Adding Nursing Notes

1.   If you haven't already, select the patient and go to the Infusion Flowsheet module.

Note: Patients treated at both MGH and the DFCI may have more than one flowsheet. If so, you need to click the desired flowsheet and click Ok (ALT+O) to continue.

2.   Click the Nursing Notes heading to expand it, displaying any documentation recorded for previous visits.

3.   Click the cell on the grid containing "n/e" (not evaluated) for the current visit date to display the New Nursing Notes screen. (This is automatically changed to "Yes" when you enter a note.)

4.   Type your note into the space provided.

5.   Click Ok (ALT+O).

6.   If you want to save your work now, click Sign. The LMR indicates the changes that will be saved. Type your key and click Sign.