Configure Procedure Vitals

 

On the Main Menu, click Settings > Clinicals. In the left menu, under Practice Links — Procedure Configuration, click Procedure Vitals

 

 

Your organization must have the Structured Procedure Documentation feature enabled.

 

1. Display the Configure Procedure Vitals page: On the Main Menu, click Settings > Clinicals. In the left menu, under Practice Links — Procedure Configuration, click Procedure Vitals.
2. For each procedure vitals section heading, select the vitals to display.
3. To reorder the list of elements, position your cursor over the element you want to move, hold down the left mouse button, drag the element to the desired position, and then release the left mouse button to drop the element in the desired spot.
   When you select an element that has additional display options, a display unit field appears below the list of checkboxes.
4. Select the unit of measure for each field that appears; for example, select Show BP Site drop-down to display the blood pressure site drop-down menu.
5. Click Save.

 

A Growth Chart link appears at the upper right of the vitals flowsheet for any patient who is 20 years of age or younger. This link allows you to graph growth information for that patient's encounter against the eight standard growth curves published by the CDC.

 

Note: For patients under 2 years old, percentiles in the Vitals section are calculated based on the World Health Organization (WHO) growth charts. For patients 2 years and older, percentiles are calculated based on the Centers for Disease Control (CDC) growth charts.

 

Special vital signs are designed for pediatric practices:

• Head Circumference: This vital is used to measure the head circumference of infants.
• Weight (lbs/oz.): This vital provides two input fields to record weight in pounds and ounces.
• Height/Length: This vital can be used to record height or recumbent length in inches.
• Body Surface Area: When you enter a patient's height and weight and then click Save, the patient's body surface area is automatically calculated and displayed. The Body Surface Area field uses this formula:
  BSA (m²) = ([Height (cm) x Weight (kg)]/3600)^½

Two options are available for measuring height and weight. The practice should select only one option in the local vitals table.

• Height or Height/Length (inches)
• Weight or Weight (lbs. oz)

On the vitals summary section of the encounter, weight is also displayed in kg to assist with pediatric drug doses.

 

Blood pressure

The percentile of blood pressure for patients under the age of 21 appears in parentheses next to the recorded measurement in the Vitals section of the patient chart during the Intake and Exam stage of an encounter. Blood pressure percentiles are based on age, height, and gender (Source: National Heart, Lung, and Blood Institute; National Institutes of Health; U.S. Department of Health and Human Services).

 

athenaOne calculates these percentiles after you enter the patient's height and blood pressure measurements.

• In the graph view, the percentile appears next to the blood pressure value above the date for each data point.
• In the table view, the percentile appears next to the blood pressure value.

 

Pre-Procedure Vitals

Blood Pressure

Blood Glucose

EKG Rhythm

O2 Saturation

Pulse

Respiration Rate

Temperature

Weight

 

 

Intra-Procedure Vitals

Bleeding

Blood Pressure

EKG Rhythm

O2 Saturation

Pulse

Respiration Rate

Temperature

 

 

Post-Procedure Vitals (Periodic)

Note: Use the Post-Procedure Vitals (Periodic) section instead of the Post-Procedure Vitals section.

Aldrete Score

Bleeding

Blood Pressure

Dressing

EKG Rhythm

Level of Consciousness

O2 Saturation

Pain Scale

Pain Scale Type

Pulse

Pupils

Respiration Rate

Temperature

 

Fields to Show	The list of data elements you can select to appear in the Vitals section of the encounter form.
The following fields may appear, based on the selected elements
Show BP Site dropdown	Select this option to display the blood pressure site drop-down on the Vitals section.
Show Weight Dialysis Dropdown	Weight is available as a multi-reading vital with a classification of pre- and post-dialysis.
Height Display Units	Select the units for measuring height.
Temperature Display Units	Select the units for measuring temperature.
Weight Display Units	Select the units for measuring weight.
Head Circumference Display Units	Select the units for measuring head circumference.
Neck Circumference Display Units	Select the units for measuring neck circumference.
Waist Circumference Display Units	Select the units for measuring waist circumference.
Upper Waist Circumference Display Units	Select the units for measuring upper waist circumference.
Breast Measurement Display Units	Select the units for measuring breast circumference.
Lower Abdomen Circumference Display Units	Select the units for measuring lower abdomen circumference.
Hip Circumference Display Units	Select the units for measuring hip circumference.
Left Thigh Circumference Display Units	Select the units for measuring left thigh circumference.
Right Thigh Circumference Display Units	Select the units for measuring right thigh circumference.
Hip Width Display Units	Select the units for measuring hip width.
Shoulder Width Display Units	Select the units for measuring shoulder width.