How to Navigate Census Management Admit Screen
The following list page is used by Nursing / Clinical Support and Clinical Support when admitting a client. This document is only going through navigating the admission version of this […]
How to Enter Client Allergies (SmartCare Client Allergy Screen)
To enter client allergies, follow the steps below: Click the Search icon, with client open. Type Client Allergies into the search bar. Click to select Client Allergies (Client). Click the […]
Whiteboard (My Office) List Page
A Whiteboard is a way to communicate client information to staff in a facility environment. The whiteboard communicates key details about the client’s admission and current status. The Whiteboard list […]
How to Document Observation Checks
Observation Checks can be used to monitor and track the observations you perform and record patient’s behaviors and interactions. The information can be accumulated on a single flowsheet. Typically, the […]
CalMHSA 118 – Client Medical Face Sheet Report
The purpose of this report is to compile relevant client specific information that can assist in understanding a client’s medical history. A client must be selected in order to run […]
Considerations for Choosing Procedures/ Services
Under Service Code Definitions which is broken down by role, you can learn about the procedure code for services and their definitions NOTE: This information should be considered as high-level […]
CalMHSA 100 Shared Care Plan Report
The Shared Care Plan Report compiles all the “Assessment and Plans” from the Psych Medical Note Template together into a report, if the “Add to Shared Care Plan” has been […]
How to Order a Safety Check
Safety Checks are used when the patient needs to be observed at time intervals to ensure their safety. Signed Safety Check orders will populate on the Whiteboard, allowing assigned staff […]
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 the Medication Administration Record (MAR)
The MAR stands for Medication Administration Record, but it does not only include Medications. Other items, such as safety checks and follow-ups, are also administered on the MAR. Items are […]