Nervecentre V9.0 Help for Users

What's new in this Help

Our Help is a work in progress. This article summarises new and changed information in each version of Nervecentre Help.

Nervecentre V9.0

Help V1.0

You can now send feedback in an email from any page in the online Help.

General

What's new?	Where can I find that?
Updated overviews for a mobile and desktop.	Overview of Nervecentre on a mobile Overview of Nervecentre on a desktop
Added more information about logging into Nervecentre multiple times.	Logging in and out
Updated our help about when Nervecentre automatically logs you out on a desktop.	Logging in and out
Updated help for using the clipboard.	Using the clipboard
Added help for locking a window in Nervecentre.	Locking a window in Nervecentre

Clinical notes

What's new?	Where can I find that?
You can now view a chart of clinical notes from the clinical notes summary.	About clinical notes
Depending on your organisation, you might need to add a reason when you remove an entry from a SNOMED CT clinical note.	Updating SNOMED CT clinical notes
You can now include items from the clipboard in messages.	Updating citation clinical notes
Coded advanced clinical notes can have a column for text, and a column for a date and time. Comments have moved from a box, to a column.	Updating coded advanced clinical notes
Added help for recording allergies. To remove an allergy, you now need to enter a reason for removing the allergy.	Recording allergies
Added help for recording diagnoses.	Recording diagnoses

EPMA

What's new?	Where can I find that?
You can now view a patient's allergies and medications from Welsh SMR.	Viewing a patient's medications and allergies from Welsh SMR
When you remove an allergy, you must now enter a reason for removing the allergy.	Before you prescribe and administer medication Before you prescribe and administer medication to outpatients
You can now search for order sets.	Creating a new prescription
You can now view policy documents earlier when prescribing an order set.	Creating a new prescription
Depending on your permissions, you can prescribe non-formulary VTMs.	Creating a new prescription
Depending on your permissions, you can prescribe PGDs Patient Group Directions. These provide a legal framework that allows some registered health professionals to supply and administer specified medicines to a pre-defined group of patients, without having to see a prescriber, such as a doctor or nurse prescriber. PGDs vary depending on your organisation.. From V9.0, you can also stop PGDs.	Stopping prescriptions
When you stop a prescription because the patient had an adverse reaction, you can create and complete a yellow card report. You can also create and complete yellow card report from  Back office.	Stopping prescriptions Creating a yellow card report for an adverse reaction Viewing yellow card reports
The 'five rights' screen now shows a warning if a patient's allergies match a medication you are administering.	About administering medications
Depending on your organisation, you can now prepare medications, and then administer those medications altogether. You might know this as 'pot and dot'.	Preparing and administering medications
You can now administer intermittent infusions. You can see these on the MAR under Regular Medicines.	Administering fluids and infusions
New options appear when you create a TTO list. You can choose to include all arrival medications, or only changed arrival medications.	Creating a TTO list
To add a stopped arrival medication to the TTO list, you now select + Re-Add to TTO instead of .	Creating a TTO list
When you send an outpatient prescription to a community pharmacy 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., you can now search for a dispensary by postcode.	Requesting dispensing from a community pharmacy
To view prescriptions sent to community pharmacies that were then cancelled by those pharmacies, you now select Subsequent Cancel by Pharmacy instead of Cancel by Pharmacy.	Viewing and managing prescriptions sent to community pharmacies

What's new?	Where can I find that?
Added help for viewing a list of stopped medications.	Viewing stopped medications
Added help for viewing the history of a specific medication.	Viewing medication history
Added an overview of Arrived on.	About arrival medications
Added help for viewing a patient's allergies and medications from GP Connect.	Viewing information about a patient from GP Connect
Added help about prescribing PGDs on a desktop.	Creating a new prescription
Added help for setting a daily dose for a prescription on a mobile.	Changing prescriptions
Added help for setting a final date for a course of medication on a mobile.	Stopping prescriptions
Expanded our help for administering fluids and infusions.	Administering fluids and infusions
Added help for adjusting and omitting doses on a desktop.	Modifying, missing, or delaying a dose
Added help for recording that a missed dose was not given.	Modifying, missing, or delaying a dose
Added an overview of the discharge workflow.	About the discharge process
Added an overview of TTO on a desktop.	About TTOs
Added help for adding a duration, TTO supply, dispense quantity, GP action, and additional information on a desktop.	Editing and viewing TTO medications
Added help for deleting a TTO prescription on a mobile.	Deleting a TTO list, or a specific TTO medication
Added more information about reporting from  Pharmacy, including the search criteria you can choose.	Pharmacy reporting
Updated overviews for: The medication list and prescription timeline on a mobile The MAR and current medications on a desktop	About EPMA About the MAR, or drug chart About prescribing Changing prescriptions
Updated the list of icons that appear on the MAR.	About the MAR, or drug chart
Moved the overview of the events log.	About the MAR, or drug chart
Updated help structure for arrival medications.	Adding, viewing, and managing arrival medications Reconciling, pausing, stopping arrival medications
Updated help for the prescribe form and EPMA banner, including an updated overview of the prescribe form.	Before you prescribe and administer medication
Updated help for prescribing and administering in a single step.	Creating a new prescription
Updated help for pausing and resuming prescriptions, including where you can pause each type of prescription.	Pausing prescriptions
Updated help structure for administering medications.	About administering medications Administering medications
Updated help for confirming retrospectively a dose was administered	Confirming retrospectively that a dose was administered
Updated help structure for flagging and reviewing medications.	Flagging and reviewing medications
Updated help for the discharge summary.	About the discharge summary Creating and sending discharge summaries and letters
Updated the title of the article from 'About the pharmacy arrival form' to 'Completing the pharmacy arrival form'.	Completing the pharmacy arrival form
Updated help structure for pharmacy checks.	Pharmacy checks
Updated help structure for pharmacy TTO actions.	Pharmacy TTO actions

