WELCOME
1. This class follows a standardized structure. The learner is expected to:
•
Listen and watch the instructor demonstrate and explain at the
beginning of each lesson with HANDS OFF THE WORKSTATION.
•
Practice individual exercises.
•
Participate in knowledge check activities.
•
Practice working through group activities.
2. The material presented in this class is a foundational overview of the
Clinical Systems. Unit specific information and practice will be covered
when you are active on your unit.
STARBROWSER/STARPANEL
ACTIONS MENU
LEARNING OBJECTIVES
1. Locate and define the purpose of primary menus and icons in
StarBrowser/StarPanel.
2. Define the purpose of the StarBrowser/StarPanel systems.
3. Demonstrate accessing the Actions Menu.
4. Identify links located on the Actions Menu and their use.
ACTIONS MENU
QUIZ SHOW
ACTIONS MENU
KNOWLEDGE CHECK
1. The link in the Actions Menu that is a record of
any document that pertains to a patient’s
medical history at Vanderbilt University
Medical Center.
ACTIONS MENU
KNOWLEDGE CHECK
All Documents
ACTIONS MENU
KNOWLEDGE CHECK
2. The link in the Actions Menu that displays
medications, dosages and time administered
for a specific patient.
ACTIONS MENU
KNOWLEDGE CHECK
MAR
ACTIONS MENU
KNOWLEDGE CHECK
3. The link in the Actions Menu that allows you to request assistance from the
IV team.
ACTIONS MENU
KNOWLEDGE CHECK
IVT Request Form
ACTIONS MENU
KNOWLEDGE CHECK
4. The link in the Actions Menu that provides a
snap shot of important information charted for
a patient using the SBAR format
ACTIONS MENU
KNOWLEDGE CHECK
OPC
ACTIONS MENU
KNOWLEDGE CHECK – TIE BREAKER!
5. The link in the Actions Menu that provides an overview of lab results from
a patient’s hospital stay.
ACTIONS MENU
KNOWLEDGE CHECK
Fast Labs
CHARTING A NEW PATIENT’S ADMISSION HISTORY
LEARNING OBJECTIVES
1. Locate required sections of the Admission History and define the completion
deadlines for those sections.
2. Demonstrate the ability to complete a patient admission history.
ADMISSION HISTORY FORM ACTIVITY
 With a partner, please complete an admission history form.
 Make sure to include information in each section and do not skip
sections.
 After the allergies section, please save the form as a draft and
switch roles with a partner.
 Take turns being the nurse and the patient, providing information
for completion of the form.
 Each partner should have an opportunity to practice!
ORDER ENTRY – HEO/WIZ
LEARNING OBJECTIVES
1. Define the purpose of the HEO/Wiz system.
2. Demonstrate searching for and locating active orders.
3. Demonstrate entering orders.
ORDER ENTRY – HEO/WIZ
LOCATING ACTIVE ORDERS
INDIVIDUAL ACTIVITY
Use patient name on the patient card.
1. Practice selecting a patient and locating a diet order for the patient on your
patient card.
2. Practice locating the tranfuse PRBCs order.
ORDER ENTRY – HEO/WIZ
REQUESTING A BLOOD PRODUCT
INDIVIDUAL ACTIVITY
1. Practice requesting your remaining blood product from the blood bank for
your training patient.
ORDER ENTRY ACTIVITY
Enter the following order:
• Protocol order
• Test, Physician
• Diabetic diet consistent cho
• HINT: Make sure you modify the old diet by clicking on it. You will
find the ordered diet in a list called VUH diets
• Daily
• NXT meal
• Until discontinued
IT’S LUNCH TIME! PLEASE LOG OFF OF YOUR WORKSTATIONS
BEFORE EXITING THE ROOM!
CHARTING HED
LEARNING OBJECTIVES
1. Define the purpose of the HED system.
2. Demonstrate the method for reviewing and completing labs in Care
Organizer.
3. Demonstrate confirming a medication in Care Organizer.
4. Locate and define the purpose of primary menus in HED.
5. Demonstrate administering a medication through Admin-Rx.
6. Describe charting by exception.
7. Demonstrate charting a physical assessment, priority problems, education,
and appropriate interventions.
MEDICATION ADMINISTRATION
CONFIRMING A MEDICATION ORDER
1. Practice verifying that you are in “Active view” prior to confirming
medication.
