What Do You Do If Nuance Powerscribe 360 Is Down?

SYMPTOMS

Centricity PACS and RIS-Imagecast are still functional. Radiologists are unable to report exams from their workstations using Nuance PowerScribe 360.

FIRST STEPS

On-site Radiologist contacts or pages the one of the following:

·         PACS/RIS on call pager at 541.1653 (Pages On-Call Analyst’s personal pager)

·         Disaster Group Pager 559.5835 (Pages On-Call Group Pager)

·         ITS Help Desk 543.7012 (IT Services will create a ticket and page On-Call Analyst)

WORKFLOW CHANGES

·         In the event of a disaster, the on-site/on-call Techs, Radiologists, Informatics and Clinical Engineer will call the disaster phone number: 315‐1785, code: 500651#.

GENERATE A REPORT

1.       Log in to RIS-Imagecast.

2.       Click Worklist module.

3.       Click Exams option.

4.       In the List field, click https://rise.uwmedicine.org/imagecast/HelpWeb/images/drop_down.gifand select HM ED Night Worklist.

5.       Double click https://rise.uwmedicine.org/imagecast/HelpWeb/images/checkbox_empty.gif on the exam that you want to dictate. This will put the patient information in the patient banner and will launch CLIN.

6.       Click Provider.

7.       Click Results Reporting.

8.       Click Edit.

·         The Attending Radiologist can skip to step 12.

9.       For Residents and Fellows and PAs (dictating under an Attending), on the Providers window, select <click to add new row (Alt+1)>.

10.   Type the Attending’s last name, and hit Enter on the keyboard.

11.   Use Simple Editor.

12.   Start typing.

·         To use macros (Standard Reports), click .

·         Click Use Standard Report.

·         Select appropriate standard report.

·         The naming convention for HMC macros start with the letter H.

·         Review standard report and make the necessary edits.

·         Please review and/or edit any line that begins with a “*”.

13.   Sign as appropriate (Save Draft, Save Preliminary, or Sign).

14.   The radiology report will be available in Centricity PACS, RIS-Imagecast, Mindscape and ORCA.

 

RESIDENT | FELLOWS | ATTENDINGS: DRAFTS/MODIFY REPORT/ADDEND

1.       Log into RIS-Imagecast.

2.       Click Provider.

3.       Click Result Reporting.

4.       On the Search By: field, type in the Accession Number of the result that you which to edit.

5.       Click search.

6.       Report Text window will appear. Click edit. If addendum is needed, click addend.

7.       Make necessary changes to report.

8.       Residents/Fellows: Click save preliminary or save addended.

Attendings: Click sign. 

 

ATTENDINGS: HOW TO EDIT REPORT PRIOR TO SIGNING

1.       Log into RIS-Imagecast.

2.       Click Provider.

3.       Click Signature Queue.

4.       The Report Summary will show you how many reports you will need to review. Click all and click continue.

5.       A report will appear. To edit, click edit.

6.       Make necessary changes to report.

7.       Click sign to sign off report.