Overview

The Visual Nurse Program reduces the workload of the nursing staff due to its link to other departments. All patient’s requests for examinations and prescriptions can be done through the computer network. Program users can view current test results and other clinical information. Thus, users can use this program to stay abreast of any clinical activity concerning a patient. Relevant information is readily available for nurses with less effort or legwork.

This program is user-friendly. It is menu-driven with detailed guidelines constantly provided for the user's benefit.

Passwords secure the program from unauthorized access.

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Objectives

1	To link other departments such as Laboratory, X-ray, Ultrasound, C.T. Scan, Cardiovascular, Nuclear Medicine, Pulmonary Laboratory, Pharmacy, Central Supply, Nutrition and Dietetics, Operating Room, and Billing and other hospital departments connected to Visual Nurse program.

2	To speed up and help organize the workflow by creating less work for the staff.

Reports such as list of requests/orders, list of medicine posted, list of supplies posted, discharges for the day and diet list are generated by the program

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Features

1	Data-entry restriction - The program automatically checks for inputs. Warning messages are flashed for possible invalid entries.

2	Updated and reliable - The program is capable of generating accurate reports. Databases are interconnected to other departments and latest updates are accessed.

3	User-friendly - The user is guided by instructions in doing the next step providing an easy-use to process transactions.

4	Password-protected - The use of password is necessary to restrict unauthorized access. Thus the program only accepts passwords which are registered into it. This feature ensures the confidentiality and integrity of data entered into the program.

5	Online-help guide - By just pressing F1, the online help will be displayed containing topics about the program transactions. Users can easily learn the flow of a particular transaction because of the step-by-step procedure written into it.

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Changing of User's Password

It is advisable to change your password frequently for security reasons. To change you current password, follow these steps.

1	From the Login window, type your employee number and then press <Enter>.

Login Window

2	Under the Password entry, press <F12>. Pressing this function key will invoke the Change Password window.

Change Password Window

3	Under the Change Password window, type the following data.

Old Password - Type your existing password.

New Password - Type your new password not exceeding to 15 characters.

Confirm Password - Retype your new password to confirm and then press <Enter> or you can click the Save button.

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How to Start the Program

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How to Use this Online Help?

This online-help serves as a guide to program users. It gives you the step-by-step and brief background of a particular transaction. This is triggered by just pressing <F1> function key from your keyboard and the list of topics will be readily available for user's query.

•	To display help topics, click me.

Click the Contents tab to display list of topics. It is categorized into how the program is designed to easily follow a particular transaction's flow. Just double-click on the topic you want to view then its details will be displayed. Click the Help Topics button to go back to help topics main window.

Click the Index tab to display list of topic indexes. Index entry is best recommended when searching the step of a particular transaction because you will just type word(s) related with the topic.

•	To view pictures of program forms, click the broken underlined text colored with green. A pop-up window appears upon clicking.

•	To jump into another topic, click the solid underlined text colored with green. Upon clicking, it jumps you to the topic.


How to Start the Program

1	Double-click the Visual Nurse Program executable file icon in the desktop.

2	The Login window will be displayed. Type employee number then press <Enter>. Type password and then press <Enter>.

Login Window

The asterisk (*) in the password textbox is displayed instead of the data entered in order to keep the password confidential.

After typing the employee number and password correctly, the user can proceed into the main window. If one of the two is invalid then an error message will be displayed prompting "Unauthorized User".

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How to Change Password


How to End the Program

It is important for users to close the program when they are done to end-up their session. Other users might use the open program using the same password.

Click on Exit button which can be seen in almost all of the menu options.

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Menu Description

The user can click the following list of tabbed menus where each of them corresponds to one or many transactions.

Send Requests

Nurses Activity Requests

View Results

Vital Signs

Nurses Notes

Patient Profile

Clinical Summary

Schedule Operation


Send Requests

This menu option processes the common diagnostic exams such as laboratory, x-ray, ultrasound, c. t. scan, cardiovascular, nuclear medicine, physical therapy and rehabilitation medicine, and pulmonary laboratory (RTS) exams. This also requests for drugs in the Pharmacy department, posts charges of nursing services and supplies, requests supplies in the Central Supply, changes the diet of the patient to be sent in the Dietetics and Nutrition department and transfers a patient into a new room.


Nurses Activity Requests

From the requests posted in the Send Request menu option, you can view here all the pending requests, complete lists of processed requests and exams with results from the departments you have requested at.