Investigations

What's new?	Where can I find that?
When you place an order on a mobile or desktop, you might see Notify Results. Notify Results now has more options. You can now receive messages about results on a desktop. You can also send messages about results to the requesting consultant, or a shared inbox.	Placing orders Placing orders for outpatients
On a desktop, you can now mark a service or order set as a favourite. On a mobile or desktop, you can place orders from your favourites.	Placing orders Placing orders for outpatients
On a desktop, you can now place preadmission orders.	Placing orders
On a desktop, you can now watch an order after it has been placed. This means you receive messages about updates to the order, and when Nervecentre receives results.	Sending and receiving messages about orders
On a desktop, you can now send a message about an order. You can choose who to send the message to.	Sending and receiving messages about orders
On a desktop, the button to cancel an order has changed.	Cancelling orders Cancelling orders for outpatients
On a desktop, when you sign off a patient's results, you might be able to enter a note. Nervecentre then creates an event, and you can view the event and note from Patient admin > Show pathways > Other.	Signing off results Signing off results for outpatients

Charting

What's new?	Where can I find that?
To show or hide a series, you now select Show/hide series instead of Hidden series.	Viewing charts
You can now lock a template chart or pinned chart to always make the current time visible. When time advances, the chart automatically moves forward so the current time is always visible.	Viewing charts
You can now view data from MDI devices in charts.	Viewing charts
You can verify and strike out data from MDI devices.	Viewing charts
You can assign and unassign MDI devices from a patient.	Managing MDI devices for charts
If you assigned a device to a patient in error, you can strike out the device. Nervecentre automatically strikes out any data recorded during the time the device was assigned.	Managing MDI devices for charts
You can create a new type of series for data from MDI devices.	Adding and editing series for charts
When you create or edit a series, you can choose to mark each data point in the same way, or to mark changes in data with an up or down arrow to highlight the change.	Adding and editing series for charts
You can now add a label to a widget.	Creating new widgets for charts
You can now edit shared widgets. If you don't want your changes to affect all charts using the widget, you can copy the widget.	Creating new widgets for charts Adding and editing template charts
To edit a widget, you now select  instead of .	Adding and editing template charts
You can now add a form to the top of a chart. This is similar to the EPMA banner.	Adding and editing template charts

Case notes

What's new?	Where can I find that?
Nervecentre automatically strikes out the information entered into clinical notes with the scope 'Form' or 'Intervention'. Nervecentre doesn't strike out the information in clinical notes with a broader scope.	Adding and editing interventions
From a closed form, you can strike out clinical notes that were last updated in this form, and update clinical notes that have been changed elsewhere.	Adding and editing interventions
If the value in a clinical note has been struck out since a form was submitted or cancelled, a line appears though the value in the form.	Adding and editing interventions
Depending on your permissions, you can reopen forms submitted in the last 12 hours, or discharge summaries submitted in the last 14 days. If you have additional permissions, you can reopen forms and discharge summaries any time after they were submitted.	Adding and editing interventions

