Nurse Practitioner Data Log: Student-Patient Computer Data Log Form

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Nurse Practitioner Data Log Student-Patient
Computer Data Log Form

• The University of Michigan
• School of Nursing

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Why Computer Logs?

• History of Logs
• Paper Logs
• Ease of Data Computation

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The URL

• https//cgi.www.umich.edu/
• nursing/forms/student.ptdata.log.html
• A Kerberos log-in screen will appear when you go
  to the link above. If you cannot log-in, contact
  snits_at_umich.edu.

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Accessing Web Site

1. Enter the web site address and save it as a
   favorite site on your web browser, or
2. Save the UM SON web site on your web browser.
3. Some course tools sites for some of the classes
   have a URL link that will take you to the log.

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You will see a screen similar to this
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Choose Enter Patient Data Log all students to
enter or retrieve data

• Additional resources are available
• Be sure to familiarize yourself with what
  documents are available.
• Once in the module, you should see buttons at
  the top, and a list of patient encounter records
  you have entered, if any.

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Data Entry
Click on the New Record button at the top of the
page to enter a patient record.

• Patient visit date
• When logging in, the current date will appear in
  this box. Please check that the patient visit
  date has been entered correctly before
  proceeding. Enter the date as follows
  month/day/year (e.g. 09/01/04).

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Data Entry

• UMID
• Enter your student ID number as assigned to you
  by the university (all 8 digits). If you try to
  submit with an ID that is less than 8 digits, or
  has any character other than 0-9, you will be
  prompted to correct the entry.
• Track
• Use the pull down to select your specialty track.
  

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Data Entry

• Term
• Use the pull down to select term in which the
  entry is made.
• Course
• This is the course for which you are seeing this
  particular patient to meet the clinical
  requirement.
• i.e. if a patient is being seen for 566, use the
  pull down and select 566.

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Data Entry

• Site
• Use the pull down to select the site where a
  patient was seen. If your site is not listed,
  contact snits_at_umich.edu and ask to have that site
  added to the list.
• Preceptor
• Use the pull down to select the profession of
  your preceptor.

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Data Entry

• Have you seen this client before?
• This question is not about if the client is new
  to the practice but whether you as NP students
  are able to do follow up with clients or are you
  always seeing clients new to you.
• Use the pull down and select Yes or No.

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Data Entry

• Patient gender
• Use the pull down to select the gender of the
  patient.
• Parity
• For midwifery students only, all others may
  ignore. Default is Not Applicable.
• Patient age
• Use the pull down to select the patients age
  range.

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Data Entry

• Patient race
• Use the pull down to select the ethnicity of the
  patient.
• Reason for client visit
• Use the pull down to select the primary reason
  for the visit.
• Exam type
• Use the pull down to select the type of exam.

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Data Entry

• Reason for client visit
• Use the pull down to select the primary reason
  for the visit.
• Exam type
• Use the pull down to select the type of exam.
• Visit level
• Use the pull down to select the visit
  level/experience with the client during the visit.

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Data Entry

• Visit time
• Use the pull down to select the time spent with
  the client during the visit.
• Payment source
• Use the pull down to select the source of payment
  for the client.

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Data Entry

• Nursing Diagnosis 1
• Use the pull down to select the most important
  nursing diagnosis.
• Nursing Diagnosis 2 and 3
• Use the pull down to select the second and third
  nursing diagnosis, if appropriate.

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Data Entry

• Medical Diagnosis 1
• Use the pull down to select the most important
  medical diagnosis.
• Medical Diagnosis 2 and 3
• Use the pull down to select the second and third
  medical diagnosis, if appropriate.

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Data Entry

• of labs requested
• Use the pull down to select the total number of
  laboratory tests that have been requested.
• of diagnostic tests ordered
• Use the pull down to select the total number of
  diagnostic tests that have been ordered.
• Medications category
• Use the pull down to indicate medication category
  for primary, secondary, and/or tertiary
  medication.

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Data Entry

• of Rx ordered
• Use the pull down to select the total number of
  drugs prescribed.
• OTC ordered
• Use the pull down to select the total number of
  OTC medications ordered.

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Data Entry

• Counseling 1
• Use the pull down to select the most important
  counseling program ordered.
• Counseling 2 and 3
• Use the pull down to select the second and third
  counseling programs ordered, if appropriate.

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Data Entry

• Referral
• Use the pull down to select whether or not
  referral was provided.
• Teaching 1
• Use the pull down to select the most important
  teaching provided.
• Teaching 2 and 3
• Use the pull down to select the second and third
  teaching provided, if appropriate.

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Data Entry

• Procedure 1
• Use the pull down to select the most important
  procedure performed.
• Procedure 2 and 3
• Use the pull down to select the second and third
  procedure performed, if appropriate.
• Responsibility
• Use the pull down to select the students level
  of responsibility.

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Your Responsibility

• Enter the data after seeing patients and provide
  reports as requested by your instructor. DO NOT
  wait until the last minute to enter data, this
  does not leave time to troubleshoot any problems
  encountered.

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Resources

• Resources available as Adobe Acrobat files
• Cover Letter, includes contact information
• ICD9, comprehensive listing
• Data Dictionary
• AHFS Pharmacologic-Therapeutic Classification
• General orientation, this slide presentation
• Sites, use search feature if having problems
  finding your site in pull-down menu

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The Log Reports

• Click on any button that says View Reports.
• At the top of the Reports page is a pull-down,
  where you can choose which course you want your
  report to reflect, or leave blank to see all your
  records.
• There are also instructions on how to create an
  excel file, which students mostly use when they
  are leaving the SON and want to take their data
  with them.

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HELP

• With your computer at home
• Send an email to snits_at_umich.edu if you run into
  problems. They will contact you when possible
  during their business hours of M-F, 8-5.
• With computers in the campus computer centers
• Get to know the Computer Help line number. They
  are posted in all the computer pods.
• Live Body assistance is available in some of the
  Computer Labs.