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Chart on the patient summary

Open a patient from My patients, the Unit board or Tasks to reach their summary. It shows code status and isolation, the discharge checklist, and the sections below.

Record vitals​

In Vitals, click Record vitals. Enter temperature, heart rate, respiratory rate, blood pressure, SpO₂ and pain (0–10), then save.

Record intake and output​

In Intake / output, click Record intake / output. Choose intake or output, enter the volume and time, and save. The section shows running totals.

Record an assessment​

In Assessments, click Record assessment and choose Morse fall risk, Braden or GCS. kareNurse scores it as you answer.

Give medications​

Active medications lists current orders. Click Open MAR to document administration.

Discharge checklist​

The checklist shows Discharge medication reconciliation complete, After Visit Summary ready and Patient education complete, each with when it was done. Teach the patient from the After Visit Summary (use teach-back), then click Mark patient education complete. You can record it only once reconciliation and the summary are ready; until then the item lists what is blocking it.

Tips / Troubleshooting​

  • Open tasks shows this patient's tasks. Work them on Tasks.
  • Buttons are hidden if your role is view-only for that section.