Document Orthostatic Vital Signs

You can measure and document the blood pressure and pulse rate of a patient in the lying, sitting, and standing positions for five, three, and one minute with any other associated symptoms and comments on the Orthostatic Vital Signs template.

1. Open NextGen® Enterprise EHR.
2. Open a patient's record, and then open an encounter.
3. On Top Toolbar, select Templates .
   The Select Template window opens.
4. Open the Intake template.
5. Open a patient's record, and then open an encounter.
6. On Top Toolbar, select Templates .
   The Select Template window opens.
7. Expand the Vital Signs panel, and then do one of the following:
   • Select Orthostatic Vital Signs.
   • Select Add Vital Signs, and then select the Orthostatic Vital Signs link.
   The Orthostatic Vital Signs template opens.

   Note: The date and time of the blood pressure and pulse measurement are displayed automatically.
8. To remove previous data from the fields, select Clear for Add.
   Note: If the orthostatic vital signs records are available for the current encounter, the Orthostatic Vital Signs template is filled with the corresponding values from the record.
9. Select an option for the following:
   • Side
   • Method
   • Position
     Note: The default values for Position are Lying, Sitting, and Standing in the three columns, respectively. You can change the default values, which are then carried forward to future encounters.
10. Enter the waiting time for blood pressure reading in the minutes field.
    Note: The default time duration is five, one, and three minutes in the three columns, respectively. You can change the default duration. The updated values are carried forward to future encounters.
11. Select Site, and then select a value from the list.
12. Select an option for cuff size.
    Note: The Large and Thigh options become available when you select Adult.
13. In Blood Pressure and pulse, enter the blood pressure reading in the Systolic and Diastolic fields.
    Note: If the Systolic and Diastolic value range is 0 – 399. An alert message appears if the value entered is out of range.
14. In Symptoms, select and select a value from the list.
15. Enter the pulse rate, and then select the pulse pattern within the 10 – 499 range.
    Note: A message appears if the value entered is not within the range.
16. Enter any additional information in Comments.
17. Select Add.
    The orthostatic vital signs recorded for the positions and durations appear in the grid.
18. Save and close the template.
    For more information on blood pressure drop limit configuration and abnormal symptoms configuration, go to NextGen Healthcare Success Community, and download the Data Sets Setup Practice Template User Guide for NextGen® Adaptive Content Engine.