RMT Process - Revision history

JenniferH at 12:02, 2 December 2020

2020-12-02T12:02:12Z

← Older revision		Revision as of 12:02, 2 December 2020
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			Also see '''[https://wiki.cerner.com/display/YUKOAK/How+To+Do+RMT Learning Live – How To Do RMT]'''

	# Go to Message Center		# Go to Message Center
	# Go to Proxies tab on upper left– hit arrow – Select the appropriate RMT box: Yukon/Kusko/Emergency/CPP/Optometry/Dental		# Go to Proxies tab on upper left– hit arrow – Select the appropriate RMT box: Yukon/Kusko/Emergency/CPP/Optometry/Dental

JenniferH at 11:38, 2 December 2020

2020-12-02T11:38:27Z

← Older revision		Revision as of 11:38, 2 December 2020
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	#*:[[file:rmtravenpic.jpg]]		#*:[[file:rmtravenpic.jpg]]
	# Close the patient’s chart; MESSAGE CENTER should automatically become visible with the RMT document you were working on.		# Close the patient’s chart; MESSAGE CENTER should automatically become visible with the RMT document you were working on.
	# Modify the note by adding an addendum – right click within the body of the RMT document and choose modify or click the icon at the top that looks like an eraser over a piece of notebook paper		# Modify the note by adding an addendum – right click within the body of the RMT document and choose "modify" or click the icon at the top that looks like an eraser over a piece of notebook paper
			#:[[file:Modify_button.jpg]]
	# A blinking cursor will appear in the area for you to add the addendum at the bottom of the RMT document.		# A blinking cursor will appear in the area for you to add the addendum at the bottom of the RMT document.
	# Type in your comments and click ‘Sign.’		# Type in your comments and click ‘Sign.’

JenniferH at 11:32, 2 December 2020

2020-12-02T11:32:08Z

← Older revision		Revision as of 11:32, 2 December 2020
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	#** If you check additional order boxes, click “Orders for Signature” at the bottom right (NOT “INITIATE NOW”) and then “sign”		#** If you check additional order boxes, click “Orders for Signature” at the bottom right (NOT “INITIATE NOW”) and then “sign”
	#** For orders not on the power plans, select ADD to PHASE. Then hit “Orders for Signature” (NOT INITIATE NOW)		#** For orders not on the power plans, select ADD to PHASE. Then hit “Orders for Signature” (NOT INITIATE NOW)
	#** If a patient needs a medication to be sent from Bethel pharmacy (not available from the village formulary) – Order it from the blue Plus from the left side of the screen and select "mail to" when ordering it. New meds can be written on either form. [[file:rmtravenpic.jpg]]		#** If a patient needs a medication to be sent from Bethel pharmacy (not available from the village formulary) – Order it from the blue Plus from the left side of the screen and select "mail to" when ordering it. New meds can be written on either form.
			#*:[[file:rmtravenpic.jpg]]
	# Close the patient’s chart; MESSAGE CENTER should automatically become visible with the RMT document you were working on.		# Close the patient’s chart; MESSAGE CENTER should automatically become visible with the RMT document you were working on.
	# Modify the note by adding an addendum – right click within the body of the RMT document and choose modify or click the icon at the top that looks like an eraser over a piece of notebook paper		# Modify the note by adding an addendum – right click within the body of the RMT document and choose modify or click the icon at the top that looks like an eraser over a piece of notebook paper

JenniferH at 11:24, 2 December 2020

2020-12-02T11:24:21Z

← Older revision		Revision as of 11:24, 2 December 2020
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	~~===How to do RMT on RAVEN===~~
	# Go to Message Center		# Go to Message Center
	# Go to Proxies tab on upper left– hit arrow – Select the appropriate RMT box: Yukon/Kusko/Emergency/CPP/Optometry/Dental		# Go to Proxies tab on upper left– hit arrow – Select the appropriate RMT box: Yukon/Kusko/Emergency/CPP/Optometry/Dental

