• Careville Home
  • Instinct.vet
  • Pick The Brain Articles
  • Instinct Emergencies

Hello, How Can We Help You?

Instinct EMR
Navigation
Back To TopicsEMR User Guides
  • EMR Financials and Account Ledger Guide
  • EMR Analytics Guide
  • EMR End of Day Processing Guide
  • EMR Discounts Guide
  • EMR Invoice Guide
  • EMR Refunds and Returns Guide
  • EMR Taxes Guide
  • Invoice Closing
  • EMR Integrations Reference Guide
  • Asteris Integration
  • Cubex Integration
  • Heska Point-Of-Care Diagnostics Integration
  • IDEXX Diagnostic Integration
  • EMR Controlled Substance Report
  • Merging and Transfers Guide
  • EMR Administrator Guide
  • EMR Business Office Guide
  • EMR Reference Guide
  • EMR Charting Guide
  • Rapid Registration
  • Outage Guidelines
  • EMR Rounds/Case Review Guide
  • EMR Drawing Block Guide
  • Task List User Guide
  • User Roles and Permissions Guide
  • EMR Student/Draft Mode Guide
  • EMR Appointment & Event Calendars
  • EMR Estimate Guide
  • EMR Prescription Guide
  • EMR Dymo Label Printer Guide
  • EMR Shareville Guide
  • EMR Shareville rVet Guide
  • EMR Comm Log User Guide
  • EMR Referrer Guide
  • EMR Gravity Payments User Guide
  • EMR Appointment & Event Calendar Quick Guide
  • EMR Inventory Guide
  • Outpatient and ER Workup Guide
  • Common Hospitalization Workflows
  • Rounds/Case Review Guide
  • Student/Draft Mode Guide
  • Ordering, Charging, & Changing Fluids, Additives, and CRI's
  • Maintaining Instinct
  • How Instinct EMR Captures Charges
  • Streamlining Charges - Instinct EMR Tips and Guidelines
  • Dictation Programs in Instinct
EMR Training Videos
  • Instinct EMR Reference Video
EMR ProTips
  • Filters/Sorting Guide
  • Insulin Therapy Guide
  • Snippets
  • Routine Maintenance of Instinct
  • EMR Product Groups
  • How does Instinct EMR handle Daylight Saving Time?
  • How do I set up an on-the-way patient in EMR?
  • How Do I Print In Instinct EMR?
  • Alerts Guide
  • Patient Safety Warnings For Chemotherapy Medications
  • What is an EMR Superuser?
  • Reopening a Visit/Treatment Sheet
  • How do I copy/paste Vitals in EMR?
  • EMR Assign To Me
  • EMR Invoice Tags
  • EMR ID System
  • 24 Hour Treatment View
  • Status Board not showing all patients
  • How do I mark a patient as deceased?
  • How do I skip or not complete a treatment?
  • Common OP/IP Product Groups
  • How do I record vitals if the patient isn’t due for them now?
  • Differences between Optional q1h Frequency, Every 1h, PRN, and UC
  • How do I view a previous Tx Sheet or download/print a Tx Sheet?
  • Communication Tools in Instinct
  • Weight Calculator (optional)
  • Advanced Patient Search
  • Handy Keyboard Shortcuts
  • Adding order notes, call parameters, or specific instructions to a treatment
  • Do orders reschedule automatically if I complete a treatment before/after the scheduled time?
  • Copy All Medications
  • Viewing Discontinued Medications
  • Other/Miscellaneous orders
  • Accessing Plumb's Drug Formulary in EMR
  • How do I exit full screen so I can minimize Instinct?
  • Multi-frequency orders using tabs
  • Using Emojis in Instinct
  • Vital Notes
  • How do I print a Tx Sheet?
  • How do I copy/paste vitals?
  • How Do I View or Change the Code Status?
  • Adding a One-Off treatment
  • Who Added, Changed, or Discontinued an Order?
  • Adding an Alert that doesn’t exist
  • TV Mode/Whiteboard User ID
  • How to access Instinct from a web browser
  • How do I put Instinct on a TV screen?
  • 'Instinct needs to authenticate your practice' message
  • How do I switch hospital locations?
  • I forgot/was never given a login PIN
  • Automatic Charges
  • Bulk Edit On Treatment Sheet
  • Can I change my PIN or login credentials?
  • Workflow Tags
  • How do I indicate other Patient Care Team Members?
  • Patient Safety Warning Systems
  • Triage Tags
  • How do I copy/paste from Instinct
  • How do I edit completed Vital entries?
  • How does My Board and pinning work?
  • How do I move the tx sheet if my patient was transferred to our other location?
  • Why is there no calculator for this medication order?
  • How to edit/delete a completed treatment
  • Creating/editing a Vital product
  • Viewing vitals from another visit or across a patient's lifetime
  • Why is there a money symbol next to some orders?
EMR Technology Guidelines
  • Routine Maintenance of Instinct
  • Instinct System Status
  • Hardware & Technology Guidelines
  • Installing Instinct on Home Computers
  • Internet & Power Outage Guidelines
EMR Release Updates
  • June 2022 Instinct Release Updates
  • May 2022 EMR Release Updates
  • April 2022 EMR Release Updates
  • March 2022 EMR Release Updates
  • February 2022 EMR Release Updates
  • January 2022 EMR Release Updates
  • December 2021 EMR Release Updates
  • November 2021 EMR Release Updates
  • October 2021 EMR Release Updates
  • September 2021 EMR Release Updates
  • August 2021 EMR Release Updates
EMR Onboarding Documents
  • EMR On-Site Go-Live Guide
  • What is an EMR Superuser?
  • EMR Virtual Go-Live Guide
  • Medical and Workflow Guidelines
EMR Rounds/Case Review Guide
Print

