Computer Based Learning For the following please choose a real (or patient) from PowerChart and do the following: “test” Complete the assigned checklist below with a facilitator. Each task has several subcompetencies. These are shown, generally in the order that they are done. The entire task e.g. should take about “Admission” a half-hour to complete. Progress Notes Prerounding: For progress notes – Review vitals, labs, micro, imaging, EKGs, path (Results Review or Daily Rounds Summary) Review EKGs which will be at the RN station (also on MUSE). Review new RN, SW, PT/OT notes (Results Review Multi- D Summary) –> Review new consultant notes (Also seen via Clinical Notes) Start populating your own note - try to include Problems & Diagnoses and Orders if possible. Include hospital issues Create the note (you can print this for rounds). Go see the patient. After rounds: Finish the details of your note and submit! You can consider Provider View for most of the navigating. (It’s a little hard at first, but you can tag info as you go and populate your note real time! Most of you will also be using this in clinic.) Admission Before you see the patient… Is this an FP patient? Ask your senior or check this out: Review outpatient notes Review ED Note and EMS records if possible. Review vitals, labs, micro, imaging, path (You can also see these through Results Review or Daily Rounds Summary) Review EKGs which will be at the RN station. Once you have seen the patient… Run the case by your Senior/Attending Bed Request
Computer Based Learning For the following please choose a real (or “test” patient) from PowerChart and do the following: Complete the assigned checklist below with a facilitator. Each task has several subcompetencies. These are shown, generally in the order that they are done. The entire task e.g. “Admission” should take about a half-hour to complete. Progress Notes Prerounding: For progress notes – Review vitals, labs, micro, imaging, EKGs, path (Results Review or Daily Rounds Summary) Review EKGs which will be at the RN station (also on MUSE). Review new RN, SW, PT/OT notes (Results Review –> Multi- D Summary) Review new consultant notes (Also seen via Clinical Notes) Start populating your own note - try to include Problems & Diagnoses and Orders if possible. Include hospital issues Create the note (you can print this for rounds). Go see the patient. After rounds: Finish the details of your note and submit! You can consider Provider View for most of the navigating. (It’s a little hard at first, but you can tag info as you go and populate your note real time! Most of you will also be using this in clinic.) Admission Before you see the patient… Is this an FP patient? Ask your senior or check this out: Review outpatient notes Review ED Note and EMS records if possible. Review vitals, labs, micro, imaging, path (You can also see these through Results Review or Daily Rounds Summary) Review EKGs which will be at the RN station. Once you have seen the patient… Run the case by your Senior/Attending Bed Request