admission

Nurse User Manual

Medsys Nurse Module

Introduction

Overview

The Visual Nurse Program reduces the workload of the nursing staff due to its link to other departments. All patients’ 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.

Objectives

1  To link other departments such as Laboratory, X-ray, Ultrasound, C.T. Scan, Heart Station, Hemodialysis, 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 processed requests, list of requests/orders, list of medicine posted, list of supplies posted, discharges for the day and diet list are generated by the program

    •

    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.

     

     

     

    How to send requests Diagnostic Exams (Lab, X-ray)

    Step 1 : Go to the PATIENT LIST search for the name of the patient you want to send requests by double clicking it or pressing ENTER.

    Step 2 : Under SEND REQUESTS tab, you can check the exam you want to request for the patient or click the SEARCH EXAMS button below. For CTScan, Cardio and other departments, you can find it under OTHER DEPARTMENTS menu. Check the exam.

    Step 3 : Remarks entry window will be displayed . Listed below are the required fields you need to fill up.

    * FOR LABORATORY
    - ROUTINE / STAT – Choose between the two
    - Specimen – search what specimen to be used
    - Reason of Procedure

    * FOR OTHER DEPARTMENTS
    - ROUTINE / STAT
    - REASON OF PROCEDURE


    Step 4 : After clicking ENTER,  Click SAVE button to finally send to the Departments for them to process.

    Step 5 : Provide the Requesting Doctor of your requests. If the Attending Doctor is not the requesting doctor, you can search for the name of doctor by typing his / her last name and press ENTER. Then Click OK button..

     

     

    Step 6 : Provide your USER ID and PASSWORD for VERIFICATION.

     

     

    How to send requests to Pharmacy and CSR Requisition)?

    Step 1 : Go to the PATIENT LIST and select the patient you want to send requests by double clicking it or pressing ENTER.

    Step 2 : Under SEND REQUESTS tab, click PHARMACY or CSR button on the right side.


     

    Step 3: Click REQUEST ENTRY button


     

    Step 4 : Search for the name of  drug or supply you want to request. Provide the dosage, Quantity. Remarks is OPTIONAL. Then click SAVE button.

     

    Step 5: Provide the Requesting Doctor of your requests. If the Attending Doctor is not the requesting doctor, you can search for the name of doctor by typing his / her last name and press ENTER. Then Click OK button.


     

    Step 6 : Provide your USER ID and PASSWORD for VERIFICATION.


     

     

     

     

    How to charge services or E-cart medicines and supplies to patients?

    Step 1 : Go to the PATIENT LIST and select the patient you want to charge by double clicking it or pressing ENTER.


     

    Step 2 : Under SEND REQUESTS tab, click POST CHARGES or CASH ASSESSMENT ENTRY   button on the right side.

     

    * FOR POST CHARGES – Use this if the patient is covered by an insurance, private company , patients with philhealth, or patients that are cash basis that are not required to pay first before the procedure or services
    * FOR CASH ASSESSMENT/ASSESSMENT ENTRY – Use this if the patients are cash basis that needs to pay first the service before procedure.


     

    Step 3 : Listed below are the required fields you need to fill up for charging. Once done, click SAVE button.

     

    * DEPT CODE – You can refer for the list of Department codes on the right side
    * ITEM CODE – Search for the name of the procedure, supplies, medicines to charge for the patient.
    * QUANTITY – the qty of the items you want to charge


     

    Step 4 : A notification message will be displayed for confirmation.

     

     

    Step 5 : Provide your USER ID and PASSWORD for VERIFICATION.

     

     

    How to charge packages to patients?

    Step 1 : Go to the PATIENT LIST and select the patient you want to charge by double clicking it or pressing ENTER.


     

    Step 2 : Under SEND REQUESTS tab, click POST CHARGES button  to charge packages.


     

    Step 3 : Click the VIEW List of PACKAGE button.


     

    Step 4 : List of Packages will be displayed. Select the package and click ACCEPT button on the right side to charge all items under that package to the patient.  If there are items you want to exclude , click on the free space on the left side before the Code .


     

    Step 5 : Click SAVE button to finalize the charges or package for the patient .


    Step 6 : A notification message will be displayed for confirmation.

    Step 7 : Provide your USER ID and PASSWORD for VERIFICATION.


