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 V8.1

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
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:

 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:

 Managing patients' records

Added help for the back office, including:

 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.

Administering medications

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
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

Nervecentre v8.0

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
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.

 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. Often used to describe the medicines added to the discharge letter, and, informally, the letter itself. on mobile. About discharge and TTOs
Nervecentre V7.2
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
Nervecentre V7.1

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

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

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