Documentation
Incidents, advance directives, and nurse notes.
Writing Nurse NotesThe Nurse Notes tab is where you document clinical observations, interventions, and member responses. Each note records the author, optional type and tags, the note content, and any file attachments.Documenting IncidentsIncident reports capture events involving members, such as falls, injuries, behavioral incidents, and medication errors. This article covers creating a new incident report and submitting it for review.Managing Advance DirectivesAdvance directives are legal documents that record a member's wishes for their medical care. The Advance Directives tab lets you file these documents so care staff can find them quickly.Reviewing, Finalizing, and State Reporting IncidentsEvery incident report moves through a lifecycle: it is created in Pending status, submitted for review to move to Review, and then finalized to become Final.