Unified Sign Queue Copied

Unified Sign Queue

The Unified Sign Queue gives you the ability to sign all Labs, Imaging, Other Documents, and Orders in one queue by individual patient. However, all Clinical Notes must still be reviewed in the Documents tab. Watch the video below for more information.

Check your permissions:

1. From the top navigation, select the ADMIN drop-down and choose Users.

2. Select your username in the user list and click the EDIT USER button.

3. In the next window, select Permission and locate the Worklist Queues section to check that your Unified Sign Queue option is set to Full.

    

Using Unified Sign Queue:

1. To get started, select the View option in the left panel on the page. This will open a window where you can set preferences around which items you want to view in the Unified Sign Queue:

   1. The Viewing queue for provider search box allows you to view another provider’s queue by searching for that provider.

   2. Automatically select items for sign/review as I scroll down the list is selected by default and configures the system to automatically check Reviewed for items as you scroll through the list.

   3. Which items do you want to see in your focus queue? allows you to choose which items will display under the Focused and Other areas.

   4. Do you want to focus on a specific time frame? allows you to see newer queue items first for a specific day range.

   5. Do not focus on items received today allows you to hide review items until the next day, which may be preferable when a patient will have multiple labs and orders created throughout the day. This way, you only review that patient’s information once instead of multiple times.

   6. How do you want your focus queue sorted? allows you to view the items in either Descending (Newest items shown first) or Ascending (Oldest items shown first) order.

2. After selecting your preferences, simply close the window by clicking the X in the corner. The feature will automatically populate with patients based on your preferences.

3. You can also use the Find icon in the left panel to search for a specific patient, or the Refresh icon to refresh the list of patients.

Once your patient list has been populated, the first thing you’ll notice is that this feature is divided into three panels:

• Left Panel

  • Contains the list of patients with items needing review.

  • Any patient with abnormal labs of any type (low, high, critical low, critical high, or abnormal) will show at the top of the list with a red dog-eared tab.

  • You can also choose which queue items will appear in the Focused or Other sections. The default setting is to have all items Focused, but you can move items into Other by unchecking the box next to each item.

• Middle Panel

  • Contains all the patient specific data that is found on the Patient Banner throughout the system.

• Right Panel

  • Contains individual Lab, Imaging, Other Document, and Order items requiring MD review and electronic signature.

Select a patient from the list in the left panel to view their information in the middle panel:

• Patient Name: clicking the patient’s name brings you to your default starting patient chart tab.

• Chart Alert Icons: clicking on any of the chart alert icons next to the patient’s name displays additional information about that alert.

• MRN

• DOB

• Height

• Weight

• BSA

• Next Visit: displays patient’s next physician visit.

• Problems: lists all primary diagnoses.

• Attending MD: lists all attending physicians.

• Contact: displays patient’s primary phone number, if available.

• Insurer: lists the patient’s primary insurance.

• Focused and Other sections: display the name of the lab, imaging, other document, or order that needs to be signed.

  • As you move through the review queue in the right panel, each item displayed will be highlighted in the middle panel, as shown both above and below.

  • Red L, H, LL, HH, and AA symbols will show next to any lab marked as Low, High, Critical Low, Critical High, or Abnormal.

To sign off on any Focused or Other items in the middle panel, scroll through the right and final panel. This is where a full view of each item will display for your review. These items include:

• Labs

  • Lab data contains all the required CLIA documentation (ex: Source, Status, etc.) along with the provider Interpretation and Notes to patient.

  • The screen will show that day’s lab values to be reviewed and up to 4 previous values for comparison.

• Imaging

  • The screen will show interfaced scanned PDF imaging that requires review.

• Other Documents

  • The screen will show Other Document PDF images that requires review.

  • Remember, all Clinical Notes must still be reviewed in the Documents tab.

• Orders

  • The screen will show all orders done on behalf of the provider that requires a signature.

There are also 6 icons across the top of the right panel to help you throughout the review process:

• Skip an item for a specific patient.

• Go to the Next item for a specific patient.

• Maximize the screen.

• Transfer an item from one provider to another.

• Create a Message in the chart.

• Print a specific item in the queue.

   

Each item in need of review will automatically receive a check in the Review box as you scroll through the queue. When you get to the bottom of the right panel, there will be a View next patient button to move you forward.

There will also be a X items to review / sign button at the top of the right panel that counts the number of items with a check in the Review box. This button allows you to sign all the items it’s collected with one simple click.

If clicked, this button will prompt a verification box to appear where you must enter your PIN or password as your eSignature. Please note that if there are still items in your queue that need to be reviewed, the verification box will display an alert stating as such. You can choose to enter your PIN or password to sign those items or Go Back and view them in the queue before signing off.