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Enter vitals data

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Add vitals data to the client chart.

  1. In the Select Client screen, search for and select the client by name or ID.
  2. In the Add/Edit/Delete Vital Sign field:
    Select Add to create a vitals entry record
    Or
    Select Edit to change a vitals record.
  3. Click Select Vital Sign.
    Result: The Vitals Entry screen displays.
  4. Select the vitals entry record, then select OK.
  5. Select Delete to remove a vitals record.
  6. In the Date field, enter the date in the format MM/DD/YYYY.
  7. In the Time field, enter the time in the format HH:MM.
  8. In the Refused Vitals field:
    Select Yes if the client refused to have their vitals measured (if Yes is selected, the remaining fields in this screen are disabled).
    Or
    Select No if the client allowed their vitals to be measured.
  9. In the Blood Pressure field, enter the client's systolic and diastolic blood pressure.
  10. In the Position field, select the client's position.
  11. In the Heart Rate field, enter the client's heart rate.
  12. In the Respiration Rate field, enter the client's respiration.
  13. In the Temperature field, enter the client's temperature in Fahrenheit, or Celsius.
  14. In the Blood Glucose field, enter the client's glucose level.
  15. In the Heights field, enter the client's height in field, enter or centimeters.
  16. In the Weight fields, enter the client's weight in pounds, or kilos.
  17. The BMI field displays the client's BMI.
    BMI is calculated when height and weight information is entered.
  18. In the Pain Scale field, select the client's pain scale, from 0 - 10.
    0 – no pain
    10 – greatest pain
  19. In the Comments - enter comments associated with the vital signs.
  20. Click Submit.
► See Also
► Registry Settings
► SQL Table
  •  AUDIT.cw_vital_signs
► Test Script

For implementing new systems or new functionality, download the following standard test script for this feature. Please contact your Netsmart representative for more information about Test scripts.