How do I add vitals to flowsheets?

With Practice Fusion's flowsheets, you have the ability to:
  • Add multiple vitals to a single encounter

  • Review and edit vitals from previous encounters

  • Enter additional properties for vitals, such as blood pressure measurement location and patient position


Any user with an edit level of Nurse or higher is able to enter and edit vitals within a flowsheet.


Adding vitals to a flowsheet

By default, all patients have a vitals flowsheet.  The vitals flowsheet is accessible in a patient’s chart:

  • On the Summary tab under the Flowsheets header.

  • Within an encounter under the Flowsheets header.


Within an encounter, scroll down to the Flowsheets header to begin documenting vitals. You will see the default flowsheet, as well as any custom flowsheets that you have added to the patient’s chart. Note: You will follow these same steps when adding and editing vitals from the patient’s Summary.



1.  To begin adding vitals, click into the first cell within the last column. Alternatively, click the + icon or the Add column button.


                 

2.  Select the encounter date for the column by clicking on the drop down box next to Encounter. You may either create a new encounter or choose an existing encounter. You may also enter or edit the Collected date/time and Column date.  Note: When entering vitals within an encounter, the date of service for the note you’re editing will be the default for the new column.


3. Click into a cell to begin recording vitals. Type in the values for the vitals and press the tab key to go to the next vital.

4.   For certain vitals,  you’ll be able to include additional details such as measurement site, body position or a specific comment by clicking into the cell. After entering the details, click Save. This data will be visible when printing the flowsheet. You’ll also see a comment icon next to vitals that have comments.


5. Once you have added your vitals, click Save within the column header to confirm you’d like to associate those vitals with the encounter.  


Be sure to click the Refresh button to view the most up-to-date flowsheet information.



Editing vitals

In addition to adding new vitals, you can review and edit vitals from previous visits directly within your encounter. This will also update the vitals for the encounters they are associated with. There are two options for editing vitals for previous visits:


Option 1: Click on any blue value or any blank cell where the header is blue. Blue text indicates that the value can be edited since the encounter has not yet been signed.


Option 2:  Click on the date in the header of a column.

 

This allows you to edit all of the values in that column.  You can press the tab key on your keyboard to navigate between the fields.  To change the date or time for the column or enter comments, click the date/time header again.

Note: Be sure to click the Refresh button to view the most up-to-date flowsheet information.


Adding multiple vitals to a single encounter

You can now enter multiple vitals in a single encounter.  For example, you can document a patient’s blood pressure reading in both the standing and lying position for a single visit, or you may record blood pressure at both the start and end of the visit. Once you have entered the vital reading for the first time, click the + sign to add a new column to the flowsheet. When prompted to select an encounter date, select the same encounter date as the one previously selected for that visit. You may also adjust the Collected time, then click Save. You can then document the vitals a second time in the new column.




Adding comments to vitals and sets of vitals

You can now add a comment to the entire set of vitals (e.g. to indicate why you collected another set) or to an individual vital (e.g. to indicate a reason for an abnormal measurement).


To add a comment on a column, click the column header. Then, click on the date to open the Set column date and time window. You will then be able to enter any applicable comments.

Once you have entered your comment, click Save. Any column containing comments will be denoted with the icon below. All comments will appear when printing your flowsheet.

To enter a comment for a particular vital, click into the cell.


Similar to comments associated with a column, an icon will display on the cell if comments have been added.



Additional Vitals

We have several vitals that you can choose to record, including the following:

  • Hip circumference

  • Waist circumference

  • Last menstrual period

  • Fetal heart rate

  • Fundal height

  • Fetal position (by palpation)

  • Fetal position (by ultrasound)


For more information on flowsheets, please see:

Charting

  1. How do I search for patients in the EHR?
  2. How do I customize my patient chart view?
  3. How do I complete a chart note?
  4. How do I use rich text editing when charting my encounters?
  5. How do I add diagnoses to a patient chart?
  6. How do I add a medication?
  7. How do I use flowsheets?
  8. How can I preview previous encounters and results while completing an encounter?
  9. How do I print a patient's chart or certain sections of the patient's chart?
  10. How do I print a chart note?
  11. How do I add past medical history (PMH), allergies, medications and diagnoses to an encounter?
  12. How to record and print patient demographics and profile
  13. What information is available in a patient's Timeline?
  14. How do I use the growth charts?
  15. How do I merge duplicate charts?
  16. How do I print the care plan?
  17. How do I open an existing patient chart?
  18. Can vitals be added in Metric Units or US Customary Units?
  19. How do I add advanced directives?
  20. How do I add allergies?
  21. How can I edit my signed chart note?
  22. How do I add Family Health History?
  23. What is the difference between a SOAP and Simple note?
  24. What are the Character Limits when Charting?
  25. What are the limits of simultaneous editing?
  26. What are Screenings/Interventions/Assessments?
  27. Where can I learn more about the different components of an encounter?
  28. How do I delete or deactivate a patient?
  29. How do I edit information on the Patient Summary?
  30. How can I view Diagnosis comments?
  31. How do I search for inactive patients?
  32. What are Clinical Decision Support (CDS) advisories?
  33. How do I change the date in an encounter?
  34. How do I populate the list of Frequently prescribed medications?
  35. How do I view more information for medications?
  36. Why am I receiving the error "Unable to sign" when trying to sign a chart note?
  37. How do I delete an unsigned encounter?
  38. Who can sign a chart note?
  39. How do you change the 'Seen by' provider in the new encounter?
  40. How do I add a patient?
  41. What information is required to save a patient's chart?
  42. How do I create a patient record number?
  43. How do I edit an existing SOAP or Simple Note?
  44. How do I record "Unknown Family History?"
  45. How do I pull history from one patient visit to the next?
  46. How do I refresh a patient's chart?
  47. How do I start a new note/encounter in Practice Fusion?
  48. How do I create and export a Continuity of Care (CCD) clinical document?
  49. What is the file size of a patient image?
  50. Can I move a Patient Record Number from one chart to another?
  51. How do I view or update a patient's appointment within their chart?
  52. How do I add a custom medication?
  53. How many charts can be open and how do I close them simultaneously?
  54. How do I assign a Care Team?
  55. How do I add vitals to flowsheets?
  56. How do I customize my template line settings?
  57. How do I set my patient list and Timeline default?
  58. How do I attach a document to an encounter?
  59. How do I create and update "My Dx List"?
  60. How do I add custom allergies?
  61. How do I participate in the Prolia® Safety Program?
  62. How do I document patient risk score?
  63. How do I document an implantable device?
  64. How do I document social history?
  65. How do I add Goals and Health Concerns to the patient Summary?
  66. Why am I seeing CCDA display errors?
  67. How do I manage display settings for inbound CCDAs?
  68. How do I add new Encounter Types?

Feedback and Knowledge Base