{"id":9168,"date":"2024-07-15T17:25:06","date_gmt":"2024-07-15T17:25:06","guid":{"rendered":"https:\/\/training.nuth-itt.co.uk\/?page_id=9168"},"modified":"2024-08-24T19:34:32","modified_gmt":"2024-08-24T19:34:32","slug":"fluency-direct-v12-guidance-for-clinical-administrators-detailed-guide","status":"publish","type":"page","link":"https:\/\/training.nuth-itt.co.uk\/?page_id=9168","title":{"rendered":"Clinic Letter Review Using the Audio File"},"content":{"rendered":"<h1>Clinic Letter Review Using the Audio File<\/h1>\n<p><div class=\"guideSection\" id=\"\">Scenario<\/div><br \/>\nThe current Fluency Direct Digital Dictation software package allows for both voice recognition and the creation of an audio file. Some staff will wish to create a letter entirely by voice recognition, some entirely by audio file creation, and others as a hybrid of these two methods.<\/p>\n<p>As long as Fluency Direct was used to dictate the letter and the recording was stopped before the letter was saved, an audio file should be available for reviewing the clinic letter.<\/p>\n<p>&nbsp;<\/p>\n<div class=\"guideSection\" id=\"\">Instructions<\/div>\n<ol>\n<li>From within Powerchart, launch <strong>Typing Shelf<\/strong> from either the top grey menu bar\u00a0<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/training.nuth-itt.co.uk\/wp-content\/uploads\/2024\/07\/fd-typing-shelf.jpg\" alt=\"\" width=\"96\" height=\"32\" class=\"alignnone size-full wp-image-9257\" \/> or the <strong>View <\/strong>menu.<br \/>\n<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/training.nuth-itt.co.uk\/wp-content\/uploads\/2024\/07\/fd-view.jpg\" alt=\"\" width=\"202\" height=\"320\" class=\"alignnone size-full wp-image-9254\" srcset=\"https:\/\/training.nuth-itt.co.uk\/wp-content\/uploads\/2024\/07\/fd-view.jpg 202w, https:\/\/training.nuth-itt.co.uk\/wp-content\/uploads\/2024\/07\/fd-view-189x300.jpg 189w\" sizes=\"auto, (max-width: 202px) 100vw, 202px\" \/><\/li>\n<p>&nbsp;<\/p>\n<li>Click on the funnel icon to filter for correct clinic by a combination of date, department, resource, and location. You can also choose to include Completed in your search. To view the filtered results, you must click somewhere outside of the window as there is no enter button. <img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/training.nuth-itt.co.uk\/wp-content\/uploads\/2024\/07\/fd-funnel.jpg\" alt=\"\" width=\"558\" height=\"576\" class=\"alignnone size-full wp-image-9261\" srcset=\"https:\/\/training.nuth-itt.co.uk\/wp-content\/uploads\/2024\/07\/fd-funnel.jpg 558w, https:\/\/training.nuth-itt.co.uk\/wp-content\/uploads\/2024\/07\/fd-funnel-291x300.jpg 291w\" sizes=\"auto, (max-width: 558px) 100vw, 558px\" \/><\/li>\n<p>&nbsp;<\/p>\n<li>From the list of results, click within the box of the clinic you were looking for to pull the list of appointments. Please note, clicking the \u201c+\u201d in the bottom right corner, also found in the black, left-hand vertical menu, will give a document status summary for the entire clinic.<br \/>\n<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/training.nuth-itt.co.uk\/wp-content\/uploads\/2024\/07\/fd-typing-shelf-a-d.jpg\" alt=\"\" width=\"1328\" height=\"388\" class=\"alignnone size-full wp-image-9256\" srcset=\"https:\/\/training.nuth-itt.co.uk\/wp-content\/uploads\/2024\/07\/fd-typing-shelf-a-d.jpg 1328w, https:\/\/training.nuth-itt.co.uk\/wp-content\/uploads\/2024\/07\/fd-typing-shelf-a-d-300x88.jpg 300w, https:\/\/training.nuth-itt.co.uk\/wp-content\/uploads\/2024\/07\/fd-typing-shelf-a-d-1024x299.jpg 1024w, https:\/\/training.nuth-itt.co.uk\/wp-content\/uploads\/2024\/07\/fd-typing-shelf-a-d-768x224.jpg 768w\" sizes=\"auto, (max-width: 1328px) 100vw, 1328px\" \/><\/li>\n<p>&nbsp;<\/p>\n<\/ol>\n<ol type=\"A\">\n<li>Click on <strong>Message Pad<\/strong> to review messages. Mark message Complete, as appropriate.