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Page 1 of 60 Page 1 of 28 Module 2: BLOCK 1 / Order Entry Objectives As a result of this module the student should demonstrate the following competencies:

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Presentation on theme: "Page 1 of 60 Page 1 of 28 Module 2: BLOCK 1 / Order Entry Objectives As a result of this module the student should demonstrate the following competencies:"— Presentation transcript:

1 Page 1 of 60 Page 1 of 28 Module 2: BLOCK 1 / Order Entry Objectives As a result of this module the student should demonstrate the following competencies: SoftLab Super User/End User Training Module 2: BLOCK 1 / Order Entry SoftLab Super User/End User Training Recognize Order Entry Buttons Use Search Screen and Functions Create a New Patient Work with Patient Stays Place a Lab Order Place a Micro Order Create Order Entry Flags Utilize the Results Tab

2 Page 2 of 60 SoftLab/Mic Block 2 - Order Entry Buttons Click each individual enlarged button to display its function. Another click on the same button will hide its function. Open - To open an existing record, click the Open button, press CTRL + O, or select File > Open. Edit Mode - You can edit records if you have the security access. To enable the editable fields, click the Edit Mode button, select Edit> Record, or press F7. The fields will display as editable by changing color. Save - To save the information you have added or edited, click the Save button, select File > Save, or press CTRL + S. Add Next Order - To add a new order to the current patient record, click the Add Next Order button. Print - To print the currently displayed record to a specified printer, click the Print button or select File > Print.

3 Page 3 of 60 SoftLab/Mic Block 2 - Order Entry Buttons Move Order to New Stay - To move an order to a new stay, click the Move Order to New Stay button. Verify Order - To verify an order, click the Verify Order button. Delete - To delete the current record from the database, click the Delete button. The system will then display a message box prompting you to confirm the deletion. Click Yes to delete the record or click No to retain the record. Send Order – To send an order, test(s), SC (Status Change) message or batch to the HIS. In an HIS, an example of status change is when a specimen has been collected, or a specimen has been received, etc. Click each individual enlarged button to display its function. Another click on the same button will hide its function.

4 Page 4 of 60 SoftLab/Mic Block 2 - Order Entry Buttons Help Topics - To display overview help information for the current window, click the Help Topics button or select Help > Help Topics. Whats This? - To display help information for any field, button, check box, or option button, click the Help button, press F1, or select Help > Whats This. Run New Report - To display the Available Reports window, click the Run Report button or press CTRL + R, or select Tools > Run Report. Select the report that you want to generate and click OK. View Existing Report - To view reports that have been generated and then saved in electronic format, click the View Existing Report button or press SHIFT + F2, or select Tools > View Existing Report. Lab Results Query - To bridge to the Lab Results Query option, click the Lab Query button or select Tools > Lab Results Query. The system queries the database and displays lab results information for the current record. Click each individual enlarged button to display its function. Another click on the same button will hide its function.

5 Page 5 of 60 SoftLab/Mic Block 2 - Order Entry Buttons Specimen Tracking - To bridge to the Specimen Tracking option, click the Specimen Tracking button or select Tools > Specimen Tracking. Check Printers - To clear a printer or stop a print job, click the Check Printers button. Printer Status - To view the current status of all printers, click the Printer Status button. Find/View Test Formulary - Clicking this button opens up a Test Catalog. This allows the user to search for the formulary for any test defined in the SoftLab, SoftMic and SoftBank database. Run Pathology – To bridge to Pathology, click the Run Pathology button. Click each individual enlarged button to display its function. Another click on the same button will hide its function.

6 Page 6 of 60 SoftLab/Mic Block 2 - Order Entry Buttons Run Radiology - To bridge to Radiology, click the Run Radiology button. Run Patient Maintenance - To bridge to the Patient Maintenance option to add/edit patient records, click the Run Patient Maintenance button or select Tools > Patient Maintenance. Run Pharmacy - To bridge to Pharmacy, click the Run Pharmacy button. Run Micro Result Entry - To run Microbiologys Results Entry, click the Run Micro Result Entry button, press CTRL + M, or select Tools > Micro Results Entry. Click each individual enlarged button to display its function. Another click on the same button will hide its function.

