Amalga UIS - PowerPoint PPT Presentation

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Amalga UIS

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Title: Amalga UIS


1
Amalga UIS User Guide
2
Table of Contents
  • Logging On/Off Amalga
    Slide 3
  • The Toolbar
    Slide 4
  • View Manager/Cohorts/Time Range
    Slides 5 -10
  • Data
    Slide 11
  • Getting Patient Info
    Slide 12
  • Forms
    Slides 1314
  • Patient Banner
    Slide 15
  • Alerts
    Slide 16
  • Allergies
    Slide 17
  • Care Providers
    Slide 18
  • Census History
    Slide 19
  • Demographics/Insurance
    Slide 20
  • Emergency Department Orders
    Slide 21
  • Labs/Micro
    Slides 22-24
  • MAR
    Slide 25
  • Orders
    Slide 26
  • Pathology Reports
    Slide 27
  • Radiology Reports
    Slide 28
  • Transcription
    Slide 29

3
Log in/Log out
  • Log into Amalga
  • Logon to the workstation using your User ID and
    Password Do not use Guest Login
  • Click Amalga on the LaunchPad
  • Your user ID and password will already be
    pre-populated You may or may not have to click
    Login on the Amalga UIS pre- populated screen. No
    password is required.

Home Window Grid The Amalga home window grid is
displayed each time you log in to Amalga. The
home window grid is populated with patient visit
information. From the home window, you can access
all Amalga functions.
Log out of Amalga
  1. Log off by clicking the Red Door

Return to Table of Contents
4
The Toolbar
Return to Table of Contents
5
View Manager
Introduction to User Views (selecting patients
to view on a regular basis) Using the View
Manager to Apply and Clone a View This Quick
Start Guide shows you how to use the View Manager
to create and edit a routine view you can apply
whenever you open Amalga and how you can quickly
switch to a view you have saved in your View
Manager. A view is the set of fields chosen to
view, filters applied to the data, how the rows
are sorted, and even color and font choices for
the patient grid in that view.
The View Manager button displays the name of the
view selected (in this example, NICS User View).
  • To open the View Manager Window and Apply a
    different view
  • Click the View Manager button in the home window.
    You can see the current view (NICS User View) is
    highlighted in the View Manager
  • Click a different view you want to apply
  • Click Apply.
  • The patient grid now displays the columns and
    settings defined for the selected view and the
    label on the View Manager button changes to the
    name of the applied view.
  • NOTE If you wish to see this user view each
    time you open Amalga, click the check box by
    Apply the selected view when I run this Amalga
    application.
  • You may want to clone a view so you copy it
    into your personal folder in the View Manager
    where only you can make changes and save the view
    just the way you want.
  • To Clone a view
  • 1. Open the View Manager as above.
  • 5. Click on the view you want to clone.
  • 6. Click Clone. The Edit Window opens
  • Change the name or make edits to your view.

?
Continue to next slides for more on editing a
view.
Return to Table of Contents
6
Cohorts and Time Range
  • Introduction to Cohorts Time Range (Data Scope)
  • (selecting patients to view by time range and
    physician, physician group, or nursing unit)
  • This Quick Start Guide will walk you through Time
    Range (Data Scope) and Cohort Filtering. A
    cohort filter finds patients who belong to a
    cohort (pre-defined or re-defined group) or at
    any time during the range of dates specified in
    the toolbar.
  • Note Time Range and Cohorts may be
    pre-configured for your Amalga Home Window Grid,
    and you may create your own cohorts or groupings.
  • The following are examples of possible cohorts
  • All patients who belong to a particular physician
  • All patients assigned to a particular physician
    group
  • All patients admitted to a particular hospital
    unit.

Note The Room/Bed filter is routinely applied
and will override the Time Range (Data Scope)
selection.
  • Time Range (also called Datascope)
  • For example, lets say the current time range is
    a range of dates, 1/1/08 1/3/08, and the cohort
    is hospital unit 5N. When the cohort filter is
    applied, the home window will contain data rows
    (each row is a patient visit) for all patients
    whose admit date to unit 5N was on or before
    1/3/08, and whose discharge date from 5N was
    between 1/1/08 and 1/3/08 or is blank.
  • You may change the time range by clicking the
    drop-down menu and selecting a new time range.
  • Cohort filter on the Home Window Grid
  • On the Amalga Toolbar, click the All Rows
    button to show the Cohort dialog box.
  • Now in the Cohort dialog box, add an available
    cohort to your currently selected cohort filter
  • Select a tab with cohorts by which you wish to
    filter.
  • Click on a cohort (or multiple cohorts) in the
    Available box.
  • Click Add. Selected Items will appear in the
    Selected box.
  • Click OK.
  • The Home Window Grid reloads with patient
    visit rows filtered by both the cohort you just
    constructed and the range of dates you previously
    selected.
  • 6. If you want to make this a permanent part of
    your cloned view in your personal folder which
    was applied before choosing the cohort, go into
    the View Manager, and click Save Settings.

Return to Table of Contents
7
View Manager
Editing Views Selecting Columns to
View This Quick Start Guide shows you how to
use the Edit View window to chose what fields
(columns) you want in the view, what filters to
apply to the data, how the rows are sorted, and
even color and font choices for the patient grid
in that view. We also show how to select your
default user view to be applied each time you
open Amalga.
  • To Edit a view from your personal folder
  • Click the View Manager button in the home window
    opening the View Manager window.
  • Click the view from your personal folder at the
    top you would like to edit. Note If the view
    you want to edit is in another folder, you will
    need to Clone the view first into your personal
    folder. (See directions on Cloning a View on the
    previous page.)
  • Click Edit which opens the Edit View window.
    Note, by default, the Edit window opens to the
    tab for Fields which represent the patient grid
    columns available to you and selected for the
    view.

  • 4. To add another column into the view click the
    field in the Available box you want to add and
    click Add Field. You will see the chosen field
    populate at the bottom of the Selected box.
    Similarly, you can click a field in the Selected
    box and click Remove Field to remove that column
    from your view.
  • 5. The position of your columns left to right
    corresponds to the list of selected fields top to
    bottom. To move a column (field) to the left on
    your grid so it is easier to view without
    scrolling right, click the field in the
    Selected box to highlight it, then click the
    upwards arrow which moves the field up in the
    list or left on the grid. Similarly, you can use
    the downwards arrow to move a column to the
    right. You will see your changes to the grid
    when you return to that screen.
  • When finished, click OK.

Return to Table of Contents
8
View Manager
Editing Views Creating Filters for a Specific
View This Quick Start Guide shows you how to
use the Edit View window to chose what filters to
apply to the data. This same process applies
when you use the Filter button on the Amalga home
page toolbar.
  • To apply or change Filters for a view in your
    personal folder
  • Click the View Manager button in the home window
    opening the View Manager window.
  • Click Edit which opens the Edit View window. By
    default, the Edit window opens to the tab for
    Fields.
  • Click the Filter tab. In the columns box, you can
    see all the filters available. Note You can
    filter on any of the columns in the base
    view--they do not have to be part of the current
    view.
  • In this example, we will narrow our view to show
    only those patients in a bed at a one hospital.
    This view is already filtered, as you can see, to
    include patients currently in a bed. Note The
    Room/Bed filter is routinely applied and will
    override the Time Range (Data Scope) selection.
  • Scroll down the Columns list and click on the
    field with which you would like to filter, in
    this case Institution.
  • Click Add Filter and the Filter Editor window
    appears.
  • In the Values box, type tmc which will narrow
    our patient list to patients at Thomasville
    Medical Center. Note there are many options
    available in the Filter Editor which will be
    explained in more detail on the next page. In
    this example the Clause is 1, meaning it will
    partner with the other Clause 1 filter listed,
    and the operator is set to EQUALS TO which is
    appropriate for our chosen filter.
  • Click OK on the Filter Editor.
  • Click OK on the Edit View window.
  • Click Apply on the View Manager window.
  • As you can see, the NICS User View is now
    filtering out all but TMC patients in a bed.

tmc

Return to Table of Contents
9
View Manager
Editing Views More on Creating Filters for a
Specific View This Quick Start Guide shows you
how to use the Edit View window to chose what
filters to apply to the data. This same process
applies when you use the Filter button on the
Amalga home page toolbar.
  • More about using Operators
  • If we are filtering on numerical fields, we can
    use the following operators
  • Less than
  • Greater than
  • Between
  • Equal to
  • etc.
  • For filtering on textual columns, we can filter
    on the following operators
  • Contains
  • Begins With
  • Ends With
  • Is Blank
  • Equals to
  • Not Equal to
  • etc.
  • More About Using Clause Numbers
  • You can use the Filter Editor Clause Numbers to
    construct combinations of filters.
  • For Example,
  • to generate a filter for (SEX M and Age 50),
    or SEX F, assign both the Sex M and Age 50
    clauses a filter number of 1 and assign the SEX
    F clause a filter number of 2. Simply use the
    clause number or highlight and replace the clause
    number in the Clause Number box.
  • Any clauses with the same filter number are
    combined with an AND operator and any clauses
    with a different clause number are combined with
    an OR operator.
  • Using the combination above, you are filtering
    for Males aged 50 OR Females therefore, you
    would see all the females but only 50 year old
    males in this user view.

Return to Table of Contents
10
View Manager
Editing Views Sort Order This Quick Start
Guide shows you how to use the Edit View window
to chose how the rows are sorted for the patient
grid in that view.
1. To sort rows (patient visits) on the patient
grid a certain way top to bottom, click on the
Sort tab, click the field(s) by which you want
the patient visits ordered, and after each
selection from the Available box, click Add
Field as above. Just as you moved columns left
to right, you can move a chosen fields priority
in the sorting up or down by using the arrows
pointed out in 5 above. 2. Sorting can be
ascending or descending. To specify, click a
field in the Selected box, then click Sort
Order to change the order by the field name (ASC)
to (DESC) or vice versa. 3. When finished, click
OK.
Editing Views Color and Font This Quick Start
Guide shows you how to use the Edit View window
to chose color and font choices for the patient
grid in that view.
  • 1. To select the colors and fonts to apply to
    your view, click on the Color and Font tab on the
    Edit View window.
  • Click on the drop down buttons or scroll bars and
    click on your choices.
  • You can change the
  • Background color (shown)
  • Header row font and height
  • Data Row font and height
  • 3. Your changes display in the Preview area.
  • 4. When you are satisfied with your changes,
    click OK to save and exit the Edit View window.

Return to Table of Contents
Return to Table of Contents
11
Data
  • The home window grid is organized as a set of
    rows and columns.
  • The header row, always at the top of the data
    area, contains the column display names.
  • Click a column display name to sort all data rows
    based on the values for that column. Click again
    to toggle between ascending and descending order.
  • Drag a column display name to the left or right
    to change the placement of that column.
  • Drag the vertical edge of the column display name
    to the left or right to contract or widen the
    column.
  • Right-click a column display name to use either
    of two pop-up menu options Stats and Copy
    Distinct Values to Clipboard.
  • If you wish to keep these changes, click on the
    View Manager and click on save settings
  • 2. The dates/times that display under the Last
    Labs, Micro, X-ray, etc. columns reflect the
    date/time Amalga received the last result or
    UPDATE (not the last performed/collect time)

Return to Table of Contents
12
Getting Patient Info
To view more detailed information about a patient
  1. Highlight a patient data row and double-click, or
    click the INFO button to view more detailed
    information.
  • 2. Click a Module Name from the Module List on
    the left to view the following detailed
    information
  • Clinical Results Data Emergency Dept Reports,
    Labs Microbiology, MAR (Medication
    Administration Record), Pathology, Radiology
    Reports - including a link to the McKesson Image
    Viewer, and Transcriptions.
  • Admissions, Discharges, Transfers and Clinical
    Data Alerts, Allergies, Care Providers, Census
    History, Orders and the Patient Banner containing
    Patient Identifiers
  • Demographics Insurance Information
    Demographics and Insurance
  • The Module list is always visible on the left
    side of the screen.

