Nurse User Guide
This comprehensive guide covers all nursing features and workflows in CareLog.
Getting Started
Logging In
- Open CareLog in your browser
- Enter your nurse account email
- Enter your password
- Click Login
Nurse Dashboard
Your dashboard provides at-a-glance information:
- Pending Emergency Calls: Urgent patient needs
- Active Patients: Patients currently under your care
- Recent Health Logs: Latest patient health updates
- Quick Actions: Fast access to common tasks
- Notifications: Important alerts and updates
Patient Monitoring
Monitor patient health status and trends.
Viewing Health Logs Overview
- Navigate to Patient Monitoring from the sidebar
- View all patient health logs in one place
- See key information:
- Patient name
- Timestamp
- Physical status
- Emotional status
- Symptoms
- Sensitive status indicator
Understanding Health Log Data
Physical Status
Common indicators include:
- Fever/Temperature
- Pain levels
- Fatigue
- Mobility issues
- Breathing difficulties
Emotional Status
Mental health indicators:
- Mood changes
- Anxiety
- Depression
- Stress levels
Symptoms
Patient-reported symptoms and concerns
INFO
Sensitive Data: You can view all health logs including those marked sensitive, as medical staff have full access for patient care.
Monitoring Patients Effectively
Daily Review
- Check health logs at the start of each shift
- Look for new or worsening symptoms
- Identify patients needing attention
- Note any concerning patterns
Trend Analysis
- Compare logs over multiple days
- Identify improvement or deterioration
- Watch for recurring issues
- Track response to treatments
Priority Identification
Look for:
- Sudden status changes
- Worsening conditions
- Critical symptoms
- Missed logging (potential concern)
Emergency Call Response
Handle urgent patient care requests - this is a critical nursing function.
Viewing Emergency Calls
- Navigate to Emergency Responses from the sidebar
- See all unresolved emergency calls
- Calls are sorted by urgency:
- CRITICAL: Immediate attention required
- HIGH: Urgent response needed
- MEDIUM: Needs attention soon
Understanding Emergency Details
Each emergency call shows:
- Patient Name: Who needs help
- Urgency Level: How critical the situation is
- Timestamp: When the call was made
- Description: What the patient reported
- Status: Unresolved, In Progress, or Resolved
- Escalation Status: Whether it's been escalated to doctors
Responding to Emergency Calls
Step 1: Assess the Emergency
- Review the emergency details
- Check urgency level
- Consider patient's medical history
- Determine appropriate response
Step 2: Take Action
For Critical Emergencies:
- Respond immediately
- Contact emergency services if needed
- Alert doctors immediately
- Document all actions taken
For High Priority:
- Respond within 5-10 minutes
- Assess if escalation needed
- Provide immediate care guidance
- Schedule urgent visit if required
For Medium Priority:
- Respond within 15-30 minutes
- Evaluate patient needs
- Provide appropriate care
- Monitor situation
Step 3: Respond in System
Click on the emergency call
Click Respond to Emergency
Add response notes:
- Actions taken
- Patient status after intervention
- Any recommendations
- Follow-up required
Mark as Resolved if handled, or Escalate if doctor attention needed
Escalating Emergency Calls
When to escalate to doctors:
- Complex medical decisions required
- Patient condition beyond nursing scope
- Deteriorating condition despite intervention
- Patient specifically requests doctor
- Diagnosis or prescription changes needed
How to Escalate:
- Review the emergency thoroughly
- Document your assessment and actions taken
- Click Escalate to Doctor
- Add escalation notes explaining why
- Notify the assigned doctor directly
WARNING
Important: Always escalate when uncertain. Patient safety comes first.
Patient Health Log Management
While patients log their own health, nurses can view and interpret this data.