EMR Rounds/Case Review Guide

A clinician’s guide to using EMR efficiently for rounds and catching up on patients when starting your shift.


Table of Contents

Vitals Screen

View Progress Note history

View One-time and Discontinued treatments

Scan the Complete Treatment Sheet for Doses/Schedules

Predicted Billing


EMR provides helpful tools so you can quickly catch up on patients at the start of your shift. After learning from clinicians at over 100 advanced care centers, we put together this handy guide:

Vitals Screen

The Vitals Screen is a great place to start your day to see how your patient has been progressing.

  1. From the Status Board, you can get to the Vitals Screen by clicking the 3-dot menu to the left of a patient name or simply click the ‘Vitals’ button at the top of any treatment sheet.
  2. Vitals show the high/low values for the visit on the left side of the graph and you can hover over each entry on the graph to view the exact time and any notes entered when this vital was recorded. To dive deeper, click on the name of the vital to view the ‘Order History’.
  1. To quickly find a vital in the list, use the search box (top left) or toggle the ‘Only Show Active’ button (top right) to hide vitals that are not currently being recorded.

View Progress Note history

After viewing vitals, head to the progress notes.

Progress Notes is an optional order located at the top of each treatment sheet where nurses or doctors often write notes about the patient for a given hour.

We recommend reviewing all Progress Notes at the start of your shift by utilizing the ‘Order History’ feature. Click the 3-dot menu to the left of any order on the Treatment Sheet and choose ‘Order History’ to read through all the notes in one place.

💡 ProTip: You can use the Order History to see the complete history for any order, such as tracking the quantity, frequency, route, the doctor assigned, mandatory notes, and changes with order notes, which is accessible via the Order History screen. To learn more about reviewing Order History, click here.

Some hospitals prefer creating a separate ‘Doctor Notes’, ‘Nurse Notes’, or even a general ‘Communication Notes’ order and scheduling this on every treatment sheet around shift changes.

Next, if desired to read through all nursing notes hour-by-hour to be complete, click the current hour at the top of the screen:

Using the left/right arrow keys towards the top of the page, scroll through each completed treatment hour-by-hour backward to read all notes.

You can also use the arrow keys on the treatment sheet to view the forward schedule.


View One-time and Discontinued treatments

Don’t forget to check the discontinued/completed section which includes treatments completed with no future schedule.

  1. We recommend viewing the ‘Discontinued/Completed’ section found at the bottom of the treatment sheet to see what has already been performed for completeness.

Scan the Complete Treatment Sheet for Doses/Schedules

  1. Start by scanning the treatment sheet and confirming doses, infusion rates, and schedules.
  2. Review the medication category to see when the last dose was given and what the mg/kg dosage is for each drug at a glance.

Predicted Billing

Finally, get up to speed on the invoice and where the bill is headed using our Predicted Billing features.

  1. Predicted billing is found in the lower left of the Treatment, Vitals, and Invoice screens and displays the current invoice total. Past 24 hours (total money spent in the past 24 hours on a rolling basis), and live predictions of what the bill will be if this patient continues to stay in your hospital for 12, 24, 48 or 72 hours.
  2. The predicted totals are calculated live based on what you have scheduled on the treatment sheet and will have the most up to date billing information at any given time.

CONTACT US

Instinct Science
54 East Oakland Ave
Doylestown, PA 18901
sayhi@instinct.vet
866.267.1818
GET ON OUR LIST TESTIMONIALS PRIVACY & TERMS
ABOUT JOIN US INVESTORS
Made with 🧡 in Philadelphia
© 2021 Instinct Science, LLC
Instinct System Status
  • Careville Home
  • Instinct.vet
  • Pick The Brain Articles
  • Instinct Emergencies
 

Loading Comments...