How to Complete a Medication Reconciliation w/ KeyPhrases
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To use KeyPhrases to document your medication reconciliation, follow the steps below: Begin by writing your note as normal. Click to place your curser in the Information and Education box […]
How to Create a New Medication Order
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To place a new medication order, follow the steps below: Click on the Search icon with the client open. Type Client Orders in the search bar. Select Client Orders (Client) from the […]
How to Place a Legal Status Order in Client Orders
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This will go over placing a legal status order in client orders. This order Identifies the client’s legal status when the legal status order is placed. You can add multiple […]
How to Document Multiple Admins Within the Hour
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For Medication Orders, the setting âMultiple Admins Allowed Within Hourâ can be set in the Order Setup (Administration) Screen by a System Administrator to enable staff to administer medication more […]
How to View Whiteboard Observations
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For all Order Types except âActivityâ and âSafety Check,â you may be able to see info about a completed order on the Whiteboard under the âObservationsâ column. For this to […]
How to Document an Order as Self-Administered
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For Medication order types there may be an option to check an order as âMay Self Administerâ. To be able to set an order as May Self Administer the setting […]
How to Duel Sign a Client Order
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This will go over how to dual sign a client’s order. Dual singing needs to be done if the medication the client is having ordered is a controlled substance. Click […]
How to Add or Edit a Diagnosis to an Order
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For Order Types âLabs, Additional, Safety Check, Adaptive Equipmentâ, you may need to enter in a Diagnosis. For this to be enabled, the âDiagnosis Requiredâ option must be set for […]
How to View and Edit Client Order Comments
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For all order types you may have a comments box to add additional notes about an order. For the comments box to appear âOrder Commentsâ must be enabled for that […]
How to Modify the Order Rationale
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For all Order Types except âActivityâ it may be required that you select a reason as to why the order is being placed (typically a diagnosis or problem). To be […]