Resident Records
The Shift Change Acknowledgement Report provides a way for staff to acknowledge they've read all the Staff Shift Change Notes and Nursing Progress Notes throughout the last five days. The Shift Change Acknowledgments serves as a great communication tool.
How to Enter a Resident or move a resident from a Marketing Lead to Admitted. Adding Resident Contacts and Resident Providers.
The Record Summary shows all of the important resident information. This report can be printed for doctors appointments and other hospital/ER visits. It is a useful tool for entering resident information and quickly identifying information missing in the resident record.
Learn how to enter resident allergies and diagnoses. Also learn how to make an ICD-10 code diagnosis required.
Staff have the ability to track and document resident participation in different activities with corresponding categories.
Learn how to add Vital Sign information to a specific ADL.
Learn how to create a new nursing assessment. The nursing assessment needs to be set up in the Community Record before a new nursing assessment can be created. See the
Setup: Nursing Assessment and Service Plan help topic if not set up yet.
Scribe Link: https://scribehow.com/shared/How_To_Complete_A_Nursing_Assessment_Online__FGaWBq-QTmC7UR5xUheyGw
Learn how to create incident reports.
The Behavior Plan Tracking System in BlueStep is a comprehensive behavior management tool that allows for the identification and evaluation of behavioral symptoms.
Each resident in a community has a resident chart, which is called a resident record in BlueStep. All of the resident's information is accessed from their resident record.
Nursing Notes allow the ability to document a medical note in a resident record, track events, identify resident specific trends and connect nursing progress notes to Behavior Plans, Incident Reports or any specific Trackable Event.
The Alert Charting Feature, also known as Short Term Monitor, provides a way to track a residents health status and/or events for a specified amount of time which requires monitoring, documentation and follow up. Many times the information obtained through Alert Charting may signify a change in condition. Included in this module is the staff documentation report for easy charting along with late documentation alerts.
The Trend and Tracking module allows the ability to track events, identify resident specific trends and connect nursing progress notes to Behavior Plans, Incident Reports or any specific Trackable Event.
The Average Length of Stay report allows the user to compare multiple date range reports at one time. Average Length of Stay is displayed in days, months and years. This feature also includes discharge information, census and resident stay times.
