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 > Otitis Externa
- Use the bottom left search bar in SystmOne
- Via the General Consultations template (ENT & Oral 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 view listing Allergies & Sensitivities and relevant medications and allows you to document the encounter type and seen by codes for other professional roles.
Acute
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 record which ear(s) are affected, your findings and any complications/risks.
Both the findings and complications/risk factors 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.
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 below the Vitals fields for both adults & children where you'll find NEWS2 scoring, NICE & SIRS guidance.
Impression
One of the boxes must be ticked to activate the Management guidance greyed out below.
Management
Allows you to quickly document advice given and provides the appropriate links for any actions such as recording swab taken, prescribing, referral and follow-up.
Prescribing
Click the Acute Formulary hyperlink or the 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.
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. if needing to arrange a follow-up appointment.
Acute Follow-up
The Acute Follow-Up tab allows you to record detail of the follow-up consultation. The layout of the page follows the same format as the Acute section but allows you to add any change since the initial consultation and appropriate guidance on managing their present condition.
Chronic
The layout of the page follows the same format as the Acute section but provides the correct guidance for a chronic infection with the appropriate guidance on managing their present condition.
Again you'll need to tick a box in the Impression section to activate the appropriate Management currently greyed out below.
Click the Chronic Formulary link to access prescribing.
TIP: To return to the previous page, use the tabs along the top of the template. Clicking Ok will close the template.
Referral
Provides guidance and criteria for when a patient should be referred either as emergency admission or further investigation to ENT/Dermatology and record action taken.
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 Otitis Externa infection and where antibiotics were issued / not issued.
Go to Clinical Reporting > select the Ardens Ltd folder > Conditions infections > Activity last 3 months
