Electronic Nursing Documentation forms could be the turning point in providing coordinated care in health care setting. Upon implementing an Electronic Medical Record, Nursing essential forms must be built properly to achieve best results.
2. Electronic Medical Record
The EMR is implemented to enhance
medical care provided to patients
EMR provides the infra structure for
better coordination of care
EMR decreases error incidents due to
manual input or transcription of data
Electronic Nursing forms are part of
the EMR
What are the essential Nursing forms,
and how they better serve the patient
care?
3. Essential Nursing
Documentation Forms
Any EMR project should start with the
following essential forms
Nursing Admission Form
Nutrition assessment form
Physical Mobility Assessment Form
Social Assessment Form
Wound and Pressure Ulcer Screening
Form
Vital Signs Form
Discharge Form
4. Nursing Forms Behavior
• Dietiens, Physical,
social
• If Screening is
positive, then fire
a consultation
Admission
Form
• Get Notified
• Asses Patient
• Document
Specialized
Consult • Nursing Task List
• Recurring Tests
• Physician Orders
Tasks and
F/U
5. Set Those Forms Right
Set the Nursing Forms right along with
its behavior to fire specialized consult
Design Forms with least steps, typing
and clicks
Design the forms with big fonts and
numbers to avoid errors
Once possible have the Vital Signs
form capture parameters from the
machines avoiding human error
6. If You Need Support
Contact us and we will be happy to
give pair of thoughts
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