Radiology Application Handbook, Study notes of Computer Networks

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RADIOLOGY

APPLICATION

HANDBOOK

June 18 th, 202 1

TABLE OF CONTENTS

RADIOLOGY IT SERVICES

Andy Strickland Director Director of Diagnostic & Therapeutic Systems Rachael Mar Manager Radiology Support Services Marilen Baldridge Manager Radiology Imaging Systems Radiant Team Joy Kristal Kris Aaron Jason UW Montlake Team Marlon Chuck Ted Jeff M. Neil Ryan Katie Harborview Team Zann Arthur Jeff F. Herb^ Roger

Harborview Team - Continued Kim UW Northwest Team Nina The-Anh SCCA Team Michael F. Michael S. Chelsi Jennifer Monica

HELP PHONE NUMBERS, EMAIL, AND HELPFUL LINKS

UWMC Radiology IT Help line: ▪ 206 59 8 - 4890 HMC Radiology IT Help line: ▪ 206 74 4 - 4890 NWH Radiology IT Help line: ▪ 206 6 88 - 4890 ▪ Hours: 8 to 5, Monday to Friday (All other hours, call IT Services Help Desk). This line forwards to UW Medicine IT services after hours. ▪ Use for radiology application specific assistance. ▪ Leave a message and call back number if we are unable to answer. IT Services Help desk: mcsos@uw.edu ▪ 206 543- 7012 ▪ Hours: 24 hour help, 7 days per week ▪ Be specific about what you need and how soon you need it. This is a triage line for the entire institution. School of Medicine Help: somradit@uw.edu ▪ 20 6 221- 3016 ▪ Hours: 8 to 5, Monday to Friday All other times use the IT Services Help Desk line. SCCA IT Help: ▪ Radiology Application support o Rad IT support line at 206 606 - 8213 Radsupport@seattlecca.org UW Rad IT Web Page:

▪ http://depts.washington.edu/pacshelp/

Dr. Gunn’s Web Page:

▪ https://depts.washington.edu/uwerad/links.html

HOW DO I SET UP NEW ACCOUNT AT UWMC/ HMC

For new accounts, you will need to start with setting your AMC (UW Medicine) and UWNetID passwords. Passwords must be between 8 and 12 characters. Do not exceed 12 characters. For new staff, we will help you create access to the radiology applications, but you must first have AMC and UWNetID set up. Both are needed prior to radiology training sessions.

CHANGING YOUR PASSWORDS

Passwords must be changed every 120 days. UW Medicine Radiologists normally work in an integrated environment where Radiant, UV/PACS, and PS360 work together. When in an integrated environment, it is not necessary for your passwords to match. However, you may find it easier to sync the passwords in the event that the application is needed when non-integrated. After changing the AMC password, do the following: Change the UV/PACS Password

1. Launch UV Stand alone from your desktop or go to https://uwpacs.uwmedicine.org
2. Input your username and password and do not click Login.
3. Click on Change Password
4. Enter current password in Password field.

Pulse Secure works by securely connecting your remote computer to the UW Medicine network. It behaves as if your computer is on the UW network. All your UW Medicine applications should function as if you are in the hospital at work. Can I install on my personal laptop? Who can help me? IT Services Helpdesk can help. VPN clients are not managed directly by Radiology IT, but we can certainly answer some questions. Problems? Please submit a ticket by either emailing mcsos@uw.edu or calling 206- 543 - 7012. PACS Help: https://depts.washington.edu/pacshelp/netid/wts.html

RADIANT INTEGRATION

To ensure that you can launch exams integrated, ensure that Radiant is set to launch UV/PACS and PS360.

1. Log into Radiant from an integrated radiologist workstation.
2. Open a study.
3. One the Misc tab, ensure that Auto query PACS and Auto dictate are checked.
4. If they are, you are integrated with UV/PACS and PS360.
5. If they aren’t checked, check the boxes and log out. a. Close login screen. Ensure Powerscribe is also closed. b. Log back on to activate full integration.

RADIOLOGIST LEARNING HOME

Radiant has a comprehensive Help section with guides and tips sheets that you will find helpful. These documents are continuously updated as necessary and serve as the mot currently published version. To access the Radiologist Learning Home in Radiant, press F1.

POWERMIC II & III DEFAULT BUTTON SET-UP

POWERSCRIBE 360 (PS360) TIPS & TRICKS

PS360 VOICE COMMANDS:

Click on the Help button on the PS360 tool bar and select “What Can I Say” for a list of voice commands. VOICE RECOGNITION ISSUES ISSUE: MY VOICE RECOGNITION IS POOR. HOW DO I FIX IT?

