Surgical operations

Operations

The "Operations" in the "Hospital" menu is the functionality to plan operations in the operating room and to management of already planned operations.

After selecting the "Operations" functionality from the "Hospital" menu, there is displayed a search engine of the availability of equipment necessary for today operations in the cells contained in the units, which are accessible to the logged user. At first, select the cell and press "Search" button. If there are any graphics of equipment in this cell then on the page there is displayed a grid of scheduler (otherwise there is displayed an appropriate message). The grid has a column corresponding to all instruments for which there are graphics in the cell. Rows are corresponding to possible hours of admission (grid is limited to the work hours of a cell and each hour is divided into 12 parts of 5 minutes each). On the grid there are marked all the periods of availability (divided into five-minute slots to be able to start operations at any chosen time) and planned operations according to the scheme

  • the availability of future periods are shown in blue
  • the availability of past periods are displayed in gray
  • scheduled operations that do not require supplement the information or verification are displayed in green
  • scheduled operations that require supplement the information or verification (to include insurance document, settle the payment, fill out the necessary documents) are displayed in red

 

In the form above the grid there are in addition the following navigation buttons:

  • <<< - allows to view the schedule on a month earlier than the current presented day
  • << - allows to view the schedule on a week earlier than the current presented day
  • < - allows to view the schedule 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 the schedule on a day later than the current presented day
  • >> - allows to view the schedule on a week later than the current presented day
  • >>> - allows to view the schedule on a month later than the current presented

Clicking on any of the above buttons changes the view of schedule for the appropriate day to which the button leads.

Clicking on a specific time of availability period of grid scheduler begins the process of planning operation at this time. At first, there is displayed a window with information about the clinic and the time and form of basic data of operation in which should be specified:

  • duration of the operation - a list of available times due to the length of available period of equipment from the selected time of which operation is planned
  • type of operation - the operation can be planned as NFZ’s or commercial
  • type of operation - a list of the types of operations that can be realized in the cell

 

After entering basic data of operation and pressing "Next" button there is displayed a form of n entering surgical team, where are displayed the fields for specify personnel forming part of the surgical team, highlight the person heading the operation and for each person specify role and stage of work.

 

You can enter any number of members of the surgical team. To view more fields in order to enter more people use the "More" button. To insert a staff to form of an operational team, click on the icon with a green arrow pointing down. It opens the search window of staff, where after selecting search criteria, you can find staff available for the whole duration of planned operations (availability of staff must be planned in graphics of work). For each person in staff there is displayed "Select" button to click on the search window of staff disappears and selected staff appears in the form of the operating team. If the staff has been inserted by mistake, you can remove it by clicking on the icon with the white minus sign in a red circle. One person from the staff should be designated as heading the operation by checking the round field (radio) on the right side of the form.

 

After entering the operating team and pressing the "Forward" button there is displayed the search engine of patients which should be used to search for a patient for whom there will be appointed visit. The search is done on the terms described in the section "Patients (active cards)", additionally, at each of the patients from the list of patients that meet your search criteria as well as at each tab of patient card, there is an extra button "Continue sign up for an operation", which allows you to continue the process of signing up for an operation for the selected patient. There is also the possibility to edit data in the patient card.

 

After selecting the patient (pressing the "Continue sign up for an operation"), the system checks whether the operation can be planned for a given patient (eg. For operations in the cells for children can be saved only person under 18 years of age or having special approval, etc.). If the operation can not be planned what is informed by the appropriate message and the system ask to enter another patient. If the patient can be saved for an operation the process of signing up is continued.

If the operation is commercial and the patient has outstanding payments then the system displays the patient’s arrears in payments. The person registering the patient for surgery decide at this point whether the patient should be signed up (although arrears) or stop the signing process and go to the module of handling patient’s payment. For NFZ’s operations and commercial operations for patients without arrears, this step is skipped.

 

The next step is selecting the referral for surgery. Regardless of the type of operation, to allow its appointment, in the patient card mast be a referral for the operating block / delivery room. If such referral does not exist, there is displayed appropriate message and the process of signing up for the operation is canceled. If there is a referral (or referrals) usable for surgery, there is displayed a list of such referrals in the form of strips with the basic data of any referral.

