in red at the
lower right corner of the screen).
nOTe: you should glance at this area after you sign into Power chart, just
to make sure you are in the domain that you intended to access!!
Crossword Answer
PowerChart Quiz #2 Answers
