> ## Documentation Index
> Fetch the complete documentation index at: https://docs.phbhealth.com/llms.txt
> Use this file to discover all available pages before exploring further.

# Vitals and nursing notes

> Open a patient, record vitals, write nursing notes, and correct them with an addendum.

## Before you start

You need the role `nurse` and a verified NMCN licence, and the patient's full HPN.

## Steps

<Steps>
  <Step title="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.
  </Step>

  <Step title="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**.
  </Step>

  <Step title="Record vitals">
    Click **Record vitals** and enter the readings.
  </Step>

  <Step title="Write a nursing note">
    Open **Notes**, write your note and click **Save nursing note**. You see **Nursing note saved.**
  </Step>
</Steps>

## 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.

<Note>
  These nursing access routes are built. Clinical governance sign-off is still open (decision D-006).
</Note>

## Common problems

| What you see | What to do |
| - | - |
| **No patient with that HPN** | Check the digits. |
| **No allergies recorded** | No allergy is on file. Ask the patient. |
| Your notes are locked | Finish NMCN onboarding. |


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