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How do I remove patients from the NIPE not completed list

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How do I remove patients from the NIPE not completed list

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Patients can give a third party eg another hospital an access code to view their notes via K2.

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MPN Referrals, booking appointment.

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Community Booking Appointment Guidance V1 15.05.24 (1)

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1. Go to the "Reports" tile on logging into Athena​

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2.   Open the ''T'' folder, by clicking the plus next to T.​

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3.  Select the report 'MLC Notes for Reception'

4.  On the next screen, choose the date range you require​

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5.  Click "Run Report"​

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6.  A list of all MLC patients due (EDD) within the date range chosen

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We have placed posters around Maternity to help prompt the correct process to follow to enable a successful postnatal discharge after delivery.

1. Complete the maternal discharge summary - under admission -> maternal discharge.

2. Complete the baby discharge summary - under admission -> baby discharge.

3. Complete relevant checklists -> under checklists tab, including maternal discharge checklist, baby discharge checklist, feeding assessment, important symptoms and reducing risk of cot death.

4. Use the print button (top right hand corner) to print/create pdf of baby/maternal discharge summary and delivery summary. Share with GP via post or email.

5. Add NIPE to "attachments" then go to baby button, then "baby discharge summary" and indicate NIPE not done/done (NAD)/done (screen positive.)

6. Complete an SBAR and management plan under management -> SBAR

7. Hit "discharge from ward" on front screen of inpatient notes -> "remove from ward" and for type of stay choose "postnatal."

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My Pregnancy Notes- guidance on how to merge patients records.

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Password expiring? Changing your password

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Password expiring? Changing your password

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Please see this visual guide attached on how to change your password.

When your K2 password is due to expire the system will notify you when you try to log on, please use the tools button on the top right hand side, and then click on change password.

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This information needs to be corrected on iPM, as K2 pulls this information from iPM. If you have no access to iPM please call Maternity Reception to make changes.

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ON the patient record click Antenatal/Fetal assessment/Assessment history.

USS are added as a pdf

(if your pdf won't close press Alt and F4)

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K2 needs pdf uploads

Create your document and then press print, select printer 'Microsoft print to pdf'

Press print and your pdf will pop up, press print on the pdf (top right) and choose to save your document.

In K2 go to Profile/Communications/Attachments

Press the 3 dots and search your document, once uploaded your file name will display. Please be mindful about appropriate file names when saving to correctly identofy patients

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What if I don't have good internet connection? (offline mode)

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What if I don't have good internet connection? (offline mode)

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Admitting Patient's on Day Assessment Unit guidance.

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Please also see in the slides:-

-Viewing the Mums admission information

-Viewing baby details-delivery date, time, gestation, outcome, gender, weight and address

-TCW- additional comments TCW lodger/transfer

-Printing PKU labels/blood spot labels

-Viewing Triage

-Expected to attend Triage (replacing rolling report)

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Viewing discharged women in the last 24 hours from Triage

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Viewing discharged women in the last 24 hours from Triage

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Viewing discharged patients from Triage in the last 24hours

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Anyone staying in the Snowdrop Suite will appear to have a bed assigned to them within the Central Delivery Suite ward location (K2). Instead of room or bed it will say i.e. 'Snowdrop Delivery Room', 'Snowdrop Parent Bedroom'.

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I can't see a speciality pathway for epilepsy?

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Under profile/pregnancy profile use the red pencil to update EDD

You must select scan or clinical indication to manually update EDD otherwise if dates or scan and dates is selected it will not change the EDD

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On Guardian, ensure wizard is fully completed before clicking register under the green baby button

NHS number should then pull through

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If a CTG review is no longer required, you will need to put discontinue monitoring and not antenatal CTG as an option

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Follow 'How to complete a referral' using mums record to the screening team and add an action requesting hip referral

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On Athena, go to the correct ward and then click on the 3 dots option for the patient.

Select View Inpatient Notes.

Click on the Observations tab, and select Blood Loss Record.

Click + Add New. Add the relevant information to the various windows.

There is a balloon Tamponade section.

