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Nursing Documentation Aided with Templates

August 20, 2011 posted by Leann Micheals

Leann Micheals, MC4's clinical applications consultant since 2004, is a nurse practitioner. She travels to theater and garrison training events to help medical personnel use MC4 systems.

Documenting nursing care in TC2 can be difficult since the business flow for nursing is not easily replicated in TC2. MC4 created templates in Microsoft Word to better organize nursing documentation.

Drop-down menus and free-text boxes within the templates allow nurses to document the care administered and then enter the information into the lifelong electronic medical record. MC4 produced a guide to protect and unprotect templates in order to utilize the fields and then copy the data into the progress note.

Download TC2 templates from the MC4 website to help assist with nursing documentation.

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