Public Health Nursing Documentation Guidelines - Indian Health ...
Public Health Nursing Documentation Guidelines - Indian Health ...
Public Health Nursing Documentation Guidelines - Indian Health ...
You also want an ePaper? Increase the reach of your titles
YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.
<strong>Documentation</strong> and Coding <strong>Guidelines</strong> for <strong>Public</strong> <strong>Health</strong> Nurses<br />
4.13 Medications<br />
Ordinarily, public health nurses do not order medications. However, if there is a<br />
standing order, a public health nurse must enter a medication order in the EHR.<br />
Please refer to Section 5.0 of this manual for the standing orders documentation process.<br />
<strong>Public</strong> health nurses may encounter patients that receive medications from outside<br />
sources, such as Veterans Affairs or private clinics. EHR patch 10 has an option to<br />
enter outside medications into the system, allowing primary care providers the ability<br />
to review medications the patient takes that are not ordered or filled by the inhouse<br />
pharmacy. This process provides reconciliation of all patient medications.<br />
Go to the Medications tab and select “non” facility medications. Then, click New and<br />
a dialog box will appear. See Figure 4.13a. Figures 4.13a–e show how to document<br />
an unknown outside medication.<br />
Figure 4.13a. Outside Medications, Step One<br />
<strong>Indian</strong> <strong>Health</strong> Service Page 4-34