2. Practice selecting your patient from laminated sheet and confirming
hydralazine using the confirm button.
3. Confirm the remaining medications using the view, confirm/unconfirmed
menu.
4. Using any medication, demonstrate sending a message to the
pharmacy.
5. Click the refresh button.
MEDICATION ADMINISTRATION
ADMINISTERING MEDICATION
INDIVIDUAL ACTIVITY
1. Locate and click the Admin Rx tab.
2. Administer using the barcode scanner

Ondansetron (Zofran)

Milk of Magnesia
3. Address warnings if necessary.
MEDICATION ADMINISTRATION
KNOWLEDGE CHECK – “HIT” OR “MYTH”
Coin toss to see which team goes 1st.
MEDICATION ADMINISTRATION
MEDICATION ADMINISTRATION
KNOWLEDGE CHECK – “HIT” OR “MYTH”
1. Calling the pharmacy via telephone is the best method of communication
about a medication.
HIT
or
MYTH
MEDICATION ADMINISTRATION
KNOWLEDGE CHECK – “HIT” OR “MYTH”
Myth
Clicking “Send Rx a message” is
the best method for communicating
with the pharmacy.
MEDICATION ADMINISTRATION
KNOWLEDGE CHECK – “HIT” OR “MYTH”
2. IV fluids are scanned into Admin Rx. Nurse will select “extra dose” and scan
the patient armband. Then the nurse will choose “protocol.” This will chart the
fluid and account for the missing schedule and is expected behavior.
HIT
or
MYTH
MEDICATION ADMINISTRATION
KNOWLEDGE CHECK – “HIT” OR “MYTH”
Hit
MEDICATION ADMINISTRATION
KNOWLEDGE CHECK – “HIT” OR “MYTH”
3. Medications are confirmed in Care Organizer.
HIT
or
MYTH
MEDICATION ADMINISTRATION
KNOWLEDGE CHECK – “HIT” OR “MYTH”
Hit
MEDICATION ADMINISTRATION
KNOWLEDGE CHECK – “HIT” OR “MYTH”
4. Warnings from the system will only occur when no medication order is
found.
HIT
or
MYTH
MEDICATION ADMINISTRATION
KNOWLEDGE CHECK – “HIT” OR “MYTH”
Myth
Warnings from the system
will occur when an incorrect dose is
selected, medications is administered
too late or too early, or when no
medication order is found.
MEDICATION ADMINISTRATION
KNOWLEDGE CHECK – “HIT” OR “MYTH”
5. Multiple orders can be confirmed for the same patient in Care Organizer.
HIT
or
MYTH
MEDICATION ADMINISTRATION
KNOWLEDGE CHECK – “HIT” OR “MYTH”
Hit
MEDICATION ADMINISTRATION
KNOWLEDGE CHECK – “HIT” OR “MYTH”
6. The Five Rights are:
•
The right dose
•
The right medication
•
The right patient
•
The right route
•
The right unit
HIT
or
MYTH
MEDICATION ADMINISTRATION
KNOWLEDGE CHECK – “HIT” OR “MYTH”
Myth
The five Rights are:
The right dose, the right medication,
the right patient, the right route and
the right time.
MEDICATION ADMINISTRATION
KNOWLEDGE CHECK – “HIT” OR “MYTH” TIE BREAKER
7. To confirm medications you should be in Active View in Care Organizer.
HIT
or
MYTH
MEDICATION ADMINISTRATION
KNOWLEDGE CHECK – “HIT” OR “MYTH”
HIT
TIE BREAKER
To confirm medications you do have
to be in Active View in Care Organizer
and will be confirming ALL doses.
WORKFLOW OF CHARTING
BEGINNING OF YOUR SHIFT TASKS
END OF YOUR SHIFT TASKS
 Review Response to
Care/Recommendations and
Priority Problems of previous shift
from OPC.
 Complete physical assessment,
charted in HED.
 Select 1-2 problems identified on
assessment to create Priority
Problems with matching Goals.
 Assess the Plan of Care, which
includes Priority Problems and
targeted interventions for
appropriateness.
 Chart Response to
Care/Recommendations, charted
on PLAN tab.
FINAL KNOWLEDGE CHECK