1. Event Sets-Organization
Anesthesia Type (must be completed) / Preop Eval
Check your machine / document milestone events
Start an IV
Secure an Airway (General Anesthetic
Regional Anesthetic
MAC Anesthetic
As previously described-should account for most activities related to a basic case
Event Sets-Organization
Timeline Based Approach

2. Event Sets-Organization
Eyes / Patient Position
End Activities
Invasive Lines
Subspecialties
Timeline Based Approach
Anything not found under the Basic Event Sets will be found within the appropriate Event Set
Other

3. Adding Events via the Macro Toolbar “Documentation”
Macro toolbar is your friend
important event markers/symbols will be added to the timeline
Standard event descriptors will be added to the Event Log
Will act as like the visual prompter on the paper record to document required information

4. Adding Events via the Macro Toolbar “Anesthesia Start (S)”
1. Mouse over Macro & click
2. Agree with current time or adjust time
Hit OK
Event marked on Timeline with “S”

5. Adding Events via the Macro Toolbar “Equipment Check (C)”
1. Mouse over Macro & click
Event marked on Timeline with “C”
2. Agree with current time or adjust time
Hit OK

6. Adding Events via the Macro Toolbar “Patient Assess (CPSO Required)”
1. Mouse over Macro & click
2. Agree with current time or adjust time
Hit OK

7. Adding Events via the Macro Toolbar “Patient Assess (CPSO Required)”
Add events window opens. Add events from A010 event set.

8. Adding Events via the Macro Toolbar “ASA/Medical Team”
1. Mouse over Macro & click
2. Agree with current time or adjust time
Hit OK

9. Adding Events via the Macro Toolbar “ASA/Medical Team”
Demographics Screen appears
Click on ASA Level

10. Adding Events via the Macro Toolbar “ASA/Medical Team”
Pull down ASA menu, select ASA and hit “Close” button

11. Adding Events via the Macro Toolbar “ASA/Medical Team”
Select Medical Team

12. Adding Events via the Macro Toolbar “ASA/Medical Team”
Complete as appropriate
First case of the day will populate “Anesthesiologist”, subsequent cases will NOT
Booked Surgeon will come across from OR Manager Module
Must add/change if different from booked surgeon

13. Adding Events via the Macro Toolbar “ASA/Medical Team”
Event marked on Timeline with Blue Rectangle

14. Adding Events via the Macro Toolbar “Regional Anesthesia Start (R)”
1. Mouse over Macro & click
2. Agree with current time OR
adjust time
Hit OK
Event marked on Timeline with “R”

15. Adding Events via the Macro Toolbar “General Anesthesia Start (G)”
1. Mouse over Macro & click
2. Agree with current time OR
adjust time
Hit OK
Event marked on Timeline with “G”

16. Adding Events via the Macro Toolbar “MAC Start (M)”
1. Mouse over Macro & click
2. Agree with current time OR
adjust time
Hit OK
Event marked on Timeline with “M”

17. Adding Events via the Macro Toolbar “Antibiotic First Dose (A)”
1. Mouse over Macro & click
2. Agree with current time OR
adjust time
Hit OK
Launches count up timer
Event marked on Timeline with “A”

18. Adding Events via the Macro Toolbar “End Surgery/Confirm Procedure (“E”)
1. Mouse over Macro & click
2. Agree with current time OR
adjust time
Hit OK

19. Adding Events via the Macro Toolbar “End Surgery/Confirm Procedure(“E”)
Select Procedure

20. Adding Events via the Macro Toolbar “End Surgery/Confirm Procedure (“E”)
1. Hit Add Button
2. Enter text into keyword search
3. Hit “Find Now” button
4. Highlight appropriate procedure
Hit OK button
Booked procedure should be populated by OR Manager
Will have to change if significant difference from booked

21. Adding Events via the Macro Toolbar “End GA (“g”)
1. Mouse over Macro & click
2. Agree with current time OR
adjust time
Hit OK
Event marked on Timeline with “g”

22. Adding Events via the Macro Toolbar “Transfer to PACU/SDCU (“T”)
1. Mouse over Macro & click
2. Agree with current time or
adjust time
Hit OK
Event marked on Timeline with “T”

23. Adding Events via the Macro Toolbar “Discharge within Unit (Other sites)
1. Mouse over Macro & click
Any required information will appear in red
Click on “Required Events”
2. Click on “Required Events”

24. Adding Events via the Macro Toolbar
Event log with all descriptors generated by macros

25. Adding a Supervisory Anesthesia Event via SAM (Supervisory Anesthesia Module)
As an anesthesiologist who supervises fellows and anesthesia residents, you may need to document certain events during the procedure. The Supervisory Anesthesia Module (SAM) allows you to log on and enter events and demographic data while another user is logged on. All of your entries will be attributed to you. When you have finished, the other user can continue working without having to log on again.
You must have rights to open the SAM module
Click on the Insert/View Menu/S.A.M. OR
Click on the Icon in the Toolbar
Enter your user log in

26. Adding a Supervisory Anesthesia Event via SAM
You will be presented with all “Event Sets”
Select the relevant events as described earlier
A default Event Type can be picked that would be most often used by the supervisory personnel.

27. Adding a Supervisory Anesthesia Event via SAM
At this point, you will see a complete audit of all events entered into the system
You can select any event and edit/delete as required

28. Review the Events in the Event Log
SAM Window Functions
LogOut
From the SAM window you can:
Open the Demographics window to complete other required documentation
Review the Events log and make other changes.
Log out
Go to Demographics
Review the Events in the Event Log

29. Viewing the Event Log History
Click on the “Audit Trail”
You can now see who has added, modified, or deleted an Event and at what time.

30. Events in Anesthesia Manager: Exercise
Open the Events window, look through the different “Event Sets”.
Look through the different Event Sets and add part or all of one Event Set.
Search for all Events with the word “intubation” in them.
Change the time stamp and add a comment to an Event.
Add a group of Events via a Macro Button
Delete one of your Events.
Add a S.A.M. Supervisory Anesthesia Event
Open the Event History and observe the Audit Trail for the changes you made.

31. Questions