This guide is for all medical staff in inpatient wards. It provides an overview of completing the inpatient clinical clerking document for paediatric patients on Sunrise.
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Note Please refer to ‘Creating Documents – Key Points’ quick reference guide and/or video for more information on managing documents.
Documents created can be viewed by all staff with the appropriate access right on Sunrise.
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Patient Admitted in Emergency Department (ED) From the ‘Tracking Boards’ tab, choose an ED location from ‘Department’ list, then select appropriate view and desired admitted patient.
Patient Admitted in Paediatric Ward From the ‘Tracking Boards’ tab, choose a paediatric ward from ‘Department’ list. Select appropriate view and select desired admitted patient.
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Note
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Admitted in ED – Paediatric only If patient is currently admitted in ED and decision to admit (DTA) has been made and recorded, the ‘Paediatric IP Clinical Clerking Document’ can be started whilst the patient is physically in ED then completed whilst admitted on ward.
Open ‘Paediatric IP Clerking Document’ from the ‘Document Entry Worksheet’ dialogue window.
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Admitted in Ward If patient is currently admitted on the ward, select
Alternatively, right mouse click on the patient, hover on ‘Quick Launch Documents’ and select desired document to create.
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Note The flow of documentation being created for inpatients must be completed in a particular order for information to be copied forward or transferred automatically into other relevant inpatient documents.
Example - flow of documentation following an admission from ED (Paediatric Patient) -
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Complete Paediatric IP Clinical Clerking Document The ‘Paediatric IP Clerking Document consists of ‘tabs’ as illustrated below.
The Paediatric IP Clinical Clerking Document is an example of a ‘Structured Note Entry’ styled document on Sunrise. It’ll be completed by doctors for paediatric patients once admitted on the ward.
Currently selected tab is highlighted in white with orange border at the top. Hovering your mouse on each icon next to the tab name at the top provides additional information regarding why the icon appears.
Note – You are required to scroll further down with the scrollbar on the far right of the page to see other relevant fields to be completed.
Complete all required tabs before saving the document.
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Actions/Information bar Action bars appears based on certain selection made within the document being completed. It prompts medical staff on actions to consider or take next. Use your clinical judgement to make appropriate decision.
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Quick Actions buttons There are action buttons within some tabs to support and enhance staff experience whilst completing the clinical clerking document. For example –
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Conditional Triggers Occurs when a selection is made on a radio button option with ‘…’ at the end. A question answered on the document could trigger additional question/s to be answered by staff. The additional question/s might appear on the side or underneath the current question.
Example – ‘Former smoker…’ selection triggers other questions below.
Example – ‘Never smoked’ selection doesn’t trigger any question.
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Assessment Scores Some fields automatically calculate scores based on entries made. Scores recorded can be modified by making changes to selections or entries made.
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Body Map Images Within the ‘Review of Systems’ section, different body map images can be enabled by selecting ‘Yes…’ to the question “Do you require an image?” Images can be annotated using the toolbar directly above the image.
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Saving Document Once all tabs are fully completed, select ‘Save’ button. If the document is partly completed and not finished, tick
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SCM Notice Appears as a pop-up alerting staff regarding information recorded or to act. For example, saving a document whilst significant and/or mandatory field/s haven’t been completed. Some examples are illustrated below. Staff are required to read the prompt and acknowledge or action appropriately.
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