NURSEMASTER 1.1 Installation and Use (Adapted from the online help and printed manual.) Contents: 1. Installing NurseMaster 2. Filling Out a Care Plan 3. Printing (or Previewing) a Care Plan 4. Recertifying, Backing Up, and Importing Care Plans 5. Helpful Hints 1. Installing NurseMaster • Insert NurseMaster setup disk 1 into floppy drive These instructions refer to the floppy drive as A:. If B: is your floppy drive, please substitute B: for A: throughout these instructions. • Run SETUP.EXE In Windows 3.x, choose the File/Run command in the Program Manager or File Manager. Type in A:SETUP.EXE, and press OK. In Windows 95, choose the Run command in the Start Menu. Type in A:SETUP.EXE, and press OK. • Follow the Setup instructions on the screen The Setup program will prompt you through the following steps: read and accept the NurseMaster license agreement, enter the user information, choose the installation directory on your computer, and choose the program folder where the NurseMaster icon will be placed. When the Setup program is finished, you can exit Setup and run NurseMaster. • Run NurseMaster Click on the NurseMaster icon. You will be presented with the NurseMaster login/welcome screen. Just press the ENTER key to go into NurseMaster (you do not need to type in a password until after you set a password). If you want to set a password, choose the Change Password command in the Tools menu, leave the old password box empty (since there is no 'old password'), and type your new password in the two other boxes provided. • Enter your company information Your company information will print at the top of the care plan, so you need to enter it before you print any care plans. Choose the User Settings command in the Tools menu. Fill in all of the information (Name, Company, Address, Serial Number), and press OK. 2. Filling Out a Care Plan • Click on the New Patient button above the Patient Database Clicking on the New Patient button displays a care plan entry screen. • Enter all applicable patient data into the top half of the form The care plan entry screen includes the data fields listed below. Use the TAB key to move from field to field. You can also use the mouse to click in a field to enter or change data. Patient #: patient's identification number, used to file and sort patient records Last Name, First Name: patient's name Patient Phone#: patient's phone number Visit Preference: the time of day the patient prefers a visit, or how to arrange the visit Code Status: patient's choice for emergency response Doctor: patient's doctor Certification Date: the beginning date of the care plan certification period MC/Policy #: Medicare number or insurance policy number Allergies: patient's allergies You can type directly into each of the above fields, except for the Doctor field. Simply click on the Doctor field with the mouse and choose a Doctor from the list that pops up (you can also use the arrow keys on the keyboard to choose a Doctor from this list). If you wish to add a doctor to the list, click on the Add MD button and enter the Doctor's name and phone number. After entering all patient information, then adding appropriate Diagnoses and Interventions (see below), press the Save Plan button. This returns you to the Patient Database screen. • Click on the Add Dx button to add a diagnosis to the bottom half of the form Clicking on the Add Dx button displays a diagnosis entry form. (To edit a previously-entered diagnosis, double-click right on the diagnosis, or click on the diagnosis and click on the Edit Dx button.) • Enter the diagnosis information into the top half of the diagnosis form The diagnosis form includes the following two data fields: Diagnosis: type in a diagnosis OR choose a NANDA-approved diagnosis by clicking on the down arrow on the right end of the diagnosis field Goal: enter the goal related to this diagnosis After adding appropriate Interventions (see below), press the Save Diagnosis button. This returns you to the patient care plan form. • Click on the Add Interv. button to add an intervention to the bottom of the diagnosis form Clicking on the Add Interv. button displays a Intervention entry form. (To edit a previously-entered intervention, click on the intervention and click on the Edit Interv. button or double-click right on the intervention.) Enter each intervention into its own intervention form. • Type in the intervention The intervention form includes the following two data fields: Intervention: type in an intervention, up to 255 characters (including spaces and punctuation) Number of comment lines...: if you want more than one comment line printed after this intervention, click on the number box and choose up to 5 comment lines NOTE: Some interventions are accompanied on the care plan by specialized input boxes. For example, if an intervention has the word “insulin” in it, an insulin box will appear with the intervention on the printed care plan. There are specialized boxes for interventions with any of the following keywords: INSULIN; INJECTION or INJ; VP, VENIPUNCTURE, BLOOD DRAW, or DRAW BLOOD; IV or INTRAVENOUS; WOUND or INCISION; TEACH; and CATH. After completing the intervention, press the Save Intervention button. This returns you to the Diagnosis form, where more interventions can be entered for this diagnosis. 3. Printing (or Previewing) a Care Plan • Click on the Print Plan button Clicking on the Print Plan button displays the Print options window. If you just want to print the care plan, go on to the next step. However, this window also gives you options to print one page of the care plan, print multiple copies of the care plan, or choose a different printer (with the Setup button). If you are printing from the main screen with the Patient Database, the highlighted care plan will be printed. If you are printing from the patient care plan form, the care plan you are editing will be printed. • Click on the OK button (or press Enter) Preview Plan You can see exactly what the printed care plan will look like by using the Preview Plan ption. This displays the printed page on the screen, without printing it to the printer. • Click on the Preview Plan button Clicking on the Preview Plan button displays a printed care plan on the screen. At the top of the screen, there are Zoom buttons (full page, 100%, and page width), Navigation buttons (previous and next page), a Print button, and an Exit button. • If you're ready to print the care plan, click on the Print button (with the printer icon) The Print button sends the care plan to the printer with no confirmation window. • Click on the Exit button Exiting the Preview screen returns you to the NurseMaster program. 4. Recertifying, Backing Up, and Importing Care Plans You must be at the main screen with the Patient Database to recertify, back up, or import care plans. Recertifying a Care Plan When you recertify a care plan, NurseMaster makes a new copy of the care plan, complete with all diagnosis and interventions. The date of the new care plan is advanced 2 months from the original care plan date to start the new certification period. • Click on the Recertify Plan button When you click on Recertify Plan, you are asked to confirm that you want to duplicate the highlighted care plan. • Click the Yes button (or press Enter) The new care plan appears in the Patient Database highlighted, ready to be updated. The original care plan also remains in the Patient Database (you may wish to keep originals around for a few months before deleting them). Backing Up Care Plans When you backup the care plans, NurseMaster copies the complete Patient Database to a floppy disk (or whereever you choose). • Choose Backup Care Plans from the Tools menu When you choose Backup Care Plans, you are presented with the option to change the backup destination from the floppy drive (A:) to another destination. • If you wish to backup to a destination other than A:, type in the new destination You can backup the Patient Database to any directory of your choice. You can backup to another floppy drive (B:), another directory on your hard drive (C:\BACKUP), or a tape drive or zip drive (D: or E:). Make sure you backup to somewhere besides your hard drive, in case your whole hard drive goes bad. • Click the Backup button (or press Enter) A backup gauge shows the progress of the backup. When the backup is done, you'll be returned to the main Patient Database screen. Importing Care Plans When you import care plans, NurseMaster ADDS the care plans from the source location to the care plans you already have. For example, if you import care plans from a floppy, the care plans on the floppy will be copied into the Patient Database on your computer, in addition to the care plans that were already there. • Choose Import Care Plans from the Tools menu When you choose Import Care Plans, you are presented with the option to change the source of the import from the floppy drive (A:) to another location. • If you wish to import from a location other than A:, type in the new location You can import care plans from any location of your choice. • Click the Import button (or press Enter) An import gauge shows the progress of the import. When the import is done, you'll be returned to the main screen with the Patient Database. If you are importing duplicates, you will be prompted to choose one of the following three options: Replace, Duplicate, or Skip. Replace will overwrite the existing care plan with the imported plan. Duplicate will leave the existing care plan intact and add the imported plan to the database. Skip will leave the existing care plan intact and not import the duplicate plan. 5. Helpful Hints General NurseMaster Hints • Press the F1 key while using NurseMaster to view this help file. • BACKUP YOUR CARE PLANS OFTEN! (See Backing Up Care Plans in section 4 above.) It only takes a minute, and will save you a lot of work sometime down the road. There's a saying about computer and hard drive problems: it's not a matter of IF , but WHEN. • Use the ESC (escape) key to undo changes to a field. For example, if you accidentally delete some text in part of the care plan, just press ESC to restore it to the original text. NOTE: This only works while the cursor is still in that text box. Once you move the cursor to another text box, you can no longer undo. • If you do not set a password in NurseMaster, you can just press ENTER at the login/welcome screen to go into NurseMaster. If you set a password, try to choose one that would be difficult for someone to guess, yet easy for you to remember. NOTE: the first order of security is to prevent unauthorized access to the computer! • Try setting your Windows screen size to 800x600 or greater. The default of 640 (dots across) x 480 (dots tall) is limiting for all computer programs, including NurseMaster. • You can double-click on a care plan to open it for updating (this does the same thing as clicking on a care plan and pressing the Update Care Plan button). Likewise with the diagnoses and interventions—just double-click with the mouse to quickly open them up for editing. • Most buttons and menu items have Accelerator Keys, which allow them to be selected with the keyboard (no mouse clicks required). Simply hold down the ALT key (it works like the SHIFT key), and type the letter that is underlined on the button. For example, to press the "Preview Plan" button, type ALT-P. Or to select "Backup Care Plans" in the "Tools" menu, type ALT-T, B. • Some menu items also have other Accelerator Keys. For example, CTRL-P will print the current care plan. • You can cut, copy, and paste to and from the Windows clipboard using CTRL-X, CTRL-C, and CTRL-V, respectively. Use this after you've typed something into the wrong field and want to cut and paste it into the right field. • Use the Doctor Editor in the Tools menu to edit or delete the doctors in the Doctor pull-down list. Patient Database Hints • Sort the Patient Database by Patient Number, Patient Name, or Certification Date by clicking on the desired sort field at the bottom of the screen. • Press the Delete (Del) key on the keyboard to delete the highlighted care plan. NOTE: You will be asked to confirm that you want to delete the care plan. Make sure you choose the right care plan, and really want to delete it, before you answer Yes to the confirmation request. Care Plan Entry Screen Hints • The Visit Preference box and the Code Status box have some common entries stored in their drop-down lists. Just click on the small arrow (inverted triangle) on the right side of the text box to view and choose one of the common entries. (Of course, you can just ignore the common entries and type in any entry you wish.) Diagnosis Form Hints • The Diagnosis box has all of the standard NANDA diagnoses stored in its drop-down list. Just click on the small arrow (inverted triangle) at the right end of the diagnosis box to view and choose a NANDA diagnosis. You can even choose a NANDA diagnosis and edit it, if desired. Or just skip the NANDA diagnoses altogether and enter your own into the Diagnosis box. Print Preview Screen Hints • When you preview a care plan, you can fit the whole page on the screen by clicking on the first button in the top, left corner of the screen.

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