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ICE View & Request V0 3a

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वीडियो Transcript

hello welcome to this ice software

training course I software is used by

the trust to view and request test

results in this course we will show you

how to search for a patient show you how

to find pathology and imaging reports

for patients and show you how to view clinical

clinical

letters most computers in the trust

already have a desktop shortcut if there

isn't one on the computer you're working

on just go down to the search box in the

left hand

corner and type ice and a number of

options pop up I'm using ice desktop

train today you need to log into ice desktop

desktop

live when you get to the login page in

the Blue menu bar on the left hand side

button input your username and

password when you've successfully

completed this course we will issue you

with a username and

password the first time you log in you

will be asked to change your

password if this message appears asking

you to select the location use the drop-

down box to select the your current location

location

this is the ice desktop page on the left

hand side is the Blue menu bar within

that are a number of tabs which we'll

look at

shortly across the top of the screen is

a yellow search bar which will come back

to in a minute and below that are a

couple of tabs one's a tabed for your

favorites in this case it says favorites

for student one when you're logged in

it'll say favorites for your login name

and next to that is a w list and if I

click on the W list tab we've got a list

of patients currently on ashover W in

this case but you can change that

box okay let's search for a patient

please do not search for your family

friends or your own results this is

against trust policy and a breach of the

data protection

act within this software we can search

by NHS number

patient name Hospital number date of

birth and there is also an advanced

search facility which is hiding behind

this little piece of blue text so if I

click on that you can see there is

further demographic information you can

item please use patient specific data

when searching preferably hospital or NHS

NHS

number most of our Hospital numbers

start with a

G not all our Hospital numbers are G

some may have a number four at the

beginning so I put in my test patient Hospital

search and we get my test patient

details appear to select the patient

click once and it turns

blue and then a summary page appears

showing previous requests for this

patient uh the patient details as you

can see are still shown across the top

band we'll now have a look at how to

view patient test

results if you go into the Blue menu bar

and click on the results

Tab and then click on view patient

results double check the patient

demographic information is correct to

the top of the

page and then we've got this

multicolored screen in front of us each

of these colors has a different meaning

the blue lines are Imaging requests the

green lines are blue sciences and pathology

pathology

requests the purple lines are

microbiology and a color that's not

shown on this screen is yellow which is

results if we go to this grid from left

to right in the left T column there are

some red dots these indicate that the

results have come

back U outside the normal range so the

BR report contains abnormal

results the next column along has a

notepad and some of the lines this

indicates that somebody has viewed the

report and added some comments on a um

software the next column along has a

green tick on every single line

there can be three different symbols in

this column the green tick indicates

that the report has been

seen a Red Cross indicates that the

report has not yet been viewed and

occasionally there's a blue circular

symbol with an arrowhead which indicates

that the report is ongoing for some

reason next colum along has a filing

cabinet at the top and some of the lines

is S1 S1 in this case stands for student

one that's me uh it would obviously have

your initials in it if you'd filed a

report I will come back to filing report

shortly the next column the status

column is how the lab reports on infectious

infectious

diseases and the investigation column

has a abbreviated summary of which tests

were carried

out everything from that point to the

right is fairly

self-explanatory they requesting

clinician's name the location of the

patient sample number date it was

collected when it was received by the

lab and when they actually

reported you can filter this

view you can filter it by spe different

specialities or requesting

Clin um all you would do if you wanted

to filter the view is click on The View

you wanted say General pathology and

if I go into one of these reports and we

can have a a little look in um what's

recorded in there in this case it's an Imaging

Imaging

request there isn't a great deal to see

in this page that's because all our

images are stored on the mrad software

they're not stored within ice ice is

just basically a digital record that

request was made in this case for a chest

chest

x-ray so we'll go back to

list it go up to the gray back button

press that once and we get this little

warning pop up this function should only

be used on the instruction of the

clinician responsible for care of the

patient if that description does not fit

you always click do not

file the reason for this

is if you were to file this report the

clinician responsible for the patient

care could come along see that it's been

filed it would have your initials on

it uh but may assume there's no further

action required when in actual fact

there may be uh further investigation

necessary we'll now have a look at a pathology

report select one from the list click

once and it opens up a larger

report if I start at the bottom of the

page this little piece of text at the

bottom is quite important some sometimes

these reports go over a number of pages

and it's easy to assume that the

information you have on the screen is

all that's

available please always scroll down and

make sure you see that little piece of

text to make sure you've read right to

report in the left hand column you've

got details of what the actual test

was the next column along has got the

test results any abnormal test results

will be highlighted with red text they

also have a little red asteris next to

them the purpose of that is if you print

this report out on a black and white

printer it's not immediately apparent

that these abnormal results are outside

the normal range so they put a little

asteris next to it to draw your

attention to it next column along has

the units of measurement and finally in

the right hand column are the normal

range figures for these particular

tests the small blocks of text in

between some of the lines are notes that

have been added by the lab regarding how

the test was carried out or a change to

procedure all the highlighted pieces of

text you can click on and we'll do that

second right at the very top you've got

details of the actual sample itself and

in the very small text the reason for the

request okay I mentioned you can click

on this bold text and for an example if

I click on total

protein it opens up a little mini report

for us to see so you can see previous

investigations for total

protein there's a useful feature hiding

this you can obviously print this

out there's a graphical display of this

information so if I click the graph

button we can see the previous investigations

investigations

and everything outside the normal range

the plot points will appear outside the

green shaded area so if they're inside

the green shaded area and you're

monitoring a patient it's within our

normal range if it's outside that then

