Adding and editing interventions

You can add new interventions, open and continue partially complete interventions, and reopen submitted interventions, depending on your permissions.

Each intervention has an associated form, or forms. Some interventions might allow you to choose the most appropriate form for the intervention.

If you have opened the wrong form, or entered information on a form for the wrong patient, you can cancel the form.

When you cancel an intervention, information you entered into clinical notes on the form remains. If those clinical notes appear elsewhere in the patient's record, the information in those clinical notes might remain, depending on the scope of the clinical note.

For example, if an allergy is added through a form, and the form is then cancelled, the allergy information remains in the patient record and must be removed using other means. This is because the clinical note for allergies has the scope 'Permanent'.

Read more about clinical note scope

Different interventions follow different workflows. The workflow changes what you see and the actions you need to take. For example:

Adding and editing interventions on a mobile

If a form has an optional letter, you can submit the form. If the form has a mandatory letter, or it is part of a complex workflow, you can't submit the form on a mobile.

  1. From your patient list, select a patient.

  2. Select Case Notes.

  3. Select a case notes profile to filter the list of interventions.

    For example, 'ED Current Episode'.

  4. Select and choose an intervention from the list.

  5. If you see No form set, the intervention has a selection of forms you can choose from. Select the intervention and choose the form you want to use.

  6. Select the intervention from the list to open the form.

  7. Complete the form, including all mandatory fields.

    • Mandatory fields are marked .

    • Some fields might already be populated with information added elsewhere in Nervecentre.

  8. From the bottom of the form, select Submit Intervention.

    You must select Submit Intervention at the end of the form to sign the form and capture the moment in time.

  1. From your patient list, select a patient.

  2. Select Case Notes.

  3. Select a case notes profile to filter the list of interventions.

    For example, 'ED Current Episode'.

  4. Select an intervention labelled In progress.

  5. Complete the form, including all mandatory fields.

    • Mandatory fields are marked .

    • Some fields might already be populated with information added elsewhere in Nervecentre.

  6. From the bottom of the form, select Submit Intervention.

    You must select Submit Intervention at the end of the form to sign the form and capture the moment in time.

Depending on your permissions, you can reopen a form that has been submitted. You can only reopen forms that were submitted in the last 12 hours.

Be careful when you reopen a form. The fields in the form might instantly update with any information entered elsewhere in Nervecentre. This applies to clinical notes, observations, results, and assessments.

  1. From your patient list, select a patient.

  2. Select Case Notes.

  3. Select a case notes profile to filter the list of interventions.

    For example, 'ED Current Episode'.

  4. Select an intervention labelled Completed or Cancelled.

  5. From the bottom of the form, select Reopen.

  6. Complete the form, including all mandatory fields.

    • Mandatory fields are marked .

    • Some fields might already be populated with information added elsewhere in Nervecentre.

  7. From the bottom of the form, select Submit Intervention.

    You must select Submit Intervention at the end of the form to sign the form and capture the moment in time.

You can cancel interventions that are in progress or submitted. You might want to cancel a form if you opened the wrong form, entered incorrect information, or entered information in a form for the wrong patient.

  1. From your patient list, select a patient.

  2. Select Case Notes.

  3. Select a case notes profile to filter the list of interventions.

    For example, 'ED Current Episode'.

  4. Select an intervention labelled In progress or Completed

  5. From the bottom of the form, select Cancel Intervention.

Adding and editing interventions on a desktop

  1. Open the patient's record.

    • From  Inpatients, select Patient List > double-click on a patient's name > Patient Detail.

    • From  Outpatients, select Clinic List > double-click on a patient's name > Patient Detail.

  2. Select Case Notes.

  3. From the top of the list on the left, select to choose a case notes profile.

    The case notes profile changes the entries shown.

    Depending on your permissions, you might be able to view all entries in a patient's case notes. To view all entries, select All case notes.

    Read more about case notes profiles

  4. How you add an intervention depends on the layout of the case notes profile.

    Read more about layouts for case notes profiles

    To add an intervention:

    • To a collapsible tree:

      1. Select folders and entries until you find the entry you want to add the intervention to.

        For example, you might want to add an intervention to the case 'Medical case notes'.

      2. Mouseover the entry and select +.

      3. Select the intervention you want to add.

        The interventions available depend on your organisation.

    • To a fixed tree, or a flat layout:

      1. Select an entry you want to add the intervention to.

        For example, you might want to add an intervention to a specific inpatient visit or UEC attendance.

      2. From the top right of the list, select +.

      3. Select the intervention you want to add.

        The interventions available depend on your organisation.

  5. If there is a single form associated with the intervention, the form opens on the right.

    Or, if there are several forms associated with the intervention, from the top of the form, select Choose Form.

