Meditech 6.0 Upgrade
ED TRAINING SESSION 1
Agenda
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My Steward Review
Tracker Orientation (Main, RN,
Charge RN)
Reception Routine
Triage and Allergies
ED Visit Data
RN Documentation and Screen
Layout
RN Additional Focus of Care
RN Edit and Undo
My
Steward
• Locating
Training
Materials
• Training
Process
– Intro
– CBT
– Questions
Meditech Training Tutorials
Tracker Orientation
– EDM Tracker
• Location Tracker (Main ED, Fast Track, etc.)
– These tracker are meant to be Standard Across the system.
• My RN Tracker
– This tracker allows you to keep track of only patients you are
caring for. It also shows more detailed information.
• Charge RN Tracker
– This tracker will display all area’s of the ED and show more
detail on the patient.
Tracker and Personalized View
Tutorial
Charge Nurse Tracker
• All RN’s will have access to the Charge
Nurse Tracker
• The Charge Nurse tracker contains detailed
information on the patient
• Displays all patient in all area’s Main, FT
Tracker and
Personalized view (My RN)
Questions
Reception Routine
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This routine is the quickest way to get the patient on
the tracker.
– It consists of only 4 required questions.
– Patient Name is a required field and should be entered in
mixed case (ex. Darling, Jean)
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Routine is meant to be used by Nursing only if
Patient Access/Registration is not available to
put the patient on the tracker.
– Primarily this is a patient access/registration routine.
– Through this routine you are able to print the patient wrist
band and face sheet.
– When RN’s must perform this routine they should enter
the SS number whenever possible and click SEARCH for
the MPI (master patient index).
Triage and Allergies
• Triage can be accessed through the tracker
Triage and Allergies
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This routine allows you to document the Triage assessment
as well as:
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Change the Location of the patient
Change the Room for the patient
Enter in the Patient’s Chief Complaint
There are certain functions that even though you have
access should not be updated on this screen
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Filling in the Providers of Care will update the statistics such as door
to doctor time. This is being updated another way and should not be
updated on this screen.
The only fields that should be filled in on the screen in the first
tab of the screen are: Location, Room, Chief Complaint and
Triage (Patient’s MOA must be entered) along with the ESI
level.
Allergies
• Allergies is accessed on the second tab of
Triage
• Allergy information crosses to PCS, OM etc.
– Allergies must be entered to place orders in OM
• Allergy information is recalled on the medical
record based on what was entered in the
patients last visit.
Triage and Allergies Tutorial
Triage and Allergies
Questions
ED Visit Data Screen
• The ED Visit Data Screen is an additional
screen where you can update the patients
room and location.
• To access the screen go to Open Chart ->
ED Visit Data
Documenting in Meditech
• Ensure that you are logged onto the computer
under your own name and have a pin
• All entries are part of the patients legal Medical
Record and time stamped
• Only answered questions appear as part of the
Medical Record
• Be sure to lock down or sign out of your PC
when leaving
• All documentation must be completed prior to
Discharge or Admit and before end of shift.
• Always remember to SAVE your documentation!
Things that MUST be Documented
in Meditech on every patient
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Complete Triage Assessment
Allergies
Patient History
CC Assessment
RN Disposition Documentation (part of
Discharge Routine)
Things that need to be documented
in Meditech as applicable
• Additional Focus of Care items
• Additional Vital Signs and Progress Notes
• IV site Intake and Output/ Add an IV or
Add a Void
• Critical Value
• Treatments
• Other
Chief Complaints
• By choosing a Chief Complaint at Triage
you are driving documentation onto your
work list.
Notes
• You have the ability to add a Progress
Note in the Vital Signs and Progress Note
Assessment (typically this is what is being
utilized for notes)
• You also have the ability to document
anything in the comment section in each
one of the CC driven assessments.
RN Documentation and Screen
Layout
RN Documentation and Screen
Layout
Questions
Additional Focus of Care
• Allows you to add assessments as needed
RN Additional Focus of Care
RN Additional Focus of Care
Questions
Oops!
• With edit and undo options you have the
ability to edit incorrect documentation
done on a patient.
• You also have the ability to remove the
entire assessment
• If you need to back date the time that can
be done as well either when initially
documenting or at a later time through edit
RN Edit and Undo
RN Edit and Undo
Questions
Printing A Patient Report
• Click the ED Summary button from the
Tracker
• Print the ED Summary this contains the
complete SBAR format information of the
patients visit.
Things that are still on paper
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Codes
Procedural Sedation
State Mandated Forms
Cobra
Section 12
Consents
EMR Review
– Highlight the Patient and Open the
Chart
EMR
– Click on Clinical Panel
– Choose the ED
Here you can review all ED
documentation (this is utilized by
ED Physicians, medical records and
inpatient Nurses)
Discharge
• Accessed through Open Chart
• The discharge date/time should be
entered for when the patient is leaving the
department this function is done by the
CAN staff
• The discharge intervention should also be
filled in a the time of discharge
• Once both are complete and accurate the
Discharge can be saved.
Remove the Patient off the Tracker: Status
Event change
• To remove a patient from the tracker you
must update the status event to End of Visit
• This must be done after the patient has left
the ED.
Questions?
Time to practice! Remember the
more practice you have now the
better off you will be!