FirstNet Launchpoint Workflow and Documentation Practice Key website

Frequently Asked Questions

Q: What does the black flag icon mean?

A: The black flag icon indicates that the patient has an Opt Out confidentiality code. Do not acknowledge the patient’s presence to visitors/callers.

Q: Where are BVC, WT, and pain scores easily viewed in LaunchPoint?

A: BVC, WT, and pain scores are easily viewed in the Vital signs column in LaunchPoint.

LAUNCH POINT NAVIGATION

1. Describe how to get to the Clinical EHR website from LaunchPoint. Click the button in the main toolbar and then click on the EHR Education resource.
2. Find your Practice patient in the WR. Move the patient to an exam room. Locate the patient in the bed placed.
3. Place your patient in isolation precautions: use the right-click menu and choose Request Event.
   A patient in isolation will look like this:
4. Assign yourself to your patient. Your initials will appear in this column:
5. What does the black flag icon mean? The patient has an “Opt Out” confidentiality code. Do not acknowledge that the patient is present to visitors/callers.
6. What does the orange rectangle around the patient with the last name Education mean? Take precautions with this patient as they have a history of violent or threatening behavior.
7. Where are BVC, WT and pain scores easily viewed in LaunchPoint? In the Vital signs column:
   
   True or False:
    Right click anywhere on the patient’s row to access shortcuts to areas of the chart and frequently used forms, or to generate or complete events.
   It is OK to change locations from the location I am working at to another facility.
   I am responsible and accountable for all data accessed and entered using my user ID and password.
   My activity in EDLP is subject to audit by the Information Systems Security Officer.

TRIAGE DOCUMENTATION

1. Triage your Practice patient. Make up your own information, but make sure all required fields are completed.
   • Document 500 mL EMS fluid given.
   • Once you sign your triage form, did it come off your tasks? If not, choose ‘Document’ again and find what you did not complete.
2. Complete the Social History Form. Indicate that the patient identifies with a different gender.
3. Place a patient’s preferred pharmacy of LC Family Pharmacy. Complete the reminder task.
   All three of these tasks will be gone from the Assessments task section of Activities: The charted data can be viewed in several places; LaunchPoint, Patient Summary, and in the patient chart i.e., ED Nurse View and Results Review, etc.
   

IVIEW DOCUMENTATION

1. Using your Practice patient, chart a focused Nursing assessment in IView based on what you entered for you triage chief complaint. Use the following recommended steps:
   • Right click on the patient’s line to open the patient’s chart to IView.
   • Double click on the time to open all sections for charting.
   • Pick Assessment summary type (initial).
   • Every system has a comment section, what can you use this for? To include other details and provide a summary of symptoms/status.
2. Complete the Nursing Assessment icon on LaunchPoint. No purple icon

MANAGING ORDERS

1. Using Order Favorites in the Quick View Windows of your Practice patient, enter acetaminophen 650 mg PO, cbc with diff, and Chest Xray 1V per verbal order of Rebecca Otten. Sign.
2. Enter a left ankle x-ray (3V Complete). Go to the orders page as this is not on Order Favorites.
   The orders will display within the patient’s chart on the Orders tab:
   

TASKS

Complete all Nurse Activities Tasks on your Practice patient, except for medications. Only med tasks display.

BAR CODE MEDICATION ADMINISTRATION OPTIONAL FOR CHX

1. Use your Practice patient to chart the following medications using the CareAdmin scanner:
   • Furosemide (Lasix) 40 mg IVP stat
   • Aspirin chew 81mg
   • Prednisone 5 mg oral
   • Tylenol 650mg sup –document patient refused
   • Morphine 2mg
   • Metronidazole (Flagyl) 500mg IVPB stat
   • Lisinopril 40 mg
2. Chart the following:
   • D5/Lactated Ringers at 100/hr -(scan bag/begin bag) back time 4h
   • Azithromycin 500mg IVPB on call
   • NS bolus 500cc
   • Nitro gtt. chart beginning dose at 5mcg/min. back time 2 h
     
3. Document hourly infused amounts for the D5/Lactated Ringer in the I & O band of IView.
4. Chart three rate changes and that the nitro drip has stopped (go to I & O in IView).
5. View charting on MAR Summary to ensure that all meds are charted, and all IV details are correct.
6. Complete infusion billing for the infusions. (Look for the IV pole on LaunchPoint)

DISCHARGE WORKFLOW PROCESS

1. Use the Discharge Workflow to admit or discharge your Practice patient. Complete all the nursing required areas—Disposition PowerForm, IV Stop Times, and then Choose Discharge or Admit under ‘End Visit.’
2. Find your patient in the Departed Tab.
   

Documents / Resources

FirstNet Launchpoint Workflow and Documentation Practice Key website [pdf] Instructions Launchpoint Workflow and Documentation Practice Key website, Documentation Practice Key website, Practice Key website

References

• User Manual