“Transforming Health Care in

Jordan by Leveraging Technology”

Flow sheet Presentation

Education & Knowledge Department

• Introduction.

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• Definition of Flow-sheets.

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• Flow sheets Window Elements.

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• Using Flow-sheets.

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• Practicing video.

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Outlines

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• The Clinical Flow sheet package provides an electronic representation of the traditional paper flow sheet maintained during each inpatient stay.

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• Vitals, Intake/Output, Wound Documentation, etc., are examples of data types that can be recorded via Clinical Flow sheets into the Veterans Health Information System and Technology Architecture (VistA) system.

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Introduction

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• Flow sheet is a user-friendly, customizable Graphical User Interface (GUI) that provides functionality for data entry, validation and editing, as well as patient management.

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• Flow sheet provides electronic flow sheets that can be custom designed for any clinical area of a Medical Center.

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Flow-sheet Definition

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• Flow-sheet is a tool that can be used by clinicians to standardize assessment templates nationwide.

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• Flow-sheet provides the ability to report discreet observations data combined with progress notes.

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• Flow-sheet creates a complete audit trail of patient documentation

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Flow-sheet Definition

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1. File Menu:

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• Open Patient : Display the Open Patient window to select a patient.

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• User Settings : Display dialog to change defaults, confirmations, GUI look and feel, and screen colors.

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• Exit: Close the CP Flow sheets application.

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Window Elements

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2. View Menu :

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• Flow sheet: Display a screen containing the flow sheet views. This screen is used for entering, editing, and viewing patient data such as the following: vital signs, inputs, outputs, respiratory, pulmonary vascular (PV), and neurological data.

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• Alarms: Display a screen for managing alarms.

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• Reports: Display a screen for comparing and printing data.

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Window Elements

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• Log Files : Display a screen which displays data received from the instruments.

Use this window to examine data and determine whether it is acceptable or not. Once data is verified (marked as acceptable), it displays in the flow sheet views.

If data is not acceptable, it may be purged, which will keep it from the patient’s permanent record.

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• HL7 Monitor: Display the raw HL7 messages so you can review their contents. This is used for troubleshooting.

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Window Elements

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3. Observation Period Menu:

• Extend Date Back 1 Day : Start Date moves one day earlier. Stop Date stays the same.

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• Pan Date Back 1 Day : Start Date and Stop Date both move one day earlier.

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• Set Date Rang : Display the Date Range Selector window.

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• Pan Date Forward 1 Day : Start Date and Stop Date both move one day later.

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• Extend Date Forward 1 Day: Start Date stays the same. Stop Date moves one day later.

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• Today (start time – end time):Set the Start Date and Stop Date to today’s date.

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Window Elements

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4. Dynamic Menu :

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• The fourth menu item changes based upon location in CP Flow-sheets. The following choices are available: Flow-sheet, Alarms, Reports, Log files, and HL7 Monitor.

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5. Help Menu:

• Contents: Display the CP Flow-sheets online Help file.
• About: Display version information about the CP Flow-sheets application.

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Window Elements

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• There are five main screen areas that make up the CP Flow sheets GUI. They are referred to as “Toolbar buttons” or optionally “tabs” because of their functional similarity to the tabs found on the CPRS GUI.

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• The five CP Flow sheets screens are:

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1. Flow sheet
2. Alarms
3. Reports
4. Log Files
5. HL7 Monitor

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Flow-sheet Screens

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• Each flow sheet view contains the following controls:

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1. Expand/Collapse Flow sheet view: Click the minus sign left of the flow sheet view title to collapse (hide) the flow sheet view. Click the plus sign to expand (display) it.

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• Add Data: Click to display the Add Data dialog to enter or edit data.

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• Pivot: Flip the x and y axes of the grid. You may arrange the grid so that the dates and time intervals display along the top of the grid (x-axis) and data types display down the first row (y-axis) as follows

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View Controls

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• Scroll L: Scroll the flow sheet grid to the left along the x-axis (horizontally).

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• Scroll R: Scroll the flow sheet grid to the right along the x-axis.

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• Settings: Display flow sheet view properties: View ID and Page Type (e.g., Mandatory, Optional, or Supplemental). The View ID is a unique, automatically-generated string associated with a flow sheet view.

(It is for developers’ troubleshooting use only)

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View Controls

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• Click the Alarms button. The Alarms screen displays.
• Click New Alarm. The Flow sheet Alarms window displays (see figure below).

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Setting an Alarm

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Reports

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Log Files Screen

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