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There is a cervical suture note under procedures tab in athena

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Enter display settings via right click on desktops or via start menu then settings, system, display

Scale and layout settings, display resolution 1920x1080 , size of text 100%

Check settings each time you sign on to a different laptop, if not correct will effect your screen resolution on Athena

Lots of staff may find the resolution of 100% is slightly too small on the laptops.  But if they use the Tools option on Athena, they can select the Adjust Font Size option at the bottom - then select from Normal, Medium or Large.

The medium / large options make the info larger and easier to read / add.  Using these bigger options won't effect the Free text or other buttons i.e. they won't disappear.

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Please be acutely aware that entering your password incorrectly 4 times will lock you out of the system for 4 hours!!! Please take note of warning pop up and inform Digital Midwifery Team

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Can we have two named midwives for us that are rotational and not just one named midwife please

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Can we have two named midwives for us that are rotational and not just one named midwife please

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How to review a patient's booking information

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How to review a patient's booking information

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From the front screen, search for your patient using the magnifying glass in the top right hand corner

Confirm your patient's information.

Navigate to the "consultations and admissions" tab

Choose "booking overview."

Move down the tabs on the left hand side to review relevant features of the patient's care.

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Go to the relevant door on Athena (access via the Teams tile)

Choose "accepted referrals" from the top drop down box

Click on the three dots by the patients name

View the actions box in the top left hand corner (looks like a yellow post it) to see what the patient requires

Book appointments as required

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Go to the "Reports" tile on logging into Athena

Click on "routine reports"

Select the report you require (by name)

On the next screen, choose the date range you require

Click "run report"

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From the main screen choose "locations" and the ward the patient is currently situated on.

Beside their name click the three dots and choose "inpatient notes"

Under the "clinical assessments" tab choose "anaesthetic interventions"

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How to review a patient's booking information

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How to review a patient's booking information

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From the front screen, search for your patient using the magnifying glass in the top right hand corner

Confirm your patient's information.

Navigate to the "consultations and admissions" tab

Choose "booking overview."

Move down the tabs on the left hand side to review relevant features of the patient's care.

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What if they do not have a K2 record (short booking

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What if they do not have a K2 record (short booking

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To document regular blood sugars complete on the blood glucose tab. Please also add to the NEWTTs chart.

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plh-tr.digitalsupport@nhs.net

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Do I need to enter theatre work on K2 AND the theatre pathway?

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Do I need to enter theatre work on K2 AND the theatre pathway?

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The theatre pathway contains the details of the care you delivered.

Please make sure any ongoing care needs are updated to the patient's management plans on K2.

These can be found in the inpatient notes (accessible via the ward list - under "locations" in Athena or from the large grey rectangle at the bottom of the Guardian "actions" menu) under "management" and "INP management plan."

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Continue to document in buff notes as per at present

Note in baby comments to say "buff notes updated"

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To add a feed

click on baby Obs - Feeding - add new and complete the wizard

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To add baby notes click on baby Obs and on the left hand side you will see baby comments this is where you will complete your documenting.

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In the mum's main notes (not inpatient notes) click the referral button on the top left hand corner (it looks like a little purple person next to a blue triangle).

Click "add referral"

Select "to be triaged" as your referral destination (we need to finesse the reasons, if you don't see the perfect one don't fuss - we just need to get the info to the right destination, the reason doesn't matter much)

Add an action (this is the notepad button beside the referral button) explaining the care need you want the midwife to know about.

These referrals will be picked up by community midwives in their morning triage round.

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Admin- Introduction and general k2 questions

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Admin- Introduction and general k2 questions

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Viewing wards, clinics and patients video

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Viewing wards, clinics and patients video

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Also see how to view in the video:

-how to view scans

-how to print blood spot labels/ PKU

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CDS Co-ordinators along with the maternity digital team can register thumb prints please contact one of the co-ordinators or plh-tr.digitalsupport@nhs.net

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The portal comes with you.

Turn off the screen and unplug the unit.

Plug back in on arrival to theatre.

