Enter Assessments, Adverse Events and Quick Notes for the Procedure

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

Add Comments on the ASC Documentation Log Entries

Comments can be added to entries documented on the ASC Documentation Log template. To add comments for an entry type, click Add/Edit Comments to open the Documentation Log Comments template. Select the desired row in the grid. Enter any additional comments in the Comments field and click Update. The comments appear under the Comments column in the grid. You can use the My Phrases link at the top-right of the Comments field to add comments in the Comments field. The My Phrases/ Common Phrases link allows you to create a phrase that displays in the list launched from the My Phrases link. For more information on managing and using the My Phrases functionality, go to NextGen Healthcare Success Community, and download the latest Getting Started User Guide forNextGen®Adaptive Content Engine. Documentation Log Comments To remove a comment documented for an entry type, select a row in the grid and click Remove. To modify the documented comment, select a row in the grid and make relevant edits

NextGen® Adaptive Content Engine Help Enterprise 8

Links and Buttons on the ASC Documentation Log

Element Description Quick Save Enables you to save the documented values as the default set for the future use in the template. For more information on Quick Save, go to NextGen Healthcare Success Community, and download the latest Getting Started User Guide forNextGen®Adaptive Content Engine. Link Vitals Opens the Vital Signs Monitoring template to link vital signs records to an entry type. Add Follow Up Enables you to link an entry type to another entry type Show Linked Vitals Enables you to view vital signs records linked to an entry type. Show Linked Records Enables you to view the entries linked to an entry type. Add/Edit Comments Opens the Documentation Log Comments template to add or edit comments for a selected entry. Entry label and arrows Used to navigate to saved entries for the patient. Parent topic: Documentation Log Panel on the ASC - Preprocedure Template

NextGen® Adaptive Content Engine Help Enterprise 8

Edit an Entry

You can edit the entries in the Documentation Log panel. Select an entry to be edited from the grid in the Documentation Log panel. Click Add. The ASC Documentation Log template opens. The row of entry selected in the Documentation Log panel appears in the left panes and top right grid of the template. Select the applicable value. If you want to clear a selected value, reselect that value. The asterisk (*) clears from the value. To make changes in the Time and/or Late Entry details in the grid: Select an entry in the grid. Make relevant changes in the Time field or Late Entry fields. Click Update. Click Save & Close. The modifications update in the grid in the Documentation Log panel. Parent topic: Documentation Log Panel on the ASC - Preprocedure Template

NextGen® Adaptive Content Engine Help Enterprise 8

View the Total Medications Details of a Procedure

The Medication Totals link opens the ASC Medication Totals template. The template holds the medication names and total dosage of each medication given to the patient. In the Documentation Log panel, the medications documented for each procedure upload to the ASC Medication Totals template. However, to add medications in the ASC Medication Totals template, you must select the Include in Medication Totals check box for a medication entry in the Documentation Log panel on the Documentation Log Config practice template. For more information on configuration to include medications on the ASC Medication Totals template, go to NextGen Healthcare Success Community, and download the latest Documentation Log Config Practice Template forNextGen®Adaptive Content Engine. In the Documentation Log panel, click Medication Totals. The ASC Medication Totals template opens. ASC Medication Totals In the Procedure field, the value All displays medication details of all procedures documented in the current

NextGen® Adaptive Content Engine Help Enterprise 8

Documentation Log Panel on the ASC - Preprocedure Template

The Documentation Log panel is a centralized location to document patient's assessments, routine quick notes, medications administered to the patient, any adverse events that occurred during the procedure, and the nursing diagnosis and nursing assessments initiated for the patient. The Documentation Log panel is also available on the following templates: ASC - Intraprocedure ASC - Postprocedure ASC - Anesthesiology Documentation Log The Procedure field displays the first procedure documented in the current encounter. The Documentation Log panel includes the following filter fields: View by - Filters the entries by: All entries - Displays entries documented for the categories as a separate record. This filter option sorts entries by time with the most recent entries at the top. All entry records - Displays a concatenated view of different categories documented in an entry. This filter option sorts entries by time with the most recent entries at the top. Flowsheet - Displays the vital si

Enter Assessments, Adverse Events and Quick Notes for the Procedure

Recommendations

Enter Medications for the Procedure

Add Comments on the ASC Documentation Log Entries

Links and Buttons on the ASC Documentation Log

Edit an Entry

View the Total Medications Details of a Procedure

Documentation Log Panel on the ASC - Preprocedure Template

Enter Assessments, Adverse Events and Quick Notes for the Procedure

Enter Medications for the Procedure

Add Comments on the ASC Documentation Log Entries

Links and Buttons on the ASC Documentation Log

Edit an Entry

View the Total Medications Details of a Procedure

Documentation Log Panel on the ASC - Preprocedure Template