To create an anesthetic sheet, you must first create a patient, add weight and pick a template. If you enter the first hour of treatments, it will automatically sync those vitals onto the anesthetic sheet.
Go to the Menu and select Anesthetic Sheet.
Patients details will be populated from the patient you created in step one.
You can choose to fill in the Doctor, Anesthetist, and Assistant or this field can be left blank.
Templates – (i.e. Exploratory) will give you all the pre-med doses and induction agents, as well as any saved additional medications. Dose rates can be adjusted as required. To view how to create an anesthetic template, please click HERE.
Any information that is on the flowsheet will be auto-populated into the anesthetic preoperative page. Fluids, critical notes, comments and the latest set of vitals will all be imported for you.
You can then input what size ET tube, depth, and what circuit you're using at the bottom of the form to ensure a complete medical record. Ventilator information, if one is used, can also be included.
Other medications that need to be given during surgery, such as Metacam and Cefazolin, can be indicated on the preoperative page. These will transfer to the anesthetic sheet, so you will remember to give them during surgery.
As soon as the premedications are given, press Start. The same goes for induction. Time stamps will appear to ensure that you know exactly when medications were given and how much time you need to wait for premedication and induction. Once you are finished filling out the preoperative page, press Save. This will open the Anesthetic Sheet.
Emergency Drugs - By pressing the red 'Emerge' button, from either the preoperative or anesthetic page, you will be able to view an emergency drug chart with ranges for emergency drugs, should you need to calculate drugs for your patient in an emergency situation.
The Anesthetic Sheet - Your anesthetic sheet should now look something like this:
From here, you will be able to use the blue fields on the side to enter vitals. These will automatically be graphed as you press enter, and Smart Flow will jump to the next vital for you. Depending on the time interval you have selected, the bar will move to the next row, prompting you to enter a new set of vitals, both audibly and visually. Should you need to re-enter or adjust a set of vitals at a time that has already past, simply press and hold on the time that you would like to edit.