The Procedure Window

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The Details Tab

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The Provider's name will be filled when booking a Procedure into the Appointment book, or if the record is created by the Provider themselves.

 

The Hospital drop-down list is determined by what 'Rooms' are entered in Genie. See Theatre Lists for more information on setting up Rooms in Genie. A Hospital must be assigned in order for the Procedure to be included and therefore printed on the Theatre list.

 

Enter the name of the Procedure by simply typing it in, or selecting it from the drop-down menu, if the particular Procedure has previously been added. If you are using ICD10 or ICPC coding, enter a keyword which best describes the Procedure. If this Procedure involves multiple operations, just enter the major one, and type the remaining Procedures in as free text. If you are using ICD10 coding, an Operation record will also be created with the correct Medicare Item Number. The Operation record itself will also receive an ICD10 code.

 

You can build a list of your common Procedures by clicking on the Add To List button. This will add the Procedure name you have entered in the Procedure field to this fields popup menu.

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You can add this Procedure to the patient's Past History list by clicking on the button with the Blue Plus sign button.

 

Making a selection from the Surgical Performance drop down list will take you to the Surgical Performance website. Surgical Performance allows you to compare your outcomes of surgery with the outcomes from your colleagues.  For further information about this facility, please refer to www.surgicalperformance.com. Please note that Genie Solutions has no affiliation with this organisation.

 

The Left or Right radio buttons allow for the specification of which side the procedure applies to.

 

Pre and Post-op diagnoses can also be entered.

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Clicking on the Blue Plus sign button to the left of Pre or Post-Op Diagnosis will add the diagnosis to the patient's Current Problems list.

 

Clicking on the Workcover Info button allows you to select the relevant Workcover claim and inserts into the Pre-Op Notes field the claim number, injury date, employer and insurer details.

 

Any pre-op notes you make will print on the Theatre list.

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The Pre-Op Tab

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Category, Magnitude and Infection Risk are optional fields in which you can add your own criteria to the drop-down menus.

 

Procedure Type must be selected if you intend to use the Quotes section. Anaesthetist and Prosthesis information will print on the Theatre list.

 

When you click on the Assistant, Anaesthetist or Paediatrician fields, Genie searches the Address Book for doctors who have been assigned this speciality. If it finds any you will be given a list of matching records from which to select.

 

The various tick boxes in this window can be used for the Pre-op Notification function (see Pre-Op Notifications Check).

 

In the lower part of this screen you can add a Checklist for this procedure. These could be used as a pre operative checklist or as the actual Operation report. For more information, see Checklists.

The Quotes Tab

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This window allows you to create a Quote for the patient, based on the item numbers selected for the Procedure. Please refer to Quotes for more information.

The Op Notes Tab

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Findings, Technique and Post-op information can be entered in this window.

 

As these notes are generally the same for the specified procedure, they can be saved along with other relevant information into a template.

 

For more information on creating templates, see the Procedure Templates.

The Post-Op Tab

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The Post Op page contains fields for recording audit information about the procedure.

 

There are a range of checkboxes covering a variety of common complications. Some are general such as post-op infection. Others are speciality-specific such as "T-zone Breakdown" for Plastic Surgeons and "Bile Leak" for general surgeons.

 

When you tick a checkbox, note that a summary of complications is entered into the Audit Summary field. This is so that this field can be referenced in a post-op letter to a referring GP. e.g. "Operation was performed, complicated by...".

 

As well as the supplied complications you can add any other complications using the Complications menu.

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