View Results

This is where nurses can view all exam results from the Laboratory, X-ray, Ultrasound, C.T. Scan, Cardiovascular/Heart Station, Nuclear Medicine, and Pulmonary Laboratory (RTS), Rehabilitation Medicine (P.T.) departments. Each result has its detailed interpretation.


Vital Signs

This is a data entry of vital signs of the patient. Needed data are blood pressure, temperature, respiratory and pulse rates. Nurses can view previous recorded vital signs for analysis and observations.


Nurses Notes

This is like an electronic notebook because nurses can type and save remarks or endorsements. It forms a permanent part of the patient record.


Patient Profile

From the data entered at admission, nurses can view here the patient profile. It includes manner of admission, physical examinations, past medical history, allergies, personal, social and family histories.


Clinical Summary

Here is where nurses can view past clinical history of the patient.


Schedule Operation

Schedule Operation is where nurses can set a schedule for the patient's operation.


How to Request Laboratory Exam

This option lets user to request laboratory examinations in the Laboratory department.

1	Click on Send Requests menu option (default menu).

2	Under Laboratory column, select the exam(s) to be requested by clicking the small box beside it. When clicked, the Remarks Entry Window will be displayed. Enter the necessary data then click on “Enter” button. Follow the same procedure when adding exam(s).

The exam to be requested cannot be found in the list. Click on “Search Laboratory Exams” button. The Laboratory Request Entry Window will be displayed and the following data are needed to enter:

Lab. Request Entry Window

CODE - Type the examination code or first letter(s) of the examination name then press <Enter>. Or you can press <Enter> key if CODE is still blank to display the list of examination codes. If <enter> key was pressed, a window will be displayed showing the list of examination codes.

Lab. Exam Codes Window

To select from the list, click on the desired exam and click on Select button or simply double-click on the desired exam. The Remarks Entry Window will be displayed afterwards. Enter the following data.

Remarks Entry Window

Specimen - e.g. blood, urine...

Examination Type - Choose one from the list <Routine, Stat, or In Am Pick-up>

Transplant - Choose one from the drop-down list either Transplant or Non-transplant

Dialysis - Choose one from the drop-down list either None, Pre-Dialysis or Post- Dialysis.

Remarks - Type additional remarks.

When done, click on Enter button. Follow the same procedure when you want to add an examination.

DESCRIPTION - This will be automatically displayed in relation with the selected exam.

QTY - This will be automatically displayed in relation with the selected exam.

SECTION - This will be automatically displayed in relation with the selected exam.

STAT - The data that were entered in the examination type under the Remarks Entry window will be displayed here. To change it, type Y if the exam is STAT or N if it is Routine.

REMARKS - The data that were entered in the remarks data entry under the Remarks Entry window will be displayed here.

3	Under the Laboratory Request Entry Window, the user can do the following options.

To include the requested laboratory exam in the Order's list, click on Accept button.

Order's List

To remove requested laboratory exams in the list, click on the desired exam and then click on Delete button.

To close the Laboratory Request Entry window, click on Exit button.

4	After clicking the Accept button, the user can do the following options.

The user can view all the requested exams in the Order's list.

To send the requests, click on Save button.  (Please refer to Printing Conditions of Lab. Exam Request Form)

To remove requested exam from the list, double-click on the desired exam or click on the desired exam then click on Delete button.

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How to Request X-ray Exam

This option lets the user to request X-ray examinations in the Radiology department.

Under X-ray column, click the small box beside the exam. The same steps with requesting laboratory exam are followed. Please refer to How to Request Laboratory Exam to know the request procedure.

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How to Request Ultrasound Exam

This option lets user to request Ultrasound examination in the Radiology department.

Under Ultrasound column, click the small box beside the exam. The same steps with requesting laboratory exam are followed. Please refer to How to Request Laboratory Exam to know the request procedure.

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How to Request C.T. Scan Exam

This option lets user to request C.T. Scan examination in the Radiology department.

1	Click on Send Requests menu option.

2	Under Other Departments, click on the small box beside C.T. SCAN. The list of examinations will be displayed.

C.T. Exams Window

To select from the list, click on the small box beside the desired exam. Upon clicking, the Remarks Entry Window will be displayed. Enter the following data:

Examination Type - Choose one from the list <Routine, Stat, or In Am Pick-up>

Specimen - example blood, urine...

Transplant - Choose one from the drop-down list either Transplant or Non-transplant

Dialysis - Choose one from the drop-down list either None, Pre-Dialysis or Post-Dialysis.

Remarks - Type additional remarks.

When done, click on Enter button. Follow the same procedure when you want to add an examination.

