Ambulatory Reference
Transcription
Ambulatory Reference
Ambulatory Application for PowerChart Touch Ambulatory Log in Ambulatory Review Follow these instructions: 1. Enter your access code (1st time only) 2. Log into app with PowerChart username & password 3. Create pin – allows quick access to locked app 4. System automatically adds provider’s patient schedule 5. Tap calendar icon to setup additional schedules 6. Tap Add Schedule & search for clinic or provider 7. Tap on resource to be added 8. Tap Done to close Add Schedule window 9. Tap Done to close Schedules window & display your schedule Note: add multiple schedules, tap to remove check mark if you don’t want it to currently display (25 max; 5 max display) Note: Moving toggle to right marks schedule as default 10. Tap on the patient you want to display or search 11. Tap your relationship & Continue to review the patient’s chart 1. Chief Complaint – displays from pt’s chart 2. Notes – displays last 3 years or hit more button 3. Vitals & Measurements – only shows current days Touch to show previous, trends, & graphs Touch Summary to show previous 2 visits 4. Problems - will add new diagnosis or problem Swipe left to add current problem to This Visit (diagosis) 5. Allergies - will add new allergy 6. Laboratory Results Touch to filter for more or less results (can filter) Touch again to view trends & graphs Squeeze/pinch to expand graph Touch haloed dot for more details 7. Diagnostics – displays the report/interpretation 8. Pathology – displays last 3 years lab interpretations 9. Immunization History – displays patient’s immunizations 10. Histories Select Social / Family / Procedure Social – can update Tobacco 11. Visit List – displays previous & future visits Following 3 fields can be pulled into PowerChart PowerNote/Dyn Doc 12. Subjective/History of Present Illness Dictate & pull into PowerChart note with ..hpi 13. Review of Systems Dictate & pull into PowerChart note with ..ros 14. Objective/Physical Exam Dictate & pull into PowerChart note with ..pe User Handouts\PowerChart Touch\Ambulatory reference 03.05.15.docx 1 1. 2. 3. 4. Ambulatory Order Ambulatory Document Things to know Displays active & future orders Touch Show Inactives to display inactive orders Swipe left to Refill or Discontinue Touch to add orders Search for order Touch listed order to select Touch Done Touch to fill in order details Swipe left & touch Remove to remove order without signing Touch to show all orders to sign order Touch Sign to sign orders 5. Touch order to see detail/split view screen Refills Remaining will alert you, so if patient is in the clinic, you can proactively refill medications 1. Displays PowerNote (dynamic document) 2. Select Template 3. Select Type by touching Required & chose from short list 4. Chief Complaint should pull from clinic note 5. If HPI, ROS, & PE are completed in Review screen, will populate in Document view 6. History of Present Illness or any boxed section … touch in box & use mic to dictate 7. Touch Section Headings to display following actions Remove from Note – remove section or items Refresh – to update section with chart information Add Comment – add box to dictate in Emphasize – Bold selected information 8. Touch to display following actions … Refresh Sections – update section with updated chart info Preview Note – shows how note will display Save Note – Save note to complete later 9. Touch Sign to sign note Note: Saving a Note allows you to edit & sign in Touch; however, editing note in PowerChart makes it unavailable to edit in Touch 1. Username & password can’t be the same 2. Current AutoText & PowerChart Dragon templates do NOT work in Touch 3. Specialty Apps available 4. Use gray Dragon mic … NOT Siri mic at bottom of screen 5. iPhone – pull down on 3 lines by review at top of phone to access Order & Document sections User Handouts\PowerChart Touch\Ambulatory reference 03.05.15.docx 2