Enter patient identifiers, current vital signs, and chief complaint. This section helps physicians quickly understand the immediate clinical scenario.
Background - What is the clinical context?
Document relevant history, allergies, and current medications. Providing thorough background information helps inform appropriate clinical decision-making.
Assessment - What do you think is going on?
Record your nursing observations, clinical concerns, and any notable changes in patient condition. Your clinical judgment is valuable input.
Recommendation - What would you like the doctor to do?
Specify your request with clear rationale. Being explicit about what you need helps ensure prompt and appropriate orders.
Request Categories
Laboratory Tests
Request routine labs, STAT blood work, cultures, and specialized tests with quick-select options for common panels. Attach relevant clinical observations to provide context.
Order imaging studies, cardiac monitoring, respiratory assessments and other diagnostic procedures. Include ability to specify patient mobility limitations and testing timeframes.
Request new prescriptions, dosage adjustments, PRN orders, and IV therapies. System automatically flags potential interactions and includes weight-based dosing calculators.