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