JenniferH: /* How to do RMT on RAVEN */

2020-12-02T11:19:02Z

How to do RMT on RAVEN

← Older revision		Revision as of 11:19, 2 December 2020
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	#*If you open an RMT, but are unable to complete it, right click it and select “Mark Unread”		#*If you open an RMT, but are unable to complete it, right click it and select “Mark Unread”
	#Read RMT- pay particular attention to “Note to RMT:,” “Are you Up-To-Date With Your Immunizations:,” “Telemed:,” vitals, and “Health Aide Comments.”		#Read RMT- pay particular attention to “Note to RMT:,” “Are you Up-To-Date With Your Immunizations:,” “Telemed:,” vitals, and “Health Aide Comments.”
			#Review Patient Chart: Locate patient’s name in right upper corner and select the downward arrow, then click “Workflow Views.” If “Assign a Relationship” box pops-up, choose “RMT Provider” and click ‘OK’
			#*Review recent Documentation, lab results, and immunization history
			#*For Pediatric Patients, review the Growth Curve
	#Review Orders:		#Review Orders:
	~~#* Locate patient’s name in right upper corner and select the downward arrow, then click “Orders.” If “Assign a Relationship” box pops-up, choose “RMT Provider” and click ‘OK’~~
	#* Scroll on the Order’s View box (lite blue box on the left side) to see the “Village Clinic…” powerplans located near the top.		#* Scroll on the Order’s View box (lite blue box on the left side) to see the “Village Clinic…” powerplans located near the top.
	#* Review the Village Powerplan orders selected in the window to the right.		#* Review the Village Powerplan orders selected in the window to the right.
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	#** If you check additional order boxes, click “Orders for Signature” at the bottom right (NOT “INITIATE NOW”) and then “sign”		#** If you check additional order boxes, click “Orders for Signature” at the bottom right (NOT “INITIATE NOW”) and then “sign”
	#** For orders not on the power plans, select ADD to PHASE. Then hit “Orders for Signature” (NOT INITIATE NOW)		#** For orders not on the power plans, select ADD to PHASE. Then hit “Orders for Signature” (NOT INITIATE NOW)
	#** If a patient needs a medication to be sent from Bethel pharmacy (not available from the village formulary) – Order it from the blue Plus from the left side of the screen and select "mail to" when ordering it. New meds can be written on either form.		#** If a patient needs a medication to be sent from Bethel pharmacy (not available from the village formulary) – Order it from the blue Plus from the left side of the screen and select "mail to" when ordering it. New meds can be written on either form. [[file:rmtravenpic.jpg]]
	[[file:rmtravenpic.jpg]]
	~~#For Pediatric Patients, review the Growth Curve~~
	# Close the patient’s chart; MESSAGE CENTER should automatically become visible with the RMT document you were working on.		# Close the patient’s chart; MESSAGE CENTER should automatically become visible with the RMT document you were working on.
	# Modify the note by adding an addendum – right click within the body of the RMT document and choose modify or click the icon at the top that looks like an eraser over a piece of notebook paper		# Modify the note by adding an addendum – right click within the body of the RMT document and choose modify or click the icon at the top that looks like an eraser over a piece of notebook paper

JenniferH: /* How to do RMT on RAVEN */

2020-12-02T11:14:26Z

How to do RMT on RAVEN

← Older revision		Revision as of 11:14, 2 December 2020
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	===How to do RMT on RAVEN===		===How to do RMT on RAVEN===
	* Go to Message Center ~~(RPG Page 16)~~		# Go to Message Center
	* Go to Proxies tab on upper left– hit arrow – Select the appropriate RMT box: Yukon/Kusko/Emergency/CPP/Optometry/Dental		# Go to Proxies tab on upper left– hit arrow – Select the appropriate RMT box: Yukon/Kusko/Emergency/CPP/Optometry/Dental
	* Select ~~1st~~ document in the list appearing on the Right side and open it.		#Select first document in the list appearing on the Right side and open it by double clicking.
	* Read RMT- ~~then~~ to ~~review orders~~		#*If you open an RMT, but are unable to complete it, right click it and select “Mark Unread”
	* Locate patient’s name in right upper corner and select the downward arrow ~~to open the patient’s chart within orders~~		#Read RMT- pay particular attention to “Note to RMT:,” “Are you Up-To-Date With Your Immunizations:,” “Telemed:,” vitals, and “Health Aide Comments.”
	* Scroll on the Order’s View box (lite blue box on the left side) to see the ~~village clinic~~ powerplans located at the top.		#Review Orders:
	* Review the Village Powerplan selected in the right ~~window~~.		#* Locate patient’s name in right upper corner and select the downward arrow, then click “Orders.” If “Assign a Relationship” box pops-up, choose “RMT Provider” and click ‘OK’
	** If no orders added, just close the chart.		#* Scroll on the Order’s View box (lite blue box on the left side) to see the “Village Clinic…” powerplans located near the top.
	** If you check additional order boxes, ~~sign~~ (NOT ~~INITIATE~~)		#* Review the Village Powerplan orders selected in the window to the right.
	** For orders not on the ~~powerplans~~, ~~choose~~ ADD to PHASE. Then hit ~~sign~~ (NOT INITIATE)		#** If no orders added, just close the chart.
	* ~~Close the patient’s chart; MESSAGE CENTER should automatically become visible with the RMT document you were working on.~~		#** If you check additional order boxes, click “Orders for Signature” at the bottom right (NOT “INITIATE NOW”) and then “sign”
	* Now to Modify and add addendum – right click within the body of the RMT document and choose modify.		#** For orders not on the power plans, select ADD to PHASE. Then hit “Orders for Signature” (NOT INITIATE NOW)
	* The area for you to add the addendum will appear at the bottom of the RMT document.		#** If a patient needs a medication to be sent from Bethel pharmacy (not available from the village formulary) – Order it from the blue Plus from the left side of the screen and select "mail to" when ordering it. New meds can be written on either form.
	* Type in your comments.
	* Now at bottom of RMT document Hit Additional Forward Action box –
	* In the To: field - Select the Health aide who sent the RMT document to you (delete previous RMT health aide’s name).
	* Then Click "OK and Close" – (DO NOT HIT NEXT)
	* If a patient needs a medication to be sent from Bethel pharmacy – Order it from the blue Plus from the left side of the screen and select "mail to" when ordering it. New meds can be written on either form.
	[[file:rmtravenpic.jpg]]		[[file:rmtravenpic.jpg]]
			#For Pediatric Patients, review the Growth Curve
			# Close the patient’s chart; MESSAGE CENTER should automatically become visible with the RMT document you were working on.
			# Modify the note by adding an addendum – right click within the body of the RMT document and choose modify or click the icon at the top that looks like an eraser over a piece of notebook paper
			# A blinking cursor will appear in the area for you to add the addendum at the bottom of the RMT document.
			# Type in your comments and click ‘Sign.’
			# At the bottom of RMT document Hit ‘Additional Forward Action’ box –
			#*Click the down arrow of the dropdown box and select “Review”
			#* In the To: field –
			#**Type the first few letters of the last name, then the first name of the Health aide who sent the RMT document to you and click ‘Enter’ (The Health Aides name should populate the field. If there are multiple options or you misspell the name, and “Address Book” box will pop-up to search current staff
			#** (delete previous RMT health aide’s name).
			# Finally, Click ‘OK and Close’ – (DO NOT HIT NEXT)


