performing a planned ecg with electronic order …...performing a planned ecg with electronic order...

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Performing a Planned ECG with Electronic Order (Mortara 12 Lead ECG machines) The Integrated ECG process can be performed in one of two ways: Planned ECGs where the electronic ECG order is created in ieMR prior to the ECG being taken Unplanned ECGs that are performed as required for the patient, without an ECG order being available in ieMR. For information about the process for Unplanned ECGs, please see the Unplanned ECGs and Matching to an Order quick reference guide There are currently two models of Mortara 12 Lead ECG machines used in The Townsville Hospital – the ELI 280 and the ELI 380. The steps required will vary dependent on which model is in use. Ensure to follow the appropriate process for the device being used. Mortara ELI 280 model Mortara ELI 380 model Mortara ELI 280 Planned ECGs 1. Open ieMR PowerChart for the required patient and encounter. 2. Navigate to the Orders screen and place electronic order for ECG. Refer to the Placing 12 Lead ECG Orders quick reference guide for more information. 3. If a WAM (Wireless Acquisition Module) is used then this is synced first by pressing the On button on the WAM. Connect ECG leads to patient as per normal procedure Wireless Acquisition Module (WAM) 4. Select the Patient Information button then select the Modality Work List (MWL) tab. Ensure the Query Code for location (clinic/ward) is the correct location and press Sync. The MWL will then display all ECG orders placed for that location, e.g. TCCU. Please NOTE some Query Codes may be a combination of several locations. 5. At this time WLAN (Wireless Local Area Network) will be confirmed. No LAN should be expected. QGEA-PUBLIC

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Page 1: Performing a Planned ECG with Electronic Order …...Performing a Planned ECG with Electronic Order (Mortara 12 Lead ECG machines) The Integrated ECG process can be performed in one

Performing a Planned ECG with

Electronic Order (Mortara 12 Lead

ECG machines)

The Integrated ECG process can be performed in one of two

ways:

Planned ECGs where the electronic ECG order is created in ieMR prior to the ECG being taken

Unplanned ECGs that are performed as required for the patient, without an ECG order being available in ieMR.

For information about the process for Unplanned ECGs, please see the Unplanned ECGs and Matching to an Order quick reference guide

There are currently two models of Mortara 12 Lead ECG

machines used in The Townsville Hospital – the ELI 280 and the

ELI 380. The steps required will vary dependent on which model

is in use. Ensure to follow the appropriate process for the

device being used.

Mortara ELI 280 model

Mortara ELI 380 model

Mortara ELI 280 Planned ECGs

1. Open ieMR PowerChart for the required patient and

encounter.

2. Navigate to the Orders screen and place electronic

order for ECG. Refer to the Placing 12 Lead ECG

Orders quick reference guide for more information.

3. If a WAM (Wireless Acquisition Module) is used then

this is synced first by pressing the On button on the

WAM. Connect ECG leads to patient as per normal

procedure

Wireless Acquisition Module (WAM)

4. Select the Patient Information button then

select the Modality Work List (MWL) tab. Ensure the

Query Code for location (clinic/ward) is the correct

location and press Sync. The MWL will then display

all ECG orders placed for that location, e.g. TCCU.

Please NOTE some Query Codes may be a

combination of several locations.

5. At this time WLAN (Wireless Local Area Network) will

be confirmed. No LAN should be expected.

QGEA-PUBLIC

Page 2: Performing a Planned ECG with Electronic Order …...Performing a Planned ECG with Electronic Order (Mortara 12 Lead ECG machines) The Integrated ECG process can be performed in one

Press Done to proceed.

6. Scan the Patient ID Barcode

This barcode will push the patient’s UR number

without FIN to the ID on the ECG machine. This will

allow a more refined search for the patient’s orders

NOTE: Do not scan the square QR / AZTEC barcodes which is the FIN not UR number.

7. Select the correct ECG order and complete your

normal Positive Patient Identification checks.