<\/li>\n<li>Document status: Not Started, Awaiting Finalisation, Awaiting Signature, Completed or Not Required.<\/li>\n<li>Press <strong>Play Audio<\/strong> to listen to file.<br \/>\n<img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-9225\" src=\"https:\/\/training.nuth-itt.co.uk\/wp-content\/uploads\/2024\/07\/playback-bar.jpg\" alt=\"\" width=\"380\" height=\"54\" srcset=\"https:\/\/training.nuth-itt.co.uk\/wp-content\/uploads\/2024\/07\/playback-bar.jpg 380w, https:\/\/training.nuth-itt.co.uk\/wp-content\/uploads\/2024\/07\/playback-bar-300x43.jpg 300w\" sizes=\"auto, (max-width: 380px) 100vw, 380px\" \/><\/li>\n<ul style=\"padding-left: 40px;\">\n<li>  \u2022\tA playback control bar will open and always float in front of other windows. <\/li>\n<li>  \u2022\tPlayback speed can be switched between Normal and Slow. <\/li>\n<li>  \u2022\tIf select Hide, the menu bar disappears. To bring back, click on <strong>Play Audio<\/strong> again; playback will start from the beginning of the file. <\/li>\n<li>  \u2022\tPress <img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/training.nuth-itt.co.uk\/wp-content\/uploads\/2024\/07\/play.jpg\" alt=\"\" width=\"26\" height=\"24\" class=\"alignnone size-full wp-image-9235\" \/>   to begin playing the audio or press  <img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/training.nuth-itt.co.uk\/wp-content\/uploads\/2024\/07\/pause.jpg\" alt=\"\" width=\"20\" height=\"18\" class=\"alignnone size-full wp-image-9236\" \/>  to pause. <\/li>\n<li>  \u2022\tThe numbers at the end of the progress bar represent time elapsed\/total time where time is in the format of mm:ss. <\/li>\n<\/ul>\n<li><strong>Actions<\/strong> drop down menu:<\/li>\n<ul style=\"padding-left: 40px;\">\n\t<strong>View patient<\/strong> will open the patient\u2019s record.<br \/>\n\t<strong>Message pad<\/strong> will open message pad.<br \/>\n\t<strong>View document<\/strong> will open document as view only.<br \/>\n\t<strong>Edit document<\/strong> will open the document for editing.<br \/>\n\t<strong>Document not required<\/strong> to be applied as appropriate.\n<\/ul>\n<\/ol>\n<p>&nbsp;<\/p>\n<div class=\"warnSection\"><i class=\"fas fa-exclamation-circle\" style=\font-size:3rem\"><\/i>  Please ensure that the audio file, document, and patient record being reviewed are for the correct patient. The audio file and document should both share the same <strong>Document Number<\/strong>.<\/p>\n<p>For an audio file, the document number is found in the top left corner of the audio playback control bar.<br \/>\n<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/training.nuth-itt.co.uk\/wp-content\/uploads\/2024\/07\/fd-audio-document-number.jpg\" alt=\"\" width=\"124\" height=\"51\" class=\"alignnone size-full wp-image-9246\" \/><\/p>\n<p>For a letter, click on \u201cinfo\u201d in the blue menu bar at the top of the document.