COMPUTER CHEAT SHEET Nurse’s Phone Number 636 Then Number Blood Test 5549 2528 Xerox Number 62099 Dr Navarre’s Beeper 593-1354 *****************************MONDAY********************************* MAR Hightlight Patient Select Patient Med/IV Worklist (PF6) Day Shift Accept ROUNDS REPORT Print Rounds Report (16) Enter Patient’s Room Number Select Patient LAB RESULTS Hightlight Patient Select Patient Results Documentation Combined Print (PF17) ASSIGNMENT SHEET (Short Version) Print Assignment Sheet Enter Patient’s Room Number Select Patient (PF1)
VITAL SIGNS Hightlight Patient Select Patient Vital Signs/I&O Enter Vitals Enter Data R/T Your Patient Update/Display BLOOD SUGAR Highlight Patient Select Patient Enter Results Date/Time Enter Data R/T Your Patient Update/Display ROUTINE PATIENT CARE Highlight Patient Select Patient Assessments Routine Patient Care “X” Each Option Enter Time/Date “X” All Groups Document (F12) UNMEASURED URINE Vitals/I&O Enter I&O Output Source (F8) Next Page X2 Unmeasured Urine Add Source (F4) DRESSING CHANGE Highlight Patient Select Patient Assessment Tx/Proc Date/Time Select GI or GU or Skin Document Update/Complete DC HEPLOCK Highlight Patient Select Patient Assessment Tx/Proc “X” IV Access Time Document Detail Maintain/DC
Activity Basic Care Elimination Meals/Feeding Positioning Skin Care Therapies/Comfort
DOPPLER Assessment Shift Cardio Vascular Document Abnormal Abnormal Pulses Enter Pedal Pulse Doppler Enter Update/Complete MEDICATION ADMINISTRATION Highlight Patient Select Patient Med/IV Chart Find Medication Date/Time (NOT Medication) Admin Accept MEDICATIONS NOT ADMINISTERED Not Admin Enter Comment CHECK MEDICATION ADM Highlight Patient Select Patient Med/IV Chart “displays what meds NEEDS TO BE charted” Display/Revise “displays what HAS BEEN charted”
*****************CHECK DOCUMENTED DATA***********************
VS Highlight Patient Select Patient VS/I&O Down POST ERRONEOUS Select Patient Select One To Delete Enter Comment Enter Error Enter Complete
ROUTINE PT CARE Highlight Patient Select Patient Assessment Display/Print
MODIFY DOCUMENT Click On Entry You Want To Change Enter In Change Update/Complete Type In Reason For Change Enter Go Back And Check That Change Was Made