Letters

What's new?	Where can I find that?
You can now send a link to a letter in a message.	Creating and sending letters from Case Notes
When you send an ad-hoc letter with a timed or delayed delivery, you can choose if you keep the delay, or send the letter immediately.	Sending ad-hoc letters and SMS messages
You can choose to send a letter that has a timed or delayed delivery immediately.	Printing and managing the delivery of letters Troubleshooting letter delivery issues
From  Back office, you can view all letters that have a timed or delayed delivery.	Troubleshooting letter delivery issues
Depending on your permissions, if Nervecentre is sending a patient's letter by the patient's preferred delivery method, by Docmail, or by email, you can choose to print and send the letter instead.	Booking follow-up appointments
When you print multiple letters from  Back office, there is a new option Print for duplex. Nervecentre adds blank pages to prevent different letters being printed on opposite sides of the same sheet of paper.	Troubleshooting letter delivery issues

Medical records

What's new?	Where can I find that?
Depending on your organisation and the type of case note volume, when you create a new case note volume, you can enter a custom case note number.	Creating and managing case note volumes

PAS

What's new?	Where can I find that?
New sections added to Patient admin for viewing a patient's previous GPs and addresses, yellow card reports A report sent to the MHRA about suspected safety concerns involving healhtcare products. For example, if a patient has an adverse reaction to a medication, you can create a yellow card report., and Welsh SMR Shared Medicines Record. A national service within Wales. The Welsh SMR stores and shares patients' medication and allergies..	About patient administration
You can now search for a patient using only their hospital number or NHS number from Patient Detail > Search/Register.	Registering a patient Searching for a patient
You can have more titles to choose from when registering a patient, or editing their details. You can also enter a custom title.	Editing a patient's details
Added more information about preferred letter delivery, preferred letter format, and preferred notification delivery.	Editing a patient's details
You can now view and edit a patient's current and previous GPs, and their current and previous addresses. You can also add a patient's previous address or GP to the patient's record.	Viewing the history of changes to a patient's details
Added help about additional events. You can view and record additional events from Patient admin, and Case Notes.	Viewing and managing additional events in episodes of care About case notes
Added the possible statuses for waiting list entries.	About waiting lists
When you add a patient to a waiting list, you now complete a form.	Adding a patient to a waiting list Progressing referrals after triage
You can now edit a waiting list entry.	Managing a patient's waiting list entries
You can now record that a patient declined an admission date that was offered to them for their procedure.	Managing a patient's waiting list entries
You can now transfer a patient to an off-ward location. This allows you to keep the patient's bed on a ward while the patient is at the off-ward location.	Transferring an inpatient to a ward
You can now reserve a bed for a preadmission, and edit a bed reservation for a preadmission.	Reserving beds and managing bed reservations
You can view scheduled bed reservations from  Bed Management > Scheduled.	Reserving beds and managing bed reservations
Moved and updated help about  Bed Management > Summaries.	Viewing summaries of information about beds
You can now view transfers to off-ward locations from Patient Detail > Summary > Current Visit.	Viewing a summary of patient information
Improvement to booking a series of appointments. You can now: Choose a template for a series of appointments Choose appointments from a calendar, in addition to searching for appointments Search for cross-specialty appointments	Booking follow-up appointments
When you book repeating appointments, or a series of appointments,  appears next to the appointment from Patient admin.	Viewing and managing a patient's appointments
You can now add a second phone number for a clinic.	Editing your clinic's details
You can now copy slots when creating and editing templates.	Creating and managing templates for clinics
Before V9.0, you added a clinic resource to a clinic, and then created a template for the clinic resource. From V9.0, you can now add: A clinic, clinic resource, and template A clinic resource, and template You can still add clinic resources to clinics, and templates to clinic resources.	Editing your clinic's details

Back office

What's new?	Where can I find that?
You can now create reports for HL7 exceptions.	Search criteria for reports
You can now filter consultant episodes by date.	Viewing finished consultant episodes
You can now send ad-hoc letters from  Back office > Overseas Visitors.	Checking and recording information about overseas visitors

Medical records

What's new?	Where can I find that?
Added help for deleting a case note volume.	Creating and managing case note volumes
When you request a case note volume, you can now choose the date of a future appointment.	Requesting and returning case note volumes
When you view loan requests, the volume number now appears in a separate column to the case note volume ID.	Viewing loan requests
Updated overviews for Manage Pull Lists and Assigned Pull Lists.	Creating and managing pull lists
More criteria available when creating reports about case note volumes.	Creating reports about pull lists, case note volumes, and loan requests
Updated overview for My Pull Lists.	Viewing and completing your pull lists
When you are completing your pull lists, if you mark a case note volume as 'Found', the location immediately updates. The loan request stays assigned to you until you mark the pull list as complete. If you remove the status 'Found', you must manually track the volume back to its previous location.	Viewing and completing your pull lists
You can remove case note volumes you have scanned before you track them.	Tracking case note volumes

