Overview of Inpatients > Patient Detail

You can view patient records from Patient Detail.

From  Inpatients > Patient Detail, you can view, record, and edit patients' demographic and clinical details.

Patient Detail is the main inpatient area for managing clinical care. When you select Patient Detail you arrive in Clinical.

Move between patients on the same patient list.

Information about the patient, including their hospital and NHS numbers, their demographic information, and any patient tags.

Mouseover to see the patient's address.

Select ▼ to search for a patient.

Information about the patient's current visit, including their location, time in hospital, and specialty.

  • If the patient is an inpatient, Ward / Bed is shown. Ward / Bed shows the ward and bed the patient is in.

  • If the patient is an ED patient, Area / Locn is shown. Area / Locn shows the area and location the patient is in.

Admitted shows the date the patient was admitted and the time since admission.

  • For inpatients, the time since admission is shown in hours, then after 24 hours has passed, the days since admission is shown.

  • For ED patients, the time since admission is shown in hours, then after 24 hours has passed, '>24 hours' is shown.

Consultant / Specialty shows the name of the consultant and the consultant’s specialty.

Select ▼ to transfer a patient.

Read more about viewing information about the patient's current visit

Read more about transferring a patient

Navigate between the clinical areas of Patient Detail.

Select to see more areas.

From Clinical, you can access summaries of clinical information. These provide you with a picture of the latest information.

To view more information about the patient, you can:

  • Select parts of the summaries

  • Select options under the patient banner

Select to print information about the patient. Found in the top right corner.

Read more about printing patient information

Select to view sent letters. Found in the top right corner.

Read more about viewing sent letters

Referral, Appointments & Procedures

Shows referrals, upcoming appointments, and procedure in this episode of care.

Read more about referrals, appointments, and procedures

Observations

Shows observation and fluid balance charts.

Select to view graphical trends of observations and fluid balance.

Read more about observations

Read more about fluid balance

Protocol Driven Actions

Not in this release.

Shows clinical notes that are in the selected clinical note profile.

You might have access to more than one clinical note profile. Select to choose a clinical note profile.

You can use clinical notes to facilitate a ward round or clinical handover.

Sometimes clinical notes update information shown elsewhere in Nervecentre. For example, the clinical note for allergies is found here, in forms, in patient list dashboards, and in EPMA.

Read more about clinical notes

Investigations

Shows recent orders and test results.

Results that are abnormal might be coloured red to show you a result is outside of a tolerated range.

Select a test, order, or result to view more information.

Select to view graphical trends of results.

Read more about investigations

Current Medications

A summary of current medications.

Shows all prescribed medications and whether they need to be given or not. Select the medication name to view more information about the prescription.

Read more about current medications

Care Plans

Shows all active and inactive care plans.

Select to view, add, and edit care plans, and to record compliance.

Select to view a chart showing the history of the care plan.

Read more about care plans

Tasks

Shows tasks that have been raised by Nervecentre or other users.

You can filter to show all, open, scheduled or closed tasks for this patient episode. Depending on your permissions, you might be able to accept, assign and progress tasks.

Select + to raise a task.

Read more about tasks

Assessments

A list of assessments. Shows their status and outcome.

Select + to add a new assessment.

Select to repeat an assessment or to countersign the assessment.

Select to view an assessment chart.

Read more about assessments

Staff

Shows all staff logged into Nervecentre on their mobile, with this patient active on their patient list. Any permanent and elective roles are shown. For example, you might use this to see who is logged in as a doctor and can review this patient.

Visit History

A summary of previous visits. Shows you information about the location, diagnosis, consultant, speciality and dates of the visit.

Select the date of a visit. Depending on your permissions, you might be able to view a summary of clinical information for that visit, and edit it.

External Applications

Select the name of an external system to access it.

Depending on your organisation, these might launch in Nervecentre, take you to the patient in context in the named system, or take you to a log in page.

When you first select Meds from Patient Detail, you see the MAR Medicines Administration Record. Also known as drug chart. A list of all medication prescribed and administered (given)..

The top banner appears at the top of all pages within Meds. Select fields to enter information. Mandatory fields show . You must complete mandatory fields or override mandatory fields with a reason before you can prescribe any medications.

Overriding is fully audited. Only override mandatory fields in an emergency.

View the MAR, current medications only.

View and manage prescriptions.

Add new. This button appears in prescriptions and arrival medications.

View an overview of fluids.

View the MAR, including stopped medications.

View medication history.

OP

View the outpatient prescription list.

When you select an appointment from the outpatient prescription list, you are shown  Outpatients > Patient Detail > Meds.

Read more about the outpatient prescription list

Administer a drug round.

Read more about administering a drug round

Select an option to filter the MAR.

ARR: view arrived on medications.

TTO: view to take out medications.

DUE: view due, overdue, and missed medications and fluids.

To clear the filter view, select .

Compact and Detailed, toggle between the short view and the full view of the MAR.

Select to print the MAR.

The MAR. Use the transport controls to view previous or future days, or select T to centre the view on today.

Read more about the MAR

To open Investigations, select  Inpatients > Patient List > double-click on a patient's name > Patient Detail > Investigations.

Select to view a summary of orders.

Read about viewing orders and order history

R

Select R to view results.

Read about viewing results and result history

Select to review investigation trends on a graph.

Read about viewing specific results on a graph

Select to collect samples.

Read about sample collections

Select to add a new order.

Read about placing orders

Select to request an outpatient order.

Read about placing orders

Start typing to filter the list.

Filter the list by time period or current episode.

To view orders and results in the current episode, the orders and results must contain a valid visit identifier, a PV1-19, known to Nervecentre.

View a summary of information. The information you see depends on the area you are in, for example, a summary of orders, or a summary of results.

From Case Notes, you can view entries in a patient's case notes, and view information in forms and letters.

Forms can contain a range of information, including clinical notes, observations, assessments, blood results, and appointments. You can add information to forms during the patient's journey. You can use forms for clerking, ward rounds, or to record a discussion with a patient or relative.

Nervecentre can generate letters using the information in forms.

Read more about types of entry in a patient's case notes

The current case notes profile. The case notes profile filters the entries shown.

Select to choose a case notes profile.

Select to view summaries of all entries associated with your current case notes profile.

If you select an entry, then select , you can view summaries of all entries under that specific entry.

Type to search for a keyword entered on a form. All forms that contain your search term are shown.

Read more about searching case notes

You can choose how you view forms.

  • To view a summary of the fields on a form that contain information, select Summary.

  • To view the full form, select Forms.

Select to print all forms associated with a specific episode, visit, case, or appointment.

Printed forms only show information that has been populated on the form. Incomplete fields are not shown on the printout.

Read more about printing forms

A list of entries within a patient's case notes. These entries might be episodes, visits, appointments, cases, or interventions.

The layout of these entries depends on the case notes profile.

Select an entry to view a list of related on the right.

Select an intervention to view the associated form on the right.

Information about the selected entry.

A summary of the intervention, or form. This shows:

  • The form's name

  • Who created the form and when they created it

  • Any clinical notes and information in the form

    Blue text shows information updated in the form.

    Black text shows information updated elsewhere in Nervecentre.

The colour of the summary depends on the form's status.

  • In-progress forms are blue

  • Completed forms are grey

  • Cancelled forms are grey, with struck out text

From Primary Care, you can view primary care information shared through GP Connect. For example, prescribed mediations and allergies.

Select a relevant section to see more information.

Choose a date range to filter the available information.