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Overview

This is a quick overview of the IT systems, which you will need to know about as a junior doctor at Westmead.

All of the applications mentioned below can be accessed from the applications tab on the front page of the WSLHD intranet, which is accessible from every networked hospital computer (click here to view from within the hospital). Many of the applications and resources you need can also be accessed from the front page directly from the big Green Box titled 'Links for Clinicians'. If you have any specific computer training requirements you may arrange this with RSU, or for PGY1s and PGY2s, contact Lauren McGroder at lauren.mcgroder@health.nsw.gov.au.

We’ve been using an electronic medical record (EMR) since 2017 and this means you simply cannot do your job without IT access. This should have been organised before you started. If you have not have been provided with a login (and training where required) to Cerner Millennium Powerchart by the time you have started, you should raise this immediately with your supervisor and the Resident Support Unit. All new Interns will receive training during Orientation Week.

Your login for Powerchart will be the same as all of the other health applications - specifically:
  • Health e-mail
  • My Health Learning
  • Stafflink
  • Health Roster
  • Clinical Wi-Fi
  • Employee-On-Line
  • UROC (Unrostered Overtime and On Call on-line claiming)
  • MS Guidance (anti-microbial stewardship tool)
  • Hospital Network
Most of the time you will be using computers that have already been logged into the network, but you will still need to use your own login and passwords to access individual applications.

For any problems with computer systems your first line of enquiry should be the statewide service desk on 1300 285 533 or submit your enquiry on line via SARA (click here for on line request).

To facilitate access to this diversity of IT systems, new interns and RMOs in 2021 will be issued with a surface Pro Lap top for use during their internship and residency

Laptops for Interns

In 2020, Western Sydney Local Health District was was unique in piloting a program of providing a new Surface Pro laptop to all of its interns, to help them do their job. This will continue in 2021 and interns will be provided with the laptop in the first week of Orientation. The laptops will be pre-installed with Apps (eg Microsoft Teams, Skype for Business, Office 365) and "how to" guides for how to use the laptop and connect to the hospital wi-fi network. Being wi-fi enabled means you can use the laptop to access the eMR on the run. It is hoped that the provision of laptops will result in improved clinical documentation, improved clinical communication and improved JMO well being  - and ultimately improved patient care.

 

Cerner Millenium Powerchart – eMR, eMEDs, eFluids

The system you will use most commonly is Cerner Millenium Powerchart, more commonly referred to as just “Powerchart” or simply “the EMR”. Almost all of the patient documentation – including all of the clinical continuation notes, discharge summary, etc – will be entered or read through Powerchart.

Powerchart functions you will need to use include:
  • Clinical documentation – for all disciplines
  • eMEDs - 99% of prescribing
  • eFluids - for most fluid orders (blood products and transfusions being the exception)
  • Observation and  Observation Charts
  • eOrders – ordering pathology, imaging
  • Discharge summaries
  • Accessing results (including images).
  • eReferrals - referring to some (but not all) internal outpatient clinics
  • Consults - currently a limited but ever increasing number of services/departments
  • After hours JMO jobs lists for the general medical and surgical wards
  • Medical shift to shift handover - Expected to be introduced in 2021

There are learning resources available on the intranet to assist you with Powerchart and EMR. Click here to access if you are viewing this from within the hospital. They can also be accessed from the front page of the Intranet under "Links for clinicians" - IT - eMR Resources

Read Only Access to Powerchart Results on your Phone All medical officers have wi-fi access and are able to log in to the hospital’s “clinical” wi-fi network on their smart phone or tablet. Once logged in, you can access  "Mobile eMR”, (click here to view from within the hospital) which provides excellent, read only access to all of your patients' records and results. It is recommended that all JMOs test this out. It is also possible to access full Cerner functionality on your own device, and of course for interns this will automatically be installed on the surface pro laptop which you'll be issued with in Orientation week.

At present you are NOT automatically able to log into the hospital network or the eMR remote from the hospital. This can be set, up but requires authorisation through RSU, and is the exception rather than the norm. It has become slightly more common due to COVID-19, but the opportunities for most JMOs to meaningfully work from home are limited.

Firstnet - ED System

This is used in all of our Emergency Departments and for those who have not been previously exposed, you will be trained when you rotate into ED.

ERIC - Electronic Record for Intensive Care

Because of the complexity of ICU patients, ICU has it own electronic medical record which is used predominantly by the ICU staff. This is NOT just for ICU doctors!

JMOs outside of ICU need to know about this because they will need to:
  • Access and review patient notes, medications, observations in eRIC, while their patient is in ICU
  • Write their team’s notes into eRIC, while their patient is in ICU
  • Find the ICU discharge summary in PowerChart when their patient is discharged from ICU

BUT non-ICU doctors will NOT prescribe in eRIC
  • At present all prescriptions of fluids and medications will be the responsibility of the ICU doctors whilst the patients are in ICU.
  • Furthermore, ICU doctors will ensure that ongoing medications are prescribed in eMEDs at the point of discharge from ICU.
Detailed information, including Quick Reference Guides and training videos, can be found on the ICU intranet site 

(NB: This link only works from inside the hospital while connected to the ‘Clinical’ network)

Guidance MS - Antimicrobial Stewardship

This is our anti-microbial stewardship program and any doctor who needs to prescribe antibiotics will need access. This can be accessed from the Applications tab on the Intranet home or directly from Powerchart. Training can be organised through the Antimicrobial Stewardship Pharmacist, 8890 4641 or page 8926. Your login will be the same as for all other clinical systems. Click here, if inside the hospital, for more details on the intranet about Guidance, including a manual.