     

    How to cancel charges,services charged to patient?

    Step 1 : Go to the PATIENT LIST and select the patient you want to charge by double clicking it or pressing ENTER.


    Step 2 : Under SEND REQUESTS tab, choose between POST CHARGES or CASH ASSESSMENT ENTRY where you charged the services or charges to the patient


    Step 3 : Listed below are the charges of the patient. Select for the single item, charge, services you want to cancel. Highlight it and click REVOKE button.

    Step 4 : A notification message will be displayed for confirmation.

    Step 5 : Provide your USER ID and PASSWORD and REASON of cancellation for VERIFICATION. Then click OK button.

     

     

    How to cancel requests sent to Departments?

    Step 1 : Go to the PATIENT LIST and select the patient you want to charge by double clicking it or pressing ENTER.


    Step 2 : Under NURSES ACTIVITY REQUEST tab, you can only cancel requests that are still PENDING . Double click the request under LIST OF PENDING REQUESTS.


    Step 3 :Confirmation message will be displayed.

    Step 4 : Provide your USER ID and PASSWORD and REASON of cancellation for VERIFICATION. Then click OK button.

     

     

    How to charge request as CASH?

    Step 1 : Go to the PATIENT LIST and select the patient you want to charge by double clicking it or pressing ENTER.


    Step 2 : Under SEND REQUESTS tab, click ASSESSMENT for Clinical Departments on the right side.


    Step 3 : Listed below are the required fields you need to fill up for charging cash requests. Once done,click SAVE button.

     

    * DEPT CODE – You can refer for the list of Department codes on the right side
    * ITEM CODE – Search for the name of the procedure, supplies, medicines to charge for the patient.
    * QUANTITY – the qty of the items you want to charge

    Step 4 : Provide your USER ID and PASSWORD for VERIFICATION.

     

     

    How to view results of patients?

    Step 1 : Go to the PATIENT LIST and select the patient you want to charge by double clicking it or pressing ENTER.


    Step 2 : Click VIEW RESULTS TAB.


     

     

    How to Administer meds for inpatients?

    Step 1 : Go to the PATIENT LIST and select the patient you want to charge by double clicking it or pressing ENTER.


    Step 2 : Click MEDICINES ADMINISTERED button


    Step 3 :Provide your USER ID and PASSWORD for VERIFICATION.

    Step 4 : On the left side are the medicines being processed by the Pharmacy. Listed below are the required fields you need to fill up to administer meds. After that you can click SAVE button.

    * Select first the medicine
    * Date/Time administered
    * QTY Administered

    * If you want to print the Medication sheet,click this icon.

     

     

    How to send discharge order for inpatients?

    Step 1 : Go to the PATIENT LIST and select the patient you want to charge by double clicking it or pressing ENTER.


    Step 2 : Click Send Discharge Order button.


    Step 3 : Listed below are the fields you need to fill up to send discharge order.Then click SAVE/SEND FINAL DISCHARGE NOTICE TO BILLING button.

    * WITH OPERATION – Click YES if the patients has operations, then type the complete name of the procedure and time date, otherwise NO.
    * FINAL DIANOSIS
    * MEDICAL FEES – input the name of the doctor who gave already PFs.

     

     

    How to enter vital signs of patients?

    Step 1 : Go to the PATIENT LIST and select the patient you want to input vital signs by double clicking it or pressing ENTER.


    Step 2 : Go to VITAL SIGNS tab and input the values of every Vital signs. Then click SAVE button.


     

     

    How to request OR Scheduling for the patient?

    Step 1 : Go to the PATIENT LIST and select the patient you want to request an OR SCHEDULE Operation by right clicking it and select OR Schedule Request Entry.


    Step 2 : Listed below are the required fields you need to fill up to request for OR Scheduling. Then click SAVE button.

    * Procedure - search for the OR Procedure
    * Surgeon - Name of the doctor
    * Schedule date and time

     

     

    How to change diet for the patient?

    Step 1 : Go to the PATIENT LIST and select the patient you want to request an OR SCHEDULE Operation by right clicking it and select OR Schedule Request Entry.


    Step 2 : Click NEW DIET button.


    Step 3 : Under NEW DIET, click the search button to change the diet. Then click SAVE button.