7 Page 7 of 60 SoftLab/Mic Block 2 - Order Entry Buttons Hotkeys (when available) are listed to the right of the function. Functions for OE buttons can also be initiated through the menu bar.

8 Page 8 of 60 To return to a recent order, simply exit out of the Search screen and select File > Recent Orders > and then select the order to which you want to return. Click Recent Patients when you are finished reading. SoftLab/Mic Block 2 - Search Screen and Functions

9 Page 9 of 60 SoftLab/Mic Block 2 - Search Screen and Functions To return to a recent order, simply exit out of the Search screen and select File > Recent Orders > and then select the order to which you want to return.

10 Page 10 of 60 Upon opening Order Entry, the Search screen will appear. SoftLab/Mic Block 2 - Search Screen and Functions You can search orders by patient, stay or order by entering the required information.

11 Page 11 of 60 SoftLab/Mic Block 2 - Creating a New Patient Click this check box when you are finished reading. To create a New Patient: From the SoftLab Desktop, click the OE icon. From the Order Entry screen, select New > New Patient Result: The OE Search window will display.

12 Page 12 of 60 SoftLab/Mic Block 2 - Creating a New Patient Now select New Patient. In order to create a new patient, you must: Check Open in Edit Mode (based on customizations) Select New > New Patient NOTE: Edit in Edit Mode – when this is checked, it displays the Order Entry window in edit mode, once searching is completed.

13 Page 13 of 60 SoftLab/Mic Block 2 - Creating a New Patient Click in the Last name field to simulate completion of this window. You would now need to provide required information (these fields are backlit in yellow ) per local directives. In this case, we will complete these fields for you upon your next click.

14 Page 14 of 60 Click Patient Comm. SoftLab/Mic Block 2 - Creating a New Patient

15 Page 15 of 60 SoftLab/Mic Block 2 - Creating a New Patient Click CanMesg. Notice that besides canned messages (F5), you can add the date (F6), the time (^F6) and perform a spell check (F11).

16 Page 16 of 60 SoftLab/Mic Block 2 - Creating a New Patient Click CanMesg. Canned message are available. We will not use any here. Click Cancel.

17 Page 17 of 60 SoftLab/Mic Block 2 - Creating a New Patient Click here to add a message to this text field.

18 Page 18 of 60 SoftLab/Mic Block 2 - Creating a New Patient Click OK. Patient Comments; Once you enter them, they become a permanent part of the record. You can type free text comments or utilize canned comments.

19 Page 19 of 60 When you are finished reading, click down arrow of the Priority field. The green check shows that there is a patient comment. The Stay Com in this Stay section works the same as the Patient Comment in the above Patient section. SoftLab/Mic Block 2 - Patient Stays

20 Page 20 of 60 Select the Insurance tab. SoftLab/Mic Block 2 - Patient Stays Notice that the requesting physician and the priority fields must be selected. If Mixed priority is selected, and additional field will be added to the order tab allowing you to specify the priority of each test.

21 Page 21 of 60 SoftLab/Mic Block 2 - Patient Stays Click Add.

22 Page 22 of 60 SoftLab/Mic Block 2 - Patient Stays From the list that appears, you can select the patients insurance. The remainder of the insurance information can now be entered. Select choice 2.

23 Page 23 of 60 SoftLab/Mic Block 2 - Patient Stays Click OK. From the list that appears, you can select the patients insurance. The remainder of the insurance information can now be entered.

24 Page 24 of 60 SoftLab/Mic Block 2 - Placing a Lab Order We have entered the insurance information for you. Click Insert.

25 Page 25 of 60 SoftLab/Mic Block 2 - Placing a Lab Order The Insert button can be used to look up infrequently used tests. In this module we will utilize the more frequently used tests. In Type column I = Individual test G = Group test Click Cancel when finished reading.

