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Cowichan District Hospital

Electronic Clinical Documentation (ClinDoc) to "go-live" at CDH September 2022

Electronic clinical documentation (ClinDoc) is part of a gradual change from paper charting toward full activation of the electronic health record (EHR) system at Cowichan District Hospital.
 

For medical, nursing and clinical staff, ClinDoc includes documentation such as : 

  • admission
  • transfers
  • consultation
  • progress notes
  • violent behaviour assessments
  • discharge assessments
  • informal team communication

Education and Training

Here is a preview of the training that clinical staff at Cowichan District Hospital will take prior to the September 27 go-live date.  In order to retain the information learned, Clinical Informatics has recommended that staff take the training from the week of August 15 through to the readiness assessment date in mid-September.

Starting the week of August 15, the links in the lists below will be live, and will take learners to the PHSA LearningHub website. 

Electronic Clinical Documentation Curriculum – Nurses
Nurses will select the Emergency Services stream
Approximate time needed: 7 hours

  • Module 1: Introduction
  • Module 2: FirstNet
  • Best Possible Medication History
  • Module 3: PowerForms, IView and I&O, ED Documentation, PEWS
  • Module 4: Electronic Orders, Blood Products & Derivatives, Risk of Violent Behaviour
  • Module 5: Team Communication, ED Discharges, Patient Record, Downtime, Live FirstNet

Electronic Clinical Documentation Curriculum – Nurses
Nurses will select the Adult ICU/Critical Care Stream
Approximate time needed: 7 hours

  • Module 1: Introduction
  • Module 2: Patient list, CareCompass, Patient Chart, Controls
  • Best Possible Medication History
  • Module 3: PowerForms, IView and I&O, Critical Care Documentation
  • Module 4: Electronic Orders, Blood Products & Derivatives, Risk of Violent Behaviour
  • Module 5: Team Communication, Discharge Planning, Patient Record, Downtime, Live PowerChart

Electronic Clinical Documentation Curriculum – Nurses
Nurses will select the Operating Room Stream
Approximate time needed: 4 hours

  • Module 1: Introduction
  • Module 2: Patient Chart, Controls
  • Best Possible Medication History
  • Module 3: PowerForms
  • Module 4: Electronic Orders, Risk of Violent Behaviour
  • Module 5: Downtime, Live PowerChart

Electronic Clinical Documentation Curriculum – Nurses
Nurses will select the Post Anaesthetic Care Unit stream for the PACU and the Adult Day Surgery stream for the ACU
Approximate time needed: 5.5 hours

  • Module 1: Introduction
  • Module 2: Patient List, Patient Chart, Controls
  • Best Possible Medication History
  • Module 3: PowerForms, IView and I&O, Post Anaesthetic Documentation, Discharge Home Post Anaesthesia
  • Module 4: Electronic Orders, Blood Products & Derivatives, Risk of Violent Behaviour
  • Module 5: , Downtime Documentation, Live PowerChart

Electronic Clinical Documentation Curriculum – Nurses
Nurses will select the Pediatric stream
Approximate time needed: 7 hours

  • Module 1: Introduction
  • Module 2: Patient list, CareCompass, Patient Chart, Controls
  • Best Possible Medication History
  • Module 3: PowerForms, IView and I&O, PEWS, Safety and Attendance
  • Module 4: Electronic Orders, Blood Products & Derivatives, Risk of Violent Behaviour
  • Module 5: Team Communication, Discharge Planning, Discharge Home Postoperative, Patient Record, Downtime, Live PowerChart

Electronic Clinical Documentation Curriculum – Nurses
Nurses will select the Maternity-Perinatal stream
Approximate time needed: 7 hours

  • Module 1: Introduction
  • Module 2: Patient list, CareCompass, Perinatal Tracking Shell, Patient Chart, Controls
  • Best Possible Medication History
  • Module 3: PowerForms, IView and I&O, Perinatal Documentation
  • Module 4: Electronic Orders, Blood Products & Derivatives, Risk of Violent Behaviour
  • Module 5: Perinatal Patient Discharge,  Patient Record, Perinatal Registration & Discharge, Downtime, Live PowerChart

Electronic Clinical Documentation Curriculum – Nurses
Nurses will select the Medical Surgical/RADH stream
Approximate time needed: 7 hours

  • Module 1: Introduction
  • Module 2: Patient list, CareCompass,  Patient Chart, Controls
  • Best Possible Medication History
  • Module 3: PowerForms, IView and I&O
  • Module 4: Electronic Orders, Blood Products & Derivatives, Risk of Violent Behaviour
  • Module 5: Team Communication, Discharge Planning, Patient Record, Downtime, Live PowerChart

 

Electronic Clinical Documentation Curriculum – Nurses
Nurses will select the Medical Surgical/RADH stream
Approximate time needed: 7 hours

  • Module 1: Introduction
  • Module 2: Patient list, CareCompass,  Patient Chart, Controls
  • Best Possible Medication History
  • Module 3: PowerForms, IView and I&O
  • Module 4: Electronic Orders, Blood Products & Derivatives, Risk of Violent Behaviour
  • Module 5: Team Communication, Discharge Planning, Patient Record, Downtime, Live PowerChart

Electronic Clinical Documentation Curriculum – Nurses
Nurses will select the Medical Surgical/RADH stream
Approximate time needed: 7 hours

  • Module 1: Introduction
  • Module 2: Patient list, CareCompass,  Patient Chart, Controls
  • Best Possible Medication History
  • Module 3: PowerForms, IView and I&O
  • Module 4: Electronic Orders, Blood Products & Derivatives, Risk of Violent Behaviour
  • Module 5: Team Communication, Discharge Planning, Patient Record, Downtime, Live PowerChart

