Nursing Plan (NPOC)
An important task for nurses is to create a plan of care for the individuals on their caseload. This important record can be created in the system. Let's look at the steps to produce this nursing document.
Step 1: To begin you must first go to the individual profile section.
Step 2: Once in the profile section select the second tab for Medical Info.
Step 3: In this section it's important to make sure the allergy and diagnosis information is up to date and correct. You also need to mark the type of Diagnosis: Medical or Mental Health.
Step 4: Under the Services section this is where you add a related service or your nursing diagnosis information. Enter the information and click the + sign to add this data.
This is what this section should look like before you move on. Information entered into Other Diagnosis will not show on the Plan of Care. This section is best used for historical information.
Step 5: Once the diagnosis information is correct you will move into the eChart and Services.
Step 6: Inside the services section is where the plan is created. Make sure you have the correct program showing where you see Select Program.
Here you will see the Diagnosis information. This information is pulling from the profile.
Step 7: Click the right facing arrow to expose your nursing diagnosis/related service information. You will see the fields to the right to be filled out: Description, Nursing Interventions and Goals.
Step 8: Complete the process for all diagnosis: Medical and Mental Health.
Step 9: Once all information has been entered at the top of the screen you click on the blue Nursing Plan button.
Step 10: On this screen click where you see Add Nursing Plan.
Step 11: The next screen pulls the plan along with all the data you entered in Services. You can select the plan date and enter your name. This is the best time to check and make sure the data shows as you want it to. If something is not correct you will need to go back to Services to edit.
When you are ready click on Generate Plan of Care.
This will then take you to the Nursing Plan of Care list.
Step 12: You can now view this document. In the view screen you can sign and finalize the document.
Step 13: Once you have signed and finalized the document you have the ability to download, print or fax. Other staff have the ability to sign the document at this point.
Step 14: Here is a look at the final document.
We hope you enjoy this newly enhanced feature. Please reach out with any questions or feedback.
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