The kiosk runs on a touchscreen tablet in the waiting area of the allergy clinic. Shot patients identify themselves either by scanning their fingerprint or entering the last 4 digits of their phone number and unique PIN number. This confirmed identification will later be matched with the barcode scan of the vials to ensure the injections are given correctly. Since COVID has become an issue and many clinics are looking for touchless login, Xtract Solutions has added a no touch sign-in process via a unique barcode on a card with barcode scanner connected to the kiosk.
Most allergy clinics ask several health questions to ensure it is safe to give the allergy shots that day. Once the patient is identified, they can answer these questions via the touch screen. The answers to these questions are then documented in the record and ready for review by the nurse with the patient prior to injections.
After the patient has successfully signed in, they are added to the injection queue in the order they arrived, which the nurse can see on the nurse dashboard. This view tracks the time the patient has been waiting prior to their injection and also tracks mandatory post-injection wait times.
Once the nurse has obtained the vials from the refrigerator and called the patient to the injection room, the nurse can begin the process to deliver the injections. The first step is to review the health screen questionnaire. A detailed history of prior injections is also viewable with information such as days since last injection, reactions to prior injections and, most importantly, what the last dose was and what dose is scheduled to be given on that day. The dose can sometimes be reduced through a calculation in the software if the patient missed a shot appointment or had a reaction to the last shot.
Once everything has been reviewed and is in order, the next step is to scan the barcode to verify the correct vials were selected. A warning alarm will alert the nurse if there is an error. Please note, the workflows Xtract Solutions offers are highly flexible, so if an allergy clinic wishes to perform steps in a workflow differently or in a different order than described, the software can accommodate.
Once the vials are scanned, the nurse confirms the injection was given by clicking or touching the inject button. Now that the shots have been given, the nurse can add the patient to the Waiting to be Excused list. After the patient has waited their designated time they can either visit with the nurse to view their arm(s) for a reaction and the nurse can update the chart and sign them out or the patient can sign themselves out via the kiosk. If the patient leaves without signing out, the nurse can make a note the patient left early and have a conversation with the patient on the importance of waiting to see if there is a reaction to the shot for their safety.
Injection Wrap Up and Progress Graph
The nurse verifies that the injection has been given and the patient graph is updated. The nurse can share with the patient the resulting graph, which shows progress through immunotherapy.