SCAVENGER HUNT 0007 Cover Sheet Activities 1. Who is the patients emergency contact? Smith, Robert 2.

What ward was this patient admitted to? Inpatient 3. What is the patients allergy and what is the reaction? Stress Formula Reaction: anxiety, confusion, dreaming, increase nervousness, agitation 4. What was the last set of vitals recorded? Temperature, Pulse, Respiration, BP, Weight, Height, and Pain 5. What is this patients BMI? Is this within normal limits? 6. Does the patient have a Clinical Reminder related to her BMI? If so, what is it? Yes, >20 7. What is this patients active problem? Knowledge deficit Problem List Tab 1. Open the active problem detail and follow the instructions found in the Problem comments. What are all of the patients problems: active, inactive, and removed? - Active : Problems can be selected from the lexicon search list. If your problem isn't in the lexicon, select OK to add. - Inactive: This problem is inactive, meaning historical or resolved. - Removed: Congratulations! You found this patient's removed problem! Meds List Tab 1. The Meds Tab is empty because the medication orders have expired for this patient. 2. Go to Orders Tab for medication orders. Orders Tab 1. Notice that medication orders also appear in the orders list. Double click on the medication orders and read the detail. What does BCMA stand for according to the details found in one of the medication orders? Bar Code Medication Administration 2. Double click on any of the nursing orders to read the order detail. What Treating Specialty is listed?

Notes Tab 1. Review the Progress Note dated August 10, 2010. What is the Date of Note? AUG 10, 2010@06:00 2. What date and time was the note dated August 10, 2010 actually entered? How do you know? 3. Write a New Note for this patient. Select your instructor as the co-signer and choose the note template called NURS: MED-SURG PROGRESS NOTE. Chart silly, fake information in your note. The point is to get used to how these templates work. When you are finished with the template, choose Finish and select the patients correct provider, if prompted. 4. Print your note from the EHR by following the instructions in the Progress Note titled PRINTING A NOTE. (Optional) Consults Tab (optional) 1. Who ordered this consult and who will complete this consult? Doctor, One. 2. What was the provisional diagnosis for this consult? 3. Has the consult been completed?- yes D/C Summary Tab 1. Was an order placed for this discharge? Yes 2. This discharge summary has not been linked to the hospital admission on the Cover Sheet. According to the information provided in the text of the discharge summary, should it have been? No Labs Tab 1. What was the oldest lab in this record and when was it collected? Glucose. Aug 23,2010 2. Select ALL TESTS BY DATE from the left hand side menu. You will notice a date range menu appears in the lower left hand corner. Select TODAY. What labs appear? Now select ALL RESULTS and list the labs that appear. TODAY : No datas found ALL RESULTS : Potassium, Cholesterol, Hemoglobin A1C, Glucose ( Aug 25 ), Glucose ( Aug 21 ) 3. Select GRAPH from the left hand side menu. Graph a lab or vital sign, then check the box next to Split View and graph another. What did you graph and what did it show. **HINT: be sure to select the correct date range or all results to graph. Select Settings in the Graph area to change graph viewing options.

Reports Tab (Optional) 1. Under AVAILABLE REPORTS expand CLINICAL REPORTS. Expand ORDERS and select ORDERS CURRENT. If there are no Current Orders select ORDER SUMMARY FOR A DATE RANGE, in the lower left box DATE RANGE click on Date Range. In the pop-up box the beginning date will be the date of the patients admission and the end date will be the date you are doing the Scavenger Hunt. Highlight one of the orders listed and follow the printing instructions provided in the Notes Tab to print the order. **OPTIONAL: Highlight one of the orders listed and press Ctrl+A on your keyboard to highlight all orders listed. Now print out the entire list. Exit the Chart 1. Open the top FILE Menu in the upper left hand corner of the screen. Select EXIT.