Document using the surgical scribes (accessible via the Guardian actions menu).

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Admit the patient to the ward

In Athena, under the "intrapartum" tab choose "readmission postnatally"

Complete the wizard

Complete a SAFERR review (as for any admission) to make a plan of care (if not already completed in triage)

Document on either Guardian or Athena as per normal care even though not in labour (MEWS/fluid balance/drugs/fluids as required).

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What to do with unbooked patients/holiday makers?

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What to do with unbooked patients/holiday makers?

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How does community know which team need to triage a patient I discharge/who do I assign discharges to?

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How does community know which team need to triage a patient I discharge/who do I assign discharges to?

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Pregnant people are assigned to a team at booking. This will guide how community triage them after discharge.

The system uses automatic data pulls to direct women's care post-discharge to the team allocated to them. When discharging patients you do not need to identify an individual clinician, you can instead type "Fourwoods Team" in the assign to box.

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How to print full paper notes for transfer

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How to print full paper notes for transfer

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From the front screen, search for your patient using the magnifying glass in the top right hand corner

Confirm your patient's information.

Navigate to the "profile" tab

Choose "audit"

Choose the period you would like to print notes from, and whether that is just clinical information and administrative information

Click "print Subject Access Request"

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From the front screen, search for your patient using the magnifying glass in the top right hand corner

Confirm your patient's information.

Navigate to the "antenatal" tab

Choose the "fetal assessment" bar

Choose "assessment history"

Click the red pencil to "view attachment" by the relevant scan

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From the front screen, search for your patient using the magnifying glass in the top right hand corner

Confirm your patient's information.

Navigate to the "consultations and admissions" tab

Choose "consultation history"

Move down the tabs on the left hand side to review relevant features of the patient's care.

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How and where do we record NAS obs for baby? 

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How and where do we record NAS obs for baby? 

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NAS obs will remain on paper at present.

Once complete please access the mother's inpatient notes and locate the "baby obs" tab along the top.

On the submenu please select "baby comments" and note the outcome of the NAS obs.

NAS obs charts need to stay in the baby's buff notes.

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Yes.

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What if I'm seeing a patient that will deliver with another Trust?

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What if I'm seeing a patient that will deliver with another Trust?

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We are working hard with other trusts to improve communication, we can export our booking on K2 to the trusts email which has been designated to receive out of area bookings, after each consultation we should export on pdf the consultation and send to this email.

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How to request an additional appointment for a patient

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How to request an additional appointment for a patient

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Please request to the admin team as normal, this can be added to the care pathway or you can Launch an unplanned consultation - Consultations & Admission/New Consultation/Launch Unplanned consultation

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Yes, please complete SCMAF's on SeeEHR as we currently do, within the confidential safeguarding questions it will ask if you have done a midwifery safeguarding referral.

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Yes, please complete SCMAF's on SeeEHR as we currently do, within the confidential safeguarding questions it will ask if you have done a midwifery safeguarding referral. Please save as a PDF and attach, Profle/Communications/Attachments Tick to Make Confidential

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Do I need to put through a request for routine 12/40 USS?

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Do I need to put through a request for routine 12/40 USS?

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This was originally the plan.

Instead we decided to use the K2 reporting function to pull a list of all completed bookings and book them automatically.

It's very important this button is therefore pressed when you complete the booking process. Scan appointments will then go out in the post in the same way they do at present.

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How to review a patient's booking information

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How to review a patient's booking information

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From the front screen, search for your patient using the magnifying glass in the top right hand corner

Confirm your patient's information.

Navigate to the "consultations and admissions" tab

Choose "booking overview."

Move down the tabs on the left hand side to review relevant features of the patient's care.

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Athena Postnatal Inpatients Training Session

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Athena Antenatal Inpatient Training Session

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K2 Booking (1) Meeting Recording = https://youtu.be/_IOEid30u2s

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The BSOTS pathway in K2 prompts you to follow the actions of the RFM checklist when you select that pathway. The checklist does not need to be completed separately.

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This can be done in a consultation under observations or can be done from profile/Social profile/Smoking