Description
The Microbiology Media Setup pop-up is the first stop for a microbiology specimen. The submitted specimen is evaluated for adequacy and put onto various media and/or slides to begin testing. Incubation time starts at the time of setup for all media containers during this step.
This pop-up governs setup documentation within the microbiology department. Once a culture has reached its microbiology testing location, information is reviewed and corrected, if needed. The correct media is applied and set up in the computer, and media labels are issued.
Access
TaskCenter > Manage Testing > Work in Progress > add or edit a microbiology order choice
You will automatically navigate to this pop-up from the Work in Progress page if your microbiology culture does not have a setup date and time.
If the microbiology culture does have a setup date and time, you will automatically navigate to the Microbiology Work Card Pop-up.
Procedures
If multiple selections are made on the Work in Progress page, half with a setup date and time and half without, you will automatically navigate to the Microbiology Media Setup pop-up for those cultures that still need to be set up, leaving off those that have a setup date and time. After the selected cultures are set up, return to the Work in Progress page to select the cultures you want to work up.
Microbiology Batch Processing
To open multiple order choices from the Work in Progress page as a group, you must have the same destination page.
If order choices are selected from the Work in Progress page, with some set up and some not set up, they cannot be opened as a group (the button/action is disabled) because they have different destination pages. To accomplish this:
- On the Work in Progress page, select only the cultures that need to be set up.
- Select the Bulk Actions menu, then select Open in Series.
- The Microbiology Media Setup pop-up opens with the queue populating from the Work in Progress page selection. The cultures can then be set up by the microbiology technician.
- After returning to the Work in Progress page, select all previously set up cultures you want to start working up.
- Select the Open in Series option to sequence through each culture's Microbiology Work Card Pop-up individually, or select the Open in Batch option to open the Microbiology Batch Workup page.
Note
The ability to enter or manipulate sample types should be facilitated on the Order Entry, Collect Samples, Release Samples, and Microbiology Media Setup pages.
Technical Manual
Patient Information
| Patient | Displays the patient's name. Select the patient ID link to access a contextual menu of patient options. |
|---|---|
| MRN | Displays the patient's medical record number. |
| DOB | Displays the patient's date of birth. |
| Age | Displays the patient's age. |
| Sex | Displays the patient's sex. |
| Species/Breed | Displays the species and breed of the animal. Note This is only available if the veterinary license is enabled. |
| Owners | Displays the name(s) of the owner(s) of the animal. Note This is only available if the veterinary license is enabled. |
Sample Information
| Sample ID | Displays the sample ID. Select the sample ID link to access a contextual menu of sample tracking options. |
|---|---|
| Diagnoses | Displays the diagnosis code. |
Order Information
| Order ID | Displays the order ID. Select the order ID link to access a contextual menu of order options. |
|---|---|
| Order Date | Displays the date the order was placed. |
| Ordering Provider | Displays the ordering provider. |
| Ordering Location | Displays the ordering location. |
| Comment bubble icon | Select this icon to open the Comments pop-up to add a comment at the order level. |
| Document icon | Select this icon to add a document at the patient level, order level, or result level. |
Order Choice Information
This section displays information specific to the order choice and allows editing.
| Order choice status | Displays the order choice status. |
|---|---|
| Order choice name | Displays the order choice name. |
| Action menu | Select this button to view a contextual menu and select an option:
|
| Comment bubble icon | Select this icon to open the Comments pop-up to add a comment at the order choice level. |
| Document icon | Select this icon to attach a document at the patient level, order level, or result level. |
Testing Information
| Testing Facility | This drop-down list displays the current testing facility. |
|---|---|
| Department | This drop-down list displays the department within the testing facility. |
| Workflow Status | This displays the designated workflow status assigned to those cultures needing to be set up for culture processing. |
Specimen Information
| Container Type | This field displays the container type the specimen was collected into. This is designated on the order choice build and is not editable. |
|---|---|
| Sample Type | This drop-down list displays the sample type (source) of the submitted specimen for the order choice. The drop-down list options can be limited to specific samples types if defined on the order choice using facility/department combinations as desired. |
| Source Site | This drop-down list displays the anatomic site the source was taken from. The drop-down list options can be limited to specific source sites if defined on the order choice using facility/department combinations as desired. |
| Source Site Modifier | This field displays either a button or a list of modifiers.
