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This is the 4th form of the SmartOB Version 3
forms. As with all the SmartOB Forms, this form has been designed to perform optimally with a Tablet computer
using just the pen as the input device in most instances. This facilitates
workflow during the prenatal visit. Most of the form is self-explanatory. The details to the right are for
clarification of the items that might need some added explanation.
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When this form
loads for the first time during a session, a Warning box pops up
reminding the user to document any missing data based on the EGA as
calculated from the Final EDD, the computer date and the Preferences
set by the user if not already warned. As with the other forms, pop-up boxes facilitate data
entry. As with all the other forms, the Header
should be customized to your name and logo.
Pt Name, DOB and Number are carried
over from Form 1.
The 1st column
is for the Date, the 2nd, for the Progress Notes and the 3rd for the Signature.
When the PROGRESS NOTES field is entered, the Progress Notes Builder
automatically pops up (see below).
You may enter notes directly into the
field and the notes word-wrap automatically. New lines can be created by
the key combination "Alt-Enter" but each date should have only one
Progress Notes field.. |
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This sheet may become very long in appearance
but will divide as many times as
necessary when printed or converted. |
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This form appears when the Progress
Notes field is entered on Form 4. It allows you to build >90% of your Progress Notes
quickly and effortlessly with a few mouse clicks. You don't ever have to
use this form but I find it very helpful, especially when using a Tablet
PC. The default button is
Finish, so hitting the Enter key if using a keyboard will close this form.
As reminders, the Problem List from Form 3
and the current Reminders are displayed on top.
Choose the Category and the available
pre-written Notes will be displayed on the left. You will be able to be
create most of your Progress Notes using just the default ROUTINE
Category.
Clicking the "Add to Notes"
button will add the selected notes from the "Notes" list on the left or
the "Reminders" list to the location of the cursor in the Progress Notes
field. The "Delete from Notes" button will delete the highlighted
selection from the notes wherever it is located. "Copy Previous"
will copy the previous notes into the Progress Notes field.
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This form was developed to to assist in
the rapid creation of most progress notes using the pen of a Tablet
computer but is by no means complete. There will be times when you will
need to type directly into the Progress Notes field. Hopefully, those
times should be rare. Hitting the
key combination "Ctrl-Enter" will add a new line to the Progress Notes
field.
When you select the Physical Category,
the Temperature box appears. Select the temperature (e.g., 98.8) and
when you click Add to Notes, "Temp - 98.8º F" will be added to
the Progress Notes at the cursor position. By default, the cursor is
positioned to the end of the last insertion point. |
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If the patient has diabetes, selecting
the DIABETES Category will reveal the relevant Notes to the left.
If you select Insulin, the Insulin
dosage choices appear. After you select the dosages, click Add to
Notes button and Insulin along with the selected doses will be
added to the Progress Notes at the cursor position.
If you select Glyburide or Glucophage,
you may then choose the dosages. Hitting the Add to Notes button
will then add the selection and the selected doses to the Progress Notes
at the cursor position.
If any of the above is selected and you
hit Delete from Notes, the medication and its associated doses are
deleted from the Progress Notes wherever they may be located.
When you select Insulin, Glucophage
or Glyburide, the Meds, Add Rx and Show Rx buttons appear.
Clicking the Meds button will
enter the selected medication to the Medications List on Form 3.
Clicking the Add Rx button will add the medication and the
dosages to the Prescription form. Clicking the Show Rx will
reveal the prescription form. |
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The Insulin Calculator button
above appears when Insulin is selected. Clicking the Insulin Calculator
button reveals the built-in Insulin dose calculator. The patient's
last weight is automatically added from Form 3. Entering the number of
units of Insulin per kg./day and hitting the Enter key will calculate
the dose for that value and weight according to the formula 2/3 of the
dose in am (2/3 NPH & 1/3 Reg) and 1/3 of the dose in pm (1/2 NPH & 1/2
Reg). Clicking the Add
Insulin Doses button will transfer the doses to the Progress Notes Form
and return you to that Form. |
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As with Glyburide or Glucophage above,
when you select a medication listed in the MEDS Category, the dosage
boxes will be revealed. The doses in the pull-down lists are appropriate
for the selected drug. After selecting the desired doses, frequency, and
duration, clicking the Add to Notes button will add the drug
along with the desired doses, frequency, and duration to the Progress
Notes at the cursor position.
Selecting a drug and clicking Delete from Notes will remove the
drug and the associated doses, frequency and duration from wherever they
are located in the Progress Notes.
When you select a medication, the Meds,
Add Rx and Show Rx buttons appear. Clicking the Meds button will
enter the selected medication and the associated dosage to the Medications
List on Form 3. Clicking the Add Rx button will add the
medication and the dosage to the Prescription form. Clicking the Show
Rx will reveal the prescription form. |
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Clicking the Show Current Meds button
reveals a color-coded Current Meds window without having to close the
Form and switch to a different sheet. Clicking the Show Allergies button
reveals a color-coded Allergies window. Clicking the Hide button of the
same color will close that window and return to the Problem List and
Reminders windows. |
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You may need to write a prescription
for the medications that you are entering into the Progress Notes and
adding to Form 3. The built-in prescription utility allows you to
quickly create and print the prescription with minimal effort.
As explained above, clicking the Add
Rx button adds the medication and dosage to the Prescription Form.
Clicking the Show Rx button opens the Prescription Form. The
Patient's Name, Number, DOB and Address are automatically filled in. The
Practitioner's Name, License Number and DEA are filled in when the
Practitioner is selected.
Clicking the Practitioner Management
button reveals a form that allows the addition and/or deletion of up to
30 Practitioners. These should be entered into your template forms.
The Name of the Practice, Address and
Phone numbers are user customizable.
The text of the prescription was
programmed to print in blue on a color printer. If you are using a B&W
printer or you have purchased security paper, you can change the wording
at the bottom of the script. You can get security paper
here. |
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This form appears when an empty Signature
field is selected on Form 4. It allows for entering a Signature without a
keyboard and provides management of the Signatures on the Forms. It is
recommended that you use the first initial and the last name as the
signature; e.g., J. Davis.
Once you enter the Signatures of those who will be
typically using the forms, you may save them as part of the template
forms so you don't have to keep entering them with every new patient. |
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