Surgical Case Data - Overview

Submitted by 20026217 on Wed, 12/09/2018 - 11:01

Surgical Case Data is the nursing documentation of all phases of patient care within Operating Theatres and Satellite areas.

 

Toolbar

  • The toolbar has a number of shortcut options such as Add Segment and Finalise.
    ToolBar

Record Location List

  • Drop down menu to select the record location.
    Record Type

     

Perioperative Documentation Tabs

  • Tabs between Documentation and Pick List

    Documentation/PickList

     

    • Documentation – the Intra-Op Record

    • Pick List – the list of equipment and prosthesis’s used throughout the procedure

Documentation Segments

  • Built as data-entry forms for ease of charting.

  • Mandatory segments are indicated by a red exclamation mark.

  • Unopened segments are indicated in bold.

  • Completed segments are indicated by a green tick.

    Segments

Page Numbers

  • Indicates the number of pages in the selected segment.

Documenting Surgical Case Data

  • When the documentation tab is selected, segments can be documented via a pre-defined logical working sequence.  Or each segment can be selected individually as required.

    Segment Pages

Application