NextGen Knowledge Center

Document Medication Information

  1. On the BH - Nursing Note template, navigate to the Medication Information panel and answer the following questions with No, Yes, or N/A (Not Applicable) and enter Comments as needed:
    • Takes medications as prescribed
    • Changes in medical status
    • Reviewed medication name(s), dosage, purpose, and frequency
    • Were medications delivered today - If yes, for what duration
    • Allergic reactions
    • Side effects reported
  2. Click the Side effects reported link to open a template on which medication side effects can be documented.
  3. Next to Other medications, select from the following options:
    • None
    • Herbal
    • Over the counter
    • Other - and type specifics in the associated field
  4. Click the Office Procedures link to launch the My Plan tabbed template set on the Office Procedures tab and document medications administered today.
  5. Click Comments to record a medication comment.
  6. Do one of the following actions:
    • If applicable, select No medications.
    • Double-click the grid to launch the Medications module to manage the client's prescriptions.
  7. Select the Medications reconciled to document medication reconciliation.
  8. Choose the appropriate items for Patient Status:
    • Transitioning into care
    • Summary of care received
    For an explanation of the status options, click the Quality Measures information button.
  9. To review and change an existing grid entry, highlight the row and click the Add/Update button.
  10. If needed, click the Reconcile button to open the Medication Review template.