Updated: 06/09/2023 | Views: 1826
Vitals should only be edited when an error or omission was made to the original data. If the Vitals were recorded through accessing the Vitals tab, the Vitals may be edited within 24 hours of the initial entry. If the Vitals were recorded through a clinical note, the Vitals may be edited until the note is signed.
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.
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Edit Vitals
If the vitals were recorded through accessing the Vitals tab, they may be edited within 24 hours of the initial entry. If the vitals were recorded through a clinical note, they may be edited until the note is signed.
- Click on the vitals to edit. The Edit Vitals pop-up window opens.
- Make necessary changes to the patient's vitals:
- 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).
- Height/Length: Enter the patient's height or length in feet and inches. If necessary, enter partial inches up to a thousandth of a decimal point.
- Weight: Enter the patient's weight in pounds and ounces. If necessary, enter partial ounces up to a thousandth of a decimal point.
- 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 or edit applicable notes.
- Click Save when finished.
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