Documentation
Nursing
7 guides on Nursing in Ventrecs. Each guide says who it is written for and lists the steps in order. Start with “Give medication on the medication round”.
Give medication on the medication roundThe Medication Round lists the doses that are due for your patients. For each dose you scan the patient and the medicine, and record what happened. A dose can only be…
Create a medication scheduleA medication schedule turns a verified prescription line into timed doses on the medication round. The prescription must already be verified by the pharmacy.
Record vital signs and NEWS2When you record the six observations, Ventrecs calculates the NEWS2 early-warning score, shows the risk band and the recommended response, and alerts the clinician when…
Acknowledge a NEWS2 escalationEscalations are the observations that need a clinician's attention. A clinician reviews the patient, documents the action taken, and acknowledges the escalation.
Manage nursing tasksNursing tasks are the jobs a patient needs during a shift: dressings, mobilisation, line care, education and assessments.
Record fluid balanceFluid balance records what the patient takes in and what they pass. The total for the last 24 hours is shown on the encounter.
Hand over a shiftA shift handover is written in the SBAR format for every patient on the ward: Situation, Background, Assessment, Recommendation. The outgoing nurse hands over and the…