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Obstetrics is very protocol driven. Labs,
injections, counseling, etc. are routinely done at certain EGA's throughout the
pregnancy. It is quite easy for a busy practitioner to overlook a simple lab
request during a time critical period. For instance, not offering a quad-screen
between 15-20 weeks or not ordering a 1 hour glucola between 24-28 weeks could
put the practitioner at medical-legal risk. That's where SmartOB Prenatal Forms
help the most. No matter how busy you get, the SmartOB forms will NEVER miss
reminding you of what is missing on the chart and that should help you to
eliminate errors of omission
for routine labs.
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Each time the SmartOB Forms open, the forms
calculate the pt's EGA based on the current date and the Final EDD from
Form 3. Then, depending on the user Preferences, the forms look for
missing items and a screen similar to the one on the left will pop up
automatically if there are any Reminders or Alerts when Form 3 or 4 or 5 is
loaded.
If you select Yes, then the Reminders will
be printed on the active printer.
If you didn't print the Reminders, or you just want to review them
again, or you want to plan for a future visit date, you may bring up Reminders anytime the forms are open
by following the instructions below. |
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The
last menu on the menu bar in Excel 2003 is the SmartOB
menu. If you then select Reminders and
Alerts, a box similar to the one below will pop up. In Excel 2007,
the SmartOB menu is found by selecting Add-Ins. |
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The default date is the current system
date. This box provides the User with the opportunity to automatically
check to see what labs might need to be ordered on a future date.
Selecting OK will bring up the Reminders screen.
This is useful for planning office visits for dates in the future. |
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You may also bring up reminders and alerts
from the pop-up menu. If you Right-Click anywhere on any Form
you will see a menu similar to the one on the left.
If you then Left-Click on Reminders and
Alerts, a box similar to the one above will pop up. |
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You may also add up to 30 of
your own reminders by either selecting User Defined Reminders
from the menu bar or by selecting User Defined Reminders from
pop-up menu. If you Right-Click anywhere on any Form
you will see a menu similar to the one on the left.
If you then Left-Click on User
Defined Reminders, a box similar to the one below will pop up.
User Defined Reminders allow the
User to add reminders in addition to the standard reminders already
available and set on the Preferences sheet (see
Changing the Reminder/Warning Settings).
This is useful when a patient requires non-standard recurring tests not
available on the Preferences sheet. For example, a patient is known to
have pre-existing renal disease and you have decided to perform a 24
hour urine every 4 weeks starting at 20 weeks. Setting a reminder for
this is easy with the User Defined Reminders Form. See below for
instructions on how to accomplish this example. |
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Following the directions above, access
the User Defined Reminders form. To accomplish the above example,
select 24-hr Urine, CrCl, T. Prot, Creatinine from the New Reminder
drop-down list. Then select q 4 weeks from the Frequency
drop-down list. And finally select 20 from the EGA drop-down list
and click or select the Add Reminder button. After the
patient is 20 weeks gestation, this new reminder will pop up as one of
the Reminders and Alerts. You are
not limited to the values in the New Reminder or Frequency Lists. You
may type in any Reminder or Frequency you wish. If you no longer need
the Reminder, select the Reminder and click the Delete
Reminder button. |
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New for version 3.16 of the SmartOB
Prenatal Forms is the menu item User Defined Protocols.
This allows the user to create protocols for up to 30 high risk
diagnoses by either selecting User Defined Protocols
from the menu bar or by selecting User Defined Protocols from
pop-up menu. If you Right-Click anywhere on any Form
you will see a menu similar to the one on the left.
If you then Left-Click on User
Defined Protocols, a box similar to the one below will pop up.
User Defined Protocols allow the
User to add reminders for high risk diagnoses in addition to the standard reminders already
available and set on the Preferences sheet (see
Changing the Reminder/Warning Settings).
This is useful when the user follows a set protocol requiring
non-standard recurring tests not available on the Preferences sheet in
the event of certain high risk diagnoses. For example, if the user
follows a protocol for the management of SLE, the user can create a User
Defined Protocol for SLE containing all the tests that would ordinarily
be done for that diagnosis. Creating a protocol for
this is easy with the User Defined Protocols Form. See below for
instructions on how to accomplish this example. |
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Following the directions above, access
the User Defined Protocols form. To accomplish the above example,
enter Systemic Lupus Erythematosus in the New Protocol Name Field and
select Add Protocol. |
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To activate any protocol for a patient
during their pregnancy, simply follow the directions above to access
this form and select Select Protocol. The protocol will then be
activated for this patient for the remainder of her pregnancy. The user
may also de-select the protocol at any time.
To edit the protocol, select Edit
Protocol to bring up the screen below. |
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This is where the user adds or deletes
the test reminders associated with the protocol and this form is used
the same way as the User Defined Reminders form above.
You are
not limited to the values in the New Reminder or Frequency Lists. You
may type in any Reminder or Frequency you wish. |
*Once you've set up your forms including Headers,
you should save them as your template that you will use over and over.
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