1. Anesthesia Manager Training “Events”

2. Objectives By the end of this module the participant will be able to:
Open the Events Window from the Menu command and the toolbar icon
Add an Event from an Event Set
Add an Event after choosing an Event Type
Add an Event that is a free text comment
Add a comment and change the time for an Event
Use the Search tab to search for an Event
Use the S.A.M. module to add supervisory data
Delete an Event
View the History for all additions, deletions and modifications to Events

3. Current Anesthesia Record “Documentation”
The paper record provides visual prompts to complete required information
End user moves from field to field and
Documents
Circles
Ticks
all relevant information to insure a completed anesthesia record

4. Current Anesthesia Record “Documentation”
Events typically documented on the paper record:
Anesthesia Start
Demographic Information
Procedural Information
Machine/Monitor check/functionality
Review of appropriate documentation
Technique (GA/Regional/MAC,etc)
+relevant details
Airway management
+ relevant details
IV and other invasive lines
Monitors
Patient position/eye status
Additional Equipment
Transfer/Discharge information
Anesthesia Finish
All other comments

5. Future Anesthesia Record “Documentation”
Electronic Record is a BLANK SLATE
No visual prompting
Potential to forget essential documentation to insure a completed anesthesia record

6. Future Anesthesia Record “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

7. Future Anesthesia Record “Documentation”
Events will replace
Written comments
Check Boxes
Circled Short cuts

8. Adding Events Events can be added by: Function key F4
Using pull down menu
Insert/View-Events (F4)
Selecting icon
Events window
Anesthesia Manager includes a log for documenting important Events or conditions affecting the patient,
such as the beginning of anesthesia, intubation, or a chest x ray.

9. 1. Event Log Window appears
Adding Events
2. Click on the Add Button
Events window
The Add Events window can default to the “Event Sets” tab or the “Events by Type” Tab.
configure this in CS Customize/Events Icon/ radio button let you pick the default view.
Event Sets are a way to group an Event, that can only exist in one Event Type, into a meaningful clinically relevant list for the end users.
1. Event Log Window appears

10. Adding Events 3 options to pick: Event Sets
These are custom groups created locally by the Anesthesia Workgroup
This is the DEFAULT view
All Events
These are generic groups created by the software developers
Keyword Events
Provides search functionality

11. Adding Events via “Event Sets”
Timeline organization
Groups all events specific to a given activity
Redundancy
Various events can be found repeated within the same or different event sets
Complete
Minimal dependence to insert descriptive comments

12. Adding Events via “All Events”
Consists of multiple “event types” that were created by the software vendor and listed as ANES: …….
Any new custom event entered by the Anesthesia Workgroup has to belong to one “ANES Event Type”.
Every event is listed alphabetically under “All types”

13. 1. Pick the relevant “Event Set” 2. Highlight the desired “Event”
Adding Events via “Event Sets” “Adding an Event to the Event Log (Anesthesia Record)”
1. Pick the relevant “Event Set”
2. Highlight the desired
“Event”
3. Double click on the “event” OR
click on the > arrow
3. Double click on the “event” or click on the “forward” arrow

14. Adding Events via “Event Sets” “Adding an Event to the Event Log (Anesthesia Record)”
Event(s) will move over to the “Selected Events” window
(4.) To document to the record, you must hit OK.
Selected event now appears in the Event Log
4. Hit OK

15. 1. Highlighting multiple events
Adding Events via “Event Sets” “Adding an Event to the Event Log (Anesthesia Record)”
1. Highlighting multiple events
Add multiple events simultaneously by:
“Control-clicking” to select non contiguous events
“Shift-clicking” to select contiguous events
2. Click on the > arrow

16. Adding Events via “Event Sets” “Adding an Event to the Event Log (Anesthesia Record)”
3. Hit OK
Selected “Events” added to event window by control/shift click
Hit OK button

17. Adding Events via “Event Sets” “Adding an Event to the Event Log (Anesthesia Record)”
Multiple “Events” now appear in the Event Log

18. Adding a Comment to an Event
1. From the “Selected Events” window, click on the Comment Field adjacent to the event and type your comment
2. Hit OK

19. Changing the time of an Event
1. Adjust the time-default is current time
2. Hit OK

20. Add/Revise a “Comment” on an existing Event
From the Event Log window, double click on the Event/Comment OR
Select the Event and click on the Edit button
Change the time of the event if required
Add or revise existing comment

21. Deleting a “Comment” on an existing Event
1. Highlight event to be deleted
2. Hit the < arrow (this stops event from ever populating the Event Log)
3. OR highlight event from Event Log
4. Hit Delete

22. Adding a Free Text Event via “Memo”
From Event Log window, click on “Memo” button OR
Select “Memo” macro from the toolbar.
From Event Log window, click on “Memo” button OR
Select “Memo” macro from the toolbar.
Default name of this type of Event is “Memo”
2. Type your memo. Maximum characters is 255.
Memo/Comment now is Event Log
2. Type memo and hit OK
A tooltip exists to view longer memos from this window. However if the comment is very long, it is easier to see it in the tooltip for the blue box at the top of the time column. You can also double click the event to see the full comment in this custom event window.

23. Searching for an Event
From the “Add Event” window, select “Keyword Search”
Enter in Keyword and Find
Move event to “Selected Event” window by double clicking or hitting > arrow

24. Viewing Events on the Timeline
Once an event is added, a blue rectangle appears on the timeline
Run your mouse over the blue rectangle and the events entered at that time are displayed

25. Adding Events from the Timeline
Click on Timeline and the “Add Event” log opens with the current time selected

26. Adding Events from “Basic” Event Sets
Four “Basic” Event Sets have been created
to contain the most common events for a typical GA/Spinal/MAC or simple Eye procedure
This will eliminate the need to jump around to other Event Sets for the required information

27. Reminder to document Patient position, arm position,eyes
Reminders to include required information
Event Set-”Basic GA”
Reminders to include required information (Fluids)
Reminder to select “Anesthesia Type”
Reminder to document IV Start
Reminder to document End Activity
Reminder to document A/W Management
Reminder to document A/W Management

28. Event Sets-”Basic Spinal”

29. Event Sets-”Basic MAC”

30. Event Sets-”Basic Eye”

31. Click on this Box to continue to second half of the Presentation