StarNotes Tutorial

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StarNotes Tutorial
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Introduction

• This presentation is designed to show you step by
  step instruction on how to use StarNotes for
  medical documentation.
• We at System Support Services are the liaisons
  between the Informatics team and the medical
  professionals who use the systems.

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Star Notes

• What is StarNotes?
• How to access StarNotes.
• How to navigate StarNotes.
• Who do I call if I have questions?

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What is StarNotes?

• StarNotes is a medical documentation tool within
  StarPanel that uses the following techniques
• Point and Click
• Typing

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Advantages to using StarNotes

• Less expensive than dictation.
• Your note is immediately available to other
  providers.
• You can customized your templates.
• Access available 24/7 through Vanderbilt or at
  home by using a Secure-ID Token.
• Contact your department manager to find out more
  about Secure-ID Tokens.

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How to Access StarNotes

• There are several ways to access StarNotes
• Pull a patients chart and click on StarNotes in
  the yellow demographic frame.
• Click on Outpatient Visit then StarNotes for the
  selected patient.
• Click on StarNotes in the black menu bar and make
  your patient selection based on date of service.

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StarNotes VocabularyCategories/Templates/Prefere
nce List

• Categories are broad groupings for templates such
  as Burn Center Notes.
• Templates are the individual types of notes such
  as Burn Center Clinic Visit.
• Create a preference list by clicking on the word
  Add shown beside the template you would like to
  add.

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Example of categories, template and preference
list selection process
When you click on ADD beside a template, the
template is added to your User preference list
If there isnt a template that fits your clinics
needs then the staff in System Support Services
can assist and train you to build your own or we
can build templates to your specifications.
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Most common steps to access StarNotes

• Step One
• Click Outpatient Visits in the black menu bar.
• Step Two
• Under the Actions column click on StarNotes for
  selected patient.

Sneezy, Dwarf
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Most common steps to access StarNotes continued

• Step Three
• Click on the category name such as Burn Center
• Click on the template name such as Burn Center
  Clinic Visit.
• If the date of service is not accurate, please
  click Date of Service to make the correction.

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Navigation

• Name of the document appears at the top along
  with the MR and Patient Name.
• You may click on the MR at the top of the note
  to view this patients chart.

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Navigation continued

• The selected template will appear under the
  StarNotes tab.
• This feature allows you to switch back and forth
  between Pt. Chart and StarNotes.

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Navigating through the document

• All the black type is the actual template. You
  may delete any text that is not appropriate for a
  particular note and the changes will not affect
  the original template.
• You can use the tab key to go to the red dots or
  text. The tab stops allow you to jump quickly to
  the next section of the note.
• You can auto import labs, text from forms and all
  aspects of the problem list such as medications
  and allergies.

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Dynamic Field

• The dynamic fields give you the ability to add
  text to the note at varying levels of complexity.
• For example If you click on Post hospitalization
  StarNotes will import the information you see
  here to the left into your note.
• Important place the curser where you want the
  text to display in the note before you click on
  the dynamic field.

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Dynamic Field continued

• The area located to the right of the template is
  called the dynamic field.
• The middle scroll bar moves you through the
  dynamic fields. 
• The far right scroll bar moves the entire page.
• The dynamic field may contain one word or a
  paragraph depending on how the template is
  designed.

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Saving the document

• Notice The closing signature title of the note
  appears at the bottom. Please check for
  accuracy.
• If your signature title is not correct click
  change title and make the necessary changes and
  click send changes.
• Click Save as Draft as often as you would like
  to save your work. There is also an auto-save
  feature that saves your note every 90 seconds but
  do not rely on this feature to save your draft.
• Drafts will appear in your SignDrafts worklist
  for final completion.
• You are the only one who can see or use your
  drafts.

Click here If you would like to know more about
SignDrafts.
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Saving continued

• Click Save to StarPanel.
• This action will immediately save the document in
  the patients chart as a final document.

Click here to learn more about the VUMC
Electronic Signature Policy.
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Printing in StarNotes

• Click Print at the bottom of the document.
• Once you click print the document will come up in
  a new window in adobe acrobat. 
• You will have to click on the Print icon in adobe
  acrobat in order to actually print the document.

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SignDrafts InstructionsFirst time users

• In the black menu bar click on SignDraft
• Click on choose another
• Click on add a worklist to my set. You may have
  a worklist already created for you called
  sign_at_your-userid.
• To find your sign_at_ worklist double-click to
  expand the frame and then click on the S tab and
  find the worklist that contains your user id
  (i.e. sign_at_vjmqkg), a yellow pop up menu will
  appear then click on add to my worklist.
• Once you have added this worklist to your set, if
  you want this particular worklist to be your
  default then just click on it.
• This worklist may or may not automatically pull
  in your StarNotes. If it doesnt email
  Linda.McNeil_at_vanderbilt.edu and she will edit the
  sign_at_ worklist so it will show you your StarNotes
  drafts. You will not be allowed to edit this
  sign_at_ worklist since this list is used for
  tracking purposes.
• If you want to create another worklist to follow
  residents/fellows final notes then you can create
  an additional worklist with their user ids.

Click here to see an example of how to create and
edit a worklist
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Steps to edit a worklist

• Create a new worklist
• Name your worklist
• Type in your user id for StarNotes.
• Click here if you would like to see only FINAL
  documents in this particular worklist.
• Once all data is entered, click OK.

finals
Your user id here
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StarNotes Help

• If you are experiencing problems with an existing
  template or you would like assistance creating
  your own template/s please call 3-help (3-4357)
  and a staff member from System Support Services
  will contact you.