    For example, when you add a intervention for clerking, you might see a general clerking form and a specialty-specific clerking form.

  6. Complete the form including all mandatory fields.

    • Mandatory fields are marked .

    • Some fields might already be populated with information added elsewhere in Nervecentre.

  7. Submit the form.

    Depending on your organisation, a warning might appear when you submit the form. This warning appears if another member of staff has edited a clinical note that appears on the form. They might have edited that clinical note in the form or outside the form. The warning lists the clinical notes that were changed and who changed them.

    • To submit the form, select Yes.

    • To return to the form, select No.

When you open a form, Nervecentre might automatically populate the form with relevant information. Sometimes, you might unintentionally leave a form open and not submit it.

When you return to the form, Nervecentre might have automatically updated the form with the most current information. This means the information is no longer the same as when you originally opened the form.

Depending on your organisation, a form might become locked after a set period of time. A locked form displays information from when the form was last viewed or edited.

You can:

  • Submit the locked form with the information from when the form was last viewed or edited

  • Unlock the form to view the current information and to edit the form

Read more about opening an in-progress intervention

  1. Open the patient's record.

    • From  Inpatients, select Patient List > double-click on a patient's name > Patient Detail.

    • From  Outpatients, select Clinic List > double-click on a patient's name > Patient Detail.

  2. Select Case Notes.

  3. From the top of the list on the left, select to choose a case notes profile.

  4. From the list on the left, find an intervention.

    Most interventions show . Infection prevention interventions show .

  5. Select an intervention labelled In progress.

    The form associated with the intervention opens on the right.

  6. If the form is locked, a red warning message displays at the top of the form.

    You can unlock the form or submit the locked form.

    • To unlock and edit the form, select Unlock.

    • To submit the locked form, select Submit Intervention.

    Read more about locked forms

  7. If the intervention is associated with more than one type of form, you can change the type of form.

    From the top of the form, select next to the form's title.

  8. Complete the form including all mandatory fields.

    • Mandatory fields are marked .

    • Some fields might already be populated with information added elsewhere in Nervecentre.

  9. Submit the form.

    Depending on your organisation, a warning might appear when you submit the form. This warning appears if another member of staff has edited a clinical note that appears on the form. They might have edited that clinical note in the form or outside the form. The warning lists the clinical notes that were changed and who changed them.

    • To submit the form, select Yes.

    • To return to the form, select No.

Depending on your permissions, you can reopen a form that has been submitted. You might want to reopen a form if:

  • You made an error in the form that you need to correct

  • You want to send an optional letter associated with the form

You can only reopen forms that were submitted in the last 12 hours.

Be careful when you reopen a form. The fields in the form might instantly update with any information entered elsewhere in Nervecentre. This applies to clinical notes, observations, results, and assessments.

To reopen an intervention, or form:

  1. Open the patient's record.

    • From  Inpatients, select Patient List > double-click on a patient's name > Patient Detail.

    • From  Outpatients, select Clinic List > double-click on a patient's name > Patient Detail.

  2. Select Case Notes.

  3. From the top of the list on the left, select to choose a case notes profile.

  4. From the list on the left, find an intervention.

    Most interventions show . Infection prevention interventions show .

  5. Select an intervention labelled Completed or Cancelled.

    The form associated with the intervention opens on the right.

  6. To reopen the form:

    • From the bottom of the form, select Reopen.

    • From the list on the left, mouseover the intervention, then select > Reopen.

You can cancel interventions that are in progress or submitted. You might want to cancel a form if you opened the wrong form, or entered information in a form for the wrong patient.

  1. Open the patient's record.

    • From  Inpatients, select Patient List > double-click on a patient's name > Patient Detail.

    • From  Outpatients, select Clinic List > double-click on a patient's name > Patient Detail.

  2. Select Case Notes.

  3. From the top of the list on the left, select to choose a case notes profile.

  4. From the list on the left, find an intervention.

    Most interventions show . Infection prevention interventions show .

  5. Select an intervention labelled In progress or Completed.

    The form associated with the intervention opens on the right.

  6. If the intervention has already been submitted, reopen the intervention.

    To reopen the intervention, from the bottom of the form, select Reopen.

  7. If needed, strike out any incorrect information on the form.

    Read more about striking out entries in a clinical note

  8. From the bottom of the form, select Cancel Intervention.

    A warning appears. This warning explains that cancelling the form doesn't strike out any information you entered on the form. If any information on the form is incorrect, you must strike out the information before cancelling the form.

    Depending on your organisation, the warning lists any clinical notes that have been changed in the form, if those clinical notes are used elsewhere in Nervecentre.

    • To continue to cancel the form, select Cancel Form or Yes.

    • To return to the form, select Go Back or No.