<br \/>\n<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/training.nuth-itt.co.uk\/wp-content\/uploads\/2024\/07\/info.jpg\" alt=\"\" width=\"778\" height=\"41\" class=\"alignnone size-full wp-image-9238\" srcset=\"https:\/\/training.nuth-itt.co.uk\/wp-content\/uploads\/2024\/07\/info.jpg 778w, https:\/\/training.nuth-itt.co.uk\/wp-content\/uploads\/2024\/07\/info-300x16.jpg 300w, https:\/\/training.nuth-itt.co.uk\/wp-content\/uploads\/2024\/07\/info-768x40.jpg 768w\" sizes=\"auto, (max-width: 778px) 100vw, 778px\" \/><\/p>\n<p>The document number is in the top left corner of the window that opens.<br \/>\n<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/training.nuth-itt.co.uk\/wp-content\/uploads\/2024\/07\/general-info.jpg\" alt=\"\" width=\"388\" height=\"76\" class=\"alignnone size-full wp-image-9247\" srcset=\"https:\/\/training.nuth-itt.co.uk\/wp-content\/uploads\/2024\/07\/general-info.jpg 388w, https:\/\/training.nuth-itt.co.uk\/wp-content\/uploads\/2024\/07\/general-info-300x59.jpg 300w\" sizes=\"auto, (max-width: 388px) 100vw, 388px\" \/><\/div>\n<p>&nbsp;<\/p>\n<ol start=\"4\">\n<li>In the line of the patient requiring a letter to be reviewed, click on <strong>Actions<\/strong>.<br \/>\n<div class=\"infoSection\"><i class=\"fa fa-info-circle\" style=\font-size:3rem\"><\/i>  Note: If you are expecting to see a document for a patient but the document status in Typing Shelf says, \u201cNot Started\u201d, it could be that:<br \/>\n\u2022  it was never done for that patient; remind clinician to create letter.<br \/>\n\u2022  something went wrong whilst saving or it was recorded against the wrong patient; the clinician will need to create letter again.<br \/>\n\u2022  the letter was recorded against the correct patient but wrong encounter.<br \/>\n&nbsp;<br \/>\nIf letter was recorded against the correct patient but wrong encounter, the following is a solution:<\/p>\n<ul style=\"padding-left: 40px;\">\n1.\tClick on View in the top grey menu bar.<br \/>\n2.\tClick on Draft Documents from the drop-down list.<br \/>\n3.\tIn the View By field, top right of screen, select Departmental Documents. This option will allow you to see all saved draft documents within your department.<br \/>\n<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/training.nuth-itt.co.uk\/wp-content\/uploads\/2024\/07\/FD-departmental-documents.jpg\" alt=\"\" width=\"486\" height=\"78\" class=\"alignnone size-full wp-image-9298\" srcset=\"https:\/\/training.nuth-itt.co.uk\/wp-content\/uploads\/2024\/07\/FD-departmental-documents.jpg 486w, https:\/\/training.nuth-itt.co.uk\/wp-content\/uploads\/2024\/07\/FD-departmental-documents-300x48.jpg 300w\" sizes=\"auto, (max-width: 486px) 100vw, 486px\" \/><br \/>\n4.\tClick anywhere on the line of the document you wish to edit. The document will open for viewing.<br \/>\n5.\tClick on Edit Document.<br \/>\n6.\tSelect Play Audio and make corrections.<br \/>\n7.\tWhen finished, click on Finalise but be sure to let the clinician know that it is not ready for document signing.<br \/>\n8.\tFind and open the document in DocStore.<br \/>\n9.\tSelect Duplicate.<br \/>\n10.\tSelect correct Encounter from the drop-down list.<br \/>\n<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/training.nuth-itt.co.uk\/wp-content\/uploads\/2024\/07\/fd-duplicate-leter.jpg\" alt=\"\" width=\"440\" height=\"122\" class=\"alignnone size-full wp-image-9299\" srcset=\"https:\/\/training.nuth-itt.co.uk\/wp-content\/uploads\/2024\/07\/fd-duplicate-leter.jpg 440w, https:\/\/training.nuth-itt.co.uk\/wp-content\/uploads\/2024\/07\/fd-duplicate-leter-300x83.jpg 300w\" sizes=\"auto, (max-width: 440px) 100vw, 440px\" \/><br \/>\n11.\tClick Create.<br \/>\n12.