Nervecentre V8.1 Help for Users
Viewing and managing a patient's preadmissions
You can view and manage a patient's preadmissions from Patient Detail > Patient admin > Show pathways > TCI. You can edit or cancel a preadmission. You can admit a patient with a preadmission, or record that they didn't attend.
Viewing and managing a patient's preadmissions on a mobile
You can't do this on a mobile.
Viewing and managing a patient's preadmissions on a desktop
Overview of Patient admin > Show pathways > TCI
From Patient Detail > Patient admin > Show pathways > TCI, you can view and manage a patient's preadmissions.
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Select to add a new preadmission to an existing episode of care. Read more about creating a preadmission in an existing episode |
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Pending Preadmissions |
Shows upcoming admissions for the patient. |
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Select to view information about the preadmission. |
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The actions available for the selected preadmission. These depend on the preadmission's status, and the date of the expected admission. You can:
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Completed and Cancelled Preadmissions |
Shows completed and cancelled preadmissions. |
Viewing details about a preadmission
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Open the patient's record.
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From Outpatients > Patient Detail, search for the patient.
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From Inpatients > Patient Detail, search for the patient.
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From Patient Detail > Patient admin > Show pathways, select TCI.
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Select next to a preadmission.
You can:
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Admit the patient using that preadmission
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Record that the patient Did Not Attend (DNA Did Not Attend.)
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Edit the preadmission
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Cancel the preadmission
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Deleting a preadmission
If you created a draft preadmission in error, you can delete the draft preadmission. If the preadmission is no longer a draft, you must cancel the preadmission, or record a DNA Did Not Attend..
Read more about cancelling a preadmission
Read more about recording a DNA
To delete a draft preadmission:
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Open the patient's record.
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From Outpatients > Patient Detail, search for the patient.
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From Inpatients > Patient Detail, search for the patient.
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From Patient Detail > Patient admin > Show pathways, select TCI.
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From Pending Preadmissions, select the preadmission, or select next to a preadmission.
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Select Delete Preadmission.
Editing a preadmission
You can edit a preadmission to change the date and time you expect the patient to arrive for admission, and to change the ward and bed the patient is admitted to when they arrive.
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Open the patient's record.
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From Outpatients > Patient Detail, search for the patient.
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From Inpatients > Patient Detail, search for the patient.
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From Patient Detail > Patient admin > Show pathways, select TCI.
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From Pending Preadmissions, select the preadmission, or select next to a preadmission.
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Select Edit Preadmission.
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Enter time you expect the patient to arrive.
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Select the ward the patient is admitted to when they arrive.
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Select the bed the patient is admitted to when they arrive.
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Select Update.
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Select a correspondence option to change who the letters are sent to.
To not send the letters, select None.
The options you see depend on your organisation.
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Select Click to preview letters.
The letters appear in your organisation's PDF viewer.
A list of letters appears on the right. This shows the recipient of each letter and how the letter is delivered. For example, 'GP - MESH' or 'Patient - Manual print'.
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Select Send.
Automatic cancellation of preadmissions
Nervecentre can automatically cancel some preadmissions.
For example:
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If a patient called NHS 111 to cancel their appointment at UEC, NHS 111 can send a cancellation message to Nervecentre. Nervecentre then cancels the preadmission.
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If a patient's planned procedure was cancelled, Nervecentre cancels the preadmission for that procedure.
Cancelling a preadmission
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Open the patient's record.
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From Outpatients > Patient Detail, search for the patient.
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From Inpatients > Patient Detail, search for the patient.
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From Patient Detail > Patient admin > Show pathways, select TCI.
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From Pending Preadmissions, select a preadmission, or select next to a preadmission.
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Select Cancel Preadmission.
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For some types of preadmission, you can return the patient to a waiting list. For example, a preadmission for a procedure.
From Return to Waiting List, select an option.
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Select who cancelled the preadmission.
For example, the patient, or the provider.
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Select why they cancelled the preadmission.
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Enter any notes.
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Select Confirm.
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Select a correspondence option to change who the letters are sent to.
To not send the letters, select None.
The options you see depend on your organisation.
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Select Click to preview letters.
The letters appear in your organisation's PDF viewer.
A list of letters appears on the right. This shows the recipient of each letter and how the letter is delivered. For example, 'GP - MESH' or 'Patient - Manual print'.
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Select Send.
Admitting a patient who has a preadmission
On the day a patient is expected to arrive, you can admit a patient using their preadmission.
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Open the patient's record.
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From Outpatients > Patient Detail, search for the patient.
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From Inpatients > Patient Detail, search for the patient.
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From Patient Detail > Patient admin > Show pathways, select TCI.
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From Pending Preadmissions, select a preadmission, or select next to a preadmission.
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Select Admit.
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Complete the form, including all mandatory fields.
Mandatory fields are marked .
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Select Admit.
The label on this button depends on the type of visit. For example, a visit to an inpatient ward, or a visit to SDEC.
Recording that a patient didn't attend
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Open the patient's record.
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From Outpatients > Patient Detail, search for the patient.
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From Inpatients > Patient Detail, search for the patient.
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From Patient Detail > Patient admin > Show pathways, select TCI.
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From Pending Preadmissions, select a preadmission, or select next to a preadmission.
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Select Record DNA.
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Select the reason the patient didn't attend.
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Enter any notes.
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Select Continue.
The preadmission's status changes to 'DNA, outcome required'.
Recording the outcome for a patient who didn't attend
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Open the patient's record.
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From Outpatients > Patient Detail, search for the patient.
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From Inpatients > Patient Detail, search for the patient.
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From Patient Detail > Patient admin > Show pathways, select TCI.
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From Pending Preadmissions, select a preadmission with the status 'DNA, outcome required'.
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Select Outcome DNA.
A form appears.
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From Outcome, select an outcome.
More options appear. These options depend on the outcome you chose.
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Select options until Continue appears.
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Select Continue.
What appears next depends on the options you chose.
One of the following appears:
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Future Activity
You must decide what happens to other activities related to the preadmission.
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Actions Taken / Required
Shows any actions Nervecentre has automatically done. For example, added the patient to a PIFU list or waiting list.
Shows any actions you need to do before you can record the outcome. For example, list a procedure, or book an appointment.
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No Actions Required
Appears when you don't need to anything other than record the outcome.
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Select Complete Outcome.
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Optional: depending on the outcome you selected, you can send letters about that outcome.
For example, you might need to send letters when you discharge a patient, or add them to a waiting list.
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Select a correspondence option to change who the letters are sent to.
To not send the letters, select None.
The options you see depend on your organisation.
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Select Click to preview letters.
The letters appear in your organisation's PDF viewer.
A list of letters appears on the right. This shows the recipient of each letter and how the letter is delivered. For example, 'GP - MESH' or 'Patient - Manual print'.
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Select Send.
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