3	After selecting all the examinations for the patient, click on Exit button.

4	After clicking the Exit button, the user can do the following options.

The user can view all the requested exams in the Order's list.

To send the request, click on Save button.

To remove requested exams in the list, double-click on the desired exam or click on the desired exam then click on Delete button.

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How to Request Cardiovascular Exam

This option lets user to request cardiovascular examination in the Cardiovascular department.

Under Other Departments, click on the small box beside CARDIOVASCULAR. The list of examinations will be displayed. The same steps with requesting c.t. scan exam are followed. Please refer to How to Request C. T. Scan Exam to know the request procedure.

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How to Request Nuclear Med. Exam

This option lets user to request nuclear medicine examination for the patient in the Nuclear Med department.

Under Other Departments, click on the small box beside NUCLEAR MED. The list of examinations will be displayed. The same steps with requesting c.t. scan exam are followed. Please refer to How to Request C. T. Scan Exam to know the request procedure.

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How to Request Physical Med. And Rehab. Exam
How to Request Physical Therapy and Rehab. Med.Exam

This option lets user to request physical therapy. and rehab. med examination in the Physical Therapy. and Rehabilitation Medicine department.

Under Other Departments, click on the small box beside PHYSICAL MED. AND REHAB.. The list of examinations will be displayed. The same steps with requesting c.t. scan exam are followed. exam. Please refer to How to Request C. T. Scan Exam to know the request procedure.

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How to Request Pulmonary Lab. (RTS) Exam

This option lets user to request pulmonary examination in the Pulmonary department.

Under Other Departments, click on the small box beside PULMONARY LAB. (RTS). The list of examinations will be displayed. The same steps with requesting c.t. scan exam are followed. Please refer to How to Request C. T. Scan Exam to know the request procedure.

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How to Request Medicine

1	Click on Send Requests menu option

2	Click on Pharmacy button at the right side of the window. When clicked, it branches for three options to choose from.

Pharmacy Options

A	Transcription Requests Entry - This is for cash-basis only. Items to be entered here will not be charged into the patient's bill. Enter the following data:

Transcription Request Entry Window

Code - Type item code or first letter(s) of item name then press    <Enter>. Or you can press <Enter> key if code is still blank to display the list of supplies. If <enter> key was pressed, a window will be displayed showing the list of supplies.

List of Supplies Window

To select from the list, click “All Items” to display all supplies or you can categorize by clicking “Suppliers” or “Classification” then double-click on the desired item.

Item Description - This will be automatically displayed in relation with the selected item.

Dosage - Press <Enter> key if dosage is still blank to display the list of dosage codes. If <enter> key was pressed, a window will be displayed showing the list of dosage codes. To select from the list, double-click on the desired code or click on the desired code and click on Select button. To abort the selection, click on Cancel button.

Quantity - This will be automatically displayed in relation with the selected dosage. Note that quantity should be greater than zero.

Remarks - An optional entry.

Just follow the same procedure when adding transcription requests.

After completing the desired items to request, the user can do the following options.

Click on Save button to send the request into the Pharmacy department for patient's reference.

To remove requested items in the list, click on the desired item then click on Delete button.

To view pending transcription notes entered, click on List of Pending Transcription Notes Entered button.

Click on Exit button to close the Transcription Requests Entry window.

B Charge Request Entry - The items to be entered here will be charged into the patient's bill. Enter the following data:

Charge Request Entry Window

Code - Type item code or first letter(s) of item name then press <Enter>. Or you can press <Enter> key if code is still blank to display the list of supplies. If <enter> key was pressed, the list of supplies window will be displayed. To select from the list, click “All Items” to display all supplies or you can categorize by clicking “Suppliers” or “Classification” then double-click on the desired item.

Item Description - This will be automatically displayed in relation with the selected item.

Dosage - Press <Enter> key if dosage is still blank to display the list of dosage codes. If <enter> key was pressed, a window will be displayed showing the list of dosage codes. To select from the list, double-click on the desired code or click on the desired code and click on Select button. To abort the selection, click on Cancel button.

Quantity - This will be automatically displayed in relation with the selected dosage. Note that quantity should be greater than zero.

Remarks - An optional entry.

Just follow the same procedure when adding transcription requests.

After completing the desired items to request, the user can do the following options.

Click on Save button to send the request into the Pharmacy department.

To remove requested items in the list, click on the desired item then click on Delete button.

Click on Cancel button to close the Charge Request Entry Window.

C	Exit - Click on Exit button to close the pharmacy request options.

