Document the Patient's Report and Recovery Details
- Click the clock
to display the current system time.
Recommendations
NextGen® Adaptive Content Engine Help Enterprise 8
The General panel is used to document the physician or clinician name who submitted the report and recovery admission time. General Panel The Allergies link opens the Allergies module to document the allergies details. The Medications link opens the Medications module to enter patient's medication details. For information on the Medications module documentation, see Medications Module. Document the Patient's Report and Recovery Details Parent topic: ASC - Postprocedure TemplateGeneral Panel on the ASC - Postprocedure Template
NextGen® Adaptive Content Engine Help Enterprise 8
The General panel enables you to document general information on the procedure such as scheduled date and time of the procedure, location where the procedure is to be performed, and the rendering provider, specialty physician, and/or anesthesia provider involved during various stages of procedure. Select the Established patient or New patient option. General Panel If applicable, click the Historian field and select the historian providing the information on the patient's medical condition. Click the following fields and select appropriate providers from the corresponding list: Rendering provider Primary specialty physician Anesthesia provider To clear the values from the provider fields, double-click the blank space in the respective list. Note: The list that opens from the Anesthesia provider field allows you to search for the provider by typing the first three letters of the last name. You can select the top-blank row in the list and enter the appropriate provider in the Anesthesia pUse the General Panel on the ASC - Scheduling Questions Template
NextGen® Adaptive Content Engine Help Enterprise 8
The General panel enables the nurse to document provider details and scheduled date and time of procedure. This panel includes the Patient check-in time field to enter the time when the patient arrives at ASC, and the Admission time field to enter the time when the patient was taken to the ASC suite. You can click the drop-down arrow to open the Time Entry template and enter the exact time in Hour, Minutes, and Seconds, or you can click the clock next to the time fields to input the current system time. For information on the General panel documentation, see General Panel on the ASC - Scheduling Questions Template. General Panel If the case ID of the encounters is the same, the details documented in this panel on the ASC - Scheduling Questions template or on the ASC - Pre admission template carry forward to the General panel on the ASC - Intake template. Document the Interpreter Details You can document the answers for the preconfigured questions. Document Configurable Questionnaires YGeneral Panel on the ASC - Intake Template
NextGen® Adaptive Content Engine Help Enterprise 8
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 nextDocument the IV Removal Details
NextGen® Adaptive Content Engine Help Enterprise 8
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 seleEnter Assessments, Adverse Events and Quick Notes for the Procedure
NextGen® Adaptive Content Engine Help Enterprise 8
The Patient Pre Admission Instructions panel displays the pre-admission instructions configured for a procedure. In addition, the answers selected for certain interview questions also add the pre-admission instructions to the panel grid. The pre-admission patient instructions are pre-configured on the ASC Preadmission Activity Config practice template. This panel also allows the clinical support staff to add any new patient instructions. After you review or add patient instructions, select the Sign off check box. The Completed by field populates with the user name currently logged on to the system. The Date and Time fields populate with the current date and time of sign off. You can click the clock to add the current system time in the Time field. If the case ID of the encounters is the same, the data entered in this panel on the ASC - Pre admission template appears in the Patient Pre Admission Instructions panel on the ASC templates in the next encounters. Parent topic: Access the ASC