Vital Sign Parameters
Specific parameters can be set up for most vital sign services, alerting or notifying the nurse or supervisor when a scheduled vital sign has been entered that falls outside an appropriate range. These parameters can be set across the database, but can also be modified by each client/resident to accommodate individual needs.
To perform the setup steps in desktop ResiDex's Global Service List, the user must have Role 18.
In desktop Residex, navigate to Setup > Service List > Global Job (Service) List and view all the services active for your campus. Scroll down and select one of the vital sign services (1).
Once the service has been selected (1), the vital sign service can be modified to behave differently than other services. Specifically:
- Enter the parameters you wish in the default task detail (2). These are the instructions your staff will see as they perform the service.
- Each vital sign should have a value label (3)- for instance, temperatures are typically degrees F or C. These can be manually entered here.
- The Count (4) is simply the number of fields staff will need to enter the value. Most vital signs require just one value; Blood Pressures require two values.
- Checking the 'Include in Vitals Set' box (5) will allow this to be viewed and grouped as a vital sign in RTasks
- The Vitals Type (6) is the broad category it will be grouped with in RTasks. Type in the Vitals type here or select from the dropdown. Typically, Blood glucoses would be under "Blood Glucose", etc....
- Finally, enter the parameters (low values, high values) for the vital signs. (7). As a value is typed in, a box will appear, applying this new parameter to all current residents.
Adding a Vital Sign Service
When adding the Vital Sign service to the Resident's Service Plan, additional details are noted:
The low and high parameters set in the Global Service list will be set as the default. These can be edited as needed. (1,2). The default task details should be reviewed and edited so the parameters/instructions provided by staff are correct. (3)
Notifications and Alerts
As staff are documenting a scheduled vital sign and entering a value that falls outside of the acceptable range, they will receive an alert on the screen:
The Login Report can include a sup-report showing Vital Signs Out of Range. This article provides details on customizing your Login Report to include this notification.
Alerts can also be setup, allowing each nurse or supervisor to turn on their own alerts if they wish to be notified of vitals out of range. When setting up an alert, choosing the option "Vitals Out of Range next 3 hours" will send text message or email alerts for 3 hours, then automatically stop sending for that vital sign instance.