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As a Triage Nurse your challenging duty is to medically assess the patients' illnesses and symptoms to determine which patients need immediate attention from the doctor. Part of the problem is that its never as easy as you think its going to be. As the landscape evolves, a higher volume of care is being provided in the clinic. Stop Double Charting 3. Most every EMR is designed for BILLING, not logic, common sense or medical flow of knowledge and care. We are proud to have more than 700 nurses on our team, serving the company in leadership roles, alongside our clients and in product innovation to bring healthcare organizations advancements like the essential clinical dataset (ECD). Using barcode scanning, clinicians can read the patients name band and the medication before administration, which contributes to preventing medication errors. Throughout his career, GP has driven digital transformation for hospitals systems migrating from legacy EHR systems. It's a newer version but man it feels clunky to me (and that's coming from allscripts). I recommend this for several reasons: If youre looking for some good pens to use on your shift, I recommend Pilot pens (Amazon). In IMS you literally have to do at least 3 or more steps to do something as simple as sending an RX. You can make sure youre using a click pen. provides post-acute recommendations for patient placement to help identify a care facility best suited for the patients needs. notice. Learn More. When an energy slump hits, it's tempting to have another cup of coffee. padding-bottom: 0px; Below are my favorite orders that I saved. APACHE Outcomes allows a nurse to objectively evaluate the quality of care delivered in an Scotts leadership and client stewardship ensure that our teams deliver strategic, innovative, and quality service that leads to greater outcomes across the entire continuum of care. We can empower you to take your knowledge and put it to the most exciting test of all: life. 10-December-2014 . You need to show that you tried and then, of course, notify the doctor of the patients refusal and then document the doctors orders. Contact Us to Learn More. This website uses cookies to ensure you get the best experience on our website. } He is core to the success of people management at the company, fostering long-term relationships and leading all aspects of operations. Cerner Documentation: Tips, Tricks & Pitfalls. Dot phrases and macros will be your friend as others have said. I'm trying to "Favorite" as many orders as I go alongand build up my dot phrases. The guide is filled with tidbits of insight that every healthcare leader using Cerner ought to consider. to a nurses attention. At times, charting can be the worst part of being a nurse. Let us know what your thoughts are in the comments sections. The login page will open in a new tab. Use controller two? In the free text box that pops open when you click "other" in the imaging section of the MDM. The friction a tourniquet creates against hair can be painful to patients. Favorite as many labs and orders as you can that you use daily as well as d/c meds. Best Cerner trick I found - don't work anywhere that uses Cerner. } We prepared this guide for health systems that are currently considering Cerner as a new EHR system, and ones that have already implemented Cerner and are focused on optimization. Specializes in ER. Tips and Tricks for Getting the Most out of Epic - Hopkins Medicine Make sure you know what youre Caregiving Tips & Techniques. or Opinionated Charting, Avoid these Other another area of the chart, dont bother mentioning it in your narrative note It will open up different encounters if patient was admitted previously.