Return to Table of Contents
13
Forms
  • Highlight a patient from the Amalga Home Window
    Grid and click the Forms button to display a list
    of customized, pre-populated forms available for
    viewing and printing.
  • The Progress Note is pre-populated with
  • The patient label
  • The current date and time
  • Hospital Day
  • A predefined set of lab results as of
    midnight.
  • Patient Weight if charted/updated in
    Invision after midnight.

Printing the form in real-time after assuring
that the most current labs have been posted is
the safest practice so that the most current lab
results are printed
  • From the Forms Viewer
  • Click Novant Forms the list of available forms
    populates in the right window.
  • Click the Form name you would like to view/print.
  • Click the PRINT button to print the form
    without viewing first.
  • Click the VIEW button to view the form in the
    Amalga Forms Viewer Window.

Return to Table of Contents
14
Forms
  • Along the top of the Form viewer window are a set
    of icons that you can click on. From
    left-to-right
  • Click the icon on the far left to view the first
    page of a multi-page form.
  • Click on the next item to the right to view the
    previous page of a multi-page form.
  • To the right of the two left-most clickable icons
    is a read-only page counter that uses the
    familiar page n of m format.
  • Click on the icon immediately to the right of the
    page counter to view the next page of a
    multi-page form.
  • Click on the next icon to the right to view the
    last page of a multi-page form.
  • Click the magnifying glass icon once to zoom in,
    for better readability, and then click again to
    zoom back out.
  • Click down arrow next to the magnifying glass
    icon to use the zoom options in a drop-down list
  • Whole page, Page width, two pages, Thumbnail,
    150, 100, 75, 50, or 25.

This form will contain the most recent labs that
have been collected since midnight. The form will
be printed with the date and time of printing.
You may scratch through/change the time if
needed. Be sure to initial any changes.
Return to Table of Contents
15
Patient Banner
  • The Patient Banner Contains the following
  • Patient Name
  • DOB
  • Sex
  • Admit Date
  • Facility
  • Unit/Room/Bed
  • BMI
  • CI
  • PT
  • MRN
  • Code Status
  • Isolation
  • Allergy Information
  • Attending MD

Click the Allergies label in the Patient Banner
to be redirected to the Allergies Module to view
the list of documented allergies for the
patient. The Allergy section of the Patient
Banner will display one of the options listed
below NKA - The patient's allergies have been
documented as NKA (No Known Allergies) in Net
Access and the Allergies have been reconciled.
Allergies Exist There are documented
allergies in Net Access and the allergies have
been reconciled for the patient. Not Documented
Allergy information has not been documented in
Net Access for the patient.
Return to Table of Contents
16
Alerts
Select the Alerts Module to display the following
patient Alerts Code Status, Isolation, Risk
Factors/Privacy, Quality Measures, and Patient
Indicators/Care Teams. The Alerts Module is
the default module displayed.
  • Active Alerts Tab contains active alerts for
    this visit.
  • Inactive Alerts Tab contains inactive alerts
    for this visit.
  • All Visits Tab contains active and inactive
    alerts for this visit and historical visits.

Return to Table of Contents
17
Allergies
Select the Allergies Module from the Module List
to view the list of documented allergies for this
visit and historical visits.
  • Active Corporate Allergies Tab contains the
    documented active allergies from all facilities.
  • Inactive Corporate Allergies Tab contains the
    inactive and deleted allergies from all
    facilities.
  • Audit Log-All Facilities Tab contains active,
    inactive and deleted allergies for this visit and
    historical visits from all facilities listed. See
    Display Details tab for included facilities.
  • Click a column Heading to SORT all the data into
    ascending or descending order for values in that
    columns cells.
  • Click the Reset Sort Order Button to return the
    data rows to the original sort order.

