Before you start
You need the rolenurse and a verified NMCN licence, and the patient’s full HPN.
Steps
1
Open the patient
Type the HPN in Find a patient · HPN in the top bar, or open Patient in the sidebar. This opens the patient’s nursing page.
2
Check your basis
The header shows your Basis: Treatment basis · non-sensitive, Patient consent · full record, Break-glass · full record, or No active basis. If it says The chart is consent-protected, click Open a treatment basis.
3
Record vitals
Click Record vitals and enter the readings.
4
Write a nursing note
Open Notes, write your note and click Save nursing note. You see Nursing note saved.
Correct a note
You can’t edit or delete a note or a vital sign. To correct a note, add an addendum to it from Notes. The original stays as it was.What you can do here
- See the patient’s Overview: allergies, conditions, medications, last vitals and encounters.
- Record vitals and notes.
- See Standing orders.
Emergency access
If a patient can’t consent in an emergency and you must see their full record, the patient page also offers an emergency override. Give a specific reason. The patient is notified, and it is recorded and reviewed. Use it only in a real emergency.These nursing access routes are built. Clinical governance sign-off is still open (decision D-006).