rounding & charting

Forgot a patient's name and they're not on a team list? At the top banner, select Patient Lookup > Recent Patients

Method 1 - Patient Lists screen > select Write Handoff

Method 2 - enter a patient's chart > select Handoff in the top right corner

Dovetale’s search function is very useful.
However, the below items are harder to find:

In CHART REVIEW

• Scheduled SJHH clinic appointments (e.g. IMRAC, Firestone): Encounters > uncheck Hide Add’l Visits

• Notes from previous visits/admissions: Notes
  * You can filter by note type (consults, DC sum) or by author/specialty

• Scanned papers & photos: PDM
  * This tab includes: wound photos, telemetry strips, ambulance call reports, scanned clinic notes (e.g. ophthalmology or surgery clinics), faxed CCAC forms, referral letters
  * Dovetale will not search the text inside scanned documents found here

• EEG, EMG: Procedures

In SUMMARY

• Transfusion products (blood, IVIG): Blood Transfusion

• Details of IVs/PICC, catheters and other drains: Lines, Drains, Airways

In FLOWSHEETS

• CIWA scores by nursing: CIWA-AR Score

• Behavioural charting: Responsive Behaviour

In ClinicalConnect

• Medications (inpatient, and outpatient if on ODB): Pharmacy

• Echos: Cardiology

• ECGs: Health Records

• Vitals: Summary > Vitals Graph

• Labs: Results Review > RIGHT click a lab name (e.g. sodium) on the very left column > Show Selection in Flowsheet

SmartPhrases are used to enter pre-defined text, which can include patient-specific variables (vitals, results, meds, I/O, demographic info, etc).

In the note writer, type . (period) and begin typing a keyword to search a SmartPhrase.

Useful Smartphrases

Results

.risrslt - recently dictated reports from SJHH (imaging, ECG, echo, PFTs)

.resultrcnt - last labs in a specified timeframe (e.g. type ‘24h’ in the pop-up for results in last 24h)

Admission Note

.name/.age/.sex - patient identifiers

.pmh - PMHx in table form

.pmhp - PMHx in prose form

.psh - surgical Hx

.medscondensed - home meds

.allergy - allergies

.tobhx/.alchx - tobacco/alcohol Hx

Progress Note

.holos - length of stay in days

.prob - problem list in a table

.vitalsall - last set of vitals (includes SpO2 but NOT FiO2/oxygen)

.vitalsm - last 4 sets of vitals

.medsscheduled - list of current inpatient meds

Discharge Note

.avsmedslist - *HIGHLY recommended* - table of discharge meds separated by new/stopped/modified/continued (complete discharge orders first)

.admitdt - date of admission

.attprov - current attending physician

.pcp - family physician

Make a new note > RIGHT click inside the white space > SmartPhrases > Create New SmartPhrase, OR highlight existing text and select Create SmartPhrase from Selected Text

• The name of the SmartPhrase will also be its keyword for use - e.g. if the name of your admission note template is 'ADMIT', type .ADMIT in the NoteWriter to use it

• You can include other SmartPhrases in your custom SmartPhrase, by surrounding the SmartPhrase keyword with @ (for example, @ALLERGY@ instead of .allergy).

Use Windows’ Snipping Tool (Windows logo key + Shift + S) to make a screenshot, and simply paste into your note

View the note > select Route

• Remember to route your admission/discharge note to the patient’s GP and relevant specialists

• In the Routing pop-up, search the name of the recipient in the search bar. Click 1 PCP to add the patient’s family doctor. Click 4 Free Text to send to a custom fax number.

• If the recipient is a Dovetale user, this will send the note to their Dovetale inbox.

• If the recipient is outside SJHH (such as their family doctor), this will send a fax electronically.