NEXTGEN VITAL SIGNS DEMONSTRATION This demonstration reviews the documentation of vital signs in NextGen.
Download ReportTranscript NEXTGEN VITAL SIGNS DEMONSTRATION This demonstration reviews the documentation of vital signs in NextGen.
Slide 1
NEXTGEN
VITAL SIGNS
DEMONSTRATION
This demonstration reviews the documentation of
vital signs in NextGen. This is similar across all
specialties.
This has been prepared for EHR 5.7 and KBM 8.1.
Subsequent updates may display cosmetic and
functional changes.
Use the keyboard or mouse to pause, review, and
resume as necessary.
Slide 2
Nurses will usually enter vital signs from the Intake tab.
Click the Add button.
Slide 3
Here you can enter all
pertinent data in a relatively
intuitive fashion. You can
perform numerical input using
the computer keyboard or
the onscreen keypad.
Note there are checkboxes
at the top to indicate that
one or more vital signs
were unobtainable or
refused by the patient. If
you check one, you’ll see a
space to explain further.
Slide 4
As of this writing, English-Metric conversions happen
automatically for adults, but not for children. Until this
is corrected, you may need to use the buttons here to
manually perform these conversions in either direction.
Slide 5
Click in the LMP box, and use the calendar
popup to enter the date.
If the patient is postmenopausal, there is also
a bullet that can be checked to indicate that.
Slide 6
Enter height. You can enter height in feet and inches, or just
inches. (Or, of course, centimeters.)
You can indicate that height was measured today, or for
adults, you can choose to carry forward a previously measured
height.
Either way, always record height! It is used to calculate BMI.
Slide 7
Enter weight. You can also note whether
or not the patient was wearing shoes.
Once height and weight are entered, the
BMI will be calculated. You can also click
the BSA Calculate button to calculate body
surface area, if desired.
Slide 8
Enter temperature; you also have the
option to enter the site it was taken.
Slide 9
Enter blood pressure; you also have
the option to enter further details
about how it was taken.
Slide 10
Continuing down, enter pulse and respiration.
You can also optionally enter whether or not
the pulse was regular.
Slide 11
You’ll note the red warnings of abnormal
vital signs, which are summarized at the top.
This also takes into account whether the
patient is diabetic, as that colors the
interpretation of the BP.
Notices about weight are to the right under
the BMI.
Slide 12
Several other measurements can
be recorded on this popup as well,
including neck, waist, and hip
circumference.
Slide 13
Oxygen saturation can also be
recorded, as well as whether it was at
rest or while active, and pre- or postaerosol treatment.
Slide 14
Hearing and vision screens can be
launched from the Vital Signs popup.
Slide 15
Note there is a
link to a simple
color vision
screen as well.
Slide 16
Pain and disability scores are also available.
Slide 17
When you’re done entering
information, click Save, then Close.
Slide 18
Vital signs are now visible in the Vital
Signs grids throughout the chart.
Sometimes you might need to enter a
second set of vital signs during the visit.
For example, in this patient, we’ll recheck
her after she’s had a chance to rest in
the exam room a few minutes.
Click the Add button again.
Slide 19
Enter new readings.
(Only enter the VS you need to recheck.)
Click Save, then Close.
Slide 20
The additional vital signs now show on the grid.
Slide 21
For children the Vital Signs popup looks a
bit different.
There are places for head circumference,
height & weight percentiles, & a link to
growth charts.
You may need to take some of the
warnings with a grain of salt, or at least
consideration of the context.
Click the Growth Charts link.
Slide 22
Click CLOSE when you’re
done viewing the graphs.
Slide 23
Note that growth charts are also
accessible through the file menu.
This may be preferable, since this will
display the graphs in a larger, more
easily viewable format.
Slide 24
Note also that, if the birth history records
that the child was premature, premature
growth charts will display for young children.
Slide 25
This child, born at 31 weeks, is now 9 weeks old.
Weight is around the 70th percentile.
Slide 26
This concludes the
NextGen vital signs demonstration.
Why do psychics have to ask you for your name?
R. Lamar Duffy, M.D.
Associate Professor
University of South Alabama
College of Medicine
Department of Family Medicine
Slide 27
This concludes the
NextGen vital signs demonstration.