Electronic Clinical Documentation Curriculum – Nurses
Nurses will select the Medical Surgical/RADH stream
Approximate time needed: 7 hours

  • Module 1: Introduction
  • Module 2: Patient list, CareCompass,  Patient Chart, Controls
  • Best Possible Medication History
  • Module 3: PowerForms, IView and I&O
  • Module 4: Electronic Orders, Blood Products & Derivatives, Risk of Violent Behaviour
  • Module 5: Team Communication, Discharge Planning, Patient Record, Downtime, Live PowerChart

Electronic Clinical Documentation Curriculum – Nurses
Nurses will select the MHSU Adult stream
Approximate time needed: 6.25 hours

  • Module 1: Introduction
  • Module 2: Patient list, CareCompass,  Patient Chart, Controls
  • Best Possible Medication History
  • Module 3: PowerForms, IView and I&O, Safety and Attendance
  • Module 4: Electronic Orders, Risk of Violent Behaviour
  • Module 5: Team Communication, Discharge Planning, Patient Record, Downtime, Live PowerChart

Electronic Clinical Documentation Curriculum – Allied Health
Rehab staff  (PT/OT) will select the PT or OT streams in the course.
Approximate time needed: 4 hours

  • Module 1: Introduction
  • Module 2: Patient List, Patient Chart, Controls
  • Module 3: PowerForms, Rehab Summary Pages, Dynamic Documents, IView and I&O
  • Module 4: Risk of Violent Behaviour, Discharge Planning, Downtime Documentation, Live PowerChart

Electronic Clinical Documentation Curriculum – Allied Health
Respiratory therapists will select the Respiratory Therapist streams in the course.
Approximate time needed: 4 hours

  • Module 1: Introduction
  • Module 2: Patient List, Patient Chart, Controls
  • Module 3: PowerForms, Respiratory Therapy Summary Pages, Dynamic Documents, IView and I&O, Message Centre
  • Module 4: Risk of Violent Behaviour, Discharge Planning, Downtime Documentation, Live PowerChart

Electronic Clinical Documentation Curriculum – Allied Health
Social workers will select the Social Work streams in the course.
Approximate time needed: 4 hours

  • Module 1: Introduction
  • Module 2: Patient List, Tracking Shells for Specialty Areas, Patient Chart, Controls
  • Module 3: PowerForms, Social Work Summary Pages, Dynamic Documents, Message Centre
  • Module 4: Risk of Violent Behaviour, Discharge Planning, Downtime Documentation, Live PowerChart

Electronic Clinical Documentation Curriculum – Allied Health
Pharmacists will select the Pharmacy streams in the course.
Approximate time needed: 4 hours

  • Module 1: Introduction
  • Module 2: Patient List, Clinical Care Worksheet, Patient Chart, Controls
  • Module 3: PowerForms, Pharmacy Provider View Summary Pages, Clinical Notes, Message Centre
  • Module 4: Risk of Violent Behaviour, Discharge Planning, Downtime Documentation, Live PowerChart

Electronic Clinical Documentation Curriculum – Allied Health
Dietitian will select the Dietitian stream in the course.
Approximate time needed: 4 hours

  • Module 1: Introduction
  • Module 2: Patient List, Patient Chart, Controls
  • Module 3: PowerForms, Dietitian Summary Page, Clinical Notes, IView and I&O, Message Centre
  • Module 4: Risk of Violent Behaviour, Discharge Planning, Downtime Documentation, Live PowerChart

Electronic Clinical Documentation Curriculum – Allied Health
Speech language pathologists will select the Speech Language Pathologist stream in the course.
Approximate time needed: 4 hours

  • Module 1: Introduction
  • Module 2: Patient List, Patient Chart, Controls
  • Module 3: PowerForms, Rehab Summary Pages, Dynamic Documents
  • Module 4: Risk of Violent Behaviour, Discharge Planning, Downtime Documentation, Live PowerChart

Electronic Clinical Documentation Curriculum – Allied Health
Spiritual Health Practitioners will select the Spiritual Health Practitioner stream in the course.
Approximate time needed: 2.25 hours

  • Module 1: Introduction
  • Module 2: Patient List, Patient Chart
  • Module 3: PowerForms
  • Module 4: Risk of Violent Behaviour, Downtime Documentation, Live PowerChart

Electronic Clinical Documentation Curriculum – Nursing Unit Assistants 
NUAs will select the NUA stream in the curriculum.  
Approximate time needed: 2.5 hours

  • Module 1: Introduction
  • Module 2: Patient List, CareCompass, Patient Chart
  • Module 3: IView and I&O, Risk of Violent Behaviour
  • Module 4: Printing from EHR, Discharge, Downtime Documentation, Live PowerChart

Electronic Clinical Documentation Curriculum – Health Care Assistants 
HCAs will select the HCA stream in the curriculum.  
Approximate time needed: 2.5 hours

  • Module 1: Introduction
  • Module 2: MyExperience, Patient List, CareCompass, Patient Chart
  • Module 3: IView and I&O, PowerForms, Risk of Violent Behaviour
  • Module 4: Documenting Patient Location and Activity,  Downtime Documentation, Live PowerChart

Electronic Clinical Documentation Curriculum – Rehab Assistants 
Rehab Assistants will select the Rehab Assistant stream in the curriculum.  
Approximate time needed: 2.5 hours

  • Module 1: Introduction
  • Module 2: Patient List, Patient Chart
  • Module 3: IView and I&O, PowerForms, Risk of Violent Behaviour
  • Module 4: Downtime Documentation, Live PowerChart