concern instead of going back to this

list on the left and select another

item we can open the graphical display

up again and select in between the

individual items shown so for example we

could change to calcium and you can see

that everything's within the green shaded

area I'll close these

down up near the top of the page in the

white box it says this report is linked

to other reports and it's a piece of

blue text and any blue text within a

report you can click on it because

there's information available behind it

it when I open it up it's a mini

report basically of the same format of

the report that's in the background and

there's a further link report uh behind

text I mentioned on the multicolored

screen in one of The Columns of a

notepad and Pen which was a opportunity

for a person viewing the report to be

able to add notes these are the notes

here if you wish to add a note about the

report you're viewing you click on the

little notepad

symbol and click

add type in the text you want to add and

list right up at the top of the screen

there are some gray tabs one of them is

file report and mentioned about filing

report and the fact you shouldn't file

the report unless you're the clinician

responsible for the patient

care the next tab along does exactly the

same thing it files this report and

moves you to the next

report the bike button will take us back one

one

step there's a cumulative tab which I'll

come back to

shortly we can print this report out on

your local

printer there's an audit Trail facility

that you can click on on and see who's

actually viewed this report it's quite a

useful feature and lastly there's an a

tab called icail This is not widely used

within our trust um it's mainly used by

a number of Consultants I believe but as

I say it's not a feature that's widely

used so if I finish viewing this report

I click the back

button I'll get the warning about filing the

the

report the descript description doesn't

apply to me so I click do not

list okay let's now have a look at cumulative

cumulative

reports if you go in the Blue menu bar

and click on the tab cumulative

reports it takes a few seconds for the

screen to load because there's quite a

display the actual IND visual test items

are all down the left hand column the

normal range for that test is in the

First Column units have measure in the

next column and then we have six Columns

of test

results sorted by

date as in the

previous uh screen where we could look

at individual test items we can do

exactly the same on this so we again we

could click on total protein and view

wished if the range shown on the

screen doesn't extend far enough to get

you the information you need you can

advance or um go back using these little

arrows at the top of the

screen the single Arrow takes the

display and the results one step

backwards it just take a few seconds and

the Double Arrow shows you the previous

case if you want to go further back in

time it can be quite a longwinded

process using the arrows so you can

click on the calender symbol and pick a

spe specific date to go and view test

results from that

date once again you can print all this

once a p patient has been discharged on

the GAC system a discharge letter and

prescription is generated and put into

ice we can have a look at an example of that

that

now if you go into the Blue menu bar and

click on clinical

letters and then view by patient we get

letters any letters that are available

to view have a little envelope symbol

next to them

I can show you an example of a discharge

letter by clicking on the envelope and

letter unfortunately we can't resize the

viewing pane in this part of the

software so we have to do a little bit of

scrolling uh we've got details of the

patient so their demographic information

admission discharge letter notes any

changes to medication current problems co-morbidities

co-morbidities

any medication prescribed on discharge

and right down at the very bottom

details of the patient's

GP and there's also an audit log for

this uh part of the software and if you

wish you can print this letter

off okay if I go back to results because

that's all I need to show you in clinical

clinical letters

during this ice training course we've gone

gone

through showing you how to search for a

patient show you how to find pathology

and imaging reports for

patients and lastly showing you how to

view clinical

letters in this module I will show you

how to raise a request for a

patient in the Blue menu bar there's a

tab Mark requesting click on that and

request now is a good time to double

check that you've got the correct

patient record displayed at the top of the

the

screen all the Imaging requests are in

behind the tabs across the top plain

film CT and MRI Etc and down the left

hand side we've got blood Sciences

hystology as I move my pointer over some

of these items

uh printed in green you can see that a

yellow bar appears across the top of the

screen with additional information from

the lab giving instructions about the

minimum standard required for the

sample in this case I'll select a full

blood count just as it's a demonstration

so I click on the

box I a notification asking if I want to

view previous

results so I click no

if I don't wish to add any more tests to

this particular

sample go down to the bottom left side

next to the Blue menu bar there's a

continue with request

button click once on

that and then we need to populate some

more details in

here the software automatically adds

your login name you must include a

contact number so the lab can contact

you add the name of the consultant under

who you're register

requesting uh you can either use the drop-down

drop-down

box uh there's quite a lot of names

listed there or there's a search

dots add the patient

location and in global clinical details

possible I can get away with test test

unfortunately you can't

can't for blood tests the prior to is

always kept as routine for Imaging they

can um the priority can be changed to

Urgent or cancer

Target if the request is

urgent and you need an answer very

quickly please add the word urgent to

the end of your text here and it's

always worthwhile giving the lab a call

and just letting them know you're

sending urgent request through

everything for& emu hdu and itu are

automatically treated as

urgent category always stays as

NHS the results can be copied to the

patient's GP once again there's a drop-

down box you can scroll through and

there's also the same search facility

and if you wished you could copy this

information to a specific person in a

different location within the trust

as I mentioned because this is a um a

pathology request I only have routine as an

option final thing sample collection

options we can print the request now and

choose sample date from the calendar on

the right we can print the request now

and Sample produced later if we don't

have a date or we can print the request

now obviously if there's a risk of

infection from say MRSA or

coid please indicate this on this using

these little selection buttons so that

lb are

aware once you're happy with all that

information go down to the bottom right

request you can print this request out

using your local

printer and then we can view request

request by patient or we can view pending

requests you can see there's the full

blood count that we've just requested

patient if we click on the test we've

just requested you can edit the request

if you wish can cancel it or reprint

etc okay that's all I need to show you

for requesting thank you very much for

your time and your

attention if you have any issues

whatsoever using the

software please don't hesitate to

desk on

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