This template is based on the latest NICE guidance to help guide correct management and treatment choices.
The template can be located in the following ways:
- Auto-Consultation > ardens CONDITIONS INFECTIONS > Lower UTI - Female > 16y & pregnant
- Use the bottom left search bar in SystmOne
- Via the General Consultations template (genitourinary tab)
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.
Home
The home page provides a snapshot of relevant medical history for any infections or covid, microbiology results and relevant medications.
Consultation
You will 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 key symptoms, along with any other symptoms and findings.
Clicking in to any of the Vitals 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, the sepsis risk template is located just above the Vitals fields where you'll find NEWS2 scoring, NICE & SIRS guidance.
The Findings & Risk for complications 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.
Amber Flags
Here are useful links to the relevant templates if an STI or Pyelonephritis is suspected.
Dipstick
Guidance on when to perform dipstick and link to the urinalysis template.
Impression
One of the boxes must be ticked to activate the Management guidance greyed out below.
Management
Allows you to quickly document advice given. The Target Leaflet is available as both a word document to print or hyperlink if preferring to forward by text/email instead.
Prescribing
Click the Formulary hyperlink or Formulary tab along the top to prescribe medication.
TIP: To return to the previous page, use the tabs along the top of the template. Clicking Ok will close the template.
Urine Culture MC+S
This template allows you to document symptoms and provides interpretation and historical results for the patient.
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
There are a number of reports to identify patients with a recent UTI and where antibiotics were issued / not issued.
Go to Clinical Reporting > select the Ardens Ltd folder > Conditions infections > Activity last 3 months