1. SAP Glossary
  2. Clinical System
  3. nursing note


What is nursing note in SAP IS-HMED - Clinical System?


SAP Term: nursing note

  • Component: IS-HMED

  • Component Name: Clinical System

  • Description: Note in the context of the nursing process documenation, which you can enter for the patient or for an entry in the nursing plan or for a nursing service in the nursing service documentation.


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  • Key Concepts: 
     Nursing notes are a type of documentation used in the IS-HMED Clinical System. They are used to record patient information, such as medical history, physical examination results, and treatment plans. Nursing notes are typically written by nurses or other healthcare professionals and are used to provide a comprehensive overview of a patient's condition. 
    
    How to Use It: 
     Nursing notes can be created in the IS-HMED Clinical System by selecting the “Nursing Note” option from the main menu. This will open a form where users can enter information about the patient, such as their medical history, physical examination results, and treatment plans. Once the form is completed, it can be saved and printed for future reference. 
    
    Tips & Tricks: 
     When creating nursing notes in the IS-HMED Clinical System, it is important to ensure that all relevant information is included. This includes any changes in the patient's condition or treatments that have been prescribed. Additionally, it is important to ensure that all entries are accurate and up-to-date. 
    
    Related Information: 
     The IS-HMED Clinical System also includes other types of documentation, such as progress notes and discharge summaries. These documents can be used to provide additional information about a patient's condition and treatment plan. Additionally, the system also includes features for tracking patient data over time, such as lab results and vital signs.
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