Wildlife Rehabilitation MD Help

Updating Initial Care Information

After you have created a new record, the next step is to input Initial Care information. This tab is found below the patient’s cage card and includes Intake Exam, Initial Treatment, Disposition information and more! Within a patients first 24 hours in care, WRMD will automatically open the Initial Care page when you access the record. After 24 hours, WRMD will take you to the Continued Care page. This tutorial will walk you through all of the components of the Initial Care tab.
Screen Shot initial care tab

Identity/Cage Card:

This information is located at the top of each record and is carried over from the patient admission page. Any changes or additional information can be completed by clicking the Edit Cage Card link.

Location:

You can use this field to identify where the patient is within your facility by selecting the Enter New location option. Easily view a patients location History by clicking this link.

Keywords:

This field can be used to meet the special needs of your center. Keywords can help identify particular things about this patient that you might want to search for in the future.
Examples: WNV, Mycoplasma, Distemper, IDEXX, Fleas, or Mites

Intake Information:

This information is automatically loaded after the patient is admitted to the database. The Intake area contains general information about where the animal is from and why it was admitted.

Initial Exam:Screen Shot intake exam

This is the largest section and is very important since it contains all of your initial findings.

At the top of this section are fields to record your assessments of Dehydration, Sex, Attitude, Mucous Membrane Color,  Weight, Age, Body Condition and Body Temperature.

Next, there are fields for entering data for all of the body parts/areas. The default setting is Not Examined. If you do find something noteworthy, simply begin typing into the corresponding text field, and it will automatically change the drop-down list to Abnormal. If you examine a body part and find nothing wrong, you can select No significant findings.

At the bottom of the Intake Exam box is a field for any additional Comments. There is also an Initial Treatment field where basic treatment information can be recorded.
Example:  Put on heat, cleaned wound, gave fluids PO.

Finally, Examiner is the last field in this section. Type in the name or initials of the person responsible for conducting the intake exam.

Diagnosis:

This is what the Examiner has determined as being the injury or problem afflicting the animal. The information recorded here is very important as it is populated into the Annual Federal Report as the Nature of Injury.
Examples: Ulna fracture, Metabolic bone disease, or healthy orphan 
Screen Shot initial care diagnosis

Disposition:

There are several critical fields regarding an animal’s disposition:

  • The Disposition field has many drop-down options and is the only required field in this section.
  • Transfer Type also has a drop-down menu that includes: Released, Continued Care, Education or scientific research (individual & institutional), Falconry or raptor propagation, and other.
  • Release Type includes: Hard, Soft, Hack, Self, Returned, Reunite and Foster.
  • The Disposition Date indicates the date the animal left your care.
  • Disposition Location is where the animal went for release or transfer.
  • Reason for Disposition can be used to identify any specific disposition details.
  • Dispositioned by indicates the person who completed the final disposition of the patient.
  • The Criminal Activity field is important!  If the animal was associated with any criminal activity, this should be checked. This information will be automatically updated in your Annual Federal Report.
  • If you have a Saved Carcasscheck this box so you can easily identify in-house carcasses at a later time.