1. Click on Nuance PowerScribe icon.
2. Log on.
3. Click on Speech.
4. Click on Audio Setup.
5. Select Dictaphone PowerMic.
6. Check Microphone window will appear. Click Next to continue.
7. Click Start Volume Check and read the text once the text turns black. Once you hear a beep, click Next.
8. Click Start Volume Check and read the text once the text turns black. Once you hear a beep, click Finish. If you receive a Check Microphone: Failed message, please re-do steps 7-8.
9. If recognition continues to be poor, please call 4-4890 (HMC) or 8-4890 (UWMC) for additional support ISSUE: WHY DOES IT KEEP ASKING ME TO DO THE AUDIO SETUP?
10. When you are using PS360 for the first time, the microphone must be calibrated with your voice.
11. If the microphone gets unplugged and gets placed into a new USB port, it will lose the calibration form the old USB port and ask you to do it again.
12. New microphone is installed. ISSUE: HOW DO I TRAIN A WORD OR PHRASE?
13. Click Speech.
14. Click Vocabulary Editor.
15. Type in the word/phrase (Do not recommend more than 6 syllables when training a phrase) that you want to train in the Written form box. If word already exists, proceed to step 4. If the word/phrase, does not exist in the Vocabulary Editor, click the Add button.

4. Click Train to train your new word.
5. Train Words window will appear. Click Go to train the word.
6. Click Go again to train word and a green light should flash on the circle and click Done. If you do not see the green light, please repeat this step. ISSUE: I TRAINED A WORD AND IT STILL DOES NOT RECOGNIZE IT. Only recommend using this functionality when the word that you want to replace is a word that will never be used in a report.
7. Click Tools Preferences.
8. Click AutoCorrect.
9. Type the word that is wrong in the Replace: box and type the correct word in the With: box.
10. Click Add.
11. Click OK. ISSUE: WHY DO I NEED TO DICTATE THE WORD INSTEAD OF TYPE? PS360 will not be able to learn the way you speak if you type and your recognition will not improve and can cause a corrupt speech profile. ISSUE: HOW CAN I CREATE A CHECKPOINT AND WHY IS IT IMPORTANT? Creating a checkpoint is important because it avoids a user from having to re-train their voice profile when their recognition deteriorates. Best practice is to save your checkpoint twice a month. This will eliminate the possibility of losing trained and added words in your vocabulary editor.
12. Click Speech Checkpoint Speech Files.
13. Click AutoCorrect. ISSUE: WHY DOES THE DEGREE SYMBOL APPEAR ON MY REPORTS INSTEAD OF THE WORD DEGREE?
14. Click Speech.
15. Click Formatting...
16. Click on the Numbers, Units, and Dates tab.

DICTATION SCREEN ISSUES

HOW DO YOU PIN/UN-PIN PRIOR REPORTS?

1. Click on the Prior Reports tab located in the lower left corner of the dictation screen.
2. Click to toggle pin/un-pin functionality. HOW DO YOU USE PICK LISTS WHEN USING THE PACS DRIVEN WORKFLOW? Must be done in Dictation Mode in PS360. NOTE: If you encounter a Pick List, please use one of the options per Dr. Gunn.
3. On the left side of the dictation screen, the Field menu will appear.
4. The Pick List window will appear if there are multiple choices.
5. In this example there are 3 choices. Dictate Pick 1 , Pick 2 , or Pick 3 depending on your choice. HOW DO I SELECT A SITE MACRO (INCLUDING CRITICAL RESULTS MACRO)?
6. Click located in the lower left corner of the dictation screen.
7. In List field, click All Site.
8. From here you can select any Site macro to use.
9. To use the Critical Macro, you can either select Critical from the All Site List or you can dictate one of the following: Macro Critical , Macro Critical Red , Macro Critical Yellow , or Macro Critical Green , or Macro Critical. If you communicate a finding, but it is not a critical result, you can document this communication by dictating “Macro Communication.” I’M TRYING TO INSERT A MACRO USING THE VOICE COMMAND BUT IT IS NOT WORKING. Reasons why trying to insert a macro may not work:
10. Use the voice command Macro to pull up macros. (Unless user has changed preferences)
11. Macro may be tied to a specific exam code. If you are trying to use the macro for an exam that it is not tied to, it will not work.
12. Macro name may be too long. Vendor does not suggest more than 5 syllables when trying to insert macro name.

APPLICATION ISSUES

ISSUE: HOW DO YOU KEEP THE PS360 WINDOW ON TOP WHEN USING PACS DRIVEN

WORKFLOW?

1. Click on Nuance PowerScribe 360 icon.
2. Log on.
3. Click View.
4. Click on Always on Top. ISSUE: WHY DOES ALWAYS ON TOP NOT WORK? This is a known bug with Nuance. To minimize the possibility of the Always on Top functionality from breaking, do not minimize the application from the upper right hand corner. Use the microphone Toggle Off/On button to minimize the PS360 window. ISSUE: PS360 PROMPTED ME TO ENTER MY PASSWORD IN THE MIDDLE OF THE DAY. WHY? PS360 will ask users every 6 hours to type their password in. This is a security setting. ISSUE: I WAS LOGGED OUT AUTOMATICALLY FROM PS360. PS360 will log a user off if they have been idle from the application for 5 hours or more. ISSUE: PS360 DISAPPEARED OR DID NOT DISPLAY. Try pressing the Toggle button on the PowerMic. If PS360 did not launch at all, confirm that you are integrated.