Fluid balance, observations, blood ketones, sleep and position and others — set up the way your service already works, filled in at the bedside, and kept with the stay they relate to. Still there when somebody asks for them a year later.
Charts for this stay
Added from the charts your service uses.
Fluid balance
Complete each row in full.
| TimeTime of day | Intakeml | Outputml | Added byand when |
|---|---|---|---|
| 08:00 | 200 | 150 | A. Mensah 12/09 08:04 |
| 12:00 | 250 | 200 | A. Mensah 12/09 12:02 |
| 16:00 | 180 | 220 | L. Doyle 12/09 16:06 |
| 20:00 | 220 | 190 | L. Doyle 12/09 20:03 |
Episodes of care
Every stay this service has recorded.
One is the plan. The other is the proof.
Only the charts needed for this stay.
Selected as the episode of care begins, from the charts your service uses.
Every entry timestamped and signed by whoever made it.
So the chart is the record, not a typed-up copy of one.
The stay ends with a complete set of charts.
Filed with that admission, where they will always be found.
Complete the care provided, every few hours, throughout the stay — different templates for each type of chart, and all sitting in the same record.
Every service charts different things. Yours are set up to match your own.
Opens with the admission
Set up to match the care your service provides
Every entry carries who made it and when
Timed care-plan items and one-off notes side by side
The next admission starts with blank charts
Still there to pull up months later
Where a picture says it faster than words
Filled in on a tablet where the care happens
A paper chart does its job at the bedside and then goes into a folder somewhere. Holding it inside the software instead means the record of what was actually done is signed, timed and still there when an inspector or a family asks for it. Every stay is there, retrievable in seconds rather than out of a cupboard.
The same chart, in the same order, however many people fill it in across a three-day stay.
A scored assessment at either end of the stay can show the difference the care provided has made.
The chart at the bedside is the record itself, so nobody spends the end of a shift typing up what they already wrote down.
From the booking, or dates you type in
Whichever this stay calls for
Added as care happens, each one attributed
Kept, and out of the way
Half an hour or an hour, whichever suits. We’ll spend it on the parts that matter to your service.
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