Return to Table of Contents
18
Care Providers
Select the Care Provider Module to display the
patients Care Provider information.
All information comes directly from Net Access.
  • Active Care Provider Tab contains the active
    care providers or this visit.
  • Inactive Care Providers Tab contains the
    inactive care providers for this visit.
  • All Visits Tab contains the active and
    inactive care providers for this visit and
    historical visits.
  • Click a column Heading to SORT all the data into
    ascending or descending order for values in that
    columns cells.
  • Click the Reset Sort Order Button to return the
    data rows to the original sort order.

Return to Table of Contents
19
Census History
The Census History Module displays census history
and patient status information.
  • Census History Tab displays the census
    history and patient status for this visit.
  • All Visits Tab displays the census history
    and patient status information for this visit and
    historical visits.
  • Click a column Heading to SORT all the data into
    ascending or descending order for values in that
    columns cells.
  • Click the Reset Sort Order Button to return the
    data rows to the original sort order.

Return to Table of Contents
20
Demographics/ Insurance
Select the Demographics Module to view
Demographics and Case Data information for the
patient for this visit. Note the additional tabs
for more detailed information on Employer Guarant
or Contacts Case Data Other

Keep in mind when accessing contact numbers, you
must refer to the patient chart to verify that
individuals are listed on the PHI sharing
document.
Select the Insurance Module to view insurance
information for the patient for this visit. Note
the tabs for more detailed information on
additional insurance.
Return to Table of Contents
21
Emergency Department Reports
  • The Physician Notes Tab contains the Physician
    ED notes for this visit and historical visits.
  • The Nurses Notes Tab contains the Nurses ED
    Notes for this visit and historical visits.
  • The All Tab returns all reports for the
    selected Date.
  • Select reports by date.
  • All Visits Select to return Reports Results for
    all the patient visits in Amalga
  • The Selected Visit Select to return Reports
    Results only for the visit you selected from the
    home window.
  • Keyword Text Search
  • To find an individual word or phrase within a
    single report, a report category or across all
    visits Type the word or phrase into the Search
    text box.
  • Click the right search arrow to search all text
    from the cursor position to the end of the view
    area or click the left search arrow to search all
    text from the cursor position to the beginning of
    the view area.
  • Click the down arrow to open a drop-down list box
    that you can use to qualify your search by
    clicking the options Match whole word only or
    Match case.

10
Return to Table of Contents
22
Labs
From the Info Window on a particular patient,
select the Labs Module to view General Lab
Results. Scroll down and up and side to side to
view more results. During a Net Access downtime,
as long as the Lab system is not down as well,
lab results will still be available in Amalga.
  • Select the Hematology Tab to view Hematology
    Results. Select Chemistry Tab (etc.) to view
    other category results. Results are displayed as
    they currently are in Net Access.
  • Detailed Lab Report Click a Lab Result Cell to
    display the Detailed Lab Report window.
  • View Results From View all visits or select the
    date or time ranges from the drop-down box.

Results Legend
Return to Table of Contents
23
Labs
Hover Box Place the mouse pointer over a result
cell (do not click) to display result and order
information.
  • Trend Button
  • Select the Check box beside the lab you want to
    trend.
  • Click the Trend Button to trend results over
    time.
  • Graph Button
  • Select the Check box beside the lab you want to
    graph.
  • Click the Graph button to graph results over
    time.
  • All labs checked will be plotted on the same
    graph. You may uncheck the lab to remove that
    lab from the graph.

