Uploaded by Stef Wilson

sp23 docucare scavenger hunt

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Scavenger Hunt
Overview
Estimated time to complete: 1-2 hour(s)
Brief summary of assignment:
This activity presents the student with a variety of tasks to complete that will orient them to
DocuCare. Appropriate actions the student should complete include finding assessment data,
locating notes, identifying where demographic information can be found, and other tasks.
Learning Objectives
At the end of this activity the learner will be able to:
Demonstrate how to log into thePoint and DocuCare
Identify where pertinent patient information is located
Perform complex data entry
Assignment
1. After entering the Scavenger Hunt Case, locate the following information:
Data
Date of birth
Past medical history
Current medical diagnosis
Date of admission
One current medication –
when was it last given?
Latest BUN/Creatinine level
Most recent IV insertion date
Allergies
Chest X-Ray Report
Last measurement of urine
Is there a Braden Score
available? If Yes, what is the
score?
Religion
Glasgow Coma Scale score
Answer
7/15/1967
CAD, type 2, HTN
stroke
2/4/2023 19:33
Alteplase 79 mg IV @ 2/4/2023 22:33
BUN – 18 creatine - 1.1
2/4/2023 19:33
Penicillin, tomatoes
Normal
500 mL
Yes, 85
Catholic
15
2. Now enter the following data:
Document that the patient has a Pacemaker
Document Lung sounds - Diminished RLL, RML, and LUL
Document the patients new diet – Mechanical Soft Low Sodim Low Cholesterol
Document a Pain Score of 5/10 to left foot
Document a Nursing Shift Note
Document a new set of vital signs and weight
3. Submit for review
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