WinCare User Guide

PO/MAR 99

Hemoglobin/Hematocrit Screen

Allows the recording of the Hemoglobin and Hematocrit lab values.

Values outside the Normal Range are displayed in red on the screen. The values used are different for males and females, the high and low values are set in Utilities, MAR, Hemoglobin/Hematocrit Ranges. In order for the ranges to work correctly the residents gender must be set on Face

Sheet A1 in the Admit module. This module can be used to help determine how J1c on the MDS assessment should be answered, elevated hemoglobin and hematocrit values in the last 7 days can be a clinical sign of dehydration.

Hemoglobin/Hematocrit Add/Edit Screen

The Add/Edit screen is where the individual lab results and any notes are entered.

Immunizations

Access this screen to record and track the following Immunizations:

Influenza, Pneumonia, Tetanus, Diphtheria, and PPD injections by following the steps listed below:

1. Click the Immunizations button from the PO/MAR menu screen.

100 WinCare User Guide User's Guide

2. Influenza due dates are automatically recorded as one year from the last administered date, Pneumonia is due in 5 years and

Tetanus or Diphtheria are due 10 years from the last administered date.

3. Click Add to record when an immunization had been given.

4. Select the type of immunization/vaccination from the list under

Type.

5. Enter the Date of the immunization.

6. Type appropriate Notes such as location and observed reaction.

The Federal Requirements can also be recorded in the Notes, i.e. vaccine manufacturer and lot number. (See Federal Requirements below)

7. Under the Reports section, click Individual to print the immunizations records for the current resident. Click

Immunizations Due Report to print the immunizations record for the entire care unit or facility.

8. Click Exit to save the entry and return to the PO/MAR screen.

Linkage to other areas in WinCare: If users enter flu immunizations then when creating MDS assessments, W2a will be automatically answered, if the flu shot was in the flu season applicable to the MDS assessment.

WinCare will notify the user that the program has set this value when entering Section W of the MDS . Depending on the check boxes under

Pneumococcal Vaccine WinCare may be able to answer W3a. (See the

Pneumococcal Vaccine/Booster check boxes help page).

In addition, WinCare will use flu shots and pneumococcal shots recorded to answer columns 144 and 145 on the CMS 672 Census and Conditions report.

Federal Requirements: Prior to administration of each dose of a vaccine, the health care provider must provide to the resident or their legal representative, a copy to keep of the relevant current edition Vaccine

Information Statement that has been created by the CDC. (For an incompetent adult living in a long-term care facility, all relevant VISs may be provided at time of admission, or at the time of consent if later than admission, rather than prior to each immunization.)

Vaccine Information Sheets are available from the CDC Web-site (

http://www.cdc.gov/vaccines/pubs/vis http://www.cdc.gov/vaccines/pubs/vis ).

The health care provider is required to record the following information in the resident's permanent medical record:

 At the time Vaccine Information Sheets are provided

1. the edition date of the Vaccine Information Statement distributed

2. the date the VIS was provided

 When a Vaccine is given

1. the name, address and title of the individual who administers the vaccine

2. the date of administration

3. the vaccine manufacturer and lot number of the vaccine used