Re: [Health] Surgery - some questions

[Luis Falcon]

Dear Khurram

On Mon, 2 May 2016 11:10:39 +0500
Khurram Shahzad <address@hidden> wrote:

> Dear All,
> 
> Following questions were raised by the Surgery department of our
> hospital:
> 
> 1. There is one Surgery form which will be used by various health
> professionals for entering various information like:
> 
> a) The Surgery Back Officer will save the surgery record and enter
> information like start/end date time, anaesthetist name, urgency,
> operating room etc.
> 
> b) Patient Surgical Risk Assessment will be done by the anaesthetist
> by entering ASA PS, RCRI, Mallampti Score.
> 
> c) Surgical Wound will be selected by Surgeon (by the way is it the
> wound the patient has come for surgery of OR it is the wound which
> will be there AFTER the surgery?)
> 
> d) Procedures will be entered by Surgeon
> 
> e) Supplies will be entered by back officer, Surgeon, Anaesthetist.
> By the way, how to record the need of blood.
> 
> f) Preoperative checklist will be selected by Surgeon.
> 
> This is all done before Confirmation of Surgery.
> 
> 2. Then, some user (probably Surgery Admin) will confirm the Surgery.
> 3. Then at the time of start of surgery, some other guy (say OT
> Admin) will hit the Start button to start the surgery.
> 4. When surgery is done the Surgeon will put something in notes in
> "Details" and anaesthetist will enter details in "Aneasthesia".
> 5. Finally, some one will finish surgery by clicking "Finish"
> 6. Then Surgeon (or some other user?) will sign it.
> 
> Now, there is one Form and so many users at different times will enter
> various information into this one form.
> 

> How can we restrict every user to enter information relevant to him
> and then record that he/she has really entered it?
> 

Thank you very much for the elaborated email. Quite a nice workflow !

The RCRI is available from the main patient form, so it should be used
from there, and then just assign it to the particular surgery.

For the other fields, you can assign the access rights for each field
to the different groups (nurse, anesthetist, ... ). Those rights will
allow to update the surgery information for each health professional

Regarding the need for blood units on the surgery, you can associate it
to the pre-operative check risk of major bleeding (>500mL adults or
7mL/kg children), that is on the main form.


All the best,
Luis