Clinical Record

Viewing and managing the patient clinical record

26 articles

Clinical views: Menopause and Functional medicineVideoSwitch on a clinical view for your practice, then pin it to the patients it suits to see their care in one place.Introduction to MedicationVideoHow medication works in Jump end to end - adding a medication from the patient record, the prescribing checks and dosages, acute and repeat authorisations, and sending or printing the prescription.Give someone authority to act for a patientVideoHow to grant, review and end proxy access - a parent acting for a child, a carer acting for the person they care for - and what the patient sees in their portal.Failed-booking alerts and questionnaire red-flag escalationWhy "Failed booking" alerts and automatic red-flag urgency on episodes appear in your practice.Family and social history on the patient recordWhere to find and how to record family history and social history on the patient record.Locking the prescriber to the signed-in clinicianControl whether prescribing and reauthorising attribute to the signed-in clinician or allow free choice.Drug-Drug Interaction AlertsAutomatic safety alerts when prescribing medications with known interactions.Ordering Lab TestsVideoOrder pathology tests via TDL or Salient Bio, select tests from the catalogue, generate QR codes, and print request forms.Managing MedicationsVideoView and manage a patient's acute and repeat medications, including adding, pausing, stopping, and reauthorising.Navigating the Patient RecordVideoUnderstand how the patient record is structured, including the main tabs, clinical record sidebar, and patient sidebar.Managing Problems and DiagnosesVideoAdd, edit, and track patient problems with SNOMED coding, significance levels, and status management.Managing ReferralsVideoCreate and track referrals to other services with priority levels, status tracking, and linked documents.Recording ObservationsVideoRecord vital signs and clinical measurements such as blood pressure, heart rate, temperature, weight, and height.Managing Lab OrdersTrack lab order statuses, view order details, monitor result progress, and manage orders from the Lab Requests page.Issuing a PrescriptionVideoCreate a prescription from issued medications, review patient details, select a prescriber and issue method, and send or save the prescription.Creating a ReferralVideoCreate a referral to a specialist or service with SNOMED-coded specialties, contact selection, clinical reasons, and priority.Recording AllergiesVideoRecord drug and non-drug allergies with criticality levels, reactions, and NKDA status.Using the Patient SummaryVideoUse the Summary tab for quick actions, view draft consultations, recent activity, and open tasks at a glance.Care History and EpisodesVideoView the chronological clinical timeline and manage episodes of care for patient pathways.Scan.com imaging referralsRefer a patient for an MRI, CT, X-ray or ultrasound scan from their record. The patient chooses the centre and time, and pays, on Scan.com.Prescribing Safety AlertsVideoHow First Databank screens a medicine for allergies, interactions, contraindications and duplicate therapy, how to continue past a red alert, and how a practice can opt out.Viewing Lab ResultsVideoView lab results in the patient record, understand abnormal flags and reference ranges, switch between rich and classic views, and view PDF reports.Filing Lab ResultsVideoMatch incoming lab results to patients, review abnormal values, add clinical codes, create follow-up tasks, and finalise filing.Reauthorising, Changing, and Stopping MedicationsVideoExtend repeat medications, change medication types, and stop medications with a documented clinical reason.Recording a medication someone else managesVideoRecord a medication on a patient's record without managing it yourself - a medicine their NHS GP or another clinic looks after - and capture who does.Pathology ReportingUse the Pathology page to view lab requests, incoming results, and analytics on test volumes and turnaround times.

Medications

Introduction to MedicationVideoHow medication works in Jump end to end - adding a medication from the patient record, the prescribing checks and dosages, acute and repeat authorisations, and sending or printing the prescription.Locking the prescriber to the signed-in clinicianControl whether prescribing and reauthorising attribute to the signed-in clinician or allow free choice.Drug-Drug Interaction AlertsAutomatic safety alerts when prescribing medications with known interactions.Managing MedicationsVideoView and manage a patient's acute and repeat medications, including adding, pausing, stopping, and reauthorising.Issuing a PrescriptionVideoCreate a prescription from issued medications, review patient details, select a prescriber and issue method, and send or save the prescription.Prescribing Safety AlertsVideoHow First Databank screens a medicine for allergies, interactions, contraindications and duplicate therapy, how to continue past a red alert, and how a practice can opt out.Reauthorising, Changing, and Stopping MedicationsVideoExtend repeat medications, change medication types, and stop medications with a documented clinical reason.Recording a medication someone else managesVideoRecord a medication on a patient's record without managing it yourself - a medicine their NHS GP or another clinic looks after - and capture who does.

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