How to Create the Aftercare Discharge Summary Medical Report
The purpose of this report is to compile relevant client specific information that is commonly used upon discharging a patient after an inpatient stay, transfer to another provider/clinic/unit or can […]
How to Print the Transfer Summary Report
Video Walk-Through
How to Document the Discharge Diagnosis
Click the Search icon. Type Diagnosis in the search bar. Click to select Diagnosis Document. Select the New icon. A new Diagnosis Document will open, which will post-date the Admission […]
How to Order Discharge Medications
At discharge a client may have medication that should be picked up at a pharmacy, this may include a pharmacy that is onsite. In order to do this the following […]
Nurse: How to Document the Discharge Diagnosis on Behalf of the Prescriber
Begin on the Diagnosis Document page. Select the New icon. A new Diagnosis Document will open, which will post-date the Admission Diagnosis Document. Complete required fields. Search for a diagnosis […]
How to Complete the Transfer Summary
With the client open, click the Search icon. Type in “CalMHSA Transfer Summary” in the search bar. Select “CalMHSA Transfer Summary (Client)” from the search results. This brings up a […]
How to Complete the Discharge Summary
The Discharge Summary is used for any programs. It’s required for some inpatient programs and SUD outpatient programs. The CalMHSA Discharge Summary uses CalAIM principles to provide narrative text boxes […]
How to Complete the Personal Effects Inventory at Discharge
The PEI at admission represents a record of belongings kept by the organization, as well as a record of belongings returned to the client during their admission. It is later […]
How to Discharge the Client from the Unit and Bed
These steps can be performed from the Bedboard or the Residential/Bed Census page. When performing this action, the client’s status will change to Discharged with relation to the Unit and […]
Nurse: How to Document a Discharge Order
Create a New Order, using the steps under Order Sets. When selecting the Order Set, select Discharge as the Order type. Click the checkbox next to the Discharge order. Complete […]