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17 Cards in this Set
- Front
- Back
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St. Luke's EMR Navigation
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X
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Accessing Pt. List
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- Rt click in dark blue bar to "change pt list"
- new - Location - open "St. Luke's Hospital" - open "St. Luke's Hospital Campus" - Scroll to "N" & select ND 9600 NeuroSurgery - click "Finish" - in "Establish Relationship" select "Student Nurse" |
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In "Visitor Status"...do not...?
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do not disclose patient presence
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In "Allergy" column, what do the symbols mean?
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0 = no known allergies (NKA)
0 colored in = allergies o! = allergies not entered |
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In "Orders", what does a heart, a blood drop, and a man w/ walker mean?
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Heart = Complete task
Blood Drop = collect specimen Man w/ Walker = admit patient |
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"Ad Hoc" section is used for what?
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to access Procedure Based Forms for charting
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Where to get Procedure Based Forms for charting?
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"Ad Hoc" section
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What is "IView Charting"?
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"Interactive View" charting. Now used for Assessment Data.
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Where to find:
Admission Screens Mandatory Vitals & ADLs Nursing Division Assessment Document List |
I&O/INET (left menu band)
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Where to find:
Drains & Tubes, Chest Tubes Incisions/wounds/skin |
Nursing Division Assessment
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Where are Vitals, ADLs, & Intake found?
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In Nursing Division Vitals and ADLs
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Where would you find "Visual Check Performed"?
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Top of the ADLs section within "Nursing Division Vitals and ADLs".
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How often is "Visual Check" performed?
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every hour (performing task w/ pt counts as a visual check).
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Braden is documented how often?
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Admission & q24h
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Customized added items disappear when nurses stop documenting after how long?
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24 hrs
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Dynamic Note: purpose of?
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to document multiple items of the same thing such as incisions and wounds.
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When is wound measuring required?
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Admission
Every Monday At discharge |
