OPTOMANAGERWALKTHROUGH–MECSMODULE(“FLASHESANDFLOATERS”)

WhenyouloginintoOptomanager–youneedtoselecttheMinorEyeConditions(MECS)GloucestershirePrimaryEyecareoption.

Slightlydifferenttothepreviousepisodesyouareaskedtodoublecheckthepatientisn’talreadyonthesystem.Thisistomakesurethereisnoduplication–thereisachancethatthepatientmayhavealreadybeenseenundertheservicebyyour(oranother)practice.

Justonecharactercanbeinputtedinoneboxtoallowthesearch.(Ifleftblanknosearchcantakeplace)

Ifthesearchrevealsthepatientyoucanclick“Addnewepisode”or“Clickheretoregisteranewpatient”ifyourpatientisnotfound.

NB:IfyouclickthePxIDitwillgiveyoualistofpreviousepisodesforthatpatientonthesystem

Ifyouclick“Addnewpatient”itwillaskyoutoconfirmthatpatientunderstandstherecordkeepingspecifics(aspertheothermodules)

Foranexistingpatientthiswillhavealreadybeendonesoisnotrequired.Eitherwayyouendupwithapatient(neworexisting)withtheirinformationfilledin

(Verysimilartoothermodules)

Sonowyouneedtoaddtheinformationforthenewepisode.

Forsourceofreferraltheoptionsare;

Forreasonsforreferraltheoptionsare;

Ifyouselectthatthepatienthasbeengivenanappointmentsomeextraoptionscomeuparoundthedateandtimeoftheappointment.

Forthetypeofappointmenttheoptionsare;

Thisdoesn’ttieinexactlywiththe24/48hourdistinctionthatwehavemadeinourprotocol.IhaveaskedWHtochangetheRoutineoptionto“soon”48hoursandthiswillbeamendedASAP.Intheinterimpleaseselectthe“routine”optionifthesymptomswarranta48hourappointment.Ifanappointmenthasnotbeengiventheoptionsaredifferent;

Theoptionsfornoappointmentgivenare;

NB–Thethirdoption“PatientreferredtoPharmacyMAS/SelfCareisathrowbackfromthefullMECSmodulethisisbasedupon.PEGarenotexpectingthistobeusedasareasonfornoappointmentbeigngiven.Option3–ReferredtoanotherMECSproviderisgoodtousetorecordwhenyouhavenotbeenabletoaccommodatethepatientintoaclinicatyourpractice.The“other”opensafreetextentryboxtoallowanexplanation.Letsassumethatyouareseeingthispatient.Whenyouclicksaveitbringupthefollowingscreen

Aswithothermodules(likethepostcatop)itletsyouamendtheappointmentoraddconsultation;IfyouclickinEditAppointment

Theoptionsforthechangeofappointmentare;

Ifyouarechangingtheappointment;

Youcanthespecificsofthenewappointmentandwhencontactwasmade.Theoptionsforthereaonforchangeare;

Ifyouarecancelingtheappointment;

Thereasonsforcancellingare;

IfyouarerecordingaDNA;

Whenyouclickaddconsultation;Apatientsummaryisdisplayedwithentryfortheconsultationdetailspossible.

Theinternalnotesandexaminationnoteswillnotappearonthereportbutitwouldbebestpracticetoenternotesherespecifictothepatientandexaminationrelevanttothesymptoms.e.g.

Theexaminationoptionsare;

Youcanaddasmanyoftheseasyoudeemclinicallyrelevant.Multipleentriesunderotherarepossible.AftereachonemakesureyouclickAddsothattheyshowupunderexamination.Ifanerrorhasbeenmadeyoucanclickon‘remove”.

ThenextsectionisDiagnosisandActions;

Optionsare:Eye:R,LorBothLocation:Anterior,PosteriororOtherIfyouselectAnterior(unlikelyforaflashesafloaterservice)theoptionsforStructureare;

Forposteriortheyare;

Thediagnosisoptionsaredependentonwhichstructureyouhaveselected;e.g.forRetinalFnF(Mostlikelyoptiontobeselectedunderthisservice)theyare;

NBYoucanaddmultiplediagnosesandannotatewhichtheprimarypresentingconditione.g.

Theactionoptionsare;

Youcanaddmorethanoneoptione.g.

OncecompleteclickNext.

Thisbringsupasummaryandthechancetoaddanoutcome

Theoptionsforoutcomeare;

Additionalnotescanbeaddedtothegeneratedreport.Forthedifferentoutcomesdifferentadvisorynotesappear.ForDischargeandFollowUp

Forroutinereferral

Theoptionforclinicrequiredappear

Thechoiceofhospitalcanberecorded.

ForURGENTreferral

i.e.youwillneedtocontacttheEyeTriageline–THESYSTEMDOESNOTPROCESSTHEREFERRALFORYOU.HoweveritdoessendtheGPreport.Youarethenabletosignofftheepisode(asperothermodules)

Asyousignoffthesystemallowsyoutosave/printoffvariousreportsordirectsyoutowardhavingthepatientsatisfactionquestionnaireresponsesuploaded.