Document Refusal to Record Height and Weight

Document the patient's refusal to record their height or weight measurement through the Vitals tab or through a clinical note. The refusal can only be recorded if the patient has consented to other vitals being documented.

Access Patient Vitals Enter the first 2–3 letters of the patient's name or date of birth (mm/dd/yyyy) in the top navigation bar search box. Click to select the patient from the auto-populated results. The patient's Facesheet page opens. Click Vitals. The Vitals page opens.
Document Patient Refusal Click + Vitals. The New Vitals pop-up window opens. Populate the patient's vitals except for Weight and Height: Recorded: Displays current date and time. If necessary, select a different date and/or time. Blood Pressure: Enter the patient's systolic and diastolic pressure in millimeters of mercury (mmHg). Heart Rate: Enter the patient's heart rate in beats per minute (bpm). Respiratory Rate: Enter the patient's respiratory rate in respirations per minute (rpm). BMI: Displays the patient's calculated body mass index based on the recorded height and weight. Temperature: Enter the patient's temperate in Fahrenheit. SpO2: Enter the patient's oxygen saturation as a percentage. Inhaled O2: Enter the patient's inhaled oxygen concentration as a percentage. Head Circ: When applicable, enter the patient's head circumference in inches. If necessary, enter partial inches up to a thousandth of a decimal point. Weight-for-length percentile: For patients 0-36 months old, displays the patient's calculated weight-for-length percentile based on the recorded height and weight. Note: For patients older than 36 months, the field does not display. Head circumference percentile: For patients 0-36 months old, displays the patient's calculated head circumference percentile based on the recorded head circumference. Note: For patients older than 36 months, the field does not display. Comment: Add any applicable notes. Click Save. The Weight and/or height were not collected pop-up window opens.
Click to select the reason for refusal. Available options: Patient refused to provide weight and/or height. Weight and/or height were not recorded due to a medical record. Click Save when finished.