	[[:Category:Radio Medical Traffic (RMT)]]		[[:Category:Radio Medical Traffic (RMT)]]

JenniferH at 10:40, 2 December 2020

2020-12-02T10:40:47Z

← Older revision		Revision as of 10:40, 2 December 2020
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	In the villages, patients are taken care of by Health Aides/Practitioners (CHAs), who consult with their assigned outpatient providers when patient care falls outside of their standing orders. They complete a preformatted Health Aide Encounter document through Raven that the panel provider will review and then either discuss the care plan with the CHA via telephone or send back the RAVEN RMT with a modification attached.

	Every afternoon 2-4 providers from clinic will review through Message Center approximately 200 RMTs (radio medical traffic) a day for the 50 villages through the Yukon and Kusko Proxy boxes. Chronic Peds patients are sent to the Chronic Peds proxy box. Eye and Dental RMTS are sent to the respective Eye Doc and Dental proxy boxes.

	~~At this time we have several long distance providers who are also doing RMT – Helen Hancken PAC in Kenai, Lois Rockcastle FNP in Eagle River, Anne Marie Narog in Kodiak and Bud Vermeire, Sze Pang.~~

	Routine RMT: For routine village encounters that fall outside a CHA’s standing orders, the health aide will complete a RAVEN encounter form and send it to Delta, Yukon RMT or CPP box. An assigned medical provider will then review the encounter and send back their assessment and plan.

	[[Emergency RMT]]: For urgent and emergency village patient encounters, i.e. sick or critical patients who need immediate treatment or to be sent in quickly via a commercial or medevac flight, the CHA should complete an Health Aide Encounter RAVEN form (if time allows), send it to the "Emergency, RMT" or "Chronic Peds, RMT" proxy box and have the ward doctor paged for an urgent or emergency consult.

	~~Occasionally the ER physician will take urgent or Emergency RMT calls if the ward doctor is too busy to answer the call or requests assistance.~~

	All RMT providers need to review documentation paying close attention to the vitals and “Note to RMT” section. It is important to also look at "other history" as important clinical history can often be found there as well. The RMT provider will either discuss the care plan with the Health Aide via telephone and/or send back the modified RMT with the plan of care.
	===How to do RMT on RAVEN===		===How to do RMT on RAVEN===
	* Go to Message Center (RPG Page 16)		* Go to Message Center (RPG Page 16)

JenniferH at 11:09, 14 April 2020

2020-04-14T11:09:19Z

← Older revision		Revision as of 11:09, 14 April 2020
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	[[file:rmtravenpic.jpg]]		[[file:rmtravenpic.jpg]]

	[[Category:Radio Medical Traffic (RMT)]]		[[:Category:Radio Medical Traffic (RMT)]]

JenniferH at 05:27, 17 June 2019

2019-06-17T05:27:27Z

← Older revision		Revision as of 05:27, 17 June 2019
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	[[file:rmtravenpic.jpg]]		[[file:rmtravenpic.jpg]]

	[[Category:Radio Medical ~~Traffice~~ (RMT)]]		[[Category:Radio Medical Traffic (RMT)]]

JenniferH at 05:26, 17 June 2019

2019-06-17T05:26:51Z

← Older revision		Revision as of 05:26, 17 June 2019
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	[[file:rmtravenpic.jpg]]		[[file:rmtravenpic.jpg]]

	[[Category:RMT]]		[[Category:Radio Medical Traffice (RMT)]]