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How to Document Vitals

All fields on the Vitals Flowsheet are optional. 

  1. You must first have the client open, then click the Search icon.
  2. Type “Flow Sheet” into the search bar.
  3. Click to select “Flow Sheet (Client)” from the search results.
  1. The Flow Sheet screen will open. On the Vital History tab, click the dropdown menu and select “Vitals/Meaningful Use”.  (this may already be selected as the default.) You can also search directly in search for “Enter Vitals.”
  2.  Click the New icon.
  1. The New Entry Flow Sheet will open.  The Date & Enter time will automatically default. You may edit this if needed.
    1. Click the Program drop-down arrow to select the appropriate program.
  2. If for some reason you are unable to collect vitals, click the drop-down arrow and select the reason.
    1. Add additional comments if needed.
  3. Enter the Temperature (F)
    1. Click the Temp. Location drop-down arrow and select the correct option.
  4. Enter the Pulse (bpm)
  5. Enter Systolic and Diastolic in the corresponding fields.
    1.  Click the BP Position drop-down arrow and select the correct option.
  1. Enter the Breaths/Min
  2. Enter the Oxygen Level. 
  3. Enter the Height in inches. This will get auto converted to Cm.
    1. Enter Weight in lbs. This will get auto converted to kg.
    2. The BMI will auto calculate.
  4. If the Height/Weight was not obtained, click the drop-down arrow to select the reason.
    1. Enter comments if needed.
  5. Click the Pain Level drop-down arrow to select the appropriate pain level.
    1. Click the Pain Location drop-down arrow and select the location. 
    2. Enter Pain Comments field if needed.
  6. Enter additional comments if needed.

The following fields are part of “Meaningful Use” questions that are infrequently needed for our counties. Since there may be existing data and/or use cases for specific counties, we only re-ordered and continue to maintain at the bottom of the list so can be used as needed.

  1. Click Save and click Close.

How to Edit a Vital Sign Entry

  1. Click the hyperlinked Time in the Vital History for the entry you need to edit. 

How to View Trends on a Graph

  1. Click the Graph tab. 
  2. Click the first drop-down arrow to select the trend you want to view. 
  3. Enter the parameters for your search. 
  4. Click Apply Filter. 

Updated: 2/09/24