Return to Table of Contents
24
Microbiology
From the Info Window on a particular patient,
select the Microbiology Module to view
Microbiology Results. Scroll down and up and
side to side to view more results. During a Net
Access downtime, as long as the Lab system is not
down as well, microbiology results will still be
available in Amalga.
1. Select the MICROBIOLOGY Tab in the Labs Module
to view Microbiology Results.
2. Hover Box Place the mouse pointer over a
result cell (do not click) to display result and
order information.
3. Detailed Lab Report Click a Lab Result Cell
or select the check box to display the Detailed
Lab Report window. 4. Important Ellipses ()
indicate there is more information to see. There
may be multiple micro results found in one
culture result
Return to Table of Contents
25
MAR
  • To view the
  • Medication Administration Record, select the MAR
    Module on the patients Info screen.
  • Medication administration information can be
    customized by the following time intervals
  • 24 Hour
  • 3 Day
  • 7 Day
  • 10 Day
  • and by the following categories
  • Alpha (alphabetical listing)
  • Route
  • Scheduled/PRN
  • Therapeutic Categories 1, 2 and 3
  • 3 Days, Scheduled/PRN is the default MAR view.
  • Click the Previous and Next Buttons to scroll
    through the Date Ranges.

8
10
Return to Table of Contents
26
Orders
The Orders Module contains Active and Inactive
Orders for the selected visit.
  • Orders Displayed
  • Nursing Orders - Code Status and Isolation only.
  • Lab Orders
  • Radiology Orders
  • Pharmacy Orders
  • All (Displays all of the above order types in one
    Tab)

Important Note Orders that are discontinued or
cancelled will roll to the Inactive Tab
immediately. Orders with an End Date/Time
populated at order entry will roll to the
Inactive Tab 24 hrs after the End Date/Time has
passed.
  • The Active Tabs contain the active orders for the
    order category for the visit.
  • The Inactive Tabs contain the inactive/discontinue
    d orders for the order category, for the visit.
  • Click a column Heading to SORT all the data into
    ascending or descending order for values in that
    columns cells.
  • Click the Reset Sort Order Button to return the
    data rows to the original sort order.

Return to Table of Contents
27
Pathology
The Pathology Module displays the Pathology
Results Reports for this visit and historical
visits.
  • Pathology Reports are categorized by Report Type.
  • Select reports by date.
  • All Visits Select to return Reports Results for
    all the patient visits in Amalga
  • Selected Visit Select to return Reports Results
    only for the visit you selected from the home
    window
  • Keyword Text Search
  • To find an individual word or phrase within a
    single report, a report category or across all
    visits Type the word or phrase into the Search
    text box.
  • Click the right search arrow to search all text
    from the cursor position to the end of the view
    area or click the left search arrow to search all
    text from the cursor position to the beginning of
    the view area.
  • Click the down arrow to open a drop-down list box
    that you can use to qualify your search by
    clicking the options Match whole word only or
    Match case.
  • Click the Magnifying Glass icon to Zoom In.
    Click the Magnifying Glass icon to Zoom Out.

Return to Table of Contents
28
Radiology Reports
The Radiology Reports Module displays the
Radiology Results Reports for this visit and
historical visits, including a link to the
McKesson Image Viewer.
  • Radiology Reports are categorized by Report Type.
  • Select reports by date.
  • All Visits Select to return Reports Results for
    all the patient visits in Amalga.
  • Selected Visit Select to return Reports Results
    only for the visit you selected from the home
    window.
  • Click the link Click here to view this study to
    open the McKesson Image Viewer.
  • Keyword Text Search
  • To find an individual word or phrase within a
    single report, a report category or across all
    visits Type the word or phrase into the Search
    text box.
  • Click the right search arrow to search all text
    from the cursor position to the end of the view
    area or click the left search arrow to search all
    text from the cursor position to the beginning of
    the view area.
  • At times the radiology image may be available in
    Amalga prior to the report.
  • When this occurs, the Last Dt Tm columns on the
    Grid will not update until the report is
    available.
  • When this occurs, the header will display the
    Received Date/Time. Once the report is sent
    and available, the header will display the
    Performed Date/Time

Return to Table of Contents
29
Transcription
The Transcriptions Module displays Transcription
Report Results for this visit and historical
visits.
  • Transcription Reports are categorized by Report
    Type.
  • Select reports by date.
  • All Visits Select to return Reports Results for
    all the patient visits in Amalga.
  • Selected Visit Select to return Reports Results
    only for the visit you selected from the home
    window.
  • Keyword Text Search
  • To find an individual word or phrase within a
    single report, a report category or across all
    visits Type the word or phrase into the Search
    text box.
  • Click the right search arrow to search all text
    from the cursor position to the end of the view
    area or click the left search arrow to search all
    text from the cursor position to the beginning of
    the view area.
  • Click the down arrow to open a drop-down list box
    that you can use to qualify your search by
    clicking the options Match whole word only or
    Match case.
  • Click the Magnifying Glass icon to Zoom In.
    Click the Magnifying Glass icon to Zoom Out.