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How to Request Supplies

This allows nurses to request for supplies in the Central Supply Department. Charging will be done by the CSR department after processing the request.

1	Click on Send Requests menu option.

2	Click on Central Supply button at the right side of the window. When clicked, the Central Supply Request Entry Window will be displayed and the following data are needed to enter:

Central Supply Request Entry Window

Code - Type item code or first letter(s) of item name then press <Enter>. Or you can press <Enter> key if code is still blank to display the list of supplies. If <Enter> key is pressed, a window will be displayed showing list of supplies.

To select from the list, click “All Items” to display all supplies or you can categorize by clicking “Suppliers” or “Classification” then double-click on the desired item.

Item Description - This will be automatically displayed in relation with the selected item.

Quantity - Type the number of the item to request. Note that quantity should be greater than zero.

Remarks - An optional entry.

Follow the same procedure when adding items to request.

3	After completing the items to request, the user can do the following options.

To send the request in the Central Supply department, click on Save button.

To remove an item in the list, click the row of the desired item then click on Delete button.

Click on Cancel button to abort the entered items.

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How to Request Patient's Diet

This is where nurses can request and change the patient's diet for the next meal.

1	Click on Send Requests menu option.

2	Click on Change Diet button at the right side of the window. When clicked, the Post New Diet Window will be displayed asking you to enter the following data:

Post New Diet

Old Diet - This will be automatically filled-up by the program.

New Diet - Type a new diet of the patient. To do it, press <Enter> key if New Diet textbox is still blank or click on [image]. When clicked, a window will be displayed showing the Diet Code listing.

Diet Codes Listing Window

To select from the list, just double-click on the desired diet or click on the desired diet then click on Select button. Clicking on Cancel button will abort all your selected diets.

Remarks - Automatically filled-up in relation with the selected diet.

3	After completing the data to be entered, the user can do the following options.

Click the check box to have an extra meal for the patient.

Click on Save New Diet button to send the request.

To abort the request entered, click on Cancel button.

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How to Transfer a Patient

1	Click on Send Requests menu option.

2	Click on Discharge/Room Transfer button at the right side of the window. When clicked, a window will be displayed.

Room Transfer Window

Click on Room Transfer tab to open its window. The following data are asked to enter:

Old Room Number - Automatically filled-up by the program in relation with the patient’s current room.

Old Station - Automatically filled-up by the program in relation with the patient’s current station.

New Room Number - Type a new room number. To do it, press <Enter> key if new room number is still blank. If <Enter> key was pressed, a window will be displayed showing the list of rooms. Click on “All Rooms” to display list of all rooms or you can categorize by clicking on “Station” or “Accommodation”.

List of Rooms Window

New Station - Automatically filled-up by the program in relation with the selected new room.

Time Transferred - The server's current time is used as the default entry. To set a time, click on the up and down arrows.

3	After completing the data, the user can do the following options.

Click on Save New Room button to transfer the patient into a new room.

Click on Cancel button to abort transferring the patient.

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How to Discharge a Patient

This option allows nurses to remove the patient physically from the list in order to monitor the availability of rooms.

Note: Before discharging a patient, a discharge notice should be sent first to the Billing department. Please refer to “Discharge Order" to know the request procedure.

1	Click on Send Requests menu option.

2	Click on Discharge/Room Transfer button at the right side of the window. When clicked, the Discharge Patient Window (default) will be displayed asking you to complete the following data:

Discharge Patient Window

Admission Date - Automatically filled-up by the program in relation with the patient’s day of admission.

Admission Time - Automatically filled-up by the program in relation with patient’s time of admission.

Discharge Date - You can set the discharge date by clicking on the drop-down combo box. Note that discharge date should not go beyond the current date.

Discharge Time - You can set the discharge time by clicking on the up and down arrows.

Disposition - Click one from the list.

Result - Click one from the list.

3	After completing the data, the user can do the following options.

Click on Save Discharge to remove the patient physically from the list.

Click on Cancel button to abort discharging the patient.

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How to Post Charges
How to Enter Charge-basis Patient Charges

In this option is where nurses can enter charges of nursing services and supplies.

1	Click on Send Requests menu option.

2	Click on Post Charges button at the right side of the window. When clicked, the Post Charges Window will be displayed. Complete the following data:

Department Code - Refer to the list of department codes written at the bottom of the window.

Item Code - Type the service code or first letters of the service name then press <Enter> key. Or you can press <Enter> key if item code is still blank. When pressed, the Revenue Code window will be displayed showing all revenue codes.

