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Electronic Medical Records Slide Show
 

Electronic Medical Records Slide Show

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    Electronic Medical Records Slide Show Electronic Medical Records Slide Show Presentation Transcript

    • ELECTRONIC MEDICAL RECORDS
      OPTIME EXPERIENCE
    • Perioperative Experience and Skills
      Case Request and Scheduling
      PreOp
      IntraOp
      PostOp (PACU)
      Other Experience and Training
    • Case Request and Scheduling
      • Worked with surgeons to initiate surgical case requests (clinic visit or hospital admission) including case planning, day of surgery orders and linking of related encounters.
      • Assisted clinic schedulers in locating and reviewing case request questionnaire, documenting patient follow up, PreOp and PostOp appointments, labs, and patient information.
      • Supported OR scheduler in creating of case requests as required. Assisted in their understanding of steps required to make adjustments to procedure location and name , staffing, equipment additions, and case times as required.
      • Experienced in CPOE
    • PreOp
      • Knowledge of electronic White Board (GreaseBoard) functions: Locating correct patient and surgical case, verifying correct orders and existence of proper History and Physical, and chart look up and review.
      • Trained PreOp RNs in completing patient verification, assessment information, medication history and where to documenting the periop nursing care plans.
      • Demonstrated knowledge on where and when to document important PreOp notes.
    • IntraOp
      • Extensive Operating room experience.
      • Accompanied circulators and/ or transport staff when patients were being transferred from floor to OR to ensure that documentation was accurate and complete.
      • Worked at elbow level with circulators in documenting intraop information such as catheters and drains, medication administration, PYXIS overrides as needed, site documentation and required comments.
      • Supported circulators in documenting in the surgical log including Time Out w/ Briefing form, staff, visitors, supplies, equipment, implants as required, and other important information.
      • Advised how to enter information otherwise not listed as options.
      • Audited logs for accuracy.
    • PostOp (PACU)
      • Worked with PACU staff in recovery documentation and medication administration including meds not given, overdue or cancelled.
      • Assisted in transfer and discharge documentation and locating and printing discharge instructions.
      Accompanied transport and/or recovery RN to floor to assist in proper admission to floor unit.
    • Additional Experience and Training
      Contributed to18 EPIC Go-Lives
      Received Classroom Training in:
      • Admissions, Discharge & Transfer
      • Emergency Department
      • Labor & Delivery
      Supported and Assisted in Classroom Training for:
      • Surgeons
      • Anesthesiology
      • Emergency Department
    • Groups and Employers