Choosing the order will populate the patient

information window.

8. The Patient Information window has a comment

field. These comments can be viewed in ieMR and

on the printed ECG. Comments may relate to the

patient symptoms, reason for ECG or to the type of

ECG attended e.g. V4R or Chest pain

9. Once details in the Patient Identification window are

complete, select Done. Select the ECG acquisition

button which will then display the ECG

report.

10. Transmit will send the electronic ECG image to the

ieMR. A message will confirm transmission of the

ECG to ieMR

Press Done to confirm. A paper copy can be printed

by pressing the Print button

11. The ECG should now be able to be viewed from your

patient’s chart in ieMR in the Results menu and ECG

tab or in the Cardiovascular section.

Mortara ELI 380 Planned ECGs

1. Open ieMR PowerChart for the required patient and

encounter.

2. Navigate to the Orders screen and place electronic

order for ECG. Refer to the Placing 12 Lead ECG

Orders quick reference guide for more information.

3. If a WAM (Wireless Acquisition Module) is used then

this is synced first by pressing the On button on the

WAM. Connect ECG leads to patient as per normal

procedure

QGEA-PUBLIC

Page 3: Performing a Planned ECG with Electronic Order …...Performing a Planned ECG with Electronic Order (Mortara 12 Lead ECG machines) The Integrated ECG process can be performed in one

Wireless Acquisition Module (WAM)

4. Select the Patient Information button

then select the Modality Work List (MWL) tab.

Ensure the Query Code for location (clinic/ward) is

the correct location and press Sync. The MWL will

then display all ECG orders placed for that location,

e.g. TCCU. Please NOTE some Query Codes may be a

combination of several locations.

5. At this time WLAN (Wireless Local Area Network) will

be confirmed. No LAN should be expected.

Press Done to proceed

6. Scan the Patient ID Barcode

This barcode will push the patient’s UR number

without FIN to the ID on the ECG machine. This will

allow a more refined search for the patient’s orders

NOTE: Do not scan the square QR / AZTEC barcodes which is the FIN not UR number.

7. Select the correct ECG order and complete your

normal Positive Patient Identification checks.

Choosing the order will populate the patient

information window.

8. The Patient Information window has a comment

field. These comments can be viewed in ieMR and

on the printed ECG. Comments may relate to the

patient symptoms, reason for ECG or to the type of

ECG attended e.g. V4R or Chest pain

9. Once details in the Patient Identification window are

complete, select NEXT in the top right-hand corner

of the screen.

10. Select the ECG acquisition button

which will then display the ECG report

QGEA-PUBLIC

Page 4: Performing a Planned ECG with Electronic Order …...Performing a Planned ECG with Electronic Order (Mortara 12 Lead ECG machines) The Integrated ECG process can be performed in one

11. Transmit will send the electronic ECG image to the

ieMR. A message will confirm transmission of the

ECG to ieMR. Then select Done.

Press Done to confirm. A paper copy can be printed

by pressing the Print button

12. The ECG should now be able to be viewed from your

patient’s chart in ieMR in the Results menu item and

ECG tab or in the Cardiovascular section.

To place the ELI 380 in Standby mode manually:

1. Disconnect AC power from the device.

2. Disconnect any patient or simulator.

3. Close the lid

4. Press the On/Off/Standby button once.

Pressing the on/off button for a period longer than

15 seconds causes the machine to hard reboot.

This is not necessary.

The is no automatic deletion of the patients details on printing or transfer of the ECG image to ieMR.

Always complete positive patient identification when performing an ECGs.

Patient details will clear if the MWL page is accessed or if there is no ECG signal for longer than 60 seconds. When a patient is selected from the work list the previous patient’s details will be over written.

Please note the Modality Work List (MWL) Query Code for TCCU is a combination of Coronary Care Unit, Chest Pain Assessment Ward and Cardiac Catheter Lab.

QGEA-PUBLIC