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This is the 4th form of the SmartOB Version 2
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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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 should only be created for
new dates. |
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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. The default button is
Finish, so hitting the Enter key 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 to the
location of the cursor (arrow) in the Progress Notes
field. Clicking
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 Rx button appears. Clicking this button will
enter the selected medication to the MEDICATIONS list on Form 1. |
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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 Rx
button appears. As above, clicking this button will enter the selected
medication to the MEDICATIONS list on Form 1. |
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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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