Using Cerner PowerChart at Stroger Hospital

1
Using Cerner PowerChart at Stroger Hospital

• Student Guide

2
To create a patient list-Open PowerChart Click on
List Management Tool
3
List Management Dialog Box Click on New
4
Choose Type of List You Want
Use Custom
5
Highlight the Relationship, then Click Next
6
Click on the Exact Relationship Next again
7
After New List is Created, it must be
Activated. Highlight the List, then Click on Arrow
8
Two Options to Add Patients Icon, or
Patient List Menu List Menu has Other Options
9
Select Add Patient
10
Patient Search Dialog Box Enter Info and New
Patient Can Be Added
11
Columns of List can be Customized
12
Select Items and Move from Left to Right
Using Arrow
13
Order entry tab and icon
14
Search screen
15
Alert/ Pop-up
16
Order details
All entries in bold are required
17
Order for signature
Will prompt you to enter name of physician who
will cosign your orders
18
Admission to bed orderEnter location,
team,physicians
19
Use binoculars to search MDs
20
Full order
21
Updated Kardex Names, pagers
22
Examine allergies these are freetext
23
Click on allergy Note no drug interaction
checking
24
Change allergy entry
Right click to enter new
25
Add new allergy
26
Use common drug list
27
Warning re pre-existing entries
28
Revised allergies
29
Note allergy is new result
30
Entering medication orders

• Inpatient pharmacy only
• Order goes directly to PharmNet
• Order goes directly to patient activity list
  (nursing)
• No manual order transcription
• Verification by pharmacist on-line
• Order goes automatically to Pyxis after
  verification
• Order goes to E MAR after verification

31
Check allergies, they must be entered first
32
Search for drug
33
Extra screen pick medication
34
Order sentences choose dose, interval
35
Allergy warning screens (Multum)
36
Order details are prefilled
37
E MAR tab and view
Next doses
Meds given
38
To Change Med dose-Right click on chosen order
39
Change dose as needed
40
New order comes up old one cancelled sign order
41
New order shows on med profile
42
IV Fluids

• Search fluid by generic name
• Enter desired rate, other values fill
  automatically
• Changing rates require Cancel/reorder
• IVs expire daily and must be reordered
• Giving IV bolus is tricky

43
Search saline under sodium
44
Enter order details
45
Values fill automatically
46
Final order for signature
47
To enter Problems-Click on Patient information
then Problem List
48
Problem list screen
Right click in this area
49
Choose problem from ICD list
Search problems or use favorites
50
Choose problem, select
51
Revised problem list
52
Updated Kardex Problems
53
Entering Documents
From Clinical Document tab, right click in
blank area, then choose Add Document
54
Entering Documents
Choose Document type this determines where
your note ends up! M3s Use HP-Template
Medicine Student Admission Note M4s Use
HP-Template Medicine Intern Admission Note
55
Inpatient DocumentationEx Intern HP