Function documentationProcess a Nursing Service

 

The nursing service entry function supports the nursing process documentation and enables the execution certificate for nursing services which you have planned for a patient during nursing planning.

The processing of nursing services is always patient-related.

Integration

All functions for processing nursing services are available in the clinical work station in the Medication Events/Nursing Services and Outpatient Clinic/Service Facility view types.

In the Nursing Plan, the patient organizer and in the Outstanding Items Report function in the clinical work station, selected functions for processing nursing services are available.

Calling the Processing Dialog for Nursing Service Entry

You can call the processing dialog for nursing services from the following applications:

  • Nursing Plan

  • Care unit (ward) or outpatient clinic work station

    If you call the processing dialog from the care unit (ward) or outpatient clinic work station, the system evaluates the settings from the base item type and displays only the nursing services which are relevant to the user.

    Example Example

    For the Execute Morning Hygiene Routine task, where a nurse wants to check at the end of his early shift which planned and, as yet unreleased nursing services exist for a patient, the processing dialog displays the corresponding nursing services, with a planned time within the early shift.

    End of the example.
  • Clinical Work Station

Prerequisites

You require the authorization object N_LERF_FCT for activities with services.

The OU parameter N1PMN must be set.

You can make user-specific settings for processing dialog for nursing services. For information on this, see Nursing Services Tab Page.

You must have created nursing services for the patient. For more information on this, see Create a Nursing Service.

Features

The processing of nursing services comprises the following functions:

  • Performing and releasing planned services

  • Canceling nursing services

  • Documenting unplanned nursing services as performed or released (see Create a Nursing Note)

  • Changing or entering details on individual nursing services

The processing dialog for nursing services is implemented as a base item (see Nursing Service Base Item Type). It is divided into three parts:

  • Nursing Service Hit List

    The nursing service hit list is a hierarchically built tree structure which contains the nursing procedures catalog or the range valid for the OU of the nursing plan. If you select a nursing service in the hit list, you open it for processing in the processing area.

  • Processing Area

    In the processing area the system shows you the nursing services in a table. You can execute the functions for all nursing services or for selected services.

  • Detail Area

    Further details on the nursing service are available in the detail area. The system displays the involved employees and the properties of a service each as separate tab pages.

Activities

You can process nursing services as follows:

Processing Functions for Nursing Services

Function

Description

Check

You use this function to check whether your entries are correct and complete. The system automatically executes this check when you save your entries.

Release

The services can be released at the planned time or the system time. This depends on the settings which you have determined in the task, the user-specific settings for the nursing service entry function or the user parameter N1ARERDT.

Perform

You also determine the time of service performance in the parameter settings.

Cancel

You use this function to call the cancellation dialog for a selected nursing service. Nursing services which have not yet been saved are not canceled with this function, but deleted.

Copy Nursing Service

If you execute this function, you create a nursing service with ordered status.

Copy to

You can use this function to copy selected nursing services to another day. Note that you retain the times of the original service.

Create Nursing Note

You can use this function to create a nursing note for a nursing service. You can find information on this under Nursing Note.

Display Nursing Progress Report

You can use this function to display the nursing progress report for a patient. You can find information on this under Nursing Progress Report.

Nursing Plan

You can use this function to branch to the nursing plan.