Page 25 - Homecare Homebase: Skilled Nursing Training Manual

How to write a New Order outside of a visit

o Menu>
o Medical records>
o Find the patient, click on any visit >
o Scroll to “features” section (or collapse “History” section>
o Click on “new order” >
o Enter all fields in the new order (send to physician, verbal order date, wound care orders: no/yes ABN: NO etc) >
o Complete the instructions text box with why you are writing the new order >
o Then swipe UP to reveal the gray buttons >
o Click on “add calendar” >
o Choose the day/s you want the service to begin (can use “start multiple select”)>
o Click “add/edit” service code”>
o Click “add”>
o Choose correct discipline for the service desired>
o Choose the service code needed>
o Press the back button to back out and return to calendar

Note: Difference between “Plan of care update” and “Physician order”.
o Physician Order: when you are adding an order to an already existing problem.
 Eg. There is already a pressure ulcer present, and a new pressure ulcer needs to be added. It is a
POC update.
o Plan of Care Update: adding a new order or pathway that is a BRAND NEW problem, unrelated to an
original pathway.
 Eg, There is a pressure ulcer present, but the patient gets a skin tear or laceration during the
episode. This would be a physician order

View Attachments (Outside of the Visit)

To view your attachments:
Tap the device Menu icon from the 7-day rolling calendar.
• Tap the Medical Records.
• Tap the desired client to expand his visit listings, click any visit.
• History menu will display
• Tap on Attachments.
• Available attachments will be listed
• Tap and Hold on desired attachment listed to begin downloading and viewing the attachment
• Click the continue option.
• The Document will open for review

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10/1/2018