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User Guide
A comprehensive guide to all Nurse Charting Pro features and how to use them effectively in your daily workflow.
Room Assignment & Management
Assigning Patients to Rooms
Efficiently manage your patient assignments with our intuitive room assignment interface.
- From the home screen, tap "Room Assignment"
- Tap on an empty room or tap "Add Assignment"
- Enter patient information (name, room number, bed, medical record number)
- Save the assignment
- The patient will now appear in your active room list
Managing Assignments
- Swipe left on any assignment to edit or remove it
- Tap on a room to view patient details and begin charting
- Room status indicators show chart completion progress
- Filter and sort rooms by various criteria
Patient Charting
Charting Categories
Chart across multiple categories designed to capture comprehensive patient information:
Environment & Status:Room environment, awake/asleep status
Mental & Emotional:Mental status, mood, affect
Thought & Behavior:Thought processes, behavioral observations
Safety Assessment:Safety concerns, risk assessment
Speech & Interactions:Communication, social interactions
Function & Daily Living:ADLs, functional abilities
Medical & Monitoring:Vital signs, medical observations
Summary & Monitoring:Overall summary, monitoring notes
Charting Workflow
- Tap on a patient room from your assignment list
- Select a charting category (e.g., Safety, Comfort)
- Complete the checkboxes and fields for that category
- Add notes or observations as needed
- Tap "Save" to record your chart entry
- Repeat for other categories as needed
Shift Management
Starting a Shift
Begin your shift with one tap:
- From the home screen, tap "Start Shift"
- Confirm your shift details and time
- Your shift timer begins automatically
- Proceed with room assignments and patient charting
Ending a Shift & Handoffs
Complete your shift and generate handoff reports:
- Tap "End Shift" when ready to complete your shift
- The system automatically generates comprehensive handoff reports
- Review charting completion status for all patients
- Share handoff information with incoming shift staff
- Export shift summary for your records
AI-Powered Features
AI Narrative Generation
Transform your checkbox charting into professional nursing narratives automatically using our AI technology.
To generate a narrative:
- Complete charting for a patient
- Tap the "Generate Narrative" button
- The AI analyzes your chart data and creates a professional narrative
- Review and edit the narrative as needed
- Save or export the narrative for documentation
Premium Feature: AI narrative generation requires a Pro subscription. Save hours on documentation with intelligent narrative generation.
Chart History & Reports
Viewing Chart History
Access complete patient chart history:
- Tap on a patient room
- Select "Chart History" from the menu
- View all previous chart entries with timestamps
- Filter by category or date range
- Review trends and patterns in patient care
Exporting & Sharing
- Export charts to PDF format
- Share securely via encrypted channels
- Generate custom reports for quality improvement
- Comply with facility documentation requirements