PathNet Millennium General Lab - NSW Health...G:\2013 Pathnet Millennium Instruction...

$: PathNet Millennium General Lab - NSW Health...G:\2013 Pathnet Millennium Instruction Manual\Millennium Guide.docx 1 Logging On to PathNet 1. Double-click the PathNet icon on your AL$
September 2013

PathNet Millennium General Lab

End User Training Guide - Chemistry

Neranjala Ramjeevan (SCHN)

G:\2013 Pathnet Millennium Instruction Manual\Millennium Guide.docx 1

Logging On to PathNet

1. Double-click the PathNet icon on your AL window. The Cerner Log-In window

opens.

2. Enter your user name and password in the appropriate boxes.

3. Click OK. Your Cerner Appbar displays.

Logging Out of PathNet

When you have completed your activities, remember to log out of the application you

are working on for security purposes.

1. Shut down the application completely by click the Exit icon from the toolbar

or the X in the upper-right hand corner of your screen.

2. If you are exiting the application temporarily, but planning on returning to

that computer shortly, you may Suspend the application.


Placing an Order - Department Order Entry

1. Open Department Order Entry

2. Select the Client if required by clicking drop down menu. (Field defaulted to

Royal Alexandra Hospital for Children)

3. Perform patient search by scanning the MRN and select the encounter (Right click

and choose “Name” if required)

4. Add an Encounter if required and complete Patient Registration

5. Enter the name of the orderable in the Orderable box

6. Select the correct orderable and press ENTER

7. Enter the appropriate order details (yellow fields are mandatory)

Note – If a patient has not been registered prior to ordering Click on Patient

Registration icon or through Task Menu, select Patient Registration.

Place orders

Scratch Pad

Press Tab to jump through fields

Date/Time – Press T & N for current Date and Time


8. Choose Specimen Receive Location as CHW Central Processing

CTRL A or click Add Order on the toolbar to add to the scratch pad

9. Enter additional orders, and add them one at a time to the scratch pad

Order comment can be added by highlighting the order and click on Comment

icon on tool bar)

10. CTRL O or click Submit Orders on the tool bar

11. Select an order submitted order from scratch pad and Click Images on the

tool bar to scan the request form

After the submission of an order if you receive a submission error, click on View

submission Error icon on tool bar to view the error

12. Review submission error before submission


Placing an Order For Non CHW Patients


2. Click on Patient Registration icon on the tool bar; Person Search dialog

window open

3. Perform patient search; (Last Name, First Name) and click the Search. Review all

returned results for matches to your patient.

4. If your patient is not found in the search, click on the Add Person, Organization

dialog box open


5. In the Client Name enter the referral source (eg; Westmead Hospital, Royal

Melbourne Hospital) and click the ellipsis to search

6. The Patient Registration window open

7. Complete the Registration as provide on the request form


8. Financial Class guide for Patient Registration

Medicare Flag Fin Class Comment

Eligible-Aust

Resident

Bulk Bill - OPD Public Outpatients

LTCS Compensation - OPD Long Term Compensation Patients

No Charge -OPD CPU and Staff Vaccination Clinic

Other Hospital Patient Patients that have specimens sent from another

Australian hospital

Pathology No Charge Internal Pathology-no charge

Private- OPD For Private patients only.

Bulk Bill where we can-ALWAYS

Research - OPD Research- unless stated as NO Charge

Research - No Charge Research Inpatients

Vet Affairs - OPD if Stated VET AFFAIRS

***Corrective

Services or

DOCS***

Other Hospital Patient

Eligible-Overseas

Visitor

O'Seas - Reciprocal - OPD For use for patients from the following countries:

Belgium, Finland, Italy, Malta, Noway, Slovenia,

Sweden, The Netherlands, The United Kingdom

(incl Northern Ireland) and New Zealand

Ineligible O'Seas - Ineligible - OPD Any other overseas visitor that will be charged up

front by Path Reception Staff

LTCS Compensation - OPD if recorded as such on request

Other Hospital Patient Ineligible overseas patients that have specimens

sent from another Australian hospital

or Private Institution

***CAFAT*** O'Seas - Ineligible - OPD Select CAFAT at Address prompt. Should auto

populate: Suite 704. 100 William Street,

Woolloomooloo

***Refugees with

overseas

Insurance

cards***

O'Seas - Ineligible - OPD For refugees that do not have Medicare cards but

use eg ROMAC or IHMS

Not Known / Not

Stated

Pathology No Charge To be used as a temp registration until we find out

the correct Medicare Flag and fin class as we would

not want to keep it as unknown obviously

Pathology No Charge Non- human sourced samples.


9. Updating patient address. Click on Address Help button. QAS Application dialog

window opens

Ensure Single Line button is selected

10. Enter address elements separated by a comma (street, suburb). Eg; Unit 3, 34

Windermere Ave, Northmead.

