Unit Audit – Sunray – Western Health Orthopaedic Department

Table of Contents

Staff

Oren Tirosh

Andy Griffith

Description

The Sunray (Sunshine Footscray) audit is a very import unit database. It functions for daily running of the unit, weekly audit, end of year audit and research.

The AUDIT is an ortho-specific patient list and is ultimately a snapshot of all the patients for everyone on the team.

Login Information

http://whsortho2.wh.org.au/whorth/
Username – ortho
Password – orthoreg

Usage Guide

The AUDIT is the responsibility of the ward HMO. The following is a guide for what information should be updated on the audit:

S – story – including mechanism of injury, where they are from (home, NH ect), pre-morbid function (walks unaided / or w 4 WF ect)

H – PMHx (in the comorbidities section)

O – operation (in the operation section)

W- weight bearing status

B- bloods – Hb and eGFR for all patients. 2^nd to 3^rd daily serial CRP for infected patients and any other bloods that are relevant (INR if on warfarin).

P – plan – operative plan if pre-op, D/C plan if post-op

Steps:

Adding: Add to audit (only fill in details until DOB) > add admission (consultant name on Google Drive, ensure “inpatient” status) > add “new” theatre episode à add procedure “Pre operative” > save > fill in MOI, diagnosis and comments (plan) > if pt rather co-morbid, include co-morbidities
Update: check Audit pt list against EMR and trauma sheet à update once post-op (reg responsibility) by finding patient’s op report in folder > update plan, Ix results and d/c destination in “comments” section > update again once pt discharged
Print: reports > ward list > refresh empty page > print (80-85% scale)

Tips:

Remember to save all the time.
Copy and paste from trauma sheet.

Add new patients into the AUDIT as they come in, or in the morning if they came in overnight. Populate their details as you find in the admission note. If in ED, check on EDIS Dashboard which bed, and write it in the Comments section, e.g. Y5, to facilitate finding them easily on the WR. Ensure that the list of patients (Ortho and OGS) on EMR correlates to where the patients are on the AUDIT, because patients move around a lot. Ensure that Consult patients are added to the AUDIT. The AUDIT can be quite tempermental, and needs some practice to get used to.

It doesn’t accept apostrophes (‘) in the comments section – it won’t allow you to save the details.

You have to make sure you’ve populated all sections: Pre-op, Side (Right or Left), Injury/Mechanism otherwise it won’t save. Also make sure you don’t click on “previous page”, because you lose all your work