Accessing Patient Health Logs
- Navigate to Patient Monitoring
- View comprehensive health log table
- Filter by:
- Date range
- Patient
- Severity
- Sensitive status
Interpreting Health Logs
Look for Warning Signs:
- Fever mentioned repeatedly
- Pain increasing in severity
- New symptoms appearing
- Emotional distress indicators
- Missed logs for several days
Taking Action:
- Contact patient if concerned
- Notify doctor of significant changes
- Update care team on patient status
- Document your observations
Communication and Collaboration
Working with Doctors
- Escalate complex cases
- Report significant patient changes
- Follow treatment plans prescribed by doctors
- Document all observations for doctor review
Working with Patients
- Respond promptly to emergency calls
- Maintain compassionate communication
- Provide clear instructions and guidance
- Follow up on patient concerns
Working with Family Members
- Be aware that family members can view non-sensitive health logs
- Respect patient privacy boundaries
- Coordinate with doctors on family communication
Notification Management
Stay informed of important updates.
Types of Notifications
- New emergency calls
- Escalated emergency responses
- Patient status updates
- System announcements
- Shift-related alerts
Managing Notifications
- Click the notification icon
- Review unread notifications
- Take appropriate action
- Mark as read when handled
TIP
Enable sound notifications for emergency calls to ensure immediate awareness.
Workflow Examples
Typical Emergency Response Workflow
Receive Emergency Alert
- Notification appears
- Review emergency details
- Check patient medical history
Initial Assessment
- Evaluate urgency level
- Determine immediate needs
- Check if within scope of practice
Take Action
- Contact patient directly
- Provide immediate guidance
- Arrange in-person care if needed
- Call emergency services if critical
Document Response
- Record actions taken
- Note patient status after intervention
- Mark as resolved or escalate
- Follow up as needed
Daily Patient Monitoring Routine
Start of Shift
- Review all patient health logs from last shift
- Check for new emergency calls
- Note any concerning changes
During Shift
- Monitor new health log entries
- Respond to emergency calls as they come
- Follow up on escalated cases
- Communicate with doctors on patient status
End of Shift
- Document all activities
- Hand off critical cases to next shift
- Ensure all emergency calls addressed
- Note any patients needing attention
Escalation Decision Process
Initial Response
- Respond to emergency call
- Assess patient situation
- Provide initial care
Evaluate Complexity
- Is this within nursing scope?
- Does patient need medication changes?
- Are symptoms beyond basic care?
- Is condition deteriorating?
Decision Point
- Can Handle: Resolve and document
- Needs Doctor: Escalate with detailed notes
Escalation
- Document all actions taken
- Explain reason for escalation
- Provide recommendations
- Alert assigned doctor
Best Practices
Emergency Response
- Prioritize Critical Cases: Always address critical emergencies first
- Quick Assessment: Make rapid initial assessments
- Clear Documentation: Document all actions thoroughly
- Appropriate Escalation: Don't hesitate to escalate when needed
- Follow-up: Always follow up on resolved emergencies
Patient Monitoring
- Consistent Review: Check health logs regularly throughout shift
- Pattern Recognition: Look for trends, not just individual logs
- Proactive Outreach: Contact patients showing concerning signs
- Team Communication: Keep doctors informed of significant changes
- Privacy Respect: Handle sensitive information appropriately
Documentation
- Timely Entry: Document actions immediately
- Comprehensive Notes: Include all relevant details
- Professional Language: Use clear, professional terminology
- Objective Recording: Separate facts from interpretations
- Complete Records: Ensure all interactions are documented
Safety and Compliance
Patient Safety
- Always verify patient identity before providing care
- Double-check medications and treatments
- Escalate when unsure about any situation
- Follow established protocols and procedures
- Report any safety concerns immediately
Privacy and Confidentiality
- Access only patient information relevant to your care
- Don't share patient information inappropriately
- Secure your login credentials
- Log out when leaving workstation
- Respect patient privacy preferences
Audit and Accountability
- All your actions are logged in audit trail
- Ensures accountability and patient safety
- Helps with quality improvement
- Cannot be altered or deleted
- Administrators can review for compliance
Troubleshooting
Common Issues
Emergency Calls Not Appearing
- Refresh the page
- Check notification settings
- Verify you're logged in correctly
Cannot Respond to Emergency
- Ensure call hasn't been resolved already
- Check if you have proper permissions
- Try refreshing the page
Patient Health Logs Not Visible
- Verify patient exists in system
- Check date filters
- Ensure you have nursing role permissions
System Performance Issues
- Clear browser cache
- Try different browser
- Report persistent issues to IT/admin
Tips for Effective Use
- