Nervecentre V8.1 Help for Users

Overview of Inpatients > Patient Detail

You can view patient records from Patient Detail.

Patient Detail

From  Inpatients > Patient Detail, you can view, record, and edit patients' demographic and clinical details.

Patient Detail is the main inpatient area for managing clinical care. When you select Patient Detail you arrive in Clinical.

	Move between patients on the same patient list.
	Information about the patient, including their hospital and NHS numbers, their demographic information, and any patient tags. Mouseover  to see the patient's address. Select ▼ to search for a patient.
	Information about the patient's current visit, including their location, time in hospital, and specialty. If the patient is an inpatient, Ward / Bed is shown. Ward / Bed shows the ward and bed the patient is in. If the patient is an ED patient, Area / Locn is shown. Area / Locn shows the area and location the patient is in. Admitted shows the date the patient was admitted and the time since admission. For inpatients, the time since admission is shown in hours, then after 24 hours has passed, the days since admission is shown. For ED patients, the time since admission is shown in hours, then after 24 hours has passed, '>24 hours' is shown. Consultant / Specialty shows the name of the consultant and the consultant’s specialty. Select ▼ to transfer a patient. Read more about viewing information about the patient's current visit Read more about transferring a patient
	Navigate between the clinical areas of Patient Detail. Select  to see more areas.

Search/Register

From Patient Detail > Search/Register, you can search for and register patients.

Quick Entry	Enter the patient's date of birth, last name, first name, or postcode for a quick search. The patient’s date of birth must have the format dd/mm/yyyy.
Date of Birth	Enter the patient's date of birth. The patient’s date of birth must have the format dd/mm/yyyy.
Surname	Enter the patient's last name.
Forename	Enter the patient's first name.
Postcode	Enter the patient's postcode.
Lookup Patient	Select to search for the patient. Read more about searching for a patient
Register as New Patient	Select to register the patient if Lookup Patient returns no results.
Register Unknown Patient	Select to register a patient with unknown details. For example, a patient who arrived unconscious, with no ID.
Clear Form	Select to clear all search criteria.

Summary

From Summary, you can view a summary of administrative information. This is where you would check to see if the patient's information is correct when you admit a patient known to Nervecentre. You can view and edit patient photos here too.

Shows information about the patient.

You can edit the patient's details from Edit Details.

Read about editing a patient's details

The header displays the status of the patient's record, for example, Matched with PDS.

Read more about sensitive patients

The fields shown depend on your organisation.

	Enter the patient's title, full name, and preferred name. Select Other Names to add other names the patient uses.
NHS Number	Shows the patient's NHS number A unique 10 digit number given to patients in England and Wales. A patient is given an NHS number when they are born, or on their first visit to a healthcare provider..
Verified	Shows if the patient's NHS number is verified.
	Select if the patient is pregnant or not. If the patient is pregnant, you can enter when their last menstrual period was, and Nervecentre estimates the patient's due date. You can edit the patient's due date.
Date of Birth / Age	Enter the patient's date of birth, or an estimated age.
Gender Identity / Sex	Select the patient's gender identity and their assigned sex at birth.
Marital Status	Select the patient's marital status.
	Enter the patient's primary address.
Temporary Address	Select if the patient has a temporary address. Enter the patient's temporary address, and enter a date when the patient is no longer at that temporary address. You must enter an end date. For example, Doris has a hip replacement and goes to stay with her daughter for 6 weeks while she recovers. Her temporary address is her daughter's address, and the end date is in 6 weeks.
Correspondence Address	Select if the patient has a correspondence address. Enter the name of the correspondence, and the address of the correspondence. A correspondence address can have an end date if needed. For example, Tim is 19 years old and he had a disagreement with his parents. Tim left his parents house and is currently staying with his uncle. Tim doesn't know if he will move back to his parents or permanently leave, so you don't add an end date.
Contact Details	Select to add or remove contact details for the patient. You can add a phone number, an email, a fax, or another method.
Preferred Letter Delivery	Select to choose the patient's preferred method of receiving letters. For example, post, or email.
Preferred Letter Format	Select to choose the patient's preferred format for letters. For example, large print, braille, audio tape, or easy read.
SMS consent	Select if the patient consents to receive SMS messages.
Preferred Notification Delivery	Select to choose the patient's preferred method of receiving notifications. For example, SMS or email. If the patient's preferred method is SMS, you must add a valid phone number to the patient's contact details.
Has App	Shows if the patient has the Nervecentre patient app.
Communication restriction	Select a restriction for communicating with the patient. For example, the patient is in prison. You can enter a date when this restriction ends.
Related people	Select to add and remove people related to the patient. For example, the patient's parent, guardian, or carer.
GP	Select to add the patient's GP, and the address of the patient's GP practice.
Pharmacy	Select to add the address of the patient's preferred pharmacy.
Dental Practice	Select to add the address of the patient's dentist.
Optician	Select to add the address of the patient's optician.
Appliance Contractor	Select to add the address of the patient's appliance contractor. Appliance contractors dispense medical devices. For example, a stoma, colostomy equipment, and medicated dressings.
EPS Exemption Status	Select to choose an EPS exemption. For example, if the patient is a cross-border patient between England and Wales, this is recorded on the patient's record as an EPS exemption. This means you can't send a prescription for the patient by EPS Electronic Prescription Service. An NHS service only available in England.This service allows prescribers to send prescriptions to community pharmacies. The pharmacies can dispense medications to patients..
Allergies, intolerances, and adverse reactions	Select to add any allergies or intolerances the patient has. Read more about adding a patient's allergies
Alerts	Select to add any alerts that apply to the patient. The alerts available depend on your organisation.
School	If the patient is in school, select the address of their school.
Language	Select the patient's primary language.
Translation	Select if the patient needs a translator.
Ethnic Origin	Select the patient's ethnic origin.
Religion	Select the patient's religion.
Occupation	Enter the patient's occupation.
Withheld Identity	Select if the patient's identity is being withheld.
Armed Forces Indicator	Select if the patient is an ex-service member, or a dependant of an ex-service member.
Disabilities	Select to add any disabilities the patient has.
	Enter where the patient was born.
Birth Order	Select an option. Where a patient is born in a multiple birth, Birth Order shows the order in which they were delivered. For example, if the patient was born before their twin, select 1st.

Clinical

From Clinical, you can access summaries of clinical information. These provide you with a picture of the latest information.

To view more information about the patient, you can:

Select parts of the summaries
Select options under the patient banner

	Select to print information about the patient. Found in the top right corner. Read more about printing patient information
	Select to view sent letters. Found in the top right corner. Read more about viewing sent letters
Referral, Appointments & Procedures	Shows referrals, upcoming appointments, and procedure in this episode of care. Read more about referrals, appointments, and procedures
Observations	Shows observation and fluid balance charts. Select to view graphical trends of observations and fluid balance. Read more about observations Read more about fluid balance
Protocol Driven Actions	Not in this release.
	Shows clinical notes that are in the selected clinical note profile. You might have access to more than one clinical note profile. Select  to choose a clinical note profile. You can use clinical notes to facilitate a ward round or clinical handover. Sometimes clinical notes update information shown elsewhere in Nervecentre. For example, the clinical note for allergies is found here, in forms, in patient list dashboards, and in EPMA. Read more about clinical notes
Investigations	Shows recent orders and test results. Results that are abnormal might be coloured red to show you a result is outside of a tolerated range. Select a test, order, or result to view more information. Select to view graphical trends of results. Read more about investigations
Current Medications	A summary of current medications. Shows all prescribed medications and whether they need to be given or not. Select the medication name to view more information about the prescription. Read more about current medications
Care Plans	Shows all active and inactive care plans. Select to view, add, and edit care plans, and to record compliance. Select to view a chart showing the history of the care plan. Read more about care plans
Tasks	Shows tasks that have been raised by Nervecentre or other users. You can filter to show all, open, scheduled or closed tasks for this patient episode. Depending on your permissions, you might be able to accept, assign and progress tasks. Select + to raise a task. Read more about tasks
Assessments	A list of assessments. Shows their status and outcome. Select + to add a new assessment. Select  to repeat an assessment or to countersign the assessment. Select to view an assessment chart. Read more about assessments
Staff	Shows all staff logged into Nervecentre on their mobile, with this patient active on their patient list. Any permanent and elective roles are shown. For example, you might use this to see who is logged in as a doctor and can review this patient.
Visit History	A summary of previous visits. Shows you information about the location, diagnosis, consultant, speciality and dates of the visit. Select the date of a visit. Depending on your permissions, you might be able to view a summary of clinical information for that visit, and edit it.
External Applications	Select the name of an external system to access it. Depending on your organisation, these might launch in Nervecentre, take you to the patient in context in the named system, or take you to a log in page.

Admit to ED

Depending on your permissions, you can access Admit to ED. From Admit to ED, you can complete an admission form and admit a patient to UEC. This form is also available from Patient admin.

The form.

Complete all mandatory fields. Mandatory fields are marked .

Your form might look different. Your organisation configures forms.

Progress buttons. You can select these when you have completed all mandatory fields on the form.

To admit a patient to UEC, select Admit to ED.
To print patient identification labels and an attendance record, select Print Labels/Attendance Record.
To print the patient's wristband, select Print Wristbands.

Triage

From Triage, you can complete a triage form. This form is also available from Case Notes.

The form.

Complete all mandatory fields. Mandatory fields are marked .

Your form might look different. Your form depends on your organisation.

Progress buttons. You can select these when you have completed all mandatory fields on the form.

To submit the form, select Submit Intervention.
To strike out the form, select Cancel Intervention.

This doesn't remove any entries you added to the form. You must remove these manually.

Clerking

From Clerking, you can complete a clerking form. This form is also available from Case Notes.

The form.

Complete all mandatory fields. Mandatory fields are marked .

Your form might look different. Your form depends on your organisation.

Progress buttons. You can select these when you have completed all mandatory fields on the form.

To submit the form, select Submit Intervention.
To strike out the form, select Cancel Intervention.

This doesn't remove any entries you added to the form. You must remove these manually.

Meds

When you first select Meds from Patient Detail, you see the MAR Medicines Administration Record. Also known as drug chart. A list of all medication prescribed and administered (given)..

The EPMA banner appears at the top of all pages within Meds. Select fields to enter information. Mandatory fields show . You must complete mandatory fields or override mandatory fields with a reason before you can prescribe any medications.

Overriding is fully audited. Only override mandatory fields in an emergency.

Read more about the MAR

Investigations

To open Investigations, select  Inpatients > Patient List > double-click on a patient's name > Patient Detail > Investigations.

	Select  to view a summary of orders. Read about viewing orders and order history
R	Select R to view results. Read about viewing results and result history
	Select  to review investigation trends on a graph. Read about viewing specific results on a graph
	Select  to collect samples. Read about sample collections
	Select  to add a new order. Read about placing orders
	Select  to request an outpatient order. Read about placing orders
	Start typing to filter the list.
	Filter the list by time period or current episode. To view orders and results in the current episode, the orders and results must contain a valid visit identifier, a PV1-19, known to Nervecentre.
	View a summary of information. The information you see depends on the area you are in, for example, a summary of orders, or a summary of results.

Procedures

From Patient Detail > Procedures, you can list procedures a patient needs.

+	Select to list a procedure.
	The workflow for the procedure. The forms and buttons you see during this workflow depend on your organisation.
	Select to print the form, view sent letters, or view the history of the procedure. Read more about printing forms Read more about sent letters Read more about viewing the history of a procedure
	Listed procedures for the patient. Select a procedure to view pre-op appointments for that procedure.
	A form for listing the procedure. Other forms can appear as the workflow progresses.
	Select to use Quick Fill. Read more about using Quick Fill

Case Notes

From Case Notes, you can view entries in a patient's case notes, and view information in forms and letters.

Forms can contain a range of information, including clinical notes, observations, assessments, blood results, and appointments. You can add information to forms during the patient's journey. You can use forms for clerking, ward rounds, or to record a discussion with a patient or relative.

Nervecentre can generate letters using the information in forms.

	The current case notes profile. The case notes profile filters the entries shown. Select to choose a case notes profile.
	Select to view summaries of all entries associated with your current case notes profile. If you select an entry, then select , you can view summaries of all entries under that specific entry.
	Type to search for a keyword entered on a form. All forms that contain your search term are shown. Read more about searching case notes
	You can choose how you view forms. To view a summary of the fields on a form that contain information, select Summary. To view the full form, select Forms.
	Select to print all forms associated with a specific episode, visit, case, or appointment. Printed forms only show information that has been populated on the form. Incomplete fields are not shown on the printout. Read more about printing forms
	A list of entries within a patient's case notes. These entries might be episodes, visits, appointments, cases, or interventions. The layout of these entries depends on the case notes profile. Select an entry to view a list of related on the right. Select an intervention to view the associated form on the right.
	Information about the selected entry.
	A summary of the intervention, or form. This shows: The form's name Who created the form and when they created it Any clinical notes and information in the form Blue text shows information updated in the form. Black text shows information updated elsewhere in Nervecentre. The colour of the summary depends on the form's status. In-progress forms are blue Completed forms are grey Cancelled forms are grey, with struck out text

Charts

From Charts, you can view charts that contain data from Nervecentre. These charts help you to understand if your interventions are changing the clinical picture. Charts can include medications, lab results, case notes, tasks, and observations.

< More charts	Select to return to the list of charts.
	Name of the chart. Select to choose another chart to view.
	Select to favourite a chart.
	Select to pin a chart.
	Select to edit the chart. Depending on your permissions, you can edit a chart. Read more about editing charts
Now	Select to view the current time. A red line on each widget marks the current time.
	Select to zoom in, or to view a shorter time period. For example, hours instead of days.
	Select to zoom out, or to view a longer time period. For example, weeks instead of days.
Hour	Select to view the data over an hour.
Day	Select to view the data over a day.
Week	Select to view the data over a week.
Month	Select to view the data over a month.
Reset	Select to reset the chart back to the default level of magnification.
	Not in use.
	A widget. The name of the widget appears in a grey bar at the top of the widget. Mouseover a widget to highlight a specific time period, and to view data over that time period.
	A legend for a line graph. This lists the series the line graph displays. Select the left side of the legend and drag to move the legend. Select the name of a series to change how the series displays. The display options you choose aren't saved.

Depart

Depending on your permissions, you can access Depart. From Depart, you can complete the depart form and send a letter to the patient's GP.

When your patient is ready to leave, you can choose an appropriate depart form to complete, for example, depart home. Nervecentre populates the form with information relating to the patient's departure. When the form is complete, Nervecentre generates a letter that you can send to the patient's GP.

Select  to choose the appropriate depart form.

For example, depart home, depart and admit to an inpatient ward, or depart and attend to SDEC Same Day Emergency Care. These areas aim to complete treating patients without a hospital admission or overnight stay. These areas don't have a four hour target..

The depart form.

Select fields to enter information. Mandatory fields are marked .

Your form might look different. Your organisation configures forms.

Progress buttons. Select these when you have completed the form.

Depart	Select to depart the patient from Nervecentre. You can select this after you have saved the form.
Save	Select to save the information you entered in the form. You can then depart the patient.
Preview Depart Letter	Select to view the letter that Nervecentre sends to the GP. The letter contains information about the patient's attendance. You can print the letter.

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	Select an option to view administrative information about the patient, or to perform a specific action.
	Shows different information depending on the option you chose.
Show pathways	Select to view all episodes of care. You can view all activities in those episodes of care, including referrals, appointments, preadmissions, visits, procedures, PIFU Patient Initiated Follow-Up. Allows patients and their carers the flexibility to arrange their follow-up appointments as and when they need them. pathways, and waiting list entries.
Record new referral	Select to create a new referral. Read about creating a new referral
E-RS Refresh	Select to retrieve referrals, and advice and guidance requests, from e-RS Electronic Referral Service. Used by GPs/patients to book initial appointments with specialists at a convenient time. This would replace the current system where a referral is made to the specialist who then sends out a letter with an appointment – if the patient can’t attend that appointment they’ll have to call back and rearrange.. To retrieve information for e-RS, you must be logged in with your Care Identity account and have appropriate permissions. Read about retrieving referrals from e-RS
Admit	Select to admit the patient. Read about admitting an inpatient Read about recording attending patients in UEC Read about admitting a ward attender Read about admitting a patient to an assessment unit Read about admitting a patient to a virtual ward
Preadmit	Select to preadmit the patient. Read about creating preadmissions
Transfer	Select to transfer the patient to another ward, bed, area, or location. Read about transferring a patient between wards Read about transferring a patient between consultants and specialties Read about transferring a patient between areas in UEC
Discharge from ward	Select to discharge the patient. Read about discharging an inpatient
Depart from ED	Select to depart the patient from an ED area 'Emergency department' areas. These areas can be in emergency departments, urgent treatment centres, urgent care centres, and minor injury units. These areas handle acute and non-acute medical emergencies, and they have a four hour target.. Read about departing a patient from an ED area
Discharge from assessment unit	Select to discharge the patient from an assessment unit, or to depart the patient from SDEC Same Day Emergency Care. These areas aim to complete treating patients without a hospital admission or overnight stay. These areas don't have a four hour target.. Read about discharging a patient from an assessment unit Read about departing a patient from SDEC
Discharge ward attender	Select to discharge the ward attender. Read about discharging a ward attender
Discharge from virtual ward	Select to discharge the patient from a virtual ward. Read about discharging a virtual ward
Put on home leave	Select to put the patient on home leave. Read about putting an inpatient on home leave
Update home leave	Select to update the patient's home leave. Read about updating an inpatient's home leave
Return from home leave	Select to record the patient's return from home leave. Read about recording an inpatient's return from home leave
Cancel home leave	Select to cancel the patient's home leave. Read about cancelling an inpatient's home leave
Edit details	Select this to update information about the patient. This is the same information you see from Edit Details and Summary. Read about editing a patient's details
Show change history	Select this to view the history of changes to a patient's demographics. This includes changes to a patient's address and GP. Read about viewing the history of changes
PDS Lookup	Select to view information about a patient from PDS Personal Demographic Service, an NHS system. The PDS helps healthcare professionals to identify patients and match them to their health records. It also allows them to contact and communicate with patients.. Read about viewing patient information from PDS
PDS Related People	Select to view people that are associated with this patient. Nervecentre checks PDS Personal Demographic Service, an NHS system. The PDS helps healthcare professionals to identify patients and match them to their health records. It also allows them to contact and communicate with patients. to find this information. Read about viewing a patient's related people
Patient Identifiers	Select to view a patient's identifier numbers A number that identifies the patient. For example, a hospital number, NHS number, or local patient identifier., for example, a patient's NHS number or hospital number. Read about viewing and managing a patient's identifiers
Print wristband and label	Select to print the patient's wristband. Read about printing a patient's wristband
Patient deceased	Select to mark a patient as deceased or alive. Read about marking a patient as deceased
Manage case notes	Select to view, track, and manage a patient's physical case notes. Read about viewing a patient's physical case notes
View sent letters	Select to view all letters created for the patient. This is divided into three sections: scheduled letters, letters that need attention, and sent letters. Read viewing sent letters
Send letter or SMS	Select to create and send an ad-hoc letter or SMS. Read about sending ad-hoc letters and SMS
eMed3 Fit Notes	Select to view previous fit notes. You can create new fit notes, duplicate fit notes, and delete fit notes. Read about fit notes
Merge patient	Select to merge two patient records. Read about merging patient records
View merge history	Select to view the history of merges between this patient record and any other patient records. Read about merging patient records
View reports	Select to run subject access requests for the patient. Read about subject access requests
View Worklist items	Select to view back office worklists.
View Allergies	Select to view a patient's allergies using GP Connect.
View Medications	Select to view a patient's medications using GP Connect.
View EPS	Select to view and manage medication orders sent to EPS Electronic Prescription Service. An NHS service only available in England.This service allows prescribers to send prescriptions to community pharmacies. The pharmacies can dispense medications to patients.. Read about viewing and managing prescriptions sent by EPS

	Select a relevant section to see more information.
	Choose a date range to filter the available information.