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 Access Order Sets
These steps show you the orders in the Order Set so you can pick just the specific orders you want, or all the orders in a set. After you prescribe […]
How to Create Order Preferences
Order preferences allow users to save their options within an order. Preferences are specific to users, can only be created by a user and can be accessed by that user. […]
Safety Check and Flowsheet Documentation
Click the Search icon. Type ‘Whiteboard’ into the search bar. Click to select Whiteboard (My Office). The Whiteboard List Page will open. Locate the Next Check column and […]
How to Document a 1-Hour Follow-Up After Administering a PRN Medication
Begin on the Client MAR page with the client you wish to make changes for set as the active client. Click on the word “Given” in the column header of […]
How to Document Administration of Medication for an Order with Questions
Begin on the Client MAR page with the client you wish to make changes for set as the active client. Click on the red and white capsules of the medication […]
How to Modify or Discontinue Standing Lab Orders
Standing lab orders will generate 7 days prior to the next occurrence. However, if you need to change or discontinue the recurring lab order, you will need to change the […]
How to Order Standing Labs
Standing labs are recurring lab orders that will automatically generate and be sent to the lab. This feature allows staff to enter one order and based on frequency and end […]
How to Acknowledge or Authorize Orders
System administrators can configure certain orders to need acknowledgment. Users with the proper roles can acknowledge these orders, which will not be actionable until acknowledged. You must first have the […]
Nurse: How to Acknowledge or Authorize Orders
System administrators can configure certain orders to need acknowledgment. Users with the proper roles can acknowledge these orders, which will not be actionable until acknowledged. You must first have the […]