 

When you click on the bar with information about referral develops a form with detail data of referral. Under the form there is the "Select and continue signing up for operation" button, allowing the continuation of the process of signing up the patient for surgery on the basis of the referral.

 

The next step in the process of signing up for operation is filling documents (including deposit card). This step occurs only if the operation is arranging on the basis of referral to which they are associated documents to fill out and they were not yet completed. In this case there is displayed a list of documents which have to be completed.

 

At each unfilled document there is a "Fill" button to display a form to complete the document, and at each filled document there is the "View" button to download the document in PDF format and print it. As long as there is at least one document to fill so long under the list of documents is displayed the "Skip filling (to fill later) and continue" button allows to omit the step of filling the documents, however it will be needed to fill such documents after saving operation, so the operation could be realized.

To fill the document click the "Fill" button by them,. You will see a form of completing the document, which, after entering the data should be saved by clicking "Save" button.

 

After saving the document’s data, there is displayed again a list of documents at the referral. Once all the documents from the list will be filled, from the list of documents will disappear "Skip filling (to fill later) and continue" button and in its place there will appear the "Continue sign up for an operation" button, which clicked takes you to the next step of the process.

 

The next step in the process of signing up for the operation is to display the pricelist in the cell. This step occurs only in case of commercial operations. At first, there is displayed a list of available pricelists (applicable in the cell on the day of planned operation) from which you should choose the right one and then click "Next" to view the content of the pricelist.

 

In the pricelist is determined the basic gross price per operation (which may in particular be zero) and prices of any services. Registrar may (but need not) determine which services under the operation the patient is expecting (by checking the box next to the name of service). Upon selection of any service, the total price for the operation is automatically updating and the field of quantities at the service becomes editable - the number of services can be modified and at such modification there is also updating the total price for the operation.

 

Pressing the "Next" bitton ends the process of signing up for the operation. There is displayed a summary with information about the planned operation.

 

Pressing the "Close" button closes the window of planning the operation and in the view of the schedule, color of period occupied by an operation is updated to correct for the planned operation.

 

From the same schedule you can also manage planed operations. After clicking on the arranged operation in the schedule is opened a window with details of the operation, in which under the basic information about the operation are information about the signed patient. At the patient there is information about the status of the operation, the deficiency relating to the operation and action buttons.

 

Operations can have the following statuses:

  • saved operation - basic status of the planned operation
  • realized operation - operation on which the patient was and doctor in charge of the operation after the execution made a note about it in the system
  • unrealized operation - operation for which the patient has not appeared or which for other reasons did not take place and the doctor in charge of the operation made a note about it in the system

At the operations there can also occur following information about a deficiency (shown in red):

  • Unfilled documents - if the operation is carried out on the basis of a referral from which they are associated documents required to be completed by the patient and at least one of these documents has not yet been completed
  • Unrealized payment for operation - if the operation should be paid in advance and the fee has not been taken from the patient (for commercial operations)
  • No insurance for the day of operation - if the system does not have a valid insurance document of patient for the day of surgery (for NFZ’s operations)

At the patient signed up on the operation there may be available the following buttons:

  • Cancel operation – button to cancel the (next) operation, whether at the request of the patient or due to the change in work schedule of personnel / equipment
  • Patient card - button allows access to the patient records (opening in a new window) and supplement the data in it (the structure of patient records and the principles of its filling are described in the section "Patients (active cards)"); fast access to the patient records makes it easier to complete the information of insurance for the day of operation and the fulfillment of documents if these are required for the realization of operation

    WARNING!

    If the patient is insured in the NFZ and have a social security number and date of surgery is future, the message of lack of insurance can be ignored until the day of the operation - the system jHIS on the day of operation automatically connects to the system eWUŚ and downloads electronic document confirming the patient's insurance for a day of operation; if such electronic document does not confirm patient insurance you will be required to enter insurance information on the day of operation in the patient card - the "Declaration of patient insurance" button in "Patient" tab or "Insurance" tab)

  • Payments - button allows to view the patient's unpaid payments with the ability to manage them; this is exactly the functionality of the "Payments" tab described in the "Patients (active cards)" section.