PAS

What's new?	Where can I find that?
New sections added to Patient admin for critical care.	About patient administration
You can now search for a patient with a UBRN Unique Booking Reference Number. A unique number assigned by e-RS to identify a referral. , and retrieve referrals and advice and guidance requests with a UBRN.	Searching for a patient Adding referrals
You can no longer delete fit notes.	Creating and sending fit notes
You can now move activities to another episode of care, or a new episode of care. Activities can be referrals, appointments, or waiting list entries. You can also move activities back to their original episode of care if they haven't been progressed.	Viewing and managing a patient's episodes of care
You can now add activities to an episode of care. Activities includes appointments, waiting list entries, and preadmissions. For example, if a patient attends UEC, you can book the patient an appointment from their episode of care.	Viewing and managing a patient's episodes of care
Two new types of waiting list: waiting lists for active monitoring, and waiting lists for planned electives.	About waiting lists
You can now edit how long a waiting list entry is suspended for.	Managing a patient's waiting list entries
You can transfer a patient from a waiting list for planned electives to a waiting list for inpatient procedures.	Managing a patient's waiting list entries
You can now retrospectively: Create a preadmission for a patient on a waiting list Admit a patient using their preadmission Discharge a patient from admission	Creating preadmissions
Added help about reasonable offers for preadmissions and appointments.	Creating preadmissions About appointments
When you are searching for expected patients, you can now choose a preadmission reason. For example, this allows you to search for all patients with an inpatient preadmission, or an SDEC preadmission.	Viewing a list of expected patients
When you edit a preadmission, you can now cancel the existing preadmission and book a new preadmission. This allows you to edit the date of the preadmission, instead of just the time.	Viewing and managing a patient's preadmissions
You can now edit the preadmission form after it has been submitted.	Viewing and managing a patient's preadmissions
You can now view the following forms from Case Notes: Preadmission forms Admission and attendance forms Discharge and depart forms Referral forms Appointment booking forms	About case notes
You can now edit the admission form and discharge form after they have been submitted.	Editing and cancelling an inpatient admission Editing and cancelling an attendance to UEC
You can now admit and discharge a patient from critical care, and record daily summaries.	Managing patients in critical care
You can now view a patient's disabilities from Patient Detail > Summary.	Viewing a summary of patient information
You can no longer decline referrals if an appointment was booked with that referral through e-RS.	About referrals
You can no longer acknowledge referrals from e-RS.	About referrals
You can now edit the referral form after it has been submitted. This is for referrals you manually added.	Viewing and managing a patient's referrals
You can now triage a patient's referral from Case Notes.	Triaging referrals
Below V8.2, when you cancel an appointment slot from Calendar, the slot is highlighted red. You can reinstate the appointment slot from Calendar or Manage. From V8.2, when you cancel an appointment slot, that appointment slot disappears. You can reinstate the appointment slot from Manage.	Viewing your calendar Managing your clinic's appointment slots
Different options available when you change a slot's delivery method.	Managing your clinic's appointment slots Viewing and managing your clinic's appointment slots
When you are choosing an appointment slot, you can now filter to view slots with a specific priority.	Choosing appointment slots
For specific types of appointment, you can now book a follow-up appointment before the initial appointment.	Booking follow-up appointments
When you view a patient's PIFU pathways, you can view the date of a booked PIFU appointment.	Booking PIFU appointments
When you cancel an appointment to a waiting list from Patient admin, you can now select the earliest date for the appointment.	Cancelling appointments
When you record the administrative outcome of a PIFU appointment, if you book the patient a follow-up appointment, or add them to a waiting list, Nervecentre automatically cancels the patient's PIFU pathway.	Cancelling a PIFU pathway
Information on the 'Clinic Details' screen has moved.	Editing your clinic's details
Clinics can now have a different location that appears on letters to patients.	Editing your clinic's details
When you set a temporary location for your clinic, you can now add a location for the clinic that appears on letters to patients. Also, the date-range you choose for the temporary location includes the date from and the date to.	Editing your clinic's details
The names of buttons for creating a repeating template, and a template that runs once, have changed.	Creating and managing templates for clinics
You can make Nervecentre automatically check that it has future appointment slots, and if it doesn't have enough future appointments slots, Nervecentre automatically creates them.	Creating and managing templates for clinics
You can now stop a template. This stops Nervecentre automatically applying the template to create more appointment slots, but it doesn't remove any appointment slots that are already created.	Creating and managing templates for clinics
You can now only delete a template before you have applied the template.	Creating and managing templates for clinics
You can now view and copy past templates for appointment slots.	Creating and managing templates for clinics
You can now select one or more sites when searching for referrals.	Viewing referrals to a specialty
You can search for RTT pathways by division, site, pathway type, and one or more specialties.	Viewing patient tracking lists
You can search waiting lists by division, and one or more specialties.	Viewing and managing patients on waiting lists
Partial booking is available for specific waiting lists. The specific waiting lists depend on your organisation. You can now send an initial letter to start the partial booking process, and cancel the partial booking process. Nervecentre automatically send reminder letters to patients.	Viewing and managing patients on waiting lists
You can search PIFU lists by division, if an appointment is booked, and one or more specialties.	Viewing patients on a PIFU pathway
You can now search for appointment slots by template.	Viewing and managing your clinic's appointment slots
You can now add, remove, and swap services for multiple slots.	Viewing and managing your clinic's appointment slots

Back office

What's new?	Where can I find that?
You can now search for cancelled ward stays and consultant episodes.	Search criteria for reports
Added help about worklists you can access from  Back office.	Viewing and managing worklists from Back office
Depending on your organisation, you can open SimpleCode from Nervecentre in another tab of your browser.	Viewing finished consultant episodes
To assign consultant episodes to other users, you now select Assign > Select User.	Assigning consultant episodes
Depending on your organisation, Nervecentre might automatically update the status of the consultant episode when the status updates in SimpleCode.	Recording coding as complete
You can now check and record information about the overseas visitor status of patients.	Overseas visitors
Depending on your organisation, you can now test that Nervecentre can retrieve information from e-RS, but not store the retrieved information in Nervecentre.	Retrieving information from e-RS
You can now send a message to e-RS about patients who didn't attend their appointments. This marks those patients as DNA in e-RS.	Sending DNAs to e-RS

Nervecentre V8.1

Updated Help structure

We have restructured Help for Users. The table below maps where previous sections now live.

Help for Nervecentre V8.0 and below	Help for Nervecentre V8.1 and above
Managing patients > About patient tags	Managing patients > Viewing information about your patients > About patient tags
Managing patients > About patient classes	Managing patients > Admissions, discharges, and transfers > About patient classes
Managing patients > Admissions, discharges, and transfers > Taking an ID photograph of a patient	Managing patients > Taking an ID photograph of a patient
Managing patients > Discharges and TTOs	Managing patients > Admissions, discharges, and transfers > Managing inpatients > Discharging inpatients
Managing patients > Admissions, discharges, and transfers > Virtual wards	Patient administration - PAS > Admissions, discharges, and transfers > Managing patients on virtual wards
Managing patients > About dashboards	Managing patients > Viewing information about your patients > About dashboards
Managing patients > Patient lists	Managing patients > Viewing information about your patients > Patient lists
Managing patients > Live Flow	Managing patients > Viewing information about your patients > Live Flow
Clinical monitoring and records	Clinical care and monitoring
Clinical monitoring and records > Case notes	Clinical records and correspondence > Case notes
Care plans	Clinical tasks and workflows > Care plans
Tasks	Clinical tasks and workflows > Tasks
EPMA - prescribing and administering medications	Clinical care and monitoring > EPMA - prescribing and administering medications
Investigations - order comms and results	Clinical care and monitoring > Investigations - order comms and results
ED workflow and information system	Urgent and Emergency Care
Outpatients > Outpatients for clinicians > Case notes for outpatients > About forms and letters for appointments	Outpatients > Outpatients for clinicians > Recording the clinical outcome of the appointment > About the clinical outcome form for appointment
Outpatients > Outpatients for clinicians > Case notes for outpatients > Creating and sending letters about the outcome of an appointment	Outpatients > Outpatients for clinicians > Recording the clinical outcome of the appointment > Creating and sending letters about the clinical outcome of an appointment

Help V1.1

General

What's new?	Where can I find that?
Added new overviews for Patient Detail,  Outpatients, and  Back office.	Overview of Inpatients > Patient Detail Overview of Outpatients Overview of Back Office
Updated help for Urgent and Emergency Care (UEC), including: Streaming Waiting area dashboards Triage Clerking DTA	Urgent and Emergency Care
Added help for Charting.	Charting
Added help for procedures.	Procedures Managing procedures
New sepsis screening workflow for adult inpatients.	Sepsis screening for NICE guidelines from February 2024
Added help for sepsis screening of adult patients in UEC.	Sepsis screening for adult patients in UEC

Patient administration - PAS

What's new?	Where can I find that?
Added an overview of Patient admin.	About patient administration
Added help for registering a patient.	Registering a patient
Added help for editing a patient's details.	Editing a patient's details
Added help for viewing a patient's identifier numbers A number that identifies the patient. For example, a hospital number, NHS number, or local patient identifier..	Viewing and managing patient numbers and identifiers
Added help for fulfilling a subject access request.	Fulfilling a subject access request
Added help for creating and sending fit notes.	Creating and sending fit notes
Added more help for ADT, including: Preadmitting patients ADT for UEC Urgent and Emergency Care. In Nervecentre, this covers 'ED areas' and SDEC. ADT for assessment units ADT for ward attenders	Admissions, discharges, and transfers
Added help for referrals, and advice and guidance requests.	Referrals
Added help for waiting lists.	Managing waiting lists
Added help for appointments.	Appointments
Added help for the mortuary, and marking a patient as deceased.	Mortuary
Added help for managing clinics, including: Editing your clinic's details Adding clinic resources to your clinic Creating appointment slots Viewing information about your clinic	Managing clinics
Added help for managing patients' records, including: Information about CP-IS Child Protection - Information Sharing. A service provided by the NHS. Helps social care workers share information about children and young people in their care, or on child protection plans. Allows healthcare workers to view relevant information about those children or young people. and sensitive patients Viewing a summary of patient information Linking and decoupling a patient's record from PDS Merging patient records	Managing patients' records
Added help for the back office, including: Creating reports Clinical coding Receiving information 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.	Back office

EPMA

What's new?	Where can I find that?
Added help about clock changes.	About prescribing
Added information about stat doses, and reducing and increasing doses.	About prescribing
Added information about what happens when you modify a prescription.	Changing prescriptions
Updated the overview of the events log for inpatients and outpatients.	About the MAR, or drug chart About the outpatient prescription list
Added information about when Nervecentre automatically flags a medication for hard review.	Flagging and reviewing medications
We have renamed the banner where you add the patient's allergies and height and weight. We have changed it from 'top banner' to 'EPMA banner'. This is to prevent confusion with the patient banner.	Before you prescribe and administer medications Before you prescribe and administer medications to outpatients

Business continuity

What's new?	Where can I find that?
Updated the overviews of the BCP application, and added new overviews for DASHBOARDS and CLINIC GROUPS.	Overview of the business continuity application
You can print: A specific type of report for a ward A patient list dashboard A report for clinic groups	Using the business continuity application
Added a list of reports and what they look like.	Report definitions

What's new?

Where can I find that?

Updated the overviews of the BCP application, and added new overviews for DASHBOARDS and CLINIC GROUPS.

Overview of the business continuity application

You can print:

A specific type of report for a ward
A patient list dashboard
A report for clinic groups

Using the business continuity application

Added a list of reports and what they look like.

Report definitions

Help V1.0

General

What's new?	Where can I find that?
You can now log in to Nervecentre with NHS Care Identity credentials.	Logging in and out
On a desktop, from your profile, you can view roles associated with your Care Identity account and change the role you are using.	Setting up your profile
On a desktop, you can open multiple windows in Nervecentre.	Opening multiple windows in Nervecentre
Depending on your organisation, you can filter patient list dashboards on a desktop.	Viewing information in tables
Improvements to audio clinical notes, including new keyboard shortcuts.	Updating audio clinical notes
A new type of clinical note called 'Coded Advanced'.	Updating coded advanced clinical notes
Added help to explain 3 in 1 behaviour for observations.	About 3 in 1 behaviour
You can now add special circumstance observation models, and revert patients to their default observations model, on a desktop.	Alternative observation models and charts
Depending on your organisation, you can now view a patient's record from a third-party system.	Viewing a patient's record from a third-party system
Added help for forms.	Forms
Added help for case notes.	Case notes
Added help for letters.	Letters
Added help for medical records, and paper case note tracking.	Medical records
Improvements to clinic lists. You can now: Filter a clinic list by an activity For example, you can view appointments where a patient needs to arrive early, or a patient needs blood tests. Choose clinics to view more easily, and view all clinics	Viewing clinic lists
Improvement to worklists. You can now: Show and hide entries in a worklist Copy a worklist Choose a default clinical note profile for an entry on a worklist	Worklists

Patient administration - PAS

What's new?	Where can I find that?
Added help for printing a patient's wristband.	Printing a patient's wristband
Added help for taking an ID photo of a patient.	Taking an ID photograph of a patient
Added help for ADT for inpatients.	Admissions, discharges, and transfers

