1. Electronic Health Record Mr. James Practice Pre-Clinical Activity Spring Semester Start Mr. Practice is a product of Dr. Karen Hill’s imagination. Revised by Michelle Reed INSTRUCTIONS

2. Index SnapshotMedsMore Summary Jump to Doc Flowsheet Chart Review Results Review Worklist MAR Flowsheets Intake/Output Notes Education CarePlan Manage Orders Orders Navigators Active Orders Summary: Index

3. Flowsheet: Assessment Vital Signs AssessmentIV AssessmentDaily CaresSafety Summary Chart Review Results Review Worklist MAR Flowsheets Intake/Output Notes Education CarePlan Manage Orders Navigators

4. Results Review Summary + Blood Chart Review + CBC Results Review + Chem Worklist + Drug Monitoring MAR + Digoxin Level Flowsheets + Aminophylline Level Intake/Output + Cytology Notes + Sputum C&S Education + RadiologyRadiology CarePlan + Chest x-ray Manage Orders + EKGEKG Results Review

5. ALL RoutinePRNContinuousRespiratory Summary 070008000900100011001200 Chart Review Albuterol 90 mcg MDI 2 puffs every 4 hrs07001100 Results Review Aminophylline 250 mg/NS 250 ml IV every 6hrs 1000 Worklist Ceftin 1 gm/D5W 100 ml IV every 12 hrs1200 MAR Humulin NPH 20Units SubQ every AM0700 Flowsheets Humulin R to Sliding Scale ac & hs 07001200 Intake/Output K-Dur 10 meq po every day 0900 Notes Lanoxin 0.125 mcg po every day0800 Education Lasix 40 mg po every day0900 CarePlan Lovenox 40 mg SubQ every day0800 Manage Orders Norco 1 tablet every 4 hrs PRN pain 1-10 Navigators Tenormin 100 mg po every AM 0900 MAR: ALL

6. Vital Signs AssessmentIV AssessmentDaily CaresSafety Summary Chart Review Results Review Worklist MAR Flowsheets Intake/Output Notes Education CarePlan Manage Orders Navigators Flowsheets: Vital Signs

7. Table GraphCumulative Summary Chart Review Results Review Worklist MAR Flowsheets Intake/Output Notes Education CarePlan Manage Orders Navigators Intake/Output

8. All Notes H & PConsultsProceduresProgress Summary 1/18/20XX History & Physical Chart Review Results Review Worklist MAR Flowsheets Intake/Output Notes Education CarePlan Manage Orders Navigators Notes

9. Active Signed & HeldHome MedsOrder History Summary Chart Review Results Review Worklist MAR Flowsheets Intake/Output Notes Education CarePlan Manage Orders Navigators Mange Orders: Active

10. Navigators Summary Chart Review Results Review Worklist MAR Flowsheets Intake/Output Notes Education CarePlan Manage Orders Navigators Navigators: PTA meds Navigator Summary Specimen CollectionDigoxin 0.125 mcg po every day Chart Review Review PTA MedsHumulin NPH Insulin 20 Units SubQ every am Results Review DirectivesHumulin R to sliding scale Worklist Patient BelongingsK-Dur 10 meq po every day MAR Suicide RiskLasix 20 mg po every day Flowsheets Fall RiskTenormin 100 mg po every day Intake/Output Braden Scale Notes Discharge Planning Education Vaccination CarePlan Care Plans Manage Orders Patient Education Navigators SBAR Handoff

11. Index Snapshot MedsMore Summary Chart Review Results Review Worklist MAR Flowsheets Intake/Output Notes Education CarePlan Manage Orders Navigators Summary: Snapshot pg 1

12. UnitRoom/ Bed Patient NameDOB/SexDiagnosisAttendingCode Status Medicine102APractice, James09/22/41 Male PneumoniaDr. A. SmithFull Medicine104APain, Ima01/15/62 Female CellulitisDr. B. JonesFull Medicine106BSick, Ima06/08/55 Female HypertensionDr. M. BridgesDNR Patient List/Exit

13. ALL RoutinePRNContinuousRespiratory Summary 070008000900100011001200 Chart Review Aminophylline 250 mg/NS 250 ml IV every 6hrs 1000 Results Review Ceftin 1 gm/D5W 100 ml IV every 12 hrs 1200 Worklist Humulin NPH 20Units SubQ every AM0700 MAR Humulin R to Sliding Scale ac & hs07001200 Flowsheets K-Dur 10 meq po every day 0900 Intake/Output Lanoxin 0.125 mcg po every day 0800 Notes Lasix 40 mg po every day0900 Education Lovenox 40 mg SubQ every day0800 CarePlan Tenormin 100 mg po every AM0900 Manage Orders Navigators MAR: Routine Meds

14. ALL RoutinePRNContinuousRespiratory Summary 070008000900100011001200 Chart Review Norco 1 tablet every 4 hrs PRN pain 1-10 Results Review Worklist MAR Flowsheets Intake/Output Notes Education CarePlan Manage Orders Navigators MAR: PRN Meds

15. ALL RoutinePRNContinuousRespiratory Summary 070008000900100011001200 Chart Review NS @ 125 ml/hr continuous infusion1000 Results Review Worklist MAR Flowsheets Intake/Output Notes Education CarePlan Manage Orders Navigators MAR: Continuous

