Review Automation

• Cycle Results Tab; Cycle Day column
• Tests ordered
• Laboratory data received
• Physician orders
• Nurses final review
• Communication with the patient

     As soon as there is a cycle day created in the cycle results grid, the patient can be scheduled for monitoring tests. When the test orders are input, ID numbers are generated to address the return of the test results. When the results are transmitted to the electronic chart, it is ready for physician review. One exception, when the chart is flagged for "MD Review", it will be part of the pile even without a cycle started.

      To activate the query system, the medical staff have to click on one of the three buttons found in the "Patient Search" dialog window.

• Physicians use the "Go to Next Pt for MD Orders" button.
• Reviewing nurses use the "Go to Next Pt to be Reviewed" button.
• Calling nurses use the "Go to Next Pt to be notified" button.

     Normally, all the system works on today's date, but if you want to perform a query on a different date, you can change the "Date to Search for:" in the "Patient Search" dialog window ONLY. The next picture shows the buttons part of the "Patient Search" dialog window.

Physicians "work pile"

     When the physicians start reviewing, they query the "work pile" for the first chart to be reviewed, then they can continue the query from the "Physician Orders..." dialog window by clicking on the "Next Pt." button found on the lower left corner.
 

• Opens all the cycle days for today and look for a cycle day with laboratory results received for LH am or pm, E2 am or pm, P4 am or pm, BHCG or FSH level. If it finds one, it is put on the work pile. If the check box "No Show" is checked in the "Edit day..." dialog window, this chart will never go on the work pile. At this point, a cycle day in the pile will have it's column header painted in red in the cycle results grid. It will stay red until the patient has been called by a nurse.
• The cycle day is rejected if the cycle day contains medication orders or that the check box "NO Orders" is checked in the "Physician Orders" dialog window.
• At this point, a cycle day with the check box "Delayed" or "Resubmit" checked in the "Physician Orders" dialog window will also be rejected for this pass.
• Then if no cycle day has been found, the query system will search in the patient charts for a chart with the check box "MD Review" or "To Review" or "Doctor review" checked in their respective area.
• If no chart is found, the query system will now search again in the cycle days for cycle days that has the check box "Delayed" checked in the "Physician Orders" dialog window. Note that, at this point, a cycle day with the check box "Resubmit" checked will always be rejected, until a nurse clears the check box "Nurse review" in the "Edit day..." dialog window.

     At the end of this search, you should see a new patient chart ready for review or you will receive the following message box when nothing is found.
 

Review nurses "work pile"

     When the nurses start reviewing, they query the "work pile" for the first chart to be reviewed, then they can continue the query from the "Edit day..." dialog window by clicking on the "Next to review" button found just above the user name on the "Edit day..." dialog window.

     The search order is as follow:

• Opens all the cycle days for today and look for a cycle day that contains medication orders or that the check box "NO Orders" is checked in the "Physician Orders" dialog window. If it finds one, it is put on the work pile. If the check box "Reviewed" is checked in the "Edit day..." dialog window, this chart will not go on the work pile, it is finished.
• At this point, a cycle day with the check box "Delayed" checked in the "Edit day..." dialog window will also be rejected for this pass.
• Then if no cycle day has been found, the query system will search in the patient charts for a chart with the check box "Nurse to Review" or "Resubmit" or "Nurse review" checked in their respective area.
• If no chart is found, the query system will now search again in the cycle days for cycle days that has the check box "Delayed" checked in the "Edit day..." dialog window.

     At the end of this search, you should see a new patient chart ready for review or you will receive the message box that nothing as been found.
 

Calling nurses "work pile"

     When the nurses start calling the patients, they query the "work pile" for the first chart with a patient to be called, then they can continue the query from the "Edit day..." dialog window by clicking on the "Next Pt. to call" button found just to the left of the "Save" button in the lower right corner on the "Edit day..." dialog window.

     The search order is as follow:

• Opens all the cycle days for today and look for a cycle day that contains medication orders or that the check box "NO Orders" is checked in the "Physician Orders" dialog window. Then it checks to see if the check box "Reviewed" is checked in the "Edit day..." dialog window. If it finds one, it is put on the work pile. If the check box "Patient been called" is checked in the "Edit day..." dialog window, this chart will not go on the work pile, it is finished.
• At this point, a cycle day with the check box "Not Reached" checked in the "Edit day..." dialog window will also be rejected for this pass.
• If no chart is found, the query system will now search again in the cycle days for cycle days that has the check box "Not Reached" checked in the "Edit day..." dialog window.

     At the end of this search, you should see a new patient chart ready for communication or you will receive the message box that nothing as been found.