Navigating

AMC’s Electronic
Health Record
EHR Guide for Med Students
-finding what you need

SAH
LTT 2016
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Table of Contents
!  Finding a patient pg 2
!  Adding a floor/unit to your census pg 4
!  Opening Labs / Vitals pg 5
!  Trending labs/vitals pg 6
!  Microbiology studies/cultures/sensitivites pg 8
!  Looking up orders pg 10
!  Scheduled meds pg 11, 13
!  PRN meds pg 12
!  Non-med orders pg 14
!  Allergies pg 15, 17
!  Emergency Dept Notes pg 18
!  Nursing Notes pg 20
!  Finding patient’s facesheet / contact info pg 23
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Finding a patient
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Finding a patient

Alternatively, click on the tab “By ID”

And type MRN number
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Adding a Floor/Unit to your Census

Click on ‘ON’
button next to unit to
set as active
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Labs / Vitals

Choose individual
sections on the left to
jump to that section,
Or scroll up/down with
the scrollbar on the
right

Make sure “All Results”

Is highlighted
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Labs / Vitals - trending

Trend

Check the boxes of the

values you’d like to
trend

Then click the 3-lined

square on the top right
to see it trended
throughout the
hospitalization
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Labs / Vitals - trending

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Labs – Micro

Click the ‘paper+glasses’

icon next to the Micro
Header to open all full
results
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Labs – Micro
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Looking up orders – Scheduled, view 1

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Med Administration record – past XX hours

A checkmark indicates
when it was given,

A circle+slash indicates
that dose was not given

A red circle+minus
indicates discontinuation

Change the
time frame

Ex: meds
administered
over past 3 days
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Looking up orders – PRNs

One can also check PRN medications

These are medications given on an ‘as-needed’ basis

and are not scheduled to be given at set times.

It’s a helpful location to see if a pt needed a

breathing treatment, extra pain meds, or one-time
diuretic dose overnight
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Looking up orders – Scheduled, view 2

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Looking up orders – Non-Med Orders

Ex: if a pt is diabetic,
check to see if they
on a diabetic diet
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Allergies
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Allergies
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Allergies – alternative location

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Finding ED Notes

Change to ED Chart View

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Finding ED Notes
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Finding Nursing Notes

Click this double-

arrow to open more
tabs
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Finding Nursing Notes

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Finding Nursing Notes

Clicking one of
these assessments
Will open a window
Where free-text is
entered during
nursing shifts

Ex: emesis x2
overnight, Zofran 4
given
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Finding Patient Contact info

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Finding Patient Contact info

C&C
Thanks!