16. MAR: Respiratory ALL RoutinePRNContinuousRespiratory Summary 070008000900100011001200 Chart Review Albuterol 90 mcg MDI 2 puffs every 4 hrs07001100 Results Review Worklist MAR Flowsheets Intake/Output Notes Education CarePlan Manage Orders Navigators

17. Results Review Summary Chart Review Results Review Worklist MAR Flowsheets Intake/Output Notes Education CarePlan Manage Orders Results Review: CBC

18. Results Review Summary Chart Review Results Review Worklist MAR Flowsheets Intake/Output Notes Education CarePlan Manage Orders Results Review: Chemistry

19. Results Review Summary Chart Review Results Review Worklist MAR Flowsheets Intake/Output Notes Education CarePlan Manage Orders Results Review: Drug Levels

20. Results Review Summary Chart Review Results Review Worklist MAR Flowsheets Intake/Output Notes Education CarePlan Manage Orders Results Review: Cytology

21. ALL Summary Humlin R to Sliding Scale ac & hs Chart Review <50 1 amp D50 Results Review 100-180 0 Units Worklist 181-200 2 Units MAR 201-250 4 Units Flowsheets 251-300 6 Units Intake/Output 301-350 8 Units Notes 351 or > Notify Provider Education CarePlan Manage Orders SCANNED MAR: SS Insulin

22. Index Snapshot MedsMore Summary Chart Review Results Review Worklist MAR Flowsheets Intake/Output Notes Education CarePlan Manage Orders Navigators Summary: Snapshot pg 2

23. All Notes H & PConsultsProceduresProgress Summary Chart Review Results Review Worklist MAR Flowsheets Intake/Output Notes Education CarePlan Manage Orders Navigators Notes: H & P 1

24. All Notes H & PConsults Summary Chart Review Results Review Worklist MAR Flowsheets Intake/Output Notes Education CarePlan Manage Orders Navigators Notes: H & P 2

25. All Notes H & PConsults Summary Chart Review Results Review Worklist MAR Flowsheets Intake/Output Notes Education CarePlan Manage Orders Navigators Notes: H & P 3

26. All Notes H & PConsults Summary Chart Review Results Review Worklist MAR Flowsheets Intake/Output Notes Education CarePlan Manage Orders Navigators Notes: H & P 4

27. All Notes H & PConsults Summary Chart Review Results Review Worklist MAR Flowsheets Intake/Output Notes Education CarePlan Manage Orders Navigators Notes: H & P 5

28. All Notes H & PConsults Summary Chart Review Results Review Worklist MAR Flowsheets Intake/Output Notes Education CarePlan Manage Orders Navigators Orders 2

29. Vital Signs AssessmentIV AssessmentDaily CaresSafety Summary Chart Review Results Review Worklist MAR Flowsheets Intake/Output Notes Education CarePlan Manage Orders Navigators Flowsheets: Vital Signs line graph

30. Vital Signs AssessmentIV AssessmentDaily CaresSafety Summary Chart Review Results Review Worklist MAR Flowsheets Intake/Output Notes Education CarePlan Manage Orders Navigators Flowsheets: IV assessment

31. Table GraphCumulative Summary Chart Review Results Review Worklist MAR Flowsheets Intake/Output Notes Education CarePlan Manage Orders Navigators Intake/Output Line Graph

32. Table GraphCumulative Summary Chart Review Results Review Worklist MAR Flowsheets Intake/Output Notes Education CarePlan Manage Orders Navigators Intake/Output Bar Graph

33. Navigators Summary Chart Review Results Review Worklist MAR Flowsheets Intake/Output Notes Education CarePlan Manage Orders Navigators Navigators: Suicide Navigator Summary Specimen Collection Chart Review Review PTA Meds Results Review Directives Worklist Patient Belongings MAR Suicide Risk Flowsheets Fall Risk Intake/Output Braden Scale Notes Discharge Planning Education Vaccination CarePlan Care Plans Manage Orders Patient Education Navigators SBAR Handoff

34. Navigators: Fall Risk Navigator Summary Specimen Collection Chart Review Review PTA Meds Results Review Directives Worklist Patient Belongings MAR Suicide Risk Flowsheets Fall Risk Intake/Output Braden Scale Notes Discharge Planning Education Vaccination CarePlan Care Plans Manage Orders Patient Education Navigators SBAR Handoff

35. Navigators Summary Chart Review Results Review Worklist MAR Flowsheets Intake/Output Notes Education CarePlan Manage Orders Navigators Navigators: Braden Scale Navigator Summary Specimen Collection Chart Review Review PTA Meds Results Review Directives Worklist Patient Belongings MAR Suicide Risk Flowsheets Fall Risk Intake/Output Braden Scale Notes Discharge Planning Education Vaccination CarePlan Care Plans Manage Orders Patient Education Navigators SBAR Handoff

36. Results Review Summary Chart Review Results Review Worklist MAR Flowsheets Intake/Output Notes Education CarePlan Manage Orders Results Review: Radiology

37. Results Review Summary Chart Review Results Review Worklist MAR Flowsheets Intake/Output Notes Education CarePlan Manage Orders Results Review: Cardiology

38. Results Review Summary Chart Review Results Review Worklist MAR Flowsheets Intake/Output Notes Education CarePlan Manage Orders Results Review: POC Glucose