Document the IV Insertion Details

NextGen® Adaptive Content Engine Help Enterprise 8

Document the IV Removal Details

Highlight a row of IV insertion record in the grid. Click Edit to open the ASC IV template. If the IV is removed, do the following in the Removal section: Click the drop-down next to the Removal time field. The Time Entry template opens. Note: The Removal time field is available to document only when the IV insertion attempt is Successful. Enter the time when the IV was removed and click OK. The documented time appears in the Removal time field. You can click the clock to enter the current system time. The Removed by field populates with the current user name. Click Removal site condition and select the condition(s) of the IV site after removing the IV. Click Close on the list. Click Reason for Removal and select a reason from the list. If appropriate, click Removed by and select the nurse or medical assistant who removed the IV from the patient. If applicable, enter or update comments in the Comments field. The left and the right arrows are used to navigate to the previous or the next

NextGen® Adaptive Content Engine Help Enterprise 8

Record IV Fluid Details

On the IV panel, click the Fluids option to document the IV fluids infused to the patient. Click Add. The ASC IV template opens. ASC IV The current system time and user name appear in the Start time and the Started by fields, respectively. To change the Start time, do one of the following: Click the drop-down arrow and enter time in the Time Entry template. Click the clock , to display the current system time in the Start time field. Click Bag# and select the number of IV bags provided to patient or click the top-blank row in the list. Enter the IV type, IV solution, and Solution amount. For the Flow rate, select KVO (Keep vein open) or Specify flow rate from the list. If you select the Specify flow rate option, use the fields that follow to enter the flow rate, units and flow rate time. Note: If you select the KVO (Keep vein open) option, then the fields associated with the Specify flow rate option are not available for documentation, and a list appears to select IV status. Document t

NextGen® Adaptive Content Engine Help Enterprise 8

IV Panel on the ASC - Preprocedure Template

During the procedure a patient is usually administered anesthesia or other medication through an IV. The nurse or medical assistant inserts an IV into the patient and administers an IV bag containing a solution. A single IV bag usually provides the needed amount of solution throughout the course of the procedure. However, there are instances where multiple IV bags are required. The nurse or medical assistant needs the ability to document the additional IV bags of solution provided to the patient. The IV panel allows you to administer IV and to document multiple IV fluid bags used during a single procedure. The IV panel includes two different entry categories: IV Insertion/Removal and IV fluids. The Insertion/Removal option is selected by default. The IV details documented in the ASC - Preprocedure template also appear in the IV panel on the ASC - Intraprocedure, ASC - Postprocedure, and ASC - Anesthesiology templates. IV Panel The Quick load entry time field is available to enter the t

NextGen® Adaptive Content Engine Help Enterprise 8

Document an Aspiration or Injection Procedure

In the Joint Aspiration/Injection template, highlight the diagnosis in the grid under Today’s Assessments. In the Procedure field, click to select a value from list. Select a Location from the picklists that display for the chosen procedure. To enter the method used, do one of the following: Click the Method field to select a value from the resulting list. Click the top, blank row in the picklist to free text an entry in the Method field. Joint Aspiration/Injection template If a specific site was prepped, in the Site Prepped section, select Yes. To choose a value for how the site was prepped, do one of the following: Click the Technique field. Click the blank row in the picklist to free text an entry. To specify the anesthetic provided for this patient, do one of the following: In the Anesthetic field, click to select a value from the picklist. Click the top row to free text the anesthetic. Click the mL field to enter a unit value. To specify the gauge of the needle, do one of the foll

NextGen® Adaptive Content Engine Help Enterprise 8

Enter Medications for the Procedure

The ASC Documentation Log template has a dynamic flow that displays additional content after each selection is made. As the flow progresses, you may need to click on the navigation tabs above the grid to enter additional content. The content for this log is configured on the Documentation Log Config practice template. For more information on the configuration of the navigational tabs, entry type, categories/sub-categories, and descriptions on the ASC Documentation Log template, go to NextGen Healthcare Success Community, and download the latest Documentation Log Config Practice Template forNextGen®Adaptive Content Engine. From the Documentation Log panel, click Add to open the ASC Documentation Log template. ASC Documentation Log The Procedure field displays the procedure selected in the Documentation Log panel. The current system time populates the Time field. Click the Procedure field and select a procedure from the list or click the left blue arrow or right blue arrow to navigate to

NextGen® Adaptive Content Engine Help Enterprise 8

Enter Assessments, Adverse Events and Quick Notes for the Procedure

The ASC Documentation Log template enables you to document patient's assessments, routine quick notes, any adverse events that occurred during the procedure, and the nursing diagnosis and nursing assessments initiated for the patient. This template is configured on the Documentation Log Config practice template. For more information on the configuration of the navigational tabs, entry type, categories/sub-categories, and descriptions on the ASC Documentation Log template, go to NextGen Healthcare Success Community, and download the latest Documentation Log Config Practice Template forNextGen®Adaptive Content Engine. The ASC Documentation Log template has a dynamic flow that displays additional content after each selection. As the flow progresses, you may need to click the navigation tabs above the grid to enter additional content. From the Documentation Log panel, click Add to open the ASC Documentation Log template. ASC Documentation Log The Procedure field displays the procedure sele

Document the IV Insertion Details

Recommendations

Document the IV Removal Details

Record IV Fluid Details

IV Panel on the ASC - Preprocedure Template

Document an Aspiration or Injection Procedure

Enter Medications for the Procedure

Enter Assessments, Adverse Events and Quick Notes for the Procedure

Document the IV Insertion Details

Document the IV Removal Details

Record IV Fluid Details

IV Panel on the ASC - Preprocedure Template

Document an Aspiration or Injection Procedure

Enter Medications for the Procedure

Enter Assessments, Adverse Events and Quick Notes for the Procedure