Fast, complete clinical documentation through the use of dynamic, customized, complaint specific templates.
Wellsoft's embedded clinical documentation includes:
Wellsoft is designed to save data the moment it is entered. There is never a need to save and close windows. If clinicians are interrupted while charting, data will be saved automatically up to the last keystroke. Streamlined navigation means users move through the system quickly and simply.
Triage - Screens for triage and assessment can be as brief or complete as the client wishes. All triage data such as patient information, presenting complaint, acuity, vital signs, and initial assessment can be captured. A unique triage impression feature provides an extensive list of clinical elements to better communicate patient presenting illness and expected course of treatment.
Nursing Documentation - Templates are easily configured to support standard of care. Access to all POC tests is streamlined in a single location in the patient record and provides one source for all POC information.
Physician Documentation - Intuitive complaint-driven templates prompt the physician for all required documentation elements (HPI, ROS, PMH, PSH, Physical Exams, Procedures, Progress Notes, Decision Making) using pop-up menus and custom pick lists.