Skilled Nursing Facilities

Contents

Documenting Through the Resident Care Record in Point of Care (POC)

In POC, you can document a task in a resident's care record. Timed and Monthly Duration tasks can only be documented 1 time. PRN and QShift tasks can be documented multiple times. For example, you document a behavior and need to document an additional behavior later in the shift.

By the end of your shift, all scheduled tasks should be green (complete). 

  1. POC > POC tab. 

  2. Select resident.

  3. Select task.

    Scr_SelectTaskPOC.png

Note

To document again on a QShift or PRN task, select the green (complete) task > click New Entry.

Scr_NewEntryPOC.png

  • In POC, you can access a resident's Kardex and Care Plan (if enabled) to review their level of care and needs.

    Note

    The Care Plan is not available in POC Mobile.

  • If a task is set up with rules to disable certain questions based on a response, the documentation for the disabled questions is recorded as Response Not Required. For example, a rule is set up to disable question B if question A is answered No. You do not see question B because it is disabled. In the task look back and reports, the answer for question B appears as Response Not Required.