)
step 11: Events using quicklinks
- RenalReality allows the entering of the most common clinical events under the heading: New Event - QuickLinks:
- Cause of CKD - Medical background also added/updated here
- RRT plans - the choice of Modality preferred
- OPD clinic notes - every visit associated with e-notes
- Medication updates - every visit, clinicians review medications
- Access-related entries - for all your vascular access entries
- Changes in RRT modalities - including transplantation
- Transferring care between units - moving to and from
- Renal procedures - renal biopsies, parathyroidectomies
- Patient observations - BP, weight, BMI, etc
- Patient deaths - although automatically updated, manually done here
- Family meetings - outcomes/notes from family meetings
- Home visits - FORMS used to complete this section
Using the New Event MENU item at the top, these QuickLinks options are exposed for you.
**In RR3, you can build your own QuickLinks, including Forms commonly used by you
Step 12: events using the menu tree
At the top of the Summary page, clinical data is organized under the following headings
1. Summary - this is the Dashboard or Summary Page of the patient
2. Encounters - patient events when in contact with renal service
3. Access - dialysis access
4. Results - blood results
5. Clinical data - scripts and medications
6. Patient notes - electronic notes entered by users
7. All events - summary of all data entered, accept blood results
8. Forms - here, you can enter predefined forms
9. Documents
10. New Events - Quick links
When in the patient Summary Page you can view historical events using these tabs or you can look at all event using the ALL EVENTS menu option
After you click the Submenu of events, you can use the NEW EVENT tab on the right
**in RR3, these can appear as check-boxes or drop-down boxes as per your preference
Step 13: events using forms to enter new events
Using the FORMS section, you can enter data against a preset list of parameters and options as designed by your local unit.
Each of these FORMS will have a date for you to change, pending when this event happened. The default date will always be today's date.
Some of the Parameters will have predetermined options as a drop-down box. To the right of each set of options, you can sometimes add free-texted notes to clarify your options.
These parameters and options can be changed at the ADMIN level.
You must click the ENTER button to confirm the data as above. These forms can be edited afterward or accessed through timelines. Scrolling options with numbers appear at the bottom of each form over time.
FORMS demonstrated here where users can enter sets of data in one predefined format
**In RR3, all data will be entered using Basic Functional Units customizable to your DHB
Step 14: events adding attachments**
Sometimes you got data stored in another format you would like to add to an existing clinical event in RenalReality. For example, a photo of a rash or a diagram of vascular mapping was done in preparation for AVFistula creation.
File formats supported as part of RenalReality software application
1. Word documents
2. Powerpoint presentations
3. Documents stored as images (png, jpeg, bmp)
4. PDF documents like clinic letters or referrals
After entering events and adding attachments, this can be accessed via the menu items at the top of your page. It's best to name our files so you can see the named descriptive detail of the file attached to the clinical event. You can delete files or attachments as you delete events.
* This feature is now available in version 2.7 onwards
Files stored can be attached through the ACTION button next to each event
Basic Functional Units will contain Action buttons to attach files to any event
These action buttons will also include Referrals, Letters, Reminders, and Favourites
Step 15: events how to do the 10 most common event entries
One of the most common Entry Forms created in RR version 2 is Haemodialysis Session Form demonstrated here. You can access these Forms via the Menu item FORMS ---> Haemodialysis. The way to use this form will be demonstrated separately. Algorithms to analyze these data entries into alerts and action plans will follow in RenalReality version 3 - Live Dialysis Dashboards.
The Cause of CKD follows the same list used as ANZDATA to allow direct Upload
** in RR3 data upload (including cause of CKD) will be available for ANZDATA uploads
How to enter CKD cause and medical background
All patient must have a CKD cause and Medical Background
- Click on NEW EVENT (QuickLink) ---> Cause of CKD
- Click on Category to expose your list of options in the drop-down box
- Scroll down or use the FIRST LETTER to find your option
- Click on your selected option and move to the Free text box
- Copy and Paste or Type Medical Background in the Free text box
- Make sure the date in your Calender box is correct - Default = Today
- Click on SAVE to store your selection or CANCEL to exit
Whilst drop-down lists used here, in RR3 the option of check-box entry will be available
How to enter RRT PLANS which RRT modality?
Leading up to ESRD each patient must have a chosen Modality including conservative management (not for RRT)
- Click on NEW EVENT ---> Renal Replacement Therapy Plans
- Click on Category to expose your list of options in the drop-down box
- Scroll down or use the FIRST LETTER to find your option
- Click on your selected option and move to the Free text box
- Type in comments that support/explain the choice made
- Make sure the date in your Calender box is correct - Default = Today
- Click on SAVE to store your selection or CANCEL to exit
** in RR3 you can store your Most USED MenuTree/Forms entries in User Favourites
How to enter dialysis access changes
Before starting renal replacement therapy, each patient must have Dialysis access which can be entered here. Access complications can also be entered here.
- Click on NEW EVENT ---> Access related entries
- Click on Category to expose your list of options in the drop-down box
- You can select between Create, Remove, or Problems for any complications associated with current access
- After selecting the secondary option, you can now select the tertiary access or complication associated with the second choice
- Type in comments that support/explain the choice made
- Make sure the date in your Calender box is correct - Default = Today
- Click on SAVE to store your selection or CANCEL to exit
** in RR3 changes in RRT Modality will be checked against RRT Access required
How to update patient RRT MODALITY
When the patient is ready to start a new modality like dialysis or transplantation, you need to update the RR records using these steps
- Click on NEW EVENT ---> Change RRT mode
- Click on Category to expose your list of options in the drop-down box
- You can select between options exposed in the drop-down list
- After choosing your option, you can now type in comments that support/explain the choices made
- Make sure the date in your Calender box is correct - Default = Today
- Click on SAVE to store your selection or CANCEL to exit
- Conservative therapy can be entered here or via RRT Plans
How to update patient transplant status
Updates during workup towards a kidney transplant, including having a kidney transplant can be entered here - using the steps below.
- Click on NEW EVENT ---> Transplant Status
- Click on Category to expose your list of options in the drop-down box
- For general notes: Use the option --> Transplant notes
- To update RECIPIENT status, select the option --> Recipient
- To update your DONOR status, select the option --> DONOR
- From here, you can pick an option as per the national transplant codes for updating DONORS and RECIPIENTS
- Click on SAVE to store your selection or CANCEL to exit