Why do psychics have to ask you for your name?
R. Lamar Duffy, M.D.
Associate Professor
University of South Alabama
College of Medicine
Department of Family Medicine
NEXTGEN
VITAL SIGNS
DEMONSTRATION
This demonstration reviews the documentation of
vital signs in NextGen. This is similar across all
specialties.
This has been prepared for EHR 5.7 and KBM 8.1.
Subsequent updates may display cosmetic and
functional changes.
Use the keyboard or mouse to pause, review, and
resume as necessary.
Slide 2
Nurses will usually enter vital signs from the Intake tab.
Click the Add button.
Slide 3
Here you can enter all
pertinent data in a relatively
intuitive fashion. You can
perform numerical input using
the computer keyboard or
the onscreen keypad.
Note there are checkboxes
at the top to indicate that
one or more vital signs
were unobtainable or
refused by the patient. If
you check one, you’ll see a
space to explain further.
Slide 4
As of this writing, English-Metric conversions happen
automatically for adults, but not for children. Until this
is corrected, you may need to use the buttons here to
manually perform these conversions in either direction.
Slide 5
Click in the LMP box, and use the calendar
popup to enter the date.
If the patient is postmenopausal, there is also
a bullet that can be checked to indicate that.
Slide 6
Enter height. You can enter height in feet and inches, or just
inches. (Or, of course, centimeters.)
You can indicate that height was measured today, or for
adults, you can choose to carry forward a previously measured
height.
Either way, always record height! It is used to calculate BMI.
Slide 7
Enter weight. You can also note whether
or not the patient was wearing shoes.
Once height and weight are entered, the
BMI will be calculated. You can also click
the BSA Calculate button to calculate body
surface area, if desired.
Slide 8
Enter temperature; you also have the
option to enter the site it was taken.
Slide 9
Enter blood pressure; you also have
the option to enter further details
about how it was taken.
Slide 10
Continuing down, enter pulse and respiration.
You can also optionally enter whether or not
the pulse was regular.
Slide 11
You’ll note the red warnings of abnormal
vital signs, which are summarized at the top.
This also takes into account whether the
patient is diabetic, as that colors the
interpretation of the BP.
Notices about weight are to the right under
the BMI.
Slide 12
Several other measurements can
be recorded on this popup as well,
including neck, waist, and hip
circumference.
Slide 13
Oxygen saturation can also be
recorded, as well as whether it was at
rest or while active, and pre- or postaerosol treatment.
Slide 14
Hearing and vision screens can be
launched from the Vital Signs popup.
Slide 15
Note there is a
link to a simple
color vision
screen as well.
Slide 16
Pain and disability scores are also available.
Slide 17
When you’re done entering
information, click Save, then Close.
Slide 18
Vital signs are now visible in the Vital
Signs grids throughout the chart.
Sometimes you might need to enter a
second set of vital signs during the visit.
For example, in this patient, we’ll recheck
her after she’s had a chance to rest in
the exam room a few minutes.
Click the Add button again.
Slide 19
Enter new readings.
(Only enter the VS you need to recheck.)
Click Save, then Close.
Slide 20
The additional vital signs now show on the grid.
Slide 21
For children the Vital Signs popup looks a
bit different.
There are places for head circumference,
height & weight percentiles, & a link to
growth charts.
You may need to take some of the
warnings with a grain of salt, or at least
consideration of the context.
Click the Growth Charts link.
Slide 22
Click CLOSE when you’re
done viewing the graphs.
Slide 23
Note that growth charts are also
accessible through the file menu.
This may be preferable, since this will
display the graphs in a larger, more
easily viewable format.
Slide 24
Note also that, if the birth history records
that the child was premature, premature
growth charts will display for young children.
Slide 25
This child, born at 31 weeks, is now 9 weeks old.
Weight is around the 70th percentile.
Slide 26
This concludes the
NextGen vital signs demonstration.
Why do psychics have to ask you for your name?
R. Lamar Duffy, M.D.
Associate Professor
University of South Alabama
College of Medicine
Department of Family Medicine
Slide 27
This concludes the
NextGen vital signs demonstration.
Why do psychics have to ask you for your name?
R. Lamar Duffy, M.D.
Associate Professor
University of South Alabama
College of Medicine
Department of Family Medicine