presentation titledate anesthesia manager training adding and documenting medications

Presentation TitleDate

Anesthesia Manager Training

Adding and Documenting Medications


Objectives

By the end of this module the participant will be able to:Be familiar with the Medications (All) flowsheetBe able to add a dose to a default medicationBe able to add non default medications to the flowsheetBe able to modify, delete a dose of medicationBe familiar with the medication summary


Medications (All)Default Flowsheet

Default List of Medications can be found on:• Anesthesia Summary

Flowsheet• Medications (All) Flowsheet

Can be organized by:• Subheading• Alphabetical (defect in 8.5)

Default medications include the most common drugs used in the vast majority of procedures

Organized by Subheadings


Medications (All)Default Flowsheet

Organized alphabetically (defect in

8.5)


Adding a Dose for a Default Medication

1. Click cursor at desired time-Document Window opens

2. Enter dose

3. Adjust time if required

4. Change route if required

5. Hit check mark


Adding a Dose for a Default Medication


Adding Additional Medications to the Flowsheet

Standard Option

1. Mouse turns to hand when placed over the “Medications” title bar

2. Can choose “All Families” or a “Specific Family”

•List of drugs appears

“All Families” will list ALL drugs in the database alphabetically.



Standard Option

Selecting a family will list ONLY the drugs specific to that family in alphabetical order



Standard Option Mouse turns to hand when placed over a specific Medication subheading

Only medications specific to that family will be listed alphabetically



Standard OptionRegardless of option used to add a new medication, you can now:“Add and Document”• Brings up “document

window” prior to order appearing on the flowsheet Can adjust time Can adjust dose Can adjust route (site)

“Add”• Enters new order onto the

flowsheet• User must now click on

desired time on the timeline to open the “Document Window” and enter information



Protocol Option

Protocols• are groups of standard

orders one or more which can be added to the patient chart

• Anesthesia Manager has been configured with multiple drug protocols which classify medications by families or other logical means



Protocol Option

•Selecting any of the medication protocols will list:

•Drugs/drug combinations or infusions specific to that family rather than just single drugs as per previous methods

•Drugs/drug combinations or infusions that are commonplace in anesthetic practice rather than ALL drugs as per previous methods



Protocol Option

•Eg: Selecting the *Anes_Analgesics protocol will list all common analgesics/analgesic infusions and drug combination analgesic infusions



Protocol Option1. Highlight one drug or “shift/click”, “control/click” to select multiple drugs

2. Hit “Add” button to include selected medications in flowsheet


Documenting an Additional Dose in the “SAME”

Time Interval

• The default time interval (resolution) in Anesthesia Manager is 5 minutes

• If an Additional dose is added in the same time interval, see next slide



Time Interval1. Click on previous dose-Document Window opens

2. Click on “Add Dose”

3. Enter additional dose (default will be previous value)

4. Hit check box



Time Interval

Total dose is preceded by an = sign to indicate divided dosing in the 5 minute intervalYou must wait at least 1 minute before attempting to add an additional dose to the preceeding dose

Display of Doses given



Time Interval

• Notice how the = sign disappears when the resolution is changed to 1 minute


Modifying a Dose1. Click on dose that you want to change-Document Window opens

2. Check the time of dose that you want to modify

3. Modify the dose

4. Hit OK


Modifying a Dose

5. Agree to the modification

Modified Dose appears on flowsheet


Deleting a Dose1. Click on dose that you want to undo/delete-Document Window opens

2. Check the time of dose that you want to undo/delete

3. Hit “Undo”

4. Agree to the modification

Dose removed from the flowsheet


Medication Summary

Total Dose administered over the current encounter

Data sorted by “Administration Time” OR alphabetically OR by family

Access by pull down menuOR Medication Summary icon


Adding and Documenting Medications: Exercise

Add a few doses of various default medicationsAdd new Medications to the flowsheet via:• List of medications belonging to a specific family• Using protocols

Add a second dose of a medicationModify a medication doseReview the medications administered in the Medications Summary


Questions And Answers

presentation titledate anesthesia manager training adding and documenting medications

Documents

default medications

additional medications

medications specific

documenting medications

default medication slide

flowsheet user

medication summary slide

dose of medication