Tracking Board Functionality > Patient Location Maintenance

Patient Location Maintenance allows updates to the patient's Chief Complaint, Provider of Care, Nurse, Location (room), Status, and Triage Level. Patient Location Maintenance is the default destination when selecting a Chief Complaint, Status, and Triage Level field from the Tracking Board. Patient Location Maintenance may also be directly accessed via the patient chart.

Note: If a room is selected with no assigned patient, the system allows a patient to be added manually to the Tracking Board. A patient search is provided to locate an existing profile and create a new visit or select an existing visit or create a new profile and new visit. This is only available in EDIS. This is a quick registration option and full registration must still be completed via the Registration and ADT screens. See EDIS Temporary Registration.

Select Charts > Tracking Board > select the Room, Patient Status, or Triage Level > Patient Location Maintenance

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Patient Location Maintenance

The following options are available from the action bar:

•	Update: Saves any changes and returns to a refreshed Tracking Board.

•	To Chart: Launches to the virtual chart of the selected patient.

•	Admit to Hospital: Launches to the ADT admit section of the patient's virtual chart. See Admitting to the Hospital for additional information.

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Reverse Check-In: Removes a patient from the Tracking Board. This is for patients that had been checked into the ED in error. Selecting this option will prompt, "Are you sure? Yes or No" and then return back to the Tracking Board when an answer is selected. The Check-In option will then be available again in the patient's Census screen.

•	Discharge: Launches to the ADT discharge section of the patient's virtual chart. See Discharging Patients from the Tracking Board for more information.

•	Discharge Checklist: Launches to the discharge Checklist. Please see the Addressing the Discharge Checklist chapter for more information on the Checklist.

•	Provider of Care History: Displays all instances of changes to Provider of Care. Each record will display the name of the new physician being set to, Changed Date, Changed Time, and the name of the user who made the change. The current provider will be listed at the top of the screen.

▪	Refresh: Reloads the Provider of Care History screen.

▪	Back Arrow: Returns to the Patient Location Maintenance screen.

To address the fields within Patient Location Maintenance:

•	Chief Complaint: Select the Chief Complaint icon to access the Reason for Visit screen. Once the information has been addressed, select Save to return to the Patient Location Maintenance screen.

Select Tracking Board > Patient Location Maintenance > Chief Complaint

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Reason for Visit

▪	Major Reason for Visit: Once the Reason for Visit screen displays, select one of the following options for the Major Reason for Visit. The system will default to New Problem, but may be changed as needed:

o	New Problem

o	Preventative Care

o	Chronic Problem, routine

o	Chronic Problem, flareup

o	Pre/Post Surgery

▪	Chief Complaint:

o	Up to three Chief Complaints may be added for the patient.

o	The magnifying glass icon provides a search of diagnoses by Description or ICD10 Code. A Chief Complaint may also be entered free-text.

o	The Onset Date may be entered or selected from the available calendar icon. Enter a period (.) for the current date.

o	Select Save.

▪	Working Diagnosis: Up to three Working Diagnoses may also be entered following the same process as entering Chief Complaints.

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Physician Admit Reason: Enter the physician's admit reason, if the patient is being admitted to the hospital. This field will allow for free text, or the magnifying glass icon may be selected to search for the admit reason. A smart search is available to search by Description or ICD10 Code. Once a physician admit reason is populated in this field, it will copy to all other Physician Admit Reason locations in the system.

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Provider of Care: This field will default to the attending physician, but allows a physician to be associated with a patient visit that is different from the attending physician to effectively "hand-off" care to an oncoming provider. The magnifying glass icon provided pulls from the Physicians table and selecting the field allows the user to look up and select the patient's provider of care.

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Nurse: Allows a nurse to be associated with a patient visit. The magnifying glass icon provided pulls from the Nursing Employee Groups: RN, LPN, Staff. When a nurse is assigned, this subscribes the user to the patient's alerts, which will be displayed on the Tasks Screen upon login. If the nurse assignment is changed, the prior nurse will be unsubscribed and the newly assigned nurse will be subscribed.

NOTE: Any provider or nurse that is added to their respective fields (Provider of Care and Nurse) in Patient Location Maintenance will appear on the Patient Summary 2.1. The provider or nurse will continue to display on the Patient Summary 2.1 even if they are replaced by another provider or nurse in those fields.

•	Location: The drop-down displays rooms assigned to the Emergency Department and allows the location or room to be changed.

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Status: Provides a drop-down of the available statuses as created in the Patient Status table. This allows an interactive means to communicate the status of the patient needs on the Tracking Board. The statuses available are department-specific, but may be assigned to multiple departments (e.g., Med Surg). The Status field options may also be assigned a color, allowing them to be more easily distinguished on the Tracking Board.

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Triage Level: Allows a Triage Level to be added to the patient visit. The Triage Level will contain the description and numeric value. The drop-down pulls from the Triage Levels table. The Triage Level field options may also be assigned a color to allow them to be more easily distinguished on the Tracking Board.