Other Revenue Codes Window

To select from the list, double-click on the desired item or click on the desired item then click on Select button. Clicking on Cancel button will abort the selection.

Item Description - Automatically filled-up by the program in relation with the selected item.

Quantity - Automatically filled up by the program in relation with the selected item but this can still be edited.

Unit Price - Automatically filled up by the program in relation with the selected item.

Amount - Automatically filled up by the program in relation with the selected item and its quantity.

3	After entering the items to be charged, the user can do the following options.

Click on Save button to save entered items. When clicked, a printable form will be displayed.  Click on [image] to print.  Entered items will be automatically charged to the patient's bill.

To remove the selected item, click on the desired item then click on Delete button.

Clicking on Exit button will close the Post Charge window.

4	At the bottom of the window, the user can also do the following options.

To view list of charges entered, click on List of Charges Entered button.

To cancel requested charges, double-click on the requested item or click on   the desired item then click on Cancel Charges button.

To have a copy of charge slip of the requested item, click on Re-print Charge Slip button.

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How to Send Discharge Order

1	Click on Send Requests menu option.

2	Click on Discharge Order at the right side of the window. When clicked, the Discharge Order Window will be displayed. Complete the following information:

Discharge Order Window

Discharge Information

Ordered Date - Use the drop-down combo box to select the ordered date

Ordered Time-Use the up and down arrows to select the ordered time

Bill up to - Sets the deadline for the payment of the patient's bill. To do it, use the drop-down combo box to select a date.

Operation Information - It will enable if the patient has undertaken an operation

Operation Date - use the drop-down combo box to select an operation date.

Operation Time - use the up and down arrows to select an operation time.

Operation Procedure - type the operation procedure for the patient.

Medical Fees

Doctor's Name - the name of the doctor

Amount - the medical fee of the doctor

Medical Diagnosis - type medical diagnosis of the patient

Remarks - An optional entry

3	After completing the data, the user can do the following options.

Click on Save button to send the discharge order.

Click on Final Printing button to print. This should be clicked by the user to signal the Billing department that the patient has been cleared in their station.

Click on Cancel button to abort discharge order.

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How to Stop Medicines

1	Click on Send Requests menu option.

2	Click on Stop Medicines button at the right side of the window. When clicked, the List of Medicines for Unit Dose Window will be displayed. The following data can be viewed.

Stop Medicines Window

Description - description of the medicine

Code - the code of the item requested

Quantity - the number of item requested

Request Date/Time - the date and time when the item was requested

Dosage - the dosage of the medicine

State - continue or discontinue

3	The user can do the following options.

To change the state of the medicine, double-click on the desired medicine or to continue all or discontinue all, just click on the option box.

Click on Save button when completed.

Click on Exit button to close the List of Medicines for Unit Dose window.

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How to Enter Admitting Diagnosis and Chief Complaint

1	Click on Send Requests menu option.

2	Click on Admitting Diagnosis/Chief Complaints Entry button. When clicked, a window will be displayed asking you to complete some missing information. The following data can be viewed.

Admitting Diagnosis/Chief Complaints Window

Admitting Diagnosis - type the admitting diagnosis of the patient.

Chief Complaints - type the complaint of the patient.

Diet Name - press <Enter> key if diet is still blank or click on [image] to display the Diet Code Listing.

3	After completing the data, the user can do the following options.

Click on Save button to save the information.

Click on Exit button to close the window.

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How to Request Hemodialysis Exam

This allows the user to request hemodialysis exam for the patient.

1	Click on Send Requests menu option.

2	Click on Notification for Hemodialysis located at the right side of the window.

3	The Notification for Hemodialysis Window will be displayed.

Figure 20: Notification for Hemodialysis Window

Type the following data.

Hemodialysis Date - The current server date is used as the default entry. To customize date entry, click the drop-down arrow.

Hemodialysis Time - The current server time is used as the default entry. To customize time entry, click the up-and-down arrows.

Type of Access - Click one from the given options. (AVF, AVS, FC, GRAFT, JC, FC).

Dialyzer - Click on [image] to display list of dialyzer Double-click the dialyzer to select.

Consultant - Type the doctor's code then press <Enter>. Or click on [image] to display the complete list of doctors. Double-click the doctor to select.

Resident - Type the doctor's code then press <Enter>. Or click on [image] to display the complete list of doctors. Double-click the doctor to select.

Diagnosis - This will be automatically displayed by the program. The user may edit the default entry.