EPMA

What's new?	Where can I find that?
Infusion rate is shown on the MAR in mL/hr. You can mouseover an infusion to view the rate in mg/hr.	About the MAR, or drug chart
When you prescribe a medication and Nervecentre calculates the dose using the patient's weight, the dose calculation used previously displayed on the MAR and now displays in the events log.	Creating a new prescription
More information about administering fluids to inpatients on a desktop. This includes: The concentration of the infusion is shown on the MAR if the prescription includes a volume When you administer a continuous infusion, you can choose the dose rate, total volume, and the diluent When you prepare an infusion over multiple bags, you can choose the dose in the bag and bag size	Administering fluids
You can send outpatient prescriptions to community pharmacies and appliance contractors. These are sent 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..	Requesting dispensing from a community pharmacy
You can cancel prescription forms (FP10s), and dispense requests sent to a hospital pharmacy or community pharmacy.	Cancelling dispense requests
You can view and manage prescriptions sent by EPS.	Viewing and managing prescriptions sent to community pharmacies

Investigations

What's new?	Where can I find that?
When you place an order for an inpatient, you choose the collection service that collects the sample. Depending on your organisation, some collection services allow you to place repeat orders for the same test over the next 7 days.	Placing orders
Added overviews of the order summary and results summary.	Viewing orders and order history Viewing results and results history
Depending on your permissions, you can manually strike out a result.	Cancelled or struckout results Cancelled or struckout results for outpatients

What's new?

Where can I find that?

When you place an order for an inpatient, you choose the collection service that collects the sample. Depending on your organisation, some collection services allow you to place repeat orders for the same test over the next 7 days.

Placing orders

Added overviews of the order summary and results summary.

Viewing orders and order history

Viewing results and results history

Depending on your permissions, you can manually strike out a result.

Cancelled or struckout results

Cancelled or struckout results for outpatients

Nervecentre V8.0

Help V1.1

What's new?	Where can I find that?
Added help for Nervecentre basics. This includes: Logging in and out Setting your availability status Setting up your profile Find your patient list Communicating with messages and calls Reporting a fault	Nervecentre basics
Added help for managing patients. This includes: Viewing a patient's record Patient tags and patient classes Dashboards, patient lists, your home dashboard, and live flows	Managing patients
Added help for care plans on a mobile.	Care plans
Added help for clinical notes.	Clinical notes
Added help for sepsis screening.	Sepsis screening
Added help for outpatients. This includes: Viewing clinic lists Finding outpatients Choosing the correct 'context' For outpatients, you must choose the correct episode of care and appointment to be in the correct context. Viewing, creating, and editing worklists Managing all aspects of clinical care for outpatients.	Outpatients
Added help for observations for outpatients.	Observations for outpatients
Added help for case notes for outpatients.	Case notes for outpatients
Added help for Investigations for outpatients.	Investigations for outpatients
Added help for EPMA for outpatients.	EPMA for outpatients

Help V1.0

New menu and navigation

We have significantly changed our desktop interface.

See an overview of Nervecentre for desktop

Read about the changes when you upgrade from Nervecentre V7.2 or below to Nervecentre V8.0 and above

General

What's new?	Where can I find that?
Added help for bed management.	Bed management
Added help for observations.	Observations
Added help for AKI screening.	AKI screening
Added help for assessments.	Assessments
Added help for fluid balance.	Fluid Balance
Added help for tasks.	Tasks
Added help for virtual wards.	Virtual wards
Added help for the business continuity app	Business continuity
Added a quick guide for patient photo ID.	Taking an ID photograph of a patient
Added a new article - Searching for a patient	Searching for a patient
Added help for getting started. Changes to desktop from V7.2 to V8.0 Overviews of mobile and desktop	Getting started

Investigations

What's new?	Where can I find that?
Post discharge orders are now called outpatient orders.	Placing orders
From Investigations, you can filter by the current episode.	About Investigations
You can search All Investigations using new filters.	Viewing investigations from All Investigations
You can access All Investigations from  Inpatients,  Outpatients, and  Collections.	Viewing investigations from All Investigations
You can view results that have ECGs, PDFs, and images.	Viewing results and result history

