Nurse Documentation
Comprehensive Patient Information
Management for Nurses
With Allscripts ED, you can provide complete
nursing documentation including triage, initial assessments,
re-assessments, flow sheets, MAR, procedures and disposition.
All caregivers, given security access, can view up-to the minute
information. Data input can be a combination of keyboard, touch
screen and voice recognition.
Nurses may set alerts for reminders
to reassess vital signs, medications and orders.
Nursing documentation includes:
- Full nursing assessment, planning, intervention, and evaluation
elements
- Medication Administration Record
- Clinical flow sheets. .eg. Glasgow Coma, I & O, Restraint
Monitoring, etc.
- Disposition pathway documentation
- Billing, coding, and facility charges are automatically calculated
and captured as clinicians document patient care