Dialyzate - Click one from the given options. (NA, K, Glucose, CA, KCL)

Heparin - Type the heparin to be used by the patient.

Protamine Sulfate - Type the protamine sulfate to be used by the patient.

Others - Type additional remarks.

Transaction Type - The default entry is "Cash". To change, click "Charge".

4	The following button options can be clicked.

Save - This will send the request to Hemodialysis Section.

List of Request Entered - This will display list of request(s) entered. To cancel request, double-click the row where the item is aligned. The item will be then automatically removed from the list of requests entered.

Exit - This will close the window without saving entry.

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How to Post Charges of Nursing Services and Supplies (Cash-Patient)
How to Enter Cash-basis Patient Charges

This option lets the user to enter charges of nursing services and supplies to a selected cash-basis patient.

1	Click on Send Requests menu option.

2	Click on Cash Assessment Entry button at the right side of the window. When clicked, the Cash Assessment Entry Window will be displayed. Complete the following data.

Department Code - Refer to the list of department codes written at the bottom of the window.

Item Code - Type the service code or first letters of the service name then press <Enter> key. Or you can press <Enter> key if item code is still blank. When pressed, the Revenue Code window will be displayed showing all revenue codes.

To select from the list, double-click on the desired item or click on the desired item then click on Select button. Clicking on Cancel button will abort the selection.

Item Description - Automatically filled-up by the program in relation with the selected item.

Quantity - Automatically filled up by the program in relation with the selected item but this can still be edited.

Unit Price - Automatically filled up by the program in relation with the selected item.

Amount - Automatically filled up by the program in relation with the selected item and its quantity.

3	After entering the items to be charged, the user can do the following options.

Click on Save button to save entered items. When clicked, a printable form will be displayed. Click on [image] to print.

To remove the selected item, click on the desired item then click on Delete button.

Clicking on Exit button will close the Post Charge window.

4	At the bottom of the window, the user can also do the following options.

To view list of charges entered, click on List of Charges Entered button.

To cancel requested charges, double-click on the requested item or click on the desired item then click on Cancel Charges button.

To have a copy of charge slip of the requested item, click on Re-print Charge Slip button.

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How to Enter Height and Weight

This option lets the user to enter the height and weight of the patient for clinical reference.

1	Click on Send Requests menu option.

2	Click on Height and Weight Entry button located at the right side of the window.

3	Its window will be displayed.

Height and Weight Window

Enter the following data.

Height - Type patient's height in centimeter.

Weight - Type patient's weight in kilograms.

4	The following button options can be clicked from.

Save - This will save the entry.

Exit - This will close window without saving the entry.

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How to Re-print Request Form of Lab. Exam

This option allows the user to re-print the request form of posted laboratory exam.

1	Click on Send Requests menu option.

2	Click on Re-print Request Form button located at the right side of the window.

3	Its window will be displayed. Click on the exam you want to re-print.

List of Posted Lab. Exams Window

4	The following button options can be clicked from.

Re-print Request Form - This will re-print the selected exam.

Exit - This will close the window.

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Nurses Activity Request

From the requests posted in the Send Requests menu option, the user can view here the status of each request.

Nurses Activity Request is where users can view list of processed requests, list of pending requests, list of exam with results, and reports such as diet list, census report by station, discharges for the day, list of requests/orders, list of medicine posted and list of supplies posted.

1	Click on Nurses Activity Request menu option.

2	Its window will be displayed showing the following data:

List of Processed Requests - These are the lists of requests that were already processed by the department in response to the requests done in the Send Requests menu option.

List of Processed Requests

List of Pending Requests - These are the lists of requests posted in the Send Requests menu option which are not yet acknowledged by the receiving department.

List of Pending Requests

To cancel a request, double-click on the desired item.

List of Exams with Result - These are the list of exams posted in the Send Request menu option that already have result and its details can be viewed in the View Results menu option.

List of Exams with Result

3	The following button options can be clicked from.

Click on Refresh button to view the latest update from the database.

Click on Exit button to close the program.

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Viewing of Laboratory Exam Result

This option allows the user to view result of laboratory tests and exams.

1	Click on View Result menu option.

2	Its window will be displayed.

3	Click the Laboratory tab to view lab. exams with result.

Figure 25: Lab. Exams with Result Window

To view, click the exam and then click on View button. The Refresh button is used to view the latest updates of lab. exams with results from the database. While the Exit button is used to close the program.

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Viewing of X-ray Exam Result

This option allows the user to view result of x-ray exams.