Wi-Fi Access

All Junior Medical Staff should be set up for wi-fi access by the time you start. This will enable you to connect to the hospital’s “Clinical” network which gives you access via your smartphone or other devices to the hospital intranet and (once appropriately configured) to the internet. Instructions for how to configure your phone and connect via wi-fi can be found on the hospital intranet (search on "BYOD") or click here to view from inside the hospital.

Once connected, you can see all elements of the hospitals intranet system and the internet. One of the most useful features of this that you can book mark is Mobile eMR, (click here to view from within the hospital) which gives you read only access to Powerchart for all of your patients results.


Health e-mail

All JMOs will be issued with a health email account - usually 'firstname.surname@health.nsw.gov.au' This will be the same account used by every hospital at which you work, throughout your career in the NSW public hospital system. This is your hospital’s official means of communication and it is an obligation of your job to check these regularly. Health email must be used by all staff for patient and work-related correspondence. Use of personal email for work purposes is in breach of the code of conduct and WSLHD policy.

Your e-mail can be accessed via the intranet (from the applications tab on the intranet home page) or the internet – just google NSW Health Webmail. Your Login and password will be the same as your Network login.

It is possible to configure your phone so that your health emails are directed to your inbox, but you will need to complete an authority form which you can download here. Once this application has been processed by IT, you will still need to configure your own phone to receive health emails. Instruction manuals for how to do this for Apples and Androids can be found here, on the IT intranet website, which can only be accessed from a hospital computer 

It is NOT possible - for security reasons - to have your health emails automatically forwarded to a private account.

One of the common observations is that the health e-mail inbox fills up rapidly with frequent broadcast messages, many of which are not relevant to medical staff. It is possible to configure your inbox settings to automatically forwards your broadcast messages to a different folder, keeping them out of your in box. Instructions for how to do so can be downloaded here

Updated 6th Feb 2018

My Health Learning - e-learning modules and learning transcripts

This site is maintained by HETI and provides access to a huge array of e-learning modules including all of those which have been mandated for medical staff by NSW Health. It also contains a record of all of you learning achievements (both e-learning and face to face) during your employment in the public hospital system.

It can be accessed via the intranet (from the applications tab on the intranet home page) or the internet – just google My Health Learning. Your login and password will be the same as your Network  and e-mail login and password

You should be aware that this hospital, along with all others, will be monitoring your progress with regard to completion of the mandatory e-learning modules. 
In 2021 all new Interns will be given time during Orientation to undertake their required e-learning, and it is expected that all mandatory modules will be completed within the fortnight.

Stafflink and Unrostered Overtime

Stafflink is your payroll IT system and you can login to this to view your payslip, pay history leave balances, group certificate and banking details. You can also access UROC (unrostered Overtime and On Call online claiming) via Staflink, which is the only way to submit claims for Unrostered Overtime. Stafflink can be accessed via the intranet (from the applications tab on the intranet home page) or the internet – just google Stafflink NSW Health.

Your login and password will be the same as your network and e-mail. View the StaffLink Employee Self Service User Guide here. 

Employee On Line (EOL)

Employee On Line allows you to log-in to the Health Roster system to view your own roster. Rosters should be available to view 2 weeks prior to them being worked, and you should always confirm you worked as rostered before the end of the pay period. This is an important process to help ensure that you get paid correctly. Click here for the Employee On Line login page. 

Your login and password will be the same as your network and e-mail.

Westmead ED Home Page

The Westmead ED have established a suite of useful resources which are used by many staff outside of ED. Broadly speaking this consists of  Clinical Information and Rosters. These links only work inside the hospital and both can also be found on the Intranet home page in the Central box labelled Links for Clinicians > 'Clinical Information' and >'Westmead Rosters'. Apart from being able to access ED rosters, you can access the daily duty roster (with the details of all of the key after hours doctors) and the Weekly team roster, with details on a weekly basis of who is on which team.

Westmead Policies and Procedures

All WSLHD policy and procedure Documents are located on the intranet via the link form the home page of the intranet (right hand side menu). To ensure integrity of version control, links to these documents will only be provided from within the Hospital network.

Office 365 - Microsoft Teams and Skype

Westmead is moving to Microsoft Office 360 which allows access to a suite of office programs via you corporate login. Two programs most likely to be used by JMOs are Skype for Business and Teams.
In these post COVID times, most of you will be familiar with Sykpe. It should be noted that while NSW health support the use of Skype, Zoom is not supported

Teams is a powerful instant messaging and file sharing application. The ability to use instant messaging to allow small clinical team to stay in touch with each other has become integral to the work of JMOs in the modern hospital setting - especially in the after-hours setting. Historically, WhatsApp was one of the first applications to be used in this context, but due to issues of security and patient confidentiality this is not endorsed by NSW Health. In fact it is a serious breach of the code of conduct to do so. Microsoft teams is the approved application for this purpose. It can be downloaded onto all devices using your standard corporate login and password, and all new JMOs are encourage to download it onto their smart phones

 

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