Nursing Documentation
SIS’ Nursing module addresses workflow for each phase of the surgery case. Information from each phase is stored in a single database, so there is no need to spend time re-entering information. All phases of perioperative nursing are addressed in this module including: Nursing Pre-admissions Testing, Nursing Pre-op, Nursing Intra-op, Nursing Post-op or PACU, Nursing Post Discharge Follow-up and Quality Assurance.
Furthermore, SIS’ documentation tools have proven to be some of the easiest-to-use tools on the market. To make the documentation process as fast and easy as possible, SIS uses a feature called Clinical Wizards. These documentation wizards intelligently automate each step of the documentation process. For standard procedures, typical case data is preloaded for easy selection. Information in the documentation wizard can be personalized by user, facility, surgeon, case type, data entry event, or service; so it is precisely mapped to the way in which your nurses work. SIS’ easy-to-use wizards let nurses ‘chart by exception’ and support a hospital’s use of clinical pathways, and they drastically reduce charting times and errors by making the data entry of default values, timed events, and specific fields just a single keystroke.
The benefits of SIS’ Nursing Module include:
- Improved patient care through increased clinical time, streamlined processes, reduced variability in practice patterns, and data accuracy
- Simplified compliance with JCAHO patient safety requirements and AORN PNDS
- Elimination of redundant documentation, reduction of incomplete or inaccurate documentation
- Efficient and complete capture of all clinical, financial, patient, and administrative data
- Ability to change screens to suit your hospital's data collection needs
Download the Nursing Documentation data sheet