1. If you haven't already, select the patient and go to the BTS Flowsheet module.
2. Click the Patient Assessment heading to expand it.
3. Click the blue dashes (----) for the visit date. The Patient Assessment Flowsheet screen displays.
4. Click headings to expand categories.
5. To add an assessment for any category, click the blue dashes (-----) to the right of the heading name for the visit date. The flowsheet allows you to record an assessment for today as well as since the last visit for each category. The previous entry is displayed for informational purposes.
6. Record your assessment by selecting options and typing text, as appropriate. If Comments/Interventions have been added for previous visits, they are displayed in the lower right. Click a date to "import" (copy) text from that visit. Click Ok (ALT+O) to complete a category.
7. When you have completed your assessment, click Go Back (ALT+G) to return to the main screen and Sign. The LMR indicates the changes that will be saved. Type your key and click Sign.