XCELERA or MUSE reports (i.e. EKG and
Cardiovascular Set Tab) are not available at
this time.
Return to Table of Contents
30
Intake / Output
  • Enter the Intake and Output Module
  • Once in the patient information screen, click on
    Intake Output in the Clinical
    Modules list.
  • Navigating the Intake and Output Module
  • 2. The Hourly Radio Buttons allow you to narrow
    results for Intake and Output for the last 24,
    12, 8, 4, 2, or 1 hour(s). The hour range is
    based on the date/time in the To box of the
    date range. You can change the date/time in the
    To box (see step 5). Note the default date
    and time is the time you opened the module.
  • 3. Click the Previous or Next button to
    scroll through the hour range you have chosen.

4. The Save Settings button allows you to
view results according to the radio button you
have chosen each time you open Amalga. Save
Settings does not apply to the date range.
5. You may Specify Date Range, along with the
exact time, by clicking the calendar icons in the
date/time boxes. Single click on the single
arrow gt or lt to move forward or backward one
month at a time. The double arrows gtgt and ltlt
will move you by year. Double-clicking on the
date, hour, or minute will close the calendar
window with the changes you made.
  • 6. Once you have set the parameters of the
    date/times you want, click Apply Date Range. The
    cumulative total for the time range will show
    below.
  • 7. The number of milliliters for each category
    in intake and output is in the IO grid with the
    fluid balance in milliliters at the bottom. This
    fluid balance will appear in a blue box if it is
    positive (intake is more than output). If there
    is a negative balance, the box is red with a
    minus sign in front of the number.

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31
8. Hover over each category to see the detailed
date(s), time(s), and amount(s) behind the totals
on the IO grid.
9. To graph any intake or output category, click
the box next to the item(s) you wish to graph.
The graph will appear at the bottom of the
window. You can hover over a point on a line to
get the date, time, and value. Note if you
have two items at the same time for the same
amount, only one will appear.
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32
Vital Signs
  • Enter the Vital Signs Module
  • Once in the patient information screen, click on
    Vital Signs in the Clinical Modules list.
  • Navigating the Vital Signs Module
  • 2. The default view is results since admission.
    The Hourly Radio Buttons allow you to narrow
    results to the last 24, 12, 8, 4, 2, or 1 hour(s)
    once you Apply Date Range (see Step 6). The hour
    range is based on the date/time in the To box
    of the date range. You can change the date / time
    in the To box (see step 5).

3. The Save Settings button will allow you to
view results according to the radio button you
have chosen each time you open Amalga. Save
Settings does not apply to the date range. 4.
You may want to click the Previous or Next
button to scroll through the hour range you have
chosen.
  • You may Specify Date Range, along with the exact
    time, by clicking the calendar icons in the
    date/time boxes. Single-click on the single
    arrow gt or lt to move backward or forward one
    month at a time. The double arrows gtgt and ltlt
    will move you by year. Single-click on the date,
    hour, and minute you chose. Double-clicking on
    the date, hour, or minute will close the calendar
    window with the changes you made.
  • Once you have set the parameters of the
    date/times you want, click Apply Date Range. The
    results for the time range will appear.

Note the default date and time in the To box
is the time you opened the module.
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33
7. Hover over each category to see the normal
range for each vital sign. Also, note the H or
L highlighted in red beside abnormal values.
8. To graph any vital sign category over the
time range chosen, click the box below the
item(s) you wish to graph. The graph will appear
at the bottom of the window where you can hover
over a point on a line to get the date, time, and
value.
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