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29 docs tagged with "Doctor Work Bench (EMR)"

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Record a patient's vitals

Enter height, weight, blood pressure, temperature and the other vital signs in the SOAP note and compare them with earlier readings.

Set up Allergen

Keep the list of allergens doctors pick when they record a patient's allergy, grouped by allergy category.

Set up Diagnosis

Keep the coded list of diagnoses doctors search when they record a diagnosis, arranged by coding system, chapter and group.

Set up Frequency

Keep the list of dosing frequencies doctors pick when they prescribe a medicine, and how each one prints on the prescription.

Set up Reaction

Keep the list of allergic reactions doctors pick when they record what happens to a patient on exposure to an allergen.

Set up Sentence Builder

Place questions in a template's sections and set the sentence printed in the note for each answer the doctor picks.

Set up SOAP Note Template

Build the note templates doctors write in — which sections they contain, in what order, and for which visits.

Set up Template Section

Create the sections — such as Chief Complaint, Past History or Physical Examination — that SOAP note templates are built from.

Set up Vital

Keep the list of vital signs your staff record — such as temperature, pulse and blood pressure — with their units and normal ranges.

Take consent on the tablet

Have the patient or attendant sign the hospital's consent form on the tablet, with a witness, and save it to the patient's documents.

Use a template in a SOAP note

Pick the set of sections for a consultation, and fill a note in one step from a template you saved from an earlier visit.

View a patient's previous visits

Read the notes and prescriptions of a patient's earlier visits, copy the last visit into today's note, and find any past OPD note.

Write a prescription

Add medicines to the SOAP note with strength, frequency and duration, then sign them so that they print on the prescription.

Write a visit note by hand

Write the OPD consultation with a pen on the tablet, check what GenX read, and save it as the typed visit note and prescription.

Write IPD notes by hand

Write progress notes, nursing notes and medicine orders for an admitted patient with a pen on the tablet, and find the page on the web.