1	Click on View Results menu option.

2	Its window will be displayed.

3	Click X-ray tab to view x-ray exam result. (X-ray window is the default window).

Figure 26: X-ray Exam View Result Window

The list of examinations is displayed at the right side of the window. Just click the desired exam to view its result.  The exam result can be viewed at the left side of the window.

4	The following buttons can be clicked from.

Refresh - This will view latest updates of exams with result from the database.

Exit - This will close the program.

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Viewing of Ultrasound Exam Result

This option allows the user to view result of Ultrasound exams.

Click Ultrasound tab to view exams with result. The same steps with viewing of x-ray exam are followed.  Please refer to Viewing of X-ray Exam Result to know the procedure.

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Viewing of Cardiovascular Exam Result

This option allows the user to view result of Cardiovascular exams.

1	Click on View Result menu option.

2	Its window will be displayed.

3	Click Heart Station tab to view exams with result.

Figure 27: Heart Station Exams with Result Window

To view, click the exam and then click on View button. The Refresh button is used to view the latest updates of lab. exams with results from the database. While the Exit button is used to close the program.

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Viewing of C. T. Scan Exam Result

This option allows the user to view result of C. T. Scan exams.

Click C.T.-Scan tab to view exams with result. The same steps with viewing of x-ray exam are followed. Please refer to Viewing of X-ray Exam Result to know the procedure.

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Viewing of Nuclear Medicine Exam Result

This option allows the user to view result of Nuclear Medicine exams.

Click Nuclear tab to view exams with result. The same steps with viewing of x-ray exam are followed. Please refer to Viewing of X-ray Exam Result to know the procedure.

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Viewing of Pulmonary Lab. Exam Result

This option allows the user to view result of Pulmonary Lab. exams.

Click Pulmonary tab to view exams with result. The same steps with viewing of x-ray exam are followed. Please refer to Viewing of X-ray Exam Result to know the procedure.

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Viewing of Rehabilitation Medicine Exam Result

This option allows the user to view result of Rehabilitation Medicine Exams.

1	Click on View Result menu option

2	Its window will be displayed.

3	Click Rehab. Medicine tab to view exams with result.

Figure 28: Rehabilitation Medicine View Exam Result Window

The list of examinations with result is displayed at the left side of the window. To view result, click the exam and then its result, initial evaluation and endorsement can be seen at the right side of the window.

4	Clicking on Refresh button will display the latest updates of exams with result from the database.

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How to View Exam Result

This option allows the user to view exam result from the following departments.

X-ray

Ultrasound

C. T. Scan

Nuclear Medicine

Pulmonary Laboratory (RTS)

Laboratory

Heart Station (Cardiovascular)

Rehabilitation Medicine (P.T.)

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How to Enter Vital Signs

In here, it is where nurses can enter the vital signs of the patient. Vital signs data entry includes blood pressure, body temperature, respiratory rate, and pulse rate.

1	Click on Vital Signs menu option.

2	On the left side, you can see the previous vital signs of the patient. The following data can be viewed.

Vital Sign Data Entry Window

Date/Time - the date and time when vital sign was entered.

Blood pressure

Respiratory rate

Pulse rate

And on the other side is the vital sign data entry. The following data needed to enter.

Blood pressure

Body temperature

Respiratory rate

Pulse rate

3	The following button options can be clicked from.

Click on Save button to save entry.

Click on Refresh button to view the latest update from the database.

Click on Exit button to close the program.

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How to Enter Nurses Notes

Nurses Notes window is where nurses can type down their notes or remarks about the condition of the patient. It works like an electronic notebook because nurses can retrieve the saved data of a particular date and shift of the day.

1	Click on Nurses Notes menu option.

2	To view past patient's chart, click on Past Notes written vertically. The following data can be viewed.

Nurses Notes Window

Date/Time - the date and time when the remarks were entered

Day shift - the shift of the day

Entered by - the program user who entered the remarks

Notes - the content of the remarks

To enter patient's chart, click on Notes entry written vertically. Enter the following data.

Date/Time - current date and time is used

Day shift - select from the following choices listed (6am-2pm, 2pm- 10pm, 10pm-6am)

Notes - Type remarks on the multi-line textbox.

3	The following button options can be clicked from.

Click on Save button to save the notes entered.

Click on Exit button to close the program.

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How to View Patient's Profile

Patient Profile is where nurses can view the latest patient’s information throughout his current confinement. It includes admitting diagnosis, chief complaints, manner of admission, past medical history, allergies, personal and social history and family history.

