This template is based on the latest NICE guidance to help guide correct management and antiviral treatment choices for both the acute primary infection and recurrent genital herpes.
The template can be located in the following ways:
- Auto-Consultation > ardens CONDITIONS INFECTIONS > Herpes Simplex - Genital
- Use the bottom left search bar in SystmOne
If using on a regular basis, save to F12 favourites for quick access.
The template is split across separate tabs along the top or hyperlinks within the home page, this allows you to navigate to the appropriate section dependant on whether it is a primary or recurrent infection.
Home
The home page allows you to document the encounter type and seen by codes for other professional roles which are linked to reports as part of the NCD PCN Des (see further down for report details).
The view gives a snapshot of relevant medical history for any infections or covid coding, microbiology results and relevant medications.
First Episode
You'll notice the options within the Management section at the bottom of the template are initially 'greyed out'. The appropriate management and advice will be highlighted once you've ticked the relevant box in the Impression section.
Assessment allows you to add vitals for the patient. Clicking in to any of these fields will display coded historical results in the yellow pane to the right side of the template. Manually type the new result into the appropriate box.
If you suspect the patient may be at risk of Sepsis, there is a link to sepsis risk template just below the Vitals fields where you'll find NEWS2 scoring, NICE & SIRS guidance.
Both the Findings and Complications/Risks free text boxes have presets available alongside to save a bit of typing.
Click on the preset button (notepad icon) and add 1 or multiple lines of text by pressing & holding Ctrl on the keyboard and using mouse to select. The text can be edited once added to the template.
Impression
One of the boxes must be ticked to activate the Management guidance greyed out below. The Referral hyperlink simply navigates to the Referral tab on the template.
Management
Allows you to quickly document advice given. The OTC Medication has a Patient Leaflet available as a Word document or there is a hyperlink bottom left if preferring to forward by text/email instead.
Prescribing
Click the Formulary hyperlink or Acute Formulary tab along the top to prescribe medication.
TIP: To return to the First Episode page, use the tabs along the top of the template. Clicking Ok will close the template.
The Follow-Up template shows any pending appointments/visits, outstanding tasks, SystmOne recalls etc. There is a link to the Appointment Ledger, creating a task etc.
Recurrence
The layout of this section mirrors the First Episode tab as above but you'll notice different guidance and advice.
Again you'll need to tick a box in in the Impression section to activate the appropriate Management currently greyed out below.
Tick to document advice given and either use the OTC Medication link as above to provide a leaflet or if prescribing medication use the Formulary link to navigate to the Recurrent Formulary section of the template.
TIP: To return to the Primary Infection page, use the tabs along the top of the template. Clicking Ok will close the template.
Referral
As before, in order to activate guidance in the Action section in the bottom half of the template, first tick any boxes above that are relevant. The appropriate Action will be highlighted for follow up.
Resources
The Resources tab contains useful website links with information that can be sent to a patient via text/email by copying & pasting the link in to Send Message.
Reports
To find patients who were seen by other professional roles:
Go to Clinical Reporting > select the Ardens Ltd folder > Contracts | 2022 23 | NCD > d NCD Management Indicators