Ad Hoc Charting - Bear Cottage Training Guide

AdHoc charting enables staff to enter information onto the patient record via a ‘PowerForm’ - an electronic form or assessment.

• Open the patient record before clicking AdHoc so the system knows which record to attach the PowerForm
• Click AdHoc icon in the toolbar  

• PowerForms are contained in folders relating to topics or department e.g. General, Inpatient, Burns

• There are also links to specific AdHoc forms from CareCompass tasks and Document Launcher
  • The Initial Falls assessment you completed on Care Compass is an AdHoc form.

Chart the Nursing Height/ Weight/ Allergies form

The patient has No Known Allergies and weighs 20.2kg measured

• Click     in the toolbar

• Select the   folder on the left and double click   on the right

• Chart Weight is measured

• Weight: 20.2 kg

• No Known Allergies has already be selected

• Click Sign 

Modify an AdHoc Form

The parent remembers that the patient gets a drug rash from Morphine. View the Allergies Video (see link below) and Modify the Nursing HWA form.

• Click Form Browser in the menu.

• Right click over the form and select Modify

• Click + Add button

• Allergy: Morphine
• Category: Drug; Reaction type: Allergy
• Sympom: Drug Rash
• Override No Known Allergies and sign

Unchart an AdHoc Form

• If the form is completed on wrong patient
• Highlight the form in FormBrowser. Right Click > Unchart and enter the reason - wrong patient

FYI:

Nursing weights are measured by nursing staff. The admission weight may be estimated/other (e.g. reported by parent).

The dosing weight is entered only by Medical Officers via the Height/ Weight/Allergies (prescribing) AdHoc form. It is viewable in the banner bar of the patient chart and must be entered every 7 days or the banner bar turns yellow. This dosing weight will pull into the dosage calculator when medications are ordered based on weight.

See

PowerForms Enter, Modify and Cancel AdHoc Charting

Pressure Injury Risk Assessment

Nursing Admission Assessment

Allergies - Add, View and Cancel

Allergies Video