|
| Collection Date/Time | This field displays the date and time of specimen collection. This is a required field. |
| Collection Method | This field displays the collection method used to obtain the specimen. |
| Collected By | This field displays the user who collected the specimen. This is a required field. |
Media Information
| Setup Date/Time | This field displays the date and time when the specimen was applied to the required media containers and incubation began. This defaults to "now." |
|---|---|
| Setup By | This field displays the user who set up the specimen on the required media containers. This defaults to the logged-in user. This is a required field. |
| Add Media | Enter text in this field to search descriptions and abbreviations designated on all media container records built in the Microbiology Media Container selected on the Tube/Container Type Details page. Select the plus sign to add the media to the table below this field. Media can be added multiple times to the table: as requested, or if multiple quantities of a single media are defined for the order choice by default. This is a required field. |
| Media table | This table has several columns:
Select the gray x button to remove listed media. Note Multiple instances of the same media can be added, each with a unique specimen identifier. There are two ways for media to be added to the list automatically.
Note Default media can be flexed based on the designated specimen type of an order choice (culture). You can set separate default media by specimen type for each facility. This allows the system to instantly flex the default media as well as add/remove additional media and make any other necessary changes. |
Setup Queue
Select the Setup Queue vertical tab to expand or collapse the information onto the main page. The selected specimen has focus and is currently displayed in the main page to the left. Manually select from the list, or bar code scan, to go straight to a specimen for setup.
This list can be sorted by scanning or selecting from a Work in Progress page order (default) or by selecting the Specimen ID or Order Choice column name.
Note
This collapsible list only appears when multiple microbiology order choices that have not been set up are selected from the Work in Progress page. The queue does not display when only one order choice needs to be set up.
Note
Setting up a culture using the Setup Culture button removes the current order choice from the Setup Queue.
To instigate batch setup, all selected cultures must have the same order choice, facility, department, sample type, and have the same default media setup in order to qualify for that functionality. If there are two samples on the same order choice (e.g., blood culture aerobic and anaerobic bottles), they will appear on a single line with a comma-delimited specimen ID. There can only be one line per valid order choice on the Setup Queue.
Once you have selected your order choices, make your changes in the Specimen Information and Media Information sections to apply the changes to all selected order choices.
Note
When using the Microbiology Media Setup pop-up in batch mode, the entire header is replaced with a sample ID of "MULTIPLE." The Sample Type search-as-you-type field is always enabled. The Source Site search-as-you-type field, Collection Date/Time fields, Collection Method search-as-you-type field, and Collected By search-as-you-type field are disabled and blank if any order choice selected has a different value set.
The Source Site Modifier pop-up is dependent on the source site and the button is disabled if any order choice selected has a different source site set. If the source sites are the same across all selected order choices, the Source Site Modifier pop-up and button are disabled if any order choice selected has a different source site modifier.
The Sample ID column in the Media table displays "MULTIPLE" followed by the ID’s increment.
| Select | Select more than one order choice to set up all selected order choices in batch mode. The order choice in focus is selected in this column and cannot be cleared. |
|---|---|
| Sample ID | This column displays the first sample ID found on the order choice. |
| Order Choice | Select the order choice link to set the current order choice to the newly selected order choice. |
| Batch | Select the icon in this column to select/deselect all order choices that can be batched together. |
Buttons
Next | Select to advance to the next selected culture when multiple cultures are requested in sequence. |
|---|---|
| Previous | Select to return to the previously selected culture. |
| Setup Culture | Select to save changes to the pop-up and to automatically print media labels. |
| Cancel | Select to remove edits to the setup of the selected culture and to not save any changes. |