26 Page 26 of 60 SoftLab/Mic Block 2 - Placing a Lab Order Click Keypad.

27 Page 27 of 60 SoftLab/Mic Block 2 - Placing a Lab Order We will utilize the first method here. Click G Basic Metabolic Panel when done reading. Place a check in blue box next to test by clicking Highlight desired test using arrow down button and press Enter key Type in letter next to desired The Order Entry Keypad is essentially a file of frequently ordered tests. There are three ways for you to select tests from Keypad:

28 Page 28 of 60 SoftLab/Mic Block 2 - Placing a Lab Order The selected test appears in Ordered table. Collect and receive in the Specimen tab. Click the Specimens tab when you are finished reading. Notice that the Specimen tab now has a (1), indicating the presence of one test.

29 Page 29 of 60 SoftLab/Mic Block 2 - Placing a Lab Order Notice that the Specimen tab now has a (2) instead of a (1). If the Modify button does not appear, click here to get a drop down list. You would right click to accomplish this in SoftLab.

30 Page 30 of 60 SoftLab/Mic Block 2 - Placing a Lab Order Notice that the Specimen tab now has a (2) instead of a (1). Select Modify.

31 Page 31 of 60 SoftLab/Mic Block 2 - Placing a Lab Order Notice that the Specimen tab now has a (2) instead of a (1). Click the now available Modify button.

32 Page 32 of 60 SoftLab/Mic Block 2 - Placing a Lab Order Notice that the Specimen tab now has a (2) instead of a (1). If you were to select the Collected and Received check boxes and click OK, both the Collect and Receive buttons would be unavailable. You can adjust collected/received times and or flags as desired in this window. Click the x.

33 Page 33 of 60 SoftLab/Mic Block 2 - Placing a Lab Order Notice that the Specimen tab now has a (2) instead of a (1). Now select the Comment button.

34 Page 34 of 60 SoftLab/Mic Block 2 - Placing a Lab Order Notice that the Specimen tab now has a (2) instead of a (1). The Comment tab allows either free text or select desired canned message, date, time or spell check. Click to simulate typing. The History tab allows the recording of any history and/or any relevant comments pertaining to the specimen.

35 Page 35 of 60 SoftLab/Mic Block 2 - Placing a Lab Order Click the Tags tabs. The Comment tab allows either free text or select desired canned message, date, time or spell check. The History tab allows the recording of any history and/or any relevant comments pertaining to the specimen.

36 Page 36 of 60 SoftLab/Mic Block 2 - Placing a Lab Order Notice that the Specimen tab now has a (2) instead of a (1). Click here to simulate typing. Click OK

37 Page 37 of 60 SoftLab/Mic Block 2 - Placing a Lab Order Notice that the Specimen tab now has a (2) instead of a (1). Click OK Any modification of specimen comments would be documented in the Tags tab.

38 Page 38 of 60 SoftLab/Mic Block 2 - Placing a Lab Order Notice that the Specimen tab now has a (2) instead of a (1). Click Save.

39 Page 39 of 60 SoftLab/Mic Block 2 - Placing a Lab Order Notice that the Specimen tab now has a (2) instead of a (1). The label printing dialogue box will appear. The printer to which this print job will be sent can be seen. Click OK when finished reading.

40 Page 40 of 60 Notice that the Specimen tab now has a (2) instead of a (1). SoftLab/Mic Block 2 - Placing a Micro Order We will now consider how to place a Micro order. Select the Micro tab. NOTE: If you are logged onto SoftMic, the Order Entry Micro tab is automatically selected.

41 Page 41 of 60 SoftLab/Mic Block 2 - Placing a Micro Order Click the check box of Culture Respiratory.

42 Page 42 of 60 SoftLab/Mic Block 2 - Placing a Micro Order Click Yes. Notice that the Micro tab has appeared. Click to activate drop down menu in Source field.

