Resident Medical Review

From the Resident Search Screen, Click the Medical button to edit medical information (diagnoses, medications, etc.).

Full Code: Is the resident "Full Code"?

DNR: Does the resident have a DNR?

Height: Resident height.

Weight Normal: Resident's normal weight.

Specific areas of Medical Needs. There are a number of text boxes and check boxes where information can be recorded on a wide variety of medical issues.

Medications/Diagnoses/Allergies/Diets Tab

Make changes to medications, diagnoses, allergies or diet

Medication: Click the  button to add a new medication. A medication name and Start date are required to save the record. If you do not see the medicine you need from the drop down menu, click on the icon next to 'Medication Name' to add a new medication to the menu. You can also record dispensing directions, dosage and Medication notes. To end an existing medication, double click on the medication and enter in the end date and click save.

Diagnosis: Click the  button to add a new diagnosis. A diagnois code and Start date are required to save the record. If you do not see the diagnosis you need from the drop down menu, click on the icon next to 'diagnois code' to add a new diagnosis to the menu. To end an existing diagnosis, double click on the diagnosis and enter in the end date and click save

Diet: Click the  button to add a new diet. A diet name and Start date are required to save the record. If you do not see the diet you need from the drop down menu, click on the icon next to 'Diet Name' to add a new diet to the menu. To end an existing diet, double click on the diet and enter in the end date and click save.

Allergy: Click the  button to add a new allergy. A allergy name and Start date are required to save the record. If you do not see the allergy you need from the drop down menu, click on the icon next to 'Allergy Name' to add a new allergy to the menu. To end an existing allergy, double click on the allergy and enter in the end date and click save.

Click on Discontinued to view discontinued medications, diagnosis, diets and allergies. Click on all to view active and discontinued medications, diagnosis, diets and allergies.

Additionally, the  will print a medical facesheet for the resident.

Vitals

Resident's last and next physicals are recorded here along with advanced directive.

Previous Medical Reviews

Resident's previous medical reviews are able to be reviewed.