Technology

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Technology Technology Useful Websites Email email mc vanderbilt edu Starpanel starpanel mc vanderbilt edu PACS pacsweb2 mc vanderbilt edu VPIMS vpims mc vanderbilt edu Portal portal mc vanderbilt edu KM knowledgemap mc vanderbilt edu 121 Technology Introduction Welcome to the technology section of the Oar There is a ton of different technology both part of the Vanderbilt system and third party which you will need to deal with in your third year Your level of expertise and familiarity with it can either make your life more difficult or save you time and make you an efficient organized VMSIII machine The goal of this section is to provide an overview so you know where to start as there is far too much information to be housed in this pocket sized guide Enjoy Vanderbilt Helpdesk 343 4357 or 3 HELP The Helpdesk is literally your best friend One of your passwords won t work Call the Helpdesk Can t sync your PDA with the VU system Call the Helpdesk Program this number into your cell Write it on an index card you won t lose Whenever I am having any tech problem whether it directly applies to the hospital or not I start here There is usually a very short wait especially after business hours it is free and the staff is super helpful If this is the only thing you take from this section I have earned my paycheck which is 0 WizOrder This is your gateway to everything on the VUMC network When you log into any clinical workstation This is the first screen that you see We re going to touch on the features of this program that are most relevant to VMSIIIs in this section Scratch Census This is the roster of patients that are followed by your team I would say that this is the most important feature to understand as a student because if your scratch census does not match that of your team you will undoubtedly be lost during rounds The best way to establish a scratch census is to find your resident on day 1 of the service before rounds and ask which census they use Some services 122 Technology have a group census others have you link to the resident and rarely you will link to an attending Then just click on the modify census box and link to the correct census by either clicking Link to Group Census or Link to Another User The WizOrder page will refresh if it does not click the refresh box on the main screen There will now be a list of patients in the middle of the page and that is your scratch census Linking is a one way deal you cannot make changes which affect your resident s or the group s census You can add patients to your census but cannot delete patients from your resident s census Similarly if your resident adds or removes a patient from his or her list your list will automatically reflect that change You also have the option to copy your resident s census which allows you to selectively create your own census with the same patients as your resident but you can edit your list freely and your list will not be updated should your resident change her list If the patient has a blue I next to their name they are an inpatient If there is a green O they are an outpatient Outpatients are usually patients who have been discharged but do not have a discharge summary note on the chart from resident Patient Lists Once you have linked your scratch census you can print out the Patient List This is the piece of paper that the residents carry around feverishly scribbling notes to themselves and checking off boxes of things to do before their day is done Print a patient list every day and always have it on rounds It helps you follow along and on walk rounds it will make sure that you know where the next patient is To print the list click the Printouts button and then click Patient List From Scratch Census You can then choose the spacing if you want to skip outpatients and if you want to selectively pick patients As far as the spacing if you have a big list you want more names per page You will figure out your patient list checklist and note style as the year goes on For the first few days just make sure you carry the list 123 Technology Current Meds and Results CMRs CMRs summarize all of the medications vitals and lab results on a single dual sided sheet They are tremendously helpful to have on rounds Make yourself familiar with what information makes it onto the CMR and what does not Some units still use some paper charting so the vitals don t make it on Some service specific tests or values are not represented That being said having recent CMRs for at least the patients you are following will bail you out when you forgot to check on a value or when that value wasn t up when you checked StarPanel before you pre pre rounded To print CMRs go to Printouts then Current Meds and Results To quickly print the entire scratch census and a patient list click on CMR from scratch Residents and attendings often want you to print extra copies for them Ask on day one then wow them with your WizOrder prowess Finding a Patient Who is Not on Your Census Sometimes you will see a patient in the ED who has not been admitted to the hospital yet or a patient that is being transferred or for some other reason did not make the resident s or group census That means you need to find them Don t worry it s not that difficult First you need to know if the patient is in the hospital inpatient or in the E R or in transit outpatient If you re looking for an INPATIENT blue I you can enter the last name in the box labeled Patient Name and search Otherwise you can click on one of the floors nurses stations listed in a box on the right hand side of the screen Once you see the patients name in the box on the left side of the screen double click on the name and choose add to scratch census from the menu If looking for an OUTPATIENT or someone in the ED green O start by clicking on the Outpatient ER box on the right side of the screen Enter as much patient info as you know for sure be careful with spellings of last names Medical record numbers are a big plus Once found add to your census as above 124 Technology Editing the Sign Out Sheet Particularly on Medicine and Pediatrics your team will sign out at the end of the day to the team on call aka cross cover and tell them about the patients on their census This is crucial as the crosscover team will be expected to make good management decisions during the night about patients they …


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