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step 6: Patients summary page lay-out
RenalReality allows you to see the most relevant aspects of patient care at a glance. This is a very complicated screen and its important you learn to know how to view it, and how to use it. Here you will be given an extensive breakdown of the Patient Summary Page
- Patient details at the top -demographics and RRT category
- Automated color-coded CarePlans for each Result Grid
- Result Grids - showing the last 8 monthly renal parameters
- Metabolics for weights, diabetes, hypertension, and lipids
- Advance Treatment tabs for Anaemia and CKD MBD strategies
- THREE DOTS indicating Clinic visits and e-NOTES
- Headline TABS of the latest STATUS on ACCESS and Transplantation
- Links to NOTICEBOARDS and REMINDERS
- Links to last USKUB and whether Parathyroidectomies performed
- You can click on any column to access all results for that parameter
- By hover over the renal parameters, the normal range for that patient within its RRT modality will appear on the screen
After the selection of your patient, you will enter the Patient Summary Page, with all the data of the patient as a dashboard
** in RR3 you can flick between Daily (Transplant)( vs Monthly Dashboards
step 7: Patients using the Headline tabs
Just under the patient details, you will find the Headline Tabs. The most relevant data and dates appear here. To see a full history of each tab, you can click on it. When the window pop-up with the history of clinical events, you can enter a new clinical event for this section.
- Current RRT Modality, ie Haemodialysis and when started
- RRT plans and dialysis sessions with a reference date
- RRT Access status - most recent status and when updated
- Cause of Chronic Kidney Disease - plus a medical background
- Transplant status and when last updated
- Primary contacts - both Clinicians and renal nurse contact
- Notice Board - and reminders of upcoming events posted
Headline Tabs show you the most recent updates/status of important renal aspects.
**in RR3 NoticeBoard will display any unattended reminders posted by users
** in RR3 you can customize the Summary Page based on whether you want daily vs monthly results grids
** in RR4 you can choose which Advance Management Tabs you prefer the Summary Page to Default to
** in RR3 the NoticeBoard will show unchecked Reminders for this specific patient with a numeric Red
step 8: Patients notices and reminders
To the right of the Headline Tabs, you will see the Menu Item NOTICEBOARD. This contains a list of Notices, Reminders, Most recent events, and CarePlan updates.
Upcoming events (Reminders) are clinical events posted with a future date
CarePlan update is purely a date when this had been updated
Previous events put in chronological order the most recent event including:
1. Surgical renal procedures
2. Modality changes
3. Clinical events like meetings and OPD clinic visits
4. Modality changes
5. Transplant updates
All these events allow you a link to the actual event
The NoticeBoard gives you quick access to Reminders, Alerts and recent event entries
**in RR3 you will be able to QuickLink to these entries made by users and displayed here
**Careplans giving you a link to patient current CarePlan page
Step 9: patients advance management
At the bottom of the patient summary page, you can access advanced management tabs on your patient. This includes the following:
1. Anaemia management (EPO and Iron)
2. CKD MBD management (Binders and Vitamin D)
3. Dialysis scripts for Haemodialysis and Peritoneal dialysis
4. Medication lists
5. Transplant workups
6. CarePlans
You can click on any of these Tabs to view and edit the latest Advance management strategies for this patient, whilst having a view of the Summary page on the background.
These forms can be viewed and moved over the Summary Page
Advance Management strategies can be accessed and viewed here.
**in RR3 Protocol driven Treatments like Lupus protocols can be linked/planned for patients
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step 10: patients important alerts
Medical alerts and Concerns appears next to the patient name as a Red or Red icon. Medical Alerts are mainly microbiology results listed below. If green these icons will appear green. All social concerns will appear in Red.
To view more details of these alerts you can click on them and a pop-up will appear that shows more details about these alerts and concerns.
Relevant scans (USKUB) that you need to be aware of appears on the top of the Biochemistry Result Grid. Similarly, on top of the Bone disease result grid, previous parathyroidectomies will appear here, so that the clinician can interpret the CKD MBD result in the correct context.
**in RR3 a QuickLink to Renal Biopsy reports will be available
Important Alerts about Virology and Social concerns showed here.
**in RR3 Alerts about Specialist Authorities (like EPO) will appear here