11. Click on Search

12. Enter Visit Date and Time as now (T;N)

13. Record Client MRN

14. Enter Attending Doctor as Last Name, First name for referring provider

15. Once all required field are completed click OK

Address elements separated by comma (street,suburb)


Adding Encounter

1. Open Department Order Entry (DOE)

2. Perform patient search by scanning the MRN and select Add Encounter from

Encounter search dialog box

3. Perform Client search if required on Organization dialog box (Field defaulted to


4. Facility Name is CHW, click on OK

5. Complete Patient Registration (all yellow fields are mandatory) before placing

orders

Details Patient Registration included under “Placing an Order for

Non CHW Patients”


Add-on’s

1. In Department Order Entry (DOE), click Accession Add-On through Task menu

or click on

2. Enter the accession number

3. Enter the orderable

4. Select appropriate Container from the list

5. CTRL O or click Submit Orders

6. If no valid container available for that accession, either override or create new

container, where extra container is available

Choose an aliquot container if already exists

Create New container if required


Adding Order comment


2. Select the Client if required by clicking drop down menu. (Field defaulted to


3. Perform patient search by scanning the MRN and select the encounter (Right click

and choose “Name” if required)

4. Add an Encounter if required and complete Patient Registration

5. Enter the name of the orderable in the Orderable box

6. Select the correct orderable and press ENTER

7. Enter the appropriate order details (yellow fields are mandatory)

8. Click on Comment icon from toolbar. Click on Edit on Comments dialog

box, and enter appropriate comment and click OK

9. Choose Specimen Receive Location as CHW Central Processing

CTRL A or click Add Order on the toolbar to add to the scratch pad


Comment code and

<F9>

Order comment can be added while the orders in Scratch pad before the submission and after submission through Order Result Viewer


Specimen Log-In by Accession

1. Open Specimen Log-In

2. In the Specimen Log-In window, select the Accession option (Defaulted option)

under the Login By heading

3. Click Retrieve

4. Scan or enter the accession number

5. Enter/Modify the Collected By ID, Collected Date and Collected Time if required

6. Select Location as CHW Central Processing and Click Log In

Container Inquiry 1. Open Container Inquiry

2. Enter the accession number, and click Retrieve

3. Select the container from the list. Event lists are displayed in the window

Common Event List Status Details

Collected Specimen has been collected

Dispatched Specimen to be collected Accession number’s been

assigned

Received Specimen logged in Pathology - not necessarily the testing

Laboratory

In-Transit Specimen location updated by Transfer Specimen

application

Stored Specimen has been placed into storage location

Checked out Specimen has been checked out of storage

Discarded Specimen container has been discarded through Storage

Tracking


Entering Results by Accession

1. Open Accession Result Entry application


3. Select the Test Site by Click on eclipse button across Test site to choose the test

site

eg; CHW Chem Vitros1/2,

CHW Chem Architect

CHW Chem Osmo

4. Press Enter or Click Retrieve

5. Enter each result in the Result column and press ENTER

6. Click Perform or Verify. (Perform saves the results without releasing them)

Details of Result Flag

C Critical

H High (Greater than Reference Range)

L Low (Less than Reference Range)

D Delta Check

Status Details

Pending Specimen’s been received in testing lab

Performed Test results not yet verified

Verified Test results are verified

Not In Lab Specimen’s has not received in testing lab

In-Review Test result awaiting in Review Queue for approval


Review and Verify Results

1. Open Review Queue.

2. Double-click the item to be reviewed.

3. In the Result Viewer window, check the appropriate result or results and click

approve icon to validate the item.


Adding Phone Comment & Resulting

1. Open Department Order Entry (DOE), click Accession Add-On through Task

menu or click on .


3. Enter the orderable; PHN

4. Select the Container from the list and click OK


6. Open Accession Result Entry

7. Enter Accession Number

8. Select Test Site ad “CHW Chem Vitros1/2

9. Press Enter twice or Click Retrieve

10. Type in Any letter Key while the cursor on result cell of PHN

11. Type PHN and press <F9> and full comment will expand.(_ result phoned to _

by _ on_). Press <F3> to jump from one underscore to the next.<F5> to insert

current date and time

12. Click Ok to close the dialog box

13. Click Verify

Type PHN and press <F9> and full

comment will expand.(_ result phoned to _ by _ on_). Press <F3> to jump from one

underscore to the next.<F5> to insert current date and time.