EPMA

What's new?	Where can I find that?
On a desktop, you can review a medication by selecting a medication name from the MAR Medicines Administration Record. Also known as drug chart. A list of all medication prescribed and administered (given). and selecting 'A review of this prescription is now due'.	Flagging and reviewing medications
On a desktop, you can access the outpatient prescription list from Meds > OP.	About EPMA
You can filter the MAR, or drug chart, for paused medications.	About the MAR, or drug chart
Medication alerts can appear on the MAR, or drug chart, to show a medication has not been prescribed, for example, no anticoagulant, or no oxygen.	About the MAR, or drug chart
On a desktop, the buttons you select to view medication history have been renamed.	Viewing medication history
On a mobile, symbols for medications due have been updated. Added information for viewing show on Android.	Viewing EPMA information on the patient list of a mobile
Updates to prescriber alerts: When you prescribe an order set containing duplicate medications, an alert no longer appears When you prescribe the same order set twice, an alert now appears If estimated or reported weight or height are used to calculate a dose quantity, a level 4 alert now appears	Creating a new prescription
Some PGDs Patient Group Directions. These provide a legal framework that allows some registered health professionals to supply and administer specified medicines to a pre-defined group of patients, without having to see a prescriber, such as a doctor or nurse prescriber. PGDs vary depending on your organisation. you can prescribe and administer in a single step.	Creating a new prescription
You can view information about how Nervecentre calculated the dose needed using the patient's weight.	Creating a new prescription
Updates to the prescribe form or EPMA banner. What you see depends on your organisation. MUST Malnutrition Universal Screening Tool. MUST is a 5 step screening tool used to identify whether adults are malnourished. assessments might appear When you record height and weight, you might be able to record if the measurement is actual, estimated, or reported Body surface area calculations might appear	Before you prescribe and administer a medication
Updates to fluid rate changes: For some fluids, you prescribe the rate change, then administer the rate change For other fluids, the rate change is already prescribed, so you only have to administer the rate change	Administering fluids
You can switch between the inpatient and outpatient pharmacy by selecting IP or OP in the top right corner from  Pharmacy.	Medicine orders Pharmacy TTO actions
More information about TTOs To Take Out. Each medication added to the discharge letter can be called a TTO. Also, the list of medications on the discharge letter can be called the TTO. on mobile.	About discharge and TTOs

Nervecentre V7.2

Help V1.0

General

What's new?	Where can I find that?
Added help for adult sepsis screening.	Sepsis screening
Added help for fluid balance.	Fluid balance

EPMA

What's new?	Where can I find that?
You can now administer stat and regular medications as part of a drug round.	Administering medications
Added overview of pharmacy reporting.	Pharmacy reporting

Investigations

What's new?	Where can I find that?
You can now assign sample collections to bank staff.	Managing and transferring sample collections
You can now choose to print to the default printer for your area rather than naming a printer. This means you don't need to know the name of the printer for the current area, Nervecentre finds the right printer automatically. This is not restricted to Investigations, but the information is currently only held in help for Investigations.	Printing order forms and labels

What's new?

Where can I find that?

You can now assign sample collections to bank staff.

Managing and transferring sample collections

You can now choose to print to the default printer for your area rather than naming a printer. This means you don't need to know the name of the printer for the current area, Nervecentre finds the right printer automatically.

This is not restricted to Investigations, but the information is currently only held in help for Investigations.

Printing order forms and labels

Nervecentre V7.1

Help V1.0

Updates to our core user guide are pending, this help links to the core user guide for Nervecentre V7.0 temporarily.

General changes

What's new?	Where can I find that?
Ward pages is now called Clinical pages to reflect the change in Nervecentre.	Throughout user help
Added care plans to help for users	Care plans
Added the business continuity application to help for users	The business continuity application

Admissions, discharges, and transfers

What's new?	Where can I find that?
Nervecentre has a new workflow for completing the discharge summary form.	Creating and sending discharge summaries and letters

EPMA

What's new?	Where can I find that?
Nervecentre now includes prescribing for paediatric patients.	Throughout EPMA
Dose sentence prescriptions can now give you the option to choose which algorithm to use when adjusting a dose for weight. This is not available in order sets.	Prescribing
When prescribing, you might see relevant results from investigations. This depends on your organisation.	Prescribing
You can now print out a self-administration chart to allow patients to track their own medications.	Creating a self-administration chart for a patient
You can now prescribe fluids using dose sentences.	Prescribing
Fluids now appear on the MAR in the same manner as continuous infusions.	About the MAR
Continuous infusions now remain on the MAR for 48 hours after being stopped.	About the MAR
You can now add a custom start time to a prescription.	Prescribing
Added prescribing sequential fluids with a dose sentence.	Prescribing
Saving a draft prescription has changed. There is now a dedicated button available at the end of the prescribing process.	Prescribing
You can no longer prescribe investigations as part of an order set.	N/A

Investigations

What's new?	Where can I find that?
When placing an order, you must now confirm that you have read any infection risk information.	Placing orders
All Investigations now includes new search filters, including Range, Specimen Type, and Priority.	Viewing and filtering investigations on All Investigations
General improvements and filling in gaps	Throughout Investigations

Nervecentre V7.0

Help V1.1

What's new?	Where can I find that?
We've updated our core user guide. It now covers Nervecentre V7.0 and includes instructions for using Nervecentre for mobile on Android devices.	N/A

Help V1.0

What's new?	Where can I find that?
We've added full online help for Nervecentre Investigations	Investigations
You can now print articles. From the top of any article, select  to expand all the text, then select  to print. Or you can expand individual sections and just print those.	Any article

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