Schedule

The Patients menu will provide the ability to populate the dialysis schedule, navigate to the patient charts, document encounters, view the time left on dialysis and access a list of all patients.

Dialysis Schedule

The dialysis facility nearby can be found and loaded if Location Services are enabled for your browser.   Geolocation or Location Services uses Bluetooth and Wi-Fi hotspot locations to determine your approximate location.  A browser pop up will appear if Location Services has not been setup.  To enable, either allow within the pop-up or modify your browser settings.

The dialysis facility can be manually selected in order to populate the schedule if the location services are not enabled.

After the dialysis schedule is populated, the information can be filtered by the selections below.

Filter Description
Facility The facility where the patients are receiving treatment.  The options are the facilities where the provider is credentialed.
Modality The patient’s treatment modality.  The default is ICHD.  The options are: ICHD and HHD, PD.  The ICHD filter option includes (In-Center Hemodialysis) and AKI (Acute Kidney Injury) patients.  The HHD, PD filter option includes HHD (Home Hemodialysis) and PD (Peritoneal Dialysis) patients.  Currently, this filter is only available for Snappy patients.
Day The patient’s day of dialysis.  The default is today’s day.  The options are: Sunday through Saturday.
Shift The patient’s shift.  The default is All Shifts.  The options are the dialysis facility’s shifts of operation.
COVID-19 Status COVID-19 status of the patient.  The default is NO COVID-19 Filters   The options are: No COVID-19 Filters, All COVID-19 Status, COVID-19 Positive, COVID-19 PUI Symptomatic, and COVID-19 PUI Asymptomatic.

The Dialysis Schedule can be filtered by modality type for Snappy patients only.  If the ICHD filter option is selected, the list includes ICHD (In-Center Hemodialysis) and AKI (Acute Kidney Injury) patients.  The encounter note types available are Comprehensive, Limited and AKI (for AKI patients).  If the encounter note has not been created for the current month, the indicator is blank (no date) and has a +C, +L, or +AKI available to add the encounter note. 



The ICHD and AKI patient information displayed is detailed below.

Column Description
Patient Name The name of the patient.  The information will be displayed as last name, first name, and will include the patient’s COVID-19 status, age, DOB, and gender if documented in their chart.
Comp The most recent Comprehensive note for the current month. 
Additional MCP Notes The most recent other encounter notes for the current month.
Shift The patient’s assigned shift.
Time Left The time the patient has left on dialysis.

When the HHD, PD filter option is selected, a list of HHD (Home Hemodialysis) and PD (Peritoneal Dialysis) patients displays.  The day-of-week and shift filters become disabled but the COVID-19 status filter is still enabled.  If the modality-specific encounter note has not been created for the current month, the indicator is blank (no date) and has a +PD or +HHD based on the patient’s modality.  The HHD and PD patient information displayed is detailed below.

Column Description
Patient Name The name of the patient.  The information will be displayed as last name, first name, and will include the patient’s COVID-19 status, age, DOB, and gender if documented in their chart.
Note The most recent HHD or PD note for the current month. 
Patient’s Treatment Modality The patient’s treatment modality type.

Care team members enter the DaVita patient's COVID-19 status into the Risk Event Management system (REM).  If the patient meets the COVID-19 criteria, then the COVID-19 status will show one of the 3 status tags; PUI Asymptomatic, PUI Symptomatic, or COVID-19 Positive.  The COVID-19 status tags in the patient banner are color-coded; PUI Asymptomatic is yellow, PUI Symptomatic is orange, and COVID-19 Positive is red.  Click the status tags to show details on the most recent status event information.  The information may include: Status; Last Date in Facility; Facility Action; Receiving Dialysis in Facility; and Patient Treatment Going Forward.  The status information is pulled from REM every hour.

To open a patient’s chart, select the patient.  Up to four patient charts can be open at the same time.  To toggle back and forth between the patient tabs, click on the appropriate patient’s name.  To return to the dialysis schedule, select Patients from the left side navigation menu.

To start an encounter note, find the appropriate patient and encounters type.  Click the blank indicator to create a new encounter.  For ICHD patients, a new comprehensive encounter is created when the blank indicator is clicked in the “Comp” column.  Click the indicator in the “Additional MCP Notes” column to create a new limited encounter for the ICHD patient.  The blue "+" icon is also available to create a new comprehensive or limited encounter.  There is no limitation to the number of encounters that can be created from the Dialysis Schedule or Patient Chart.  

Click the blank indicator or the blue "+" icon to create a new AKI encounter note.

For HHD, PD patients, a new encounter note can be created by clicking on the blank indicator or the blue "+" icon.

Selecting the appropriate note type for the patient will redirect you to the patient’s chart and starts an encounter note of the same type for editing.  The screen will be split into two areas, Patient Chart on the left and Encounter Note on the right.  Please refer to the Encounter Note section under Patient Chart for full details about Encounter Notes. 

The most recent encounters for the current month will display on the Dialysis Schedule.  All encounter notes are available via the patient’s chart under the Clinical Summary tab in the Notes section.

Once the encounter note is closed by either finalizing or closing the encounter, you are returned to the Dialysis Schedule.  Patients located next to the patient chart tab can also be used to return to the Dialysis Schedule.

Encounter notes that are In Progress (started or amended, but not yet finalized) display the encounter date and the indicator is highlighted in orange.  Finalized or Amended and Finalized encounter notes show the date of the encounter and have a green background.

To complete an encounter note that is in progress, find the appropriate patient and encounter type.  The in-progress note is highlighted in orange and has the creation date.  Click the unfinalized encounter and select “Edit” from the pop-up menu.  This opens the patient chart into the encounter note to be edited.  You can also view the PDF or deactivate the in progress note from this pop-up menu.

Finalized or Amended and Finalized encounter notes show the date of the encounter and have a green background.  Click the finalized encounter for the pop-up menu.  The options available for a completed note are Amend, Deactivate, or View PDF.

To deactivate an in-progress or finalized note:

STEP 1: Click the appropriate patient’s encounter note

STEP 2: Click Deactivate

STEP 3: Enter deactivation reason

STEP 4: Click DEACTIVATE button

Select View PDF and a separate browser window will open with a PDF for that encounter.

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