Lesson map
Lesson 06 published. Map, example, EX060.
flowchart TD
D["The practice system returns"] --> S["Collect the paper written while it was down"]
S --> C{"Does a system note already describe the same visit?"}
C -->|No| E["Enter from the paper"]
C -->|Yes| M["Compare the two. Do not create a second visit"]
E --> L["Keep the paper in the change-log folder"]
M --> L
Memory is not a copy of the paper.
Logical drawing
four hours, system treated as down
treatments written on paper
system returns
|
+-- entry source: that paper
+-- not a source: what a receptionist remembers
+-- if a note was saved before the outage, reconcile, do not double
Learning outcomes
After this chapter, you should be able to:
- Use the outage paper as the source for visits that happened while the system was down.
- Refuse a reconstruction from memory when the paper is in the folder.
- Stop one visit from being entered twice when a pre-outage note and the paper describe the same animal.
6.1 Two writings, one visit
The drill's rule was to record treatments on paper for entry later. When the system is back, "later" has arrived. The paper is the writing made at the time. A receptionist who says "I remember the dose" is offering a second account. If it disagrees with the paper, the paper wins unless Dr. Moss records a correction and the reason. A correction is a new log line. It does not throw the paper away.
Some notes may already sit in the system from before the outage. Those notes are not the outage. If the paper and an existing note name the same animal and the same morning, staff compare them and enter only what the paper adds. Creating a second visit would invent a consultation.
6.2 Worked example
Lesson table; scroll horizontally to read all columns →
| Proposed entry | Relation to the paper | Decision |
|---|---|---|
| Type the paper into the system, line by line | The paper is the source | Accept |
| Type what the nurse recalls, because the handwriting is awkward | Recall is not the record | Refuse. Ask for a legible copy of the same paper if needed |
| Create a new visit although the chart already has this morning's note | Same animal, same morning | Reconcile. Do not double |
| Discard the paper once the screen looks complete | The paper is how the entry can be checked | File it with the change log |
Synthetic case. No dose, animal name, or client name is supplied. Do not invent one.
Errors and limits
Filing the paper does not restore the mailbox, and it does not refresh the client list from Chapter 5. Each artefact still answers its own question. This chapter also does not set a legal retention period for the paper.
Apply
- EX060 — Which writing is entered? The system is back. The outage paper lists a treatment. A nurse remembers a different dose, and the chart already has a note for that animal from the same morning. What is entered, and what is not created?
Show marking criteria
Rubric: 3 = enter from the paper, record any correction through Dr. Moss, and do not create a second visit;; 2 = use the paper and avoid the duplicate;; 1 = one of those;; 0 = none.