Enter Quality Control Results


2. Enter the QC accession number

3. Click Retrieve

4. Enter the results for the control

5. Click Verify. If any of the QC values are out of control, the QC Correction box

opens

6. Enter the appropriate troubleshooting steps or comments

7. Click OK

Entre the Comment

Levy Jennings Chart to view trend of the assay


Converting Results type (Numeric to Alpha/Text)



3. Select Test site

4. Click Retrieve

5. To change the default result type for a procedure, right-click on the result cell

or select Convert Result from the Task menu and select the appropriate result

type, i.e. alpha, numeric, etc


Viewing Pending Orders

1. Open Pending Inquiry application

2. Select to view Received only

3. Enter the test site or click on eclipse button to search for Test site

CHW Chem Vitros1

CHW Chem Architect

CHW Chem Osmo

4. Access Container Inquiry, ORV or Accession Result Entry to view sample status

update


Viewing Results/Orders Order Result Viewer

Order Result Viewer (ORV) has TWO viewing modes: Order List Mode and

Flowsheet Mode

Switch between modes by Alt+M/clicking on the Mode menu and selecting the

required mode

Order List Mode - This view will show All orders currently entered on the

patient, including pending orders

Flowsheet Mode – This view will only show orders with verified results


Retrieving Results by MRN/Patient’s Name

1. Open Order Result Viewer. The Find Orders window opens automatically

2. Enter the MRN/patient name or accession number

3. Select the order

4. Double click to view the results if it is completed

Status Details

In Lab Specimen has been collected and received in testing lab

Collected Specimen has been collected but has not yet arrived at testing

department.

Scheduled Tests are ordered for future dates

Dispatched Specimen is to be collected.

Completed All results are finalized.

In Process All results are not yet complete; part of testing has been

performed

Cancelled Test has been cancelled

In Transit Specimen is being transported from one testing location to

another.

Point the cursor on here and right click to change Name/MRN


Adding Order Comment



3. Select the order which require Order Comment

4. Click Comment Icon on tool bar

5. Click on Edit on Comments dialog box, and enter appropriate comment and

click OK

Adding Result Comment



3. Select the Test Site by Click on eclipse button across Test site to choose the test

site

eg; CHW Chem Vitros1/2,

CHW Chem Architect

CHW Chem Osmo

4. Press Enter or Click Retrieve

5. Enter result in the Result column and press ENTER

6. Click Comment Icon on tool bar

7. Click on Edit on Comments dialog box, and enter appropriate comment and

click OK

8. Verify the Result comment with results


Faxing Results – Manual Expedites



3. Select the order to be faxed

4. Choose Manual Expedite from Task or click the Manual Expedite icon from

Tool bar

5. Select Printers as Print to Options

6. Select Chart Format option: i.e. Lab – Clinical Biochemistry

7. Select AdHoc option

8. Enter the Phone/Fax number

9. Print Now: expedites a report immediately for orders in transcribed or final

status.

10. Print upon verification/authentication: expedites a report to print

immediately after the single order has been verified


Cancelling Orders

1. Open Order Result Viewer (Order List Mode)

2. Enter a MRN/patient name or accession number

3. Select the order to cancel from the list

4. Click Cancel on the toolbar

5. Select the cancel reason from the list provided

6. Click Cancel Order


Correcting Results


2. From the Mode menu select Correction

3. Enter the accession number and procedure to be corrected. Update results as

appropriate

4. Click Correct

Reprinting a Label

1. Open Label Reprint


3. Select a Label Types, if desired

4. Select a label printer, and click Print


Store Samples

1. Open Storage Tracking

2. Expand the View, refrigerator and Shelf

3. Double-click the Rack to use for storage

4. If the chosen rack not on view or is full, chose a new empty rack by right

click on Shelf, click on Select Tray; Type in the tray’s name (eg; Chem Fri 1).

Highlight on required tray and double click

5. Scan specimen labels into storage


Finding Samples in Storage


2. Click on Find Containers in Storage icon on tool bar

3. Enter Accession number

4. Click Find

Removing Sample from Storage

1. Click on Storage Tracking icon

2. Click on Find Containers in Storage icon

3. Enter Accession number

4. Click Find

5. Double-click appropriate container and the appropriate rack in storage will

display. Ensure accession number is highlighted (bold).

6. Right-click on container. Select Check-Out Container, the selected

container disappears from the rack’s spreadsheet


Discarding Storage Rack


2. Locate the rack in the Storage Tracking Tree, Right Click on appropriate rack.

Click on Discard Rack

Modify Collections

1. Open Modify Collections

2. Select Modify Mode, defaulted

3. Enter an accession number and click Retrieve

4. Modify the information

5. Click Modify Collections on the toolbar


Scanning Request Forms in DOE

1. Once all of the orderable submitted and accession number allocated and visible

then highlight an order (any one of the order) in scratchpad.

2. CLTR M or Click on Images icon on Tool Bar

3. Click New

4. Select Request Document from drop down menu for the *Select an image

type field*.

5. Place a document in the scanning tray and click on the Scan button (Add/Modify

Image Window). This will open up the TWAIN Driver window.

