This guide is for Neurology and Gastroenterology Nurse Specialists who will be using Clinical Documentation to update the patient’s record on Sunrise during their Outpatient clinics

 

Step

Tips/Notes

 

Note – You are able to add your most frequently used documents to access all in one place, for easy use. For more details, please refer to the Quick Reference Guide ‘Set Favourite Documents and Default Display’.

 

1

Select the patient you require from the patient list and check the details in the patient banner.

 

Alternatively, search for the patient, ensuring the current appointment is selected as the ‘visit’.

 

2

Click on the ‘Enter Document’ icon on the main toolbar. This is how to start a new document.

 

3

With the Enter Document screen displayed, from the ‘Start of Browse’ list, showing all the document categories, select ‘Outpatient’ to display the Outpatient documents available on the right hand side 

 

4

Or alternatively you can use the search box by typing in ‘OP’

 

5

From the OP document list, double-click on the required document to open it.

 

Alternatively select the document and click the ‘Open’ button

 

Note – a new document will open for each appointment.

6

This is an example of the OP Gastroenterology Multi Professional Record (MPR) document, showing all the available tabs

 



 

7

This is an example of the OP Neurology Multi Professional Record (MPR) document, showing all the available tabs

 

 

8

Within the OP Gastroenterology Multi Professional Record (MPR), there are 2 tabs for the Nurse Specialists:

  • The IBD Specialist Nurse MPR
  • The Liver Specialist Nurse MPR

 

Within the OP Neurology Multi Professional Record (MPR), there are 2 tabs for the Nurse Specialists:

  • MS Specialist Nurse MPR
  • Parkinson’s Nurse MPR

 

9

Click onto the Specialist Nurse tab that you require. Below is an example of the ‘IBD Spec Nurse MPR’

 

10

Note: In the ‘MS Spec Nurse’ tab, the Medication/Drug Monitoring section must be completed correctly as this information is used in the pharmacy audit.

 

11

Note: There are additional tabs on both MPRs that can be used as required. Some are available on both documents and others are only relevant to one of the Specialities.

 


 

 

12

Once you have finished entering the details required, click the ‘Save’ button at the bottom of the document

 

If more information for this appointment is to be added later, ensure the ‘Incomplete’ check box is ticked in the bottom left corner before saving and the status of the document will show as ‘Incomplete’ on the Documents tab

 

13

If you need to return to the MPR to continue entering information, with the patient in context, repeat steps 2-5. 

 

Alternatively, with the patient in context, click on the ‘Documents’ tab

 

14

With the documents screen displayed, select the OP document (OP Gastroenterology MPR or OP Neurology MPR) for the appointment/visit you require (check the date)

 

 

15

Either right click and select ‘Modify Document’

 

Or double-click on the document to open and click the ‘Modify’ tab

 

Or click on the ‘Modify’ icon from the tab toolbar

 


 

 

16

Continue data entry

 

 

17

Once completed, ensure the check box for ‘Incomplete’ at the bottom of the document is unticked and then click the ‘Save’ button

 

The status of the document will show as ‘Complete’ on the Documents tab

 

18

A new MPR document is completed for each outpatient appointment, whether with the Nurse Specialist or the Consultant. 

 

Previous MPRs can be viewed in the documents tab.  For more details, please refer to the Quick Reference Guide ‘Creating Documents – Key Points’.

 


 

 

Title: Outpatient Documentation – Nurse Specialists

Author: Sunrise Training Team - EW 

Date: 28/03/2021

Version: v1.0