ACADEMIC HALF DAY
How to Work Up a Patient - a Guide for Residents
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Links for this academic half day:
Safely Gathering Information Directly from the Patient
Infection Prevention and Control
IPAC resources home page: https://intranet.islandhealth.ca/departments/infection_prevention/resources/Pages/default.aspx
Violence prevention
https://intranet.islandhealth.ca/safety/risks/violence/Pages/default.aspx
Biohazard
Biomedical waste guide: https://intranet.islandhealth.ca/departments/general_support/Documents/Biomedical Waste Guide Current.pdf
Gathering Patient Information from the Electronic Health Record
Provider view
Reviews customization options: https://connect.islandhealth.ca/academy/ihealth/Site Documents/provider-view-pharmacists-qrg.pdf
Nurse documentation
Nursing Narrative Documentation: https://intranet.islandhealth.ca/pnp/pnpdocs/narrative-nursing-documentation-ehr.pdf - search=nurse%20clinical%20documentation
Annotations: https://connect.islandhealth.ca/academy/ihealth/Site Documents/viewing-chart-annotations-ecoach.pdf
Results review and clinical information: https://connect.islandhealth.ca/academy/ihealth/Site Documents/viewing-results-results-review-qrg.pdf
Clinical Handoff Information: https://connect.islandhealth.ca/academy/ihealth/Site Documents/viewing-clinical-handoff-communication-ecoach.pdf
How to work up a patient
Pharmacy Resident guide https://vipharmacy.com/working-up-presenting-a-patient
Oral Exam https://vipharmacy.com/comprehensive-oral-assessment-web-page (focus on Appendix A – bottom of page)
Labs
Reviewing lab results in provider view: https://wiki.cerner.com/display/VIHACD/Reviewing+Lab+Results+in+the+Provider+View
Diagnostic reports and medical imaging
Reviewing diagnostics from provider view: https://connect.islandhealth.ca/academy/ihealth/Site%20Documents/reviewing-diagnostic-report-images-provider-view-ecoach.pdf
Communicating with the Care Team in the EHR
Clinical Documentation
Island Health Clinical Documentation Policy: https://intranet.islandhealth.ca/pnp/pnpdocs/clinical-documentation-policy.pdf - search=clinical%20documentation
Pharmacy Department Clinical Documentation Policy: https://intranet.islandhealth.ca/departments/pharmacy/dept_pnp/Documents/section_10/deptpp_10pt1.pdf
Voiceover PowerPoint video on pharmacy electronic documentation: https://connect.islandhealth.ca/depts/pharmacy/rx_ed/SitePages/New Project and Process Implementation Training.aspx
Pharmacy Specific Autotext: https://connect.islandhealth.ca/academy/ihealth/Site Documents/pharmacy-documentation-use-warfarin-kinetic-global-autotext.pdf
Shared Autotext: https://intranet.islandhealth.ca/ihealth/Documents/ehr-update-22-02-16-issue-6.pdf
Informal Team Communication
How to document informal team communication: https://connect.islandhealth.ca/academy/ihealth/Site%20Documents/informal-team-communication.pdf
Learning Curriculums for Fully Activated Sites: Allied Health eLearning: Pharmacist 10 modules with quizzes https://intranet.islandhealth.ca/ihealth/Pages/learning-curriculums-fully-activated.aspx