6. Click on Scan on Twain Driver window again.

7. On completion of scanning (No Record of scanning image will appear at this

stage) Click on Close. (once Twain Driver window closed record of scanned

Image will display)

8. Saving the Image by Click on OK on Add/Modify Image window.

9. Click on X to close document Image window.

3. Select an

image type; Request Document

1

2

4

Scanning Request forms can be performed in ARE, DOE, Specimen Log-in and ORV.


Viewing Scanned Image on ARE

1. Open Accession Result Entry application.

2. Enter the accession number and Click on Retrieve

3. Image icon of will appear next to Selection, if an image associated to that

accession no.

4. Double click on Image icon , Document image window appears.

5. Click on Expand all icon

6. Click on Request Document row to view Scanned Request Document


Viewing Scanned Image on ORV

1. Open Accession Result Entry application.

2. Enter the accession number and Click on Retrieve

3. Image icon will be displayed against an accession no if an Image attached

4. Image icon will appear against an accession, if an image associated to that

accession number

5. Click on an orderable to highlight.

6. Right click on highlighted orderable and select Image

7. Double click on Image icon, Document image window appears.

8. Click on Expand all icon

9. Click on Request Document row to view Scanned Request Document.


Sendaways

Printing Cover Sheet

1. Open Explore Menu

2. In Sendaway Cover Sheet program enter Accession Number including

container ID

3. Click on Execute

4. Click on Print icon from Report Output –Sendaway Coversheet dialog box


Creating a Transfer List

1. Open Transfer Specimens

2. Click New

3. Select Manual Build option

4. Select From and To locations. eg; CHW to RPA or CHW to other

5. Scan accession numbers (If the accession numbers entered manually make sure

to type in container ID too) and click Save. 6. The message will display “Transfer List #__ created”.

7. If complete, click Transfer

8. Click on Transfer


Downtime Down time labels are located on the side of the Label Printer in the Main Lab. Allocated Biochemistry number is Julian date 505

In a planned Down-Time situation, the IT department will inform the wards and labs of how long the downtime will be. If the down-time is longer, the wards will be instructed to send hand written request to the labs.

Specimens arrived into Pathology with printed Accession Numbers

If the specimens already arrived to pathology with printed Accession numbers, labels

the aliquot with same accession numbers, manually order the tests into instruments

(Vitros/Architect) by referring to specimen labels

When the PathNet Millennium system is restored

1. Use the Specimen Log in to receive the specimens, modify the collection date and

time if required

2. Place assigned aliquot labels in to aliquot samples

3. Resend the results from instruments (Vitros/Architect) or enter results manually

4. Store the aliquots/specimens into appropriate location by using Storage Tracking

Specimens arrived into Pathology with Manual/Hand written forms

1. Allocate each different downtime labels for each different specimen.

2. Fill in patient MRN and name on the label (Please use labels in numerical order)

3. Place the appropriate label sticker on the request form and specimen.

4. Once the samples are separated, load onto Vitros using the Downtime accession

number (eg: 50 505 00500)

5. Manually order the tests into instruments (Vitros/Architect) by referring to the

request forms.

When the PathNet Millennium system is restored,

1. Use the DOE screen to enter request forms

2. Enter patient MRN and test codes

3. Fill in collection details as provided on the request form

4. In the Accession number field, enter the Downtime Accession numbers in the

request form


5. Place assigned aliquot labels in to aliquot samples

6. Resend the results from instruments (Vitros/Architect) or enter results manually

7. Store the aliquots/specimens into appropriate location by using Storage Tracking

Place additional orders as Add-on’s


REPORT REQUEST

1. Open REPORT REQUEST from AL Window. The Find Orders window opens

automatically.

2. Enter the patient name/MRN

3. Select encounter/Visits

4. Select *Purpose as Request for patient

5. Choose a Template Selection

6. Select Send to option

1 2

3

4

5


Pathnet Millennium Common Tasks

TASK CLASSIC Millennium

Order a lab

procedure/Add-on’s

COE

Department Order Entry

View Orders/ Results OID

Order Result Viewer

Cancel order CTS

Order Result Viewer/Pending Inquiry

Log-in specimen SPR/ALN

Specimen Log-In

Detail info on specimen

containers

Container Inquiry

Modify Collection

LBACD

Modify Collection

Label reprint

LRP Label Reprint

Store Samples

Storage Tracking

Enter Results Manually

by Accession

ACC/PRE

Accession Result Entry

Accession mode

Review and Verify

Results

CVQ

Review Queue

Error Correction ECR

Accession Result Entry- Correction

View Pending Work WCP

Pending Inquiry

Enter QC Results ARE

Accession Result Entry

Review QC Results,

Graphs

QCI

QC Inquiry

Printing Sendaway

Coversheet

SA1

Explore Menu

Create Transfer List

(Sendaway)

PKL

Transfer Specimens

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