Performing Electronic Pathology Requesting using EMIS LV Practice System. To request a Test when in EMIS LV Consultation Mode (CM)

Transcription

1 Performing Electronic Pathology Requesting using EMIS LV Practice System The following standard operational procedure details the use of the electronic pathology requesting system used by the Pathology Department at St. Richard s Hospital, Chichester. The system allows users of the EMIS LV system to produce electronic pathology requests and to print hard copy request forms whilst within the EMIS practice system. Once requested a hard copy request form can be printed at the time of the consultation or at any time in the future when a sample is taken for pathological investigation. The components of the request are simultaneously sent across the Internet to a server situated at St. Richard s Hospital where the information provided is stored pending the arrival of the request at the laboratory. On receipt at the laboratory the request details are taken in to the main laboratory computer system and the samples processed as normal. To request a Test when in EMIS LV Consultation Mode (CM) Select X Select Y Selecting Y launches the Explorer 6 Web Browser automatically and takes you to the pages on the pathology server to request tests. Page 1 of 12

2 Selecting the Tests you wish to perform. The following graphics depict the pages you will view when you log on to the pathology testrequesting server. Most frequently requested tests are displayed on the default front pages. These are arranged either as Profiles, which are groups of investigations that are requested by clicking the box beside the profile or as the most frequently requested Haematology and Chemistry investigations that can be selected from the Main test page. Profiles Search Continue with Request Department If you cannot find the test you are looking for use the Search Facility. The remaining tests/investigations can be accessed either using the Search facility or by discipline if you know which department the test is performed by. Each department is shown across the top of the page and can be selected by simply left mouse clicking on the department folder. Having selected the required test(s) left mouse click on the green continue with request button. Using the Search Facility. Test Name All Tests Search Page 2 of 12

3 Select the required test and proceed using the continue with request button. Type in the name or part of the name of the investigation you wish to select in the test name box. Click on the all tests box below the test name field and then press the search button. When you are have selected the required tests click the green Continue with Request Box. Completing a Request Page 3 of 12

4 Having selected the continue with request button the following screen will then appear. Bleep/contact No Requesting GP Copy to Clinical Details Urgent Category If you require the result to be phoned as it is an urgent request enter the contact number in the Bleep/contact No. field The requesting clinician will default to the person making the request on the EMIS system. It is to this person the result will be sent. If you are a Practice Nurse or requesting on behalf of a GP you MUST change the identity to the responsible GP. The laboratory will not report to anybody other than a registered GP. If you require a copy to go to a hospital clinician select the consultant from the pick list using the copy results to field. Enter the clinical details in to the clinical details box. This information is mandatory for each discipline a request has been made for. To make this less onerous it is possible to copy and paste from one box to another (a request has been with the provider to change this area of the system). If the request is urgent select the urgent flag from the priority pick list. If the request is Private or Category 2 select this from the category pick list. Page 4 of 12

5 Selecting the time a sample will be taken and printing request forms. You have the option to print the request form and take a sample now or defer both until later, possibly for a phlebotomist or nurse to bleed the patient. To take the sample now. Select Collect Now if the Patient is to have a sample taken at that time or you want to give a request form to the patient to take away and produce a sample. The system will pick up the current date and time for the request. Collect Now Collect Later Infection Risk Accept Request Taking a sample later Use I want to fill out specimen details later if you wish to defer when the Patient will actually have the sample taken or will return with the specimen. This will not print out a request form at the time you make this request, although this can be printed off later through EMIS and ensures the correct time and date are entered. This is the preferred option for GP s who use a phlebotomy service. Infection Risk If the patient is an infective risk please click in the Danger of Infection box. Complete Request Page 5 of 12

6 Complete the request by pressing the Accept Request button. Printing the Request Form Once the accept request button is clicked the system will prepare the hard copy request form. This will be seen on the screen. Wait for the Printer Box to appear as per the Instructions in Red (top left-hand corner of the screen) Page 6 of 12

7 A printer pop box will appear with the default set to the printer in your room or that selected as the default for your PC. To print the request form click Print Once the form has printed click the Orange Proceed button followed by the EMIS OK button which will then appear. This records the request automatically into the EMIS Patients Record and returns the user back into EMIS Page 7 of 12

8 If more than one request form is to be printed, e.g. one for Chemistry one for Haematology, a second print box will appear. Once the system returns to EMIS the test(s) requested now shows up within the EMIS record Page 8 of 12

9 Taking sample Later Log into EMIS and select the correct patient and go into (using EMIS Quick keys): MR N Investigations R Request S Sample now Samples that need to be taken are filed under Requests Highlight an outstanding request and click S. Sample now (These tests filed under complete have been taken and are completed) Page 9 of 12

10 By entering S the web browser is launched to the pathology server and the request completion summary screen below is seen. The screen allows test and patient details to be reviewed. To print the request form click the Accept Request button then follow the printing instructions listed under Print the Request Form previously. The screen will then return to EMIS and the status of the request will have moved to sampled, then to complete. Once the request form has printed, check the patient details and the sample details to ensure the correct number and type of blood tube are taken (if appropriate). Label and place the blood tubes in the coloured specimen bags according to discipline (green = Clinical Chemistry, pink = Haematology and Blood Transfusion, blue = Histopathology, clear = Microbiology). Seal the bag using the adhesive strip and attach to the reverse side of the relevant request form. If for any reason the sample is taken at a different time to that shown on the printed request form, please manually amend the fields to the correct date and time before submitting to the laboratory. Page 10 of 12

11 To add further tests once a request has been made Log into EMIS and select the correct patient and go into (using EMIS Quick keys): MR N R U Investigations Request Update Order Samples that need to be taken are filed under Requests Highlight an outstanding request and click U Update order The web browser is launched to the pathology server and you will see the first screen where additional tests can be requested. Page 11 of 12

12 Complete the screen by using the continue with request button as before which will take you through to the subsequent sample collection screen Logging in to the system for the first time When first logging in to the system you will be prompted for a log on ID/Password. This ID is the National G prefix GP code if a GP Practitioner or the local code given to you by the laboratory. If you are a new user, please ensure the laboratory has been provided with your details and that the Practice Manager has been provided with a log on ID for you. Providing the Laboratory with Information It is essential that the laboratory be kept up to date with changes in Practice staff. Please can you the laboratory with names, titles, job titles and where applicable, GP National codes for all new staff. sally.hickman@wsht.nhs.uk Or stuart.burnett@wsht.nhs.uk Test Profiles If you would like new profiles added to the system that you frequently use, please submit the request to the laboratory detailing the investigations that are components of the profile. These will be agreed with the consultant staff and created on the system for you. Page 12 of 12