IV Panel on the ASC - Preprocedure Template

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

NextGen® Adaptive Content Engine Help Enterprise 8

Document the IV Insertion Details

Click Add. The ASC IV template opens. Click the Attempt # field and select the IV insertion attempt number. You can select the top-blank row in the list and enter the appropriate value in the Attempt # field. The current system time and username appear in the Insertion time field and the Inserted by field respectively. To change the time, click the drop-down arrow next to the Insertion time field. The Time Entry template opens. Enter the appropriate time when the IV was inserted into the patient and click OK. The documented time appears in the Insertion time field. If you click the clock , the current system time appears in the Insertion time field. Click Location and select the location where the IV is inserted. If the options in the list are not appropriate, click the top-blank row in the list and enter a value in the Location field. Note: As you select a value from the list, a list or a numeric keypad of the next field appears to select or enter a value. This continues for all subse

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

Update IV Details

You can modify the IV insertion or removal details or the IV fluid details in the IV panel. In the IV panel, click the Insertion/Removal or IV fluid option. The corresponding records appear in the grid. Highlight a row in the grid and click Edit. The ASC IV template opens. The data populates in the corresponding fields. Make relevant changes in the applicable fields. Click Save & Close. The modified data updates in the grid. Parent topic: IV Panel on the ASC - Preprocedure Template

NextGen® Adaptive Content Engine Help Enterprise 8

Equipment Panel on the ASC - Intraprocedure Template

The Equipment panel enables you to document the equipment used during a procedure. The equipment type and the equipment details can be pre-configured on the Equipment Log practice template. For more information on configuration of equipment details, go to NextGen Healthcare Success Community, and download the latest Equipment Log Practice Template forNextGen®Adaptive Content Engine. Equipment The Quick load procedure field in the Equipment panel is used to quick load the equipment detail documented for a procedure in the previous encounters. The field displays the first procedure documented in the current encounter. You can click the field to open a list of procedures documented in the Procedure panel on the ASC - Intake template. The Quick load procedure field includes the left and the right arrows. The left blue arrow and the right blue arrow indicate that the procedure(s) is available prior to and next to the current procedure. The left blue arrow and the right blue arrow are not av

IV Panel on the ASC - Preprocedure Template

Recommendations

Documentation Log Panel on the ASC - Preprocedure Template

Document the IV Insertion Details

Document the IV Removal Details

Record IV Fluid Details

Update IV Details

Equipment Panel on the ASC - Intraprocedure Template

Documentation Log Panel on the ASC - Preprocedure Template

Document the IV Insertion Details

Document the IV Removal Details

Record IV Fluid Details

Update IV Details

Equipment Panel on the ASC - Intraprocedure Template