43 Page 43 of 60 SoftLab/Mic Block 2 - Placing a Micro Order Click Yes. Select #2 Bronchial Washing.

44 Page 44 of 60 SoftLab/Mic Block 2 - Placing a Micro Order Click Yes. Click OK.

45 Page 45 of 60 SoftLab/Mic Block 2 - Placing a Micro Order Click Yes. Bronchial Washing has now been added to the Source field. The Site field is now active. The window that appears on the upper right will give you options for this field. Click Left to add this to the Site field.

46 Page 46 of 60 SoftLab/Mic Block 2 - Placing a Micro Order Click Yes. Left has now been added to the Site field. Your next choice will add Upper also. Click Upper to add this also to the Site field.

47 Page 47 of 60 SoftLab/Mic Block 2 - Placing a Micro Order Click Yes. Upper has now been added to the Site field also. Click the Add button.

48 Page 48 of 60 SoftLab/Mic Block 2 - Placing a Micro Order Click Yes. The time has been added to this Collected by field. Click the second Add button.

49 Page 49 of 60 SoftLab/Mic Block 2 - Placing a Micro Order Click Yes. Click Current antibiotic therapy to activate the drop down window.

50 Page 50 of 60 SoftLab/Mic Block 2 - Placing a Micro Order Click Yes. Select #10 Amoxicillin.

51 Page 51 of 60 SoftLab/Mic Block 2 - Placing a Micro Order Click Yes. Click OK.

52 Page 52 of 60 SoftLab/Mic Block 2 - Placing a Micro Order Click Yes. Click Specimen Quality. Notice that amx is in the first field and the second field has become active, waiting for another antibiotic.

53 Page 53 of 60 SoftLab/Mic Block 2 - Placing a Micro Order Click Yes. Click the down arrow. This is an optional feature to document specimen quality or handling issues. If desired, this field can also be used to pull statistical reports.

54 Page 54 of 60 SoftLab/Mic Block 2 - Placing a Micro Order Click Yes. Select #3 Not Refrigerated.

55 Page 55 of 60 SoftLab/Mic Block 2 - Placing a Micro Order Click Yes. Click OK.

56 Page 56 of 60 SoftLab/Mic Block 2 - Placing a Micro Order Click Yes. Select the Results tab. The now present green check mark indicates that a specimen quality designation has been chosen.

57 Page 57 of 60 SoftLab/Mic Block 2 - Placing a Micro Order This tab is only used when results are required at Order Entry (i.e. Volume, Dosage Dates and Times, etc.) It can be used as quick reference for existing orders. Standard resulting should be done using Result Entry button from instrument interface menu or Resulting Worklist. Click the Save button after reading.

58 Page 58 of 60 SoftLab/Mic Block 2 - Placing a Micro Order Click the OK button. If you were to see the below insurance warning, you will need to add insurance information for this patient prior to saving this order.

59 Page 59 of 60 SoftLab/Mic Block 2 – Summary and Hands On Suggested SoftLab Block 2 Hands-On Practice: Create a new patient using the following criteria Last Name = First letter of your last name + Test (for example, if your last name is Smith your patients last name would be STEST) First Name, Middle Initial = Your first name and middle initial SSAN = First 4 numbers are your SSAN MRN /Billing # = Per local directives Once the patient is created order the following tests: CBC BMP (Basic Metabolic Profile) Urine Culture Coag Panel (PT, PTT) DO NOT collect and receive all orders (these orders will be used for future end of block exercises SoftLab/Mic Block 2 – Summary and Hands On

60 Page 60 of 60 SoftLab/Mic Block 2 – Summary and Hands On Objectives As a result of this module the student should demonstrate the following competencies: Recognize Order Entry Buttons Use Search Screen and Functions Create a New Patient Work with Patient Stays Place a Lab Order Place a Micro Order Create Order Entry Flags Utilize the Results Tab SoftLab/Mic Block 2 – Summary and Hands On


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