1	Click on Patient Profile menu option.

2	The Patient Profile Window will be displayed.

Patient Profile Window

3	The following button options can be clicked from.

To edit the patient’s profile, click on Edit button. The user can now make necessary modifications on the patient’s profile.

When completed, click on Save button to save the changes.

Click on Refresh button to undo the changes done.

Click on Exit button to close the program.

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How to View Clinical Summary

Clinical summary is where nurses can view for a particular clinical summary of a patient's confinement.

1	Click on Clinical Summary menu option.

2	The Clinical Summary Window will be displayed. The following data can be viewed.

Clinical Summary Window

Admission number - a program-generated number during patient’s admission

Admission date/time - the date and time when the patient was admitted

Discharge date/time - the date and time when the patient was discharged

Room number - the room number of the patient during his confinement

3	To view for a particular clinical summary of patient, click on the desired exam then click on View button. The following data can be viewed.

Date admitted - the date when the patient was admitted

Date discharged - the date when the patient was discharged

Attending physician - the name of the attending physician

Admitting doctor - the name of the admitting doctor

Admitting diagnosis - the admitting diagnosis of the patient

Chief complaints - the complaint of the patient

Final Diagnosis - the final diagnosis of the patient

4	Click on Exit button to close the program.

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How to Schedule Operation

This option lets the user to schedule an operation for the patient through sending a request into the Operating Room department.

1	Click on Schedule Operation menu option.

2	The Schedule Operation Window will be displayed. Enter the following data.

Schedule Operation Window

Schedule Date - Click on the drop-down combo box to select a date for the patient’s operation. Note that date to be scheduled should be later than the current date and time.

Starting Time - Click on the drop-down combo box to select a starting time for the patient’s operation in relation with the selected date.

 	Procedure - Press <Enter> key to display the list of procedures or click on [image] button. A window will be displayed afterwards. Just double-click on the desired procedure to select.

Surgeon - Click on [image] button to display the list of doctors. A window will be displayed afterwards. Just double-click on the desired surgeon to select.

Anesthesiologist - Press <Enter> key to display the list of doctors or click on [image] button. A window will be displayed afterwards. Just double-click on the desired doctor to select.

3	The grid at the right side of the window is used to view the scheduled operation of the patient when the Operating Room department has already acknowledged the request. Just click the day of the scheduled operation then scroll the vertical or horizontal bar of the grid to view the scheduled operation.

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Viewing of Reports

1	Click on Nurses Activity Requests menu option.

2	At the lower right corner of the window is listed the different reports.

Diet List - This generates a report of all patients' diet of the day.

Patient Name

Room

Nationality

Religion

Admitting Diagnosis

Diet

Remarks

Census Report - This generates a census report by station. At the bottom of the report is the grand total of all patients who are admitted. Here are the data that can be viewed.

Room

Admission Date

Name of Patient

Admission Number

Case

Attending Doctor

Discharges for the Day - This generates a report on the discharges of the day. Here are the data that can be viewed.

Patient Name

Hospital Number

Admission Date

Account Name

Room and Bed #

List of Requests/Orders - Hemodialysis supplies, returned medicines, ultrasound and X-ray are the data that can be viewed. Each of the aforementioned displays the following.

Description

Quantity

Reference No.

Status

Request Date

Request by

Process Date

Process by

Remarks

List of Medicines Posted - All medicines posted within the station are generated here. Here are the data that can be viewed.

Transaction Date

Reference Number

Dosage

Description

Account Code

Quantity

Amount

List of Supplies Posted - All supplies posted within the station are generated here. Here are the data that can be viewed.

Transaction Date

Reference Number

Dosage

Description

Account Code

Quantity

Amount

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Printing Conditions of Lab. Exam Request Form

Note: ROUTINE or STAT: All samples other than BLOOD (e.g. urine, stool, stone, sputum, bronchial washing, swabs, scrapings, aspirate, dialysate, CSF & other body fluids, surgical specimens (tissue, curettage, organ) specimen for basic FNAB & alike PRINTING OF REQUEST FORMS WILL BE AT WARD.

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Shortcuts
Shortcut Keys

Shortcut keys are useful to users for they lessen the time of opening a particular window. These shortcut keys can be seen at the bottom of the main window. Below is listed the common shortcut keys.

F5 - Next Patient

F6 - Pharmacy Request (Charge Patient)

F7 - CSR Request

F8 - Discharge/Room Transfer

F9 - Discharge Notice

F10 - ICD 10

F11 - Statement of Account

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A sample pop-up window


Help Topics: Main Window