\tPlease be aware that when \u201cduplicating\u201d, data pulled from the patient record into the original letter , i.e. Medications, Problem List, Allergies, etc. will not update in the duplicate. If any changes have been made in the patient\u2019s record, this information will have to be manually updated.<br \/>\n13.\tWhen finished, click on Save as Draft.<br \/>\n14.\tGo to Draft Documents and reject the letter that was created on the wrong encounter.<\/div>\n<\/ul>\n<\/ol>\n<\/li>\n<p>&nbsp;<\/p>\n<ol start=\"5\">\n<li>Choose <strong>Edit Document<\/strong>. The document will open.<\/li>\n<p>&nbsp;<\/p>\n<li>Select <strong>Play Audio<\/strong> in the blue menu bar at the top of the document that opened. The audio playback control bar will float in front of any open window. You can reposition the control bar by clicking on it, holding, and dragging to another area of the screen. Press the play button and you are now ready to correct the voice recognition typing in the document.<br \/>\n<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/training.nuth-itt.co.uk\/wp-content\/uploads\/2024\/07\/step-6.jpg\" alt=\"\" width=\"1238\" height=\"286\" class=\"alignnone size-full wp-image-9239\" srcset=\"https:\/\/training.nuth-itt.co.uk\/wp-content\/uploads\/2024\/07\/step-6.jpg 1238w, https:\/\/training.nuth-itt.co.uk\/wp-content\/uploads\/2024\/07\/step-6-300x69.jpg 300w, https:\/\/training.nuth-itt.co.uk\/wp-content\/uploads\/2024\/07\/step-6-1024x237.jpg 1024w, https:\/\/training.nuth-itt.co.uk\/wp-content\/uploads\/2024\/07\/step-6-768x177.jpg 768w\" sizes=\"auto, (max-width: 1238px) 100vw, 1238px\" \/><\/li>\n<p>&nbsp;<\/p>\n<div class=\"infoSection\"><i class=\"fa fa-info-circle\" style=\font-size:3rem\"><\/i>  Audio files can only be listened to from a Trust device. This does not work when logging on to RemoteCare on a non-Trust device via a Swivel PIN.<\/div>\n<p>&nbsp;<\/p>\n<li>Add\/amend as instructed through your usual process whether it be verbal, via e-mail or Message Pad. To view messages in Message Pad, click on Message Pad in the blue bar at the top of the document.<br \/>\n<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/training.nuth-itt.co.uk\/wp-content\/uploads\/2024\/07\/step-7.jpg\" alt=\"\" width=\"986\" height=\"100\" class=\"alignnone size-full wp-image-9240\" srcset=\"https:\/\/training.nuth-itt.co.uk\/wp-content\/uploads\/2024\/07\/step-7.jpg 986w, https:\/\/training.nuth-itt.co.uk\/wp-content\/uploads\/2024\/07\/step-7-300x30.jpg 300w, https:\/\/training.nuth-itt.co.uk\/wp-content\/uploads\/2024\/07\/step-7-768x78.jpg 768w\" sizes=\"auto, (max-width: 986px) 100vw, 986px\" \/><\/li>\n<p>&nbsp;<\/p>\n<p>A window opens; click on message to view. You can click Mark as Complete when actioned.<br \/>\nTo write your own message, click on New Message.<br \/>\n<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/training.nuth-itt.co.uk\/wp-content\/uploads\/2024\/07\/message-pad.jpg\" alt=\"\" width=\"750\" height=\"284\" class=\"alignnone size-full wp-image-9237\" srcset=\"https:\/\/training.nuth-itt.co.uk\/wp-content\/uploads\/2024\/07\/message-pad.jpg 750w, https:\/\/training.nuth-itt.co.uk\/wp-content\/uploads\/2024\/07\/message-pad-300x114.jpg 300w\" sizes=\"auto, (max-width: 750px) 100vw, 750px\" \/><\/li>\n<p>&nbsp;<\/p>\n<li>When you have finished reviewing the document, click on Save and Finalise. The document is now added to the Doc Signing list waiting for the clinician to sign. If you have not finished, click on <strong>Save as Draft<\/strong>.<br \/>\n<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/training.nuth-itt.co.uk\/wp-content\/uploads\/2024\/07\/step-8-cropped.jpg\" alt=\"\" width=\"321\" height=\"139\" class=\"alignnone size-full wp-image-9313\" srcset=\"https:\/\/training.nuth-itt.co.uk\/wp-content\/uploads\/2024\/07\/step-8-cropped.jpg 321w, https:\/\/training.nuth-itt.co.uk\/wp-content\/uploads\/2024\/07\/step-8-cropped-300x130.jpg 300w\" sizes=\"auto, (max-width: 321px) 100vw, 321px\" \/><\/li>\n<p>&nbsp;<\/p>\n<li>In Typing Shelf, signed documentation will have a status of complete. The vertical line at the beginning of the patient\u2019s information bar will turn from blue to green to indicate complete.<br \/>\n<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/training.nuth-itt.co.uk\/wp-content\/uploads\/2024\/07\/complete.jpg\" alt=\"\" width=\"1358\" height=\"310\" class=\"alignnone size-full wp-image-9314\" srcset=\"https:\/\/training.nuth-itt.co.uk\/wp-content\/uploads\/2024\/07\/complete.jpg 1358w, https:\/\/training.nuth-itt.co.uk\/wp-content\/uploads\/2024\/07\/complete-300x68.jpg 300w, https:\/\/training.nuth-itt.co.uk\/wp-content\/uploads\/2024\/07\/complete-1024x234.jpg 1024w, https:\/\/training.nuth-itt.co.uk\/wp-content\/uploads\/2024\/07\/complete-768x175.jpg 768w\" sizes=\"auto, (max-width: 1358px) 100vw, 1358px\" \/><\/li>\n<p>&nbsp;<\/p>\n<li>Please refer to <a href=\"https:\/\/training.nuth-itt.co.uk\/?page_id=2075\">Print\/Send Documents<\/a> for how to send the letter using the Document Store Print application.<\/li>\n","protected":false},"excerpt":{"rendered":"<p>Using the Audio File to Review a Clinic Letter. Guidance for clerical adminstrators.<\/p>\n","protected":false},"author":10,"featured_media":8449,"parent":1495,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"detailed-guide.php","meta":{"inline_featured_image":false,"footnotes":""},"categories":[232,28],"tags":[],"class_list":["post-9168","page","type-page","status-publish","has-post-thumbnail","hentry","category-digital-dictation","category-it-systems"],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/training.nuth-itt.co.uk\/index.php?rest_route=\/wp\/v2\/pages\/9168","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/training.nuth-itt.co.uk\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/training.nuth-itt.co.uk\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/training.nuth-itt.co.uk\/index.php?rest_route=\/wp\/v2\/users\/10"}],"replies":[{"embeddable":true,"href":"https:\/\/training.nuth-itt.co.uk\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=9168"}],"version-history":[{"count":111,"href":"https:\/\/training.nuth-itt.co.uk\/index.php?rest_route=\/wp\/v2\/pages\/9168\/revisions"}],"predecessor-version":[{"id":11958,"href":"https:\/\/training.nuth-itt.co.uk\/index.php?rest_route=\/wp\/v2\/pages\/9168\/revisions\/11958"}],"up":[{"embeddable":true,"href":"https:\/\/training.nuth-itt.co.uk\/index.php?rest_route=\/wp\/v2\/pages\/1495"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/training.nuth-itt.co.uk\/index.php?rest_route=\/wp\/v2\/media\/8449"}],"wp:attachment":[{"href":"https:\/\/training.nuth-itt.co.uk\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=9168"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/training.nuth-itt.co.uk\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=9168"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/training.nuth-itt.co.uk\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=9168"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}