About
Clinical Details contains Demographic information and other critical fields related to the care of the patient.
Steps
We’ll go through the fields within Clinical Details.
Demographics
General patient information.
Weight
Enter the weight in lb or kg. The weight is automatically converted to the other measurement.
Height
Text field for Height.
OFC (Occipital Frontal Circumference)
Text field for Newborns.
Vital Signs
Select Add Vital Signs to display a vital sign card with the current date/time. Clicking on the link again will give you a new card.
BP
Blood Pressure text field.
HR
Heart Rate text field.
RR
Respiratory Rate text field.
SP02
Oxygen saturation text field.
Temp
Temperature text field.
Onset of Symptoms
Date and time symptoms began.
Date/Time
Use the Now button to insert current date time, or use the calendar tool.
Time Since Onset
Time auto calculated since the onset time.
Treatment
Contains information about actions taken to manage symptoms, disease, or condition. Select Add another treatment to add additional records.
Numerical Identifier
Starts at 1 and will increment with each treatment. Begin typing in the field to identify the treatment.
Details
Text field for additional details about the treatment.
Isolation
Contains any information regarding isolation.
ISO Type
Type the isolation type to populate one or multiple isolations.
Organisms
Type the Organism name to populate one or multiple Organisms.
Allergies
Contains any information regarding patient allergies.
Known Allergies
Type the Allergy name to populate one or multiple Allergies.
Medication/Drips
Contains information about actions taken to manage symptoms, disease, or condition. Select Add another medication to add additional records.
Numerical Identifier
Starts at 1 and will increment with each medication. Begin typing in the field to identify the medication.
Dosage
Text field to enter the dosage.
Time
Text field for the time administered.
Alerts
Document any specific medical condition that could affect treatment.
Medical Alerts
Type the Alert name to populate one or multiple Alerts.
Patient Code Status
Document any specific Code.
Status
Type to populate the code status from a list.
Best Practices
None
Related
Upcoming