Departments you switch on

Clinic → Setup → Departments lists the parts a bigger clinic or hospital uses. They are all off at first. Tick the ones you have and press Save: each shows in the Clinic menu. Switching one off hides it and keeps its records.

Imaging

• Add your studies under Setup → Imaging studies: the name, the kind (X-ray, ultrasound, CT…) and the price.
• The doctor orders a study like a lab test. Studies are listed under Imaging in the doctor's list. They never appear on the lab bench.
• Imaging has three cards: Waiting, To report and Reported today.
  1. Press Done the study once the patient is scanned.
  2. Press Report. Write the findings and the impression, add the pictures, and press Sign the report.
• The doctor and the chart see the report, and Print gives it on the clinic's own paper. It is billed with the visit like a lab test.

Theatre

1. + Book an operation: the patient, the operation, the surgeon, the anaesthetist, the theatre, the day and time, and the price. A theatre cannot be booked twice in the same hour.
2. Before the operation, tick every line of the safety checklist: identity, consent, site marked, allergies, fasting, anaesthesia and blood. Start the operation works only then.
3. Write the findings, what was done and any complications, then press Finish and charge.

The price goes on the patient's stay when they are in a bed. Otherwise it goes on a visit for the front desk to bill. The cards are Today, Coming up, In theatre and Done this month.

Maternity

• + A pregnancy: enter the mother, the first day of her last period (or the due date from a scan), how many pregnancies and births she has had, and any risks. The due date is worked out 280 days on.
• Each antenatal visit records:
  • weight and blood pressure;
  • fundal height and the fetal heart;
  • notes and the next visit.
• A missed visit shows under Visit missed.
• Record the delivery asks:
  • how the baby was born and the outcome;
  • the baby's sex and weight, and the Apgar scores;
  • an optional charge.
• Open the baby's own file gives the baby a patient file on the mother's phone, born that day.

Immunisation

• The usual Kenyan childhood schedule is filled in for you: BCG, polio, pentavalent, PCV, rotavirus, measles-rubella and yellow fever. Change it under Setup → Vaccines: prices, extra doses, or a dose you do not give.
• Each child's card sets every dose against their date of birth: Given, Due (within a week), Late or Later. Type the batch and press Given.
• A dose given elsewhere: choose its day, and it is not charged. A dose with a price goes on today's bill.
• The cards Due this week and Late list the children to call.

Dental

The patient's file gets a Teeth tab: the adult teeth, or the milk teeth for a child. Press a tooth, choose its state or the work done (decay, filled, crown, root canal, to extract, missing, implant), add a note and a charge, and save. Each state has its own colour on the chart, and the list below keeps every note.

The waiting-room ticket and screen

• With Waiting-room screen on, every check-in gets a ticket number for the day (001, 002…). The ticket slip prints at once, and the number shows on the front desk and the doctor's queue.
• The doctor types their room once (for example "Room 3") above the queue. Call in puts the ticket and the room on the screen.
• The screen has its own private address: copy it from Setup → Departments and open it on the TV or tablet. No sign-in is needed. Press Sound on once and it says each call out loud.
• New address stops the old one working.

SMS reminders

With SMS reminders on, patients get one SMS each:

• the day before an appointment;
• the day before an antenatal visit;
• when a child's vaccine is due in the next two days, or is late;
• when their lab results are signed off or their imaging report is signed.

The messages go out at 8 in the morning through your SMS account. Each is sent once, never twice.

Not built yet: ward stock kept apart from the pharmacy's; lab ranges by age and sex.