Nursing Service Documentation in Nursing Process Documentation

In the nursing service documentation you edit and document the nursing services for a patient. The nursing service documentation is then executed after nursing planning means the definite, time-related execution of the services which you have planned in the nursing plan.

You can find information on planning nursing services under Nursing Planning in Nursing Process Documentation.

Integration

Within the framework of nursing service documentation you can create nursing report entries and display the nursing progress report.

You can find information on this under Nursing Progress Documentation.

Prerequisites

The OU-related parameter N1PMN must be set.

You have created a nursing procedure catalog and assigned this to the basic catalog set for the standard nursing plan as the main catalog.

You can find information on this in the implementation guide under Start of the navigation path Industry-Specific Component Clinical System Next navigation step Cross-Application Settings Basic Catalogs Basic Catalog Sets End of the navigation path .

You can find information on creating basic catalogs and basic catalog sets under Basic Catalog.

Features

The following functions are available for the nursing service documentation:

Create a Nursing Service
Process a Nursing Service
Display Nursing Services in the Chart
Enter Materials for Nursing Services
Enter a Team for a Nursing Service
Make NSR Classification
Outstanding Items Report
The outstanding nursing services for a patient are also available in the overview of the outstanding items report in the clinical work station.

Activities

You can call the nursing service documentation from the following applications:

Nursing Plan
Care unit work station, outpatient clinic work station
Clinical work station, Occupancy, Arrivals, Departures and Outpatient Clinic/Service Facility view types and nursing overview (Medication Events/Nursing Services view type)
Surgery Work Station