How to Document a 1 Hour Face-to-Face Assessment for Seclusion or Restraints
The purpose of the 1 HR Face-to-Face Assessment for Seclusion or Restraints is to be used for units that need a more specific assessment form to capture the patient’s status. […]
How to Complete Legal Status Demographics Documentation
DHCS requires that client demographics be captured as part of the report submitted by your county. The following demographics can be captured by searching for Client Information. Click the Search […]
How to Document a Post-Seclusion and Restraint Debrief
This document is to be used after any seclusion and restraint episode. It can be used to capture any reflections and/or decisions made by care team and/or patient. Click the […]
How to Create or Modify an “Other Denial of Rights” Order
This is the workflow to capture any denial of rights besides seclusion or restraints. For ordering a seclusion or restraint, this can be found here: How to Order Seclusion and […]
How to Discontinue Safety Check Orders
If there was a preceding safety or observation check of any kind, it will be important to discontinue because the EHR system can only demonstrate one safety check at a […]
How to Document a Safety Plan for Prevention of Seclusion or Restraints
This document is to create a safety plan with and/or for the patient to prevent seclusion and/or restraints. For some users, it can be helpful to generate key phrases to […]
How to Update a Legal Status Order
This will cover how to complete questions in an existing Legal Status Order using the Client Orders (Client) screen. With your client open, click the Search icon Type Client […]
How to View Legal Status in Orders (My Office)
Orders (My Office) Is another place you can view legal status orders Click on the Search icon. Type Orders in the search bar. Select Orders (My Office) from the search results. To […]
How to Remove Legal Status Once it is Completed
With your client open, click the Search icon Type Client Orders in the search bar. Select Client Orders (Client) from the search results. Click the New icon in the top […]
How to Create & Document a Client Hold
To document a hold on a client, you will need to create a Legal Status Order. The following workflow will show you how to create the Legal Status Order and […]