Presentation on theme: "FirstNet Provider Training"— Presentation transcript:
1FirstNet Provider Training Presented by: Kim Olney RN, Senior IT Trainer
2View the Computer Based Learning Module InstructionsView the Computer Based Learning Module
3Action buttons are located at the bottom of each screen when completing a module through Ascension Health University:The functionality of each button has been listed below.Please use the buttons to navigate through the module.RewindForwardPauseBackAudio (on/off)Closed CaptionInformationExitVoice Over:These are the action buttons to move through the CBL
4ObjectivesUpon completion of this CBL the learner will have a basic understanding of how to:Navigate the FirstNet Patient Tracking ListLook up ResultsPlace Basic OrdersPrescription Writing ProcessDepart ProcessNOTE:Please remember this module demonstrates Cerner functionality only.Consult your Clinical management team with any questions you may have about clinical workflow or daily operations.
5IntroductionToday I will be giving you an overview of the FirstNet Application used in the emergency departments at Borgess Medical Center, Borgess Lee Memorial Hospital, Borgess Pipp Hospital and Woodbridge Immediate Care facility.NOTE: There are slight variations of the application depending on which site you are working.
6From your desktop, click on the BIEHR Icon Click on the FirstNet Prod Icon
7Enter your User Name and Password. (passwords are case sensitive)
9Provider Role & Default Relationship fields: Click on the drop-down arrow and choose the appropriate role/relationship.Associated Provider Color; click on the box to open the window: choose a color and click Ok.Place a checkmark in the box next to Available Reviewer.Click OK
10Click on the Physician tab for your site. BMC PhysiciansPIPP PhysiciansWBIMC PhysiciansLM Physicians
11Click on a patient row then click on the Assign Provider Icon to assign yourself as the provider for that patient.
12Overview of Patient Tracking List Title BarMenu BarOverview of Patient Tracking ListTool BarTracking List IconsLinks to chart sectionsTitle Bar: Your name displays here; Secure session function by right click and choose from drop-down menu.Menu bar: Task=Password Change, Reports & ExitTool bar: Patient Tracking, SolCom (use drop-down to see other links), Exit (Formal way to exit the application), Calculator (metrics), Depart (Patient discharge)Tracking List Icons: Assign provider, Open pt. chart, Provider Check-In/Out, Discharge (hovering over an icon will open a description).Links: takes you to that specific section of the chart.
13Tracking List Columns Left to right: Continued: The first column has star indicators for abnormal or critical lab results.A blue arrow pointing to the pt. row.Bed number the patient is assignedA=acuityName: Last, First and (pre-arrivals)Age/gender (pink=female, blue=male)LOS-length of stayAllergy (hover over icon to see allergy information)Latex allergyContinued:Chief complaint why they are being seen.Lab/Rad columns (functionality discussed next slide)OrdersMD=attending doctor initialsRN’s initials,MLP initialsRES initialsPCP primary care providerComment and Isolation fields.
14Hovering over an Icon or field will produce a drop-down with information pertaining to that field. Yellow Star=abnormal lab resultsRed Star=critical lab resultsDouble left click in the Lab or Rad column will open the Quick Flowsheet.
15Quick FlowsheetDouble clicking in a Radiology field will open up the report.Clicking on the Review button will mark results as reviewed and closes the window.
16The abnormal/critical star will fall off after you have marked reviewed.
17Opening the Patient’s Chart To open the patient chart click on the yellow folder icon. Choose the section you want to access.
18The Demographic banner Patient NameAllergiesHX of MDRO (***)Age, DOB, GenderMRN & FIN numbersType of Admit-Emergency (Admit date/time)Loc: location of patient
19Key sections of the Menu ED MPage SummaryDocument ViewerDocuments-ProviderDocuments-OtherOrdersMedication List
20ED MPage SummaryProvides a consolidated and concise view of a patient’s chart.Contains forward, back, and “Home” icons which can be used for quick “web-style” chart navigation.Allows you to “link” to specific areas of the chart for example: Allergies“Hovering” over many items on the page will display additional information.
21Document ViewerWhere Documents specific to the Provider role can be viewed, modified/edited and signed.Documents are listed in chronological order with the most recent on top in Document Viewer.
22Documents-ProviderWhere Documents specific to the Provider role can be viewed and printed.Documents-Other are specific to non-provider roles (RN, RT, PT, OT, Dietary, MSW, PCA etc.).NOTE: Documents-Other are specific to non-provider roles (RN, RT, PT, OT, Dietary, MSW, PCA etc.).
23Customized View for Orders and Medication List Windows Click on Current then click on Customize View
24Custom View Set-Up Before Highlight the selections from the Available columns list.Click Add
25AfterNow arrange the list in the “Selected Columns” section by using the arrows to the right.Use the drop-down arrows for the fields at the bottom of the page, make the selections as seen here.Click OKNOTE: Must be done for the Orders window and the Medication List window to view to be appropriate.
26Advanced FiltersSetting Advanced filters for the Order window will allow you to see all non-medication orders.Click on Displayed: All Active OrdersChange Display to All Active Non-MedicationsClick Apply
27Order EntryThe Add Order window is where orders are searched for and added to the orders scratch pad.Most orders for FirstNet are on the Homepage or in the folders on the homepage.Click the Add buttonClick on an order (CBC with Diff), then click Done
28Order Sentences Some orders contain pre-built Order Sentences. Click the appropriate order sentence. If no order sentence is appropriate, click None then OK.You will be able to fill in the details later in the process. (T:N = today and now)Repeat until all orders have been selected.Click Done to close the window
29Note: When entering multiple orders for the same patient (multiple labs, x-rays), it is advisable to continue the order entry process, rather than selecting Done and entering each order individually. This saves time and also simplifies the process for the departments who receive the orders.
30Order Details.This is the Orders Scratch Pad. This lists all the orders entered and allows you to add or change order details prior to signing.To start entering the order Details click on the desired order to highlight it.(repeat process for all orders).Review the order and click Sign.Note: A next to the order indicates required information must be entered before signing the order.
31When done, the entered orders will be in the Processing status. To complete the process, click on the Refresh button.
32Depart ProcessWhen ready to discharge the patient click on the patient’s row. Then click on the Depart button at the top of the window.
33The Depart Process window has 2 sides. The Left side is the menu. Sections highlighted in yellow are required.The Right side is the Patient Summary (what is printed and sent home with the patient).Click on the pencil icon to open the sections.Let’s start with Meds/Prescriptions...
34Prescription WritingClick on the Add Button to open the Add Order window.Search for a medication (example-Norco), multiple choices will populate the window. Single left click on a medication, repeat the process if more than one prescription will be sent home with the patient.Click Done after all needed medications are selected.
35Click on a medication to fill in the Details for that medication, repeat for each medication. NOTE: Before you sign you must choose a printer. See next slide.
36Adding/Selecting Printers Click on the dropdown arrow next to the Send To field.Click on Other
37Apply to: set to All Pending… Default: Always treat my…When at BMC, LEE or PIPP all the Rx printers for that site are in separate folders. Open the folder for your site and choose your printer. (You may right click on the printer and add it to your favorites) See the next slide.
38When at WB IMC the Rx printers for that site are in the BORGESS AT WOODBRIDGE HILLS folder. Click on the name of the folder, the printers will display on the right side and choose your printer. (You may right click on the printer and add it to your favorites) See next slide.NOTE: RX printers all end in_rx (you also might need to grab and drag the column to the right to see the RX printer.)
39Setting a Default Printer Click on your Favorites tab.Select the printer you want to print toThen right click on it to Set as Default
40Sign and PrintAll pending RX’s will print upon signing
41Patient Discharge Instructions and Follow-up Patient Education and Follow-up share the same window.You can toggle between the 2 tabs.
42Click on InstructionsSearch for the appropriate instruction or from the left side of the window choose a category, then select from the right side of the window the instruction you want.
43The instructions will display in the lower right side. Now click on the Follow-Up tab at the top of the page.
44Who: provider, organization/clinic or Free-text Quick Picks: when other choices aren’t appropriate.When: hours, days weeks etc.Where: Address and phone # for provider.Comments: Predefined/editable.
45Provider SearchClick into the Provider field and type part of the provider’s name.Click on the binoculars. The Provider Selection window opens.Choose the provider from the list.Click OK,
46When done Click SaveYou will be returned to the Depart process screen.
47Medication Reconciliation is not currently being done in FirstNet Medication Reconciliation is not currently being done in FirstNet. (skip these sections).Special Medication Instructions can be free texted in the PowerForm. Click the green check mark to sign and close the form.Now Click on Discharge approved by Attending?Sign Save CancelFree Text Here
49Now the House Icon will appear in the To Do column Now the House Icon will appear in the To Do column. (Indicator the patient may be discharged by the nurse).At the end of your shift, click on the Provider Check-Out Icon.Click OK
50Exiting the application Now you may close the application by clicking on the Exit button. (closing the application with the red X is strongly discouraged).
51For urgent matters, call the Helpdesk at (226-5386). For any questions concerning this or any other Cerner provider issues, please call Provider Support at am-5pm Monday-FridayAfter hours, weekends and holidays leave a message, wewill get back to you next business dayFor urgent matters, call the Helpdesk at ( ).
52ConclusionWe hope this Computer Based Learning course has been both informative and helpful.Feel free to review this course until you are confident about your knowledge of the material presented.