AT THE ULTRASOUND MACHINE:
- Input patient information by:
- Select Patient, then Worklist
- UPDATE if you don't see your patient's name in the list.
- Choose the patient's name and then SELECT
- OR enter patient MRN under MRN or ID
- Select Patient, then Worklist
- Input provider information:
- Enter OPERATOR’s wustlkey in READING or PERFORMING
- Enter ATTENDING’s wustlkey in REFERRING
- If either is unknown, they can be input into QPath following completion of study
- Enter OPERATOR’s wustlkey in READING or PERFORMING
- When you finish your exam, END EXAM and plug the machine into the power station, confirm the light turns green and leave on so it can archive the images into QPath
AT THE COMPUTER:
- Login to QPath through the drop down under “ED References” or through the link on POCUSHUB.com
- Your log in is your wustlkey and password
- SELECT exams then scroll to the RIGHT
- SELECT your exam from the list on the Exams list page and double click
- Click EDIT
- Ensure the patient information is correct and make sure the resident is listed under OPERATOR and attending under ATTENDING
- Select the appropriate exam type to populate a matching worksheet.
- SAVE after editing any study information
- Ensure the patient information is correct and make sure the resident is listed under OPERATOR and attending under ATTENDING
- Fill out each section of the worksheet and SIGN at the bottom
If study is completed by the resident, ensure you sign as the ATTENDING following the worksheet being completed as this step allows the images to cross over to PACS and generate a procedure note in EPIC, which are necessary steps for billing and patient safety.
IF YOU PERFORMED TWO EXAMS USING THE SAME PROBE AND PRESET:
You will have to "SPLIT" the exams to two separate exams to attach two worksheets (ie cardiac and lung ultrasound performed with phased array probe, need to document both cardiac and thoracic worksheets)
- On the Exams list page, select IMAGE OPERATIONS
- Select all the images from the second exam and select SPLIT
- Select the study type of the selected images and hit DONE. A new study will appear under the same patient information
- Fill the worksheet and SIGN each exam
- Select all the images from the second exam and select SPLIT
IF YOU PERFORM ONE EXAM BUT CHANGE PROBE OR PRESENT MID STUDY:
If you changed probe or preset, your exam will have been automatically split into two exams and a purple double arrow will display
- If the images should be included in the same application (ie cardiac and abdominal images from an eFAST need only one eFAST worksheet), select both exam by clicking one, shift, then the other.
- Use the down carrot at the top right to open additional operations and select unsplit. A new combined study will be generated.
FOR ALL PROCEDURES:
- In QPATH, EDIT the exam type to the appropriate procedure, select diagnostic and SIGN the worksheet (so that images transfer to EPIC).
- Document the procedure in EPIC
FOR DRAUP:
- In QPATH, EDIT the exam type to procedures, select educational and SIGN the worksheet.
- Document the procedure in EPIC using the draupin/draupout dot phrases.
TO CREATE A CUSTOM FILTER TILE:
- On the Exams list page, use the three dots next to any column header to change the sort order and filters to your preference
- For example, I click the three dots next to ATTENDING, then under FILTER, I select "is equal to" and then my username. This filters the exams to only exams where I am the attending.
- When you have the filters and sort orders how you like, CLICK the PUSHPIN in the top right of the window.
- Fill out the name and description box and click OK
- Now, when you open the HOME page, your new Filter Tile will appear.