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Documentation

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New scripts automatically pull into patient education documentation

It would be great if when a new script is placed for a patient at discharge that it automatically pulled to the patient education documentation to lessen having to look into new scripts and sending home education on the medication.
Guest over 1 year ago in Documentation 0

ADD patient screenings to Health History Application

Would like to see screenings added to the health history application or somewhere in the inpatient documentation. Screenings to Include- social determinants of health, suicide, depression, etc...
Trish Shelton about 2 years ago in Documentation / Health History 2 Future Development

When entering time and date in boxes, allow the use of T for today and N for now as shortcuts to enter the current date and time.

This would allow for faster charting by elimitating the need to switch from keyboard to mouse.
Guest 8 months ago in Documentation 3

Patient Education saves when printed

It would be beneficial that if a patient education document is printed to have it automatically saved in the chart. Currently there are additional steps that have to be taken to save the document to the chart and also to print.
Wendy Stuhr about 1 year ago in Documentation 4 Open for Comment

Stop PRN Meds from autofilling "Reason"

When giving a PRN Med, the "Reason" is autofilled from what the Doctor ordered. This causes nurses to just go with what's autofilled instead of actually checking and updating the reason. This is definitely a nurse training issue, but we also can't...
Guest 6 months ago in Documentation 0

Add RASS scale to the hemodynamic vital sign application

The RASS scale is a requirement for evaluating titratable sedation effectiveness. RASS scale assessment/reassessment is required and recorded every hour. This should be captured within the vital sign application, and an option within the MAR shoul...
Guest about 1 year ago in Documentation / Vital Signs 0

ED - Arrival To Bed documentation

Identifies bottlenecks: By measuring the "arrival-to-bed" time, EDs can pinpoint areas of delay in the front-end process. If this metric is consistently high, it may indicate issues with triage, bed turnover, or registration procedures that are sl...
Guest about 1 month ago in Documentation / Tracking Board | Patient Search 0

The ability to have profile based documentation

We need the ability to document things on the profile level. An example would be a telephone encounter. You should be able to document the phone call on the patient without having to create an account.
Guest over 3 years ago in Documentation 2 Open for Comment

Clinic discharge documents for patients

Create an easy discharge summary for providers to give to patients in the clinic as they leave. This paperwork should include current vitals and care plan for diagnosis.
Guest over 3 years ago in Documentation / TruBridge EHR - Clinical 1 Open for Comment

"denies" option for social history categories in health history.

This would be a nice alternative to only being able to put "Never" if a patient states they do not have any substance abuse or smoking.
Guest almost 2 years ago in Documentation / Health History 0 Future Development