Ward

Ward

The service of the patient's stay in the ward is carried out after selecting the "Ward" functionality from the "Hospital" menu. After selecting this functionality, the search for patient stays in the wards is displayed. In the search engine, all wards where the logged-in staff works are available for selection. First select the ward and press the "Search" button. The list of rooms on the given ward is then displayed under the search engine. The search engine also has the following navigation buttons:

  • <<< - allows to view stays on a given ward on a month earlier than the current presented day
  • << - allows to view stays on a given ward on a week earlier than the current presented day
  • < - allows to view stays on a given ward on a day earlier than the current presented day
  • "Change date" - allows one to view any day, which should be indicated in the date field before pressing the "Change date" button
  • “Today” - alows one to view today's day
  • > - allows to view stays on a given ward on a day later than the current presented day
  • >> - allows to view stays on a given ward on a week later than the current presented day
  • >>> - allows to view stays on a given ward on a month later than the current presented day

Clicking on any of the above buttons changes the stays on a given ward for the appropriate day for which the button leads.

After clicking on the bar with the name of the room, a list of all the beds in the given room and all the events of the stay of the patients on the beds of the given room on the given day is displayed. If a given bed was occupied on a given day by more than one patient (eg by noon, patient X, who was discharged from the hospital at noon, and in the afternoon, patient Y admitted to the same bed), then the bed is displayed as many times how many events of the stay of a given day took place on it.

The button with the patient's name can be displayed in one of two colors: in red if the patient does not have insurance and / or did not complete all the required documents and / or did not pay (in the case of payments before the stay) or in green if all the formalities have been completed. Clicking the button with the patient's name in a situation when it is displayed in red causes displaying a message informing about the formalities necessary to complete. Clicking the button with the patient's name in a situation where it is displayed in green opens the window of the stay event, the substantive content and functioning are identical as described in the chapter "Doctor / nurse surgery", except that only the attending physician has the opportunity to finish it (attending physician is the only person to see the end of stay button and this button is visible only at the last of the series of events forming a hospital stay and its clicking closes all the stay events at the same time), the "Visit" tab has a label changed to "Stay" and the "End visit" button has a label changed to "End stay".

The following buttons can be displayed for each patient:

  • if the button with the patient's name is displayed in red
    • "Patient card" - a button displayed in the situation when the logged in user has the right to manage patient data; by clicking on it, a patient card opens in a new window with the "Payments" tab open by default; in the patient card you can complete all the formalities necessary to begin the patient's stay at the ward
  • if the button with the patient's name is displayed in green
    • "Patient card" - a button displayed in the situation when the logged in user has the right to manage patient data; by clicking on it, a patient card opens in a new window with the "Payments" tab open by default
    • "Drugs service" - a button that opens a new window with a preview of the history of drugs servicing to the patient; if the logged-in user has the right to serve drugs, then in this window there is also an option to record the fact of serving drugs
    • "Commercial services" - a button displayed only for commercial stays opening a new window with a view of the list of commercial services provided during the stay; if the logged-in user has the right to manage services, then in this window there is an option to indicate which services have been performed for the patient
    • "Extend stay for the next day" - a button enabling to extend stay in the hospital for the next day; the button is visible at the last of the series of events forming the stay only for users with permissions to extend stays and only if the stay has not been completed and no transfer / discharge disposals have been issued
    • "Transfer patient" - a button that allows the patient to be transferred to another ward or within the ward where the patient is staying (change of bed / room / doctor); the button is visible only to users with permissions to transfer patients and only at the last of the series of events forming the stay only if the stay has not been completed
    • "Discharge patient" - a button enabling to discharge a patient from a hospital; the button is visible only to users with permissions to make discharges and only at the last of the series of events forming the stay only if discharge is not made yet
    • "Print discharge" - a button enabling to print patient discharge from the hospital; the button is visible only to users with permissions to make discharges and only at the last of the series of events that form the stay only if discharge is already made
    • "Treatment history" - a button enabling previewing and downloading (in the form of a PDF file) and also printing a full history of patient treatment during hospital stay; the button is visible only to users who have access to the history of treatment
    • "←" - a button enabling quick transition to the previous hospital stay event; the button is active and is green only if there is a stay event preceding the given event and it is in the ward to which the logged-in user has access, otherwise the button is inactive and is gray
    • "→" - a button enabling quick transition to the next hospital stay event; the button is active and is green only if there is a stay event following the event and it is in the ward to which the logged-in user has access, otherwise the button is inactive and is gray

If the button with the patient's name is displayed in red, the formalities in patient's card should be completed in order to be able to start patient service in the ward - after completing the formalities and closing the patient card, the button will turn green. One of such formalities may be payment for stay. If the payment for the stay is made before its commencement, the fee is subject to the services selected from the pricelist when admitting the patient on the ward. If during the stay some of these services are not implemented then at the end of the stay in the patient card, a financial correction document with an overpayment for the patient's refund will be automatically created. If additional services are provided during the stay, a new payment will be automatically created at the end of the stay in the patient card (all additional services provided during the stay are settled jointly at the end of the stay regardless of the wards the patient was in during the stay, which is dictated by the fact that during the stay the patient's condition may not allow him to perform any formal activities). Payments for events parallel with stay events are not treated as payment for stay, but there are mechanisms to implement them in this way:

  • payments for diagnostic examinations can be included in payments for stay as described in the chapter "Collection facility"
  • payments for vaccinations can be included in payments for the stay as described in the chapter "Vaccination facility"
  • in order for payments for operations / surgeries / consultations to be included in payments for the stay, one should not point out positions from the price list by the operations / surgeries / consultations and instead point them out by hospital stay events

The patient's service in the ward from the doctor's point of view is mainly based on:

  • registration of observations from medical celebrations ("Stay" tab)
  • registration of performed procedures and diagnosed diagnoses ("ICD9 / ICD10" tab)
  • prescribing drugas ("Drugs" tab)
  • ordering diagnostic examinations ("Orders" tab)
  • routing to operations / treatments ("Referrals" tab)
  • ordering vaccinations ("Vaccinations" tab)
  • issuing an admission, transfer and discharge disposals ("Disposals" tab)

what is done with the help of the surgery module opened after clicking the button with the patient's name as described in the chapter "Doctor / Nurse surgery".

In the case of prescribing drugs, the issue of prescriptions is omitted as the drugs served come from departmental pharmacies.

Nurses responsible for serving drugs prescribed by the doctor record the facts of drug serving in the system. The "Drugs service" button is used for this purpose. After clicking it, a list of prescribed drugs is displayed along with the dosage and the history of serving - at which time by whom and what dose of the drug was given. In addition, with each drug the field "new serving" appears and under the list of drugs the field "Drugs in the above doses I gave the patient at" to record the facts of serving drugs.

The task of the nurse serving the drugs is to enter the doses given in the field "new serving" and in the field "Drugs in the above doses I gave the patient at" hour when drugs were given and then save this information by clicking "Save". The drugs servig entered by the nurse will be displayed in the serving history.

Depending on the procedures adopted, during the commercial stay a doctor or nurse registers commercial services provided to the patient for later settlement with the patient. The "Commercial services" button is used for this purpose. After clicking it, a new window displays with a list of commercial services implemented for all the events preceding the given one (available for inspection) and with a list of commercial services possible to be provided at a given stay event. The services provided should be checked (and non realized should be un-checked) and saved by clicking the "Save" button.

Depending on the procedures adopted, the doctor or nurse at the end of the day extends the hospital stays of patients remaining in the ward for the next day so that the next day system could continue to operate the patient. To extend the patient's stay in the ward for the next day, simply click on the "Extend stay for the next day" button.

The diagnostic examinations commissioned by the doctor are carried out by the appropriate organizational units using the "Collection Facility" functionality from the "Surgery" menu as described in the chapter with the same title, and the examination results appear in the stay window of the surgery module in the patient's history of visits, examinations and orders.

The operations for which the doctor issued a referral are planned and implemented using the "Operations" functionality in the "Hospital" menu as described in the chapter under the same title. In order for the operation costs to be settled within the hospital stay, the prices of the operations should be taken into account in ward price lists and the appropriate service should be indicated by the event by clicking on the "Commercial services" button described above and should not be indicated while planning the operation.

The vaccinations ordered by the physician are carried out by appropriate organizational units using the "Vaccination facility" functionality from the "Surgery" menu described in the chapter with the same title.

The other examinations commissioned by the doctor are realized by appropriate organizational units using the "Orders" functionality from the "Surgery" menu described in the chapter with the same title, and the results of order fulfillment appear in the surgery module window in the patient's history of visit, examinations and orders.

If there is a need to transfer the patient within the ward (change of bed / room / doctor) then the "Transfer patient" button should be used. After clicking it, a transfer form will be displayed where one should specify the time of transfer, indicate the room and bed and the attending physician and confirm the changes by clicking the "Make transfer" button.

When there is a need to transfer the patient to another ward, the doctor issues disposal to transfer the patient. If the user transferring the patient works both in the ward the patient is being transferred from and in the ward to which the patient is transferred, he can use the "Transfer patient" button to transfer. After clicking it, a transfer form will be displayed in which one must specify the time of transfer, indicate the ward, room and bed and the attending physician and in the case of commercial stay also specify the services to be implemented and approve the changes by clicking the "Make transfer" button. If the user transferring the patient is not working in the ward where the patient is transferred, then in order to make transfer, he must use the "Admissions" functionality described in the previous chapter and realize the patient's admission to the ward based on the disposal to transfer him from another ward.

In the case of a decision to terminate the patient's treatment process or in case of death of the patient, the doctor issues disposal to discharge patient and then clicking the "End stay" button in the "Summary" tab closes the patient's stay in the ward.

To make a discharge, an authorized user clicks the "Discharge patient" button.

The discharge form is then displayed (pre-filled with data extracted automatically from the treatment process with the possibility of modifying them) in which you must complete the patient discharge data section or the patient death data section and confirm with the "Make discharge" button.

The system will then return to the view of the patients' stays in the ward and the "Make discharge" button next to the discharged patient will change its name to "Print discharge" enabling downloading (in the form of a PDF file) and printing the patient's hospital discharge.

If the discharge was a consequence of the patient's death, the death card should also be printed out using the "Documents" tab in the patient's card.

The end of stay (in the case of commercial stays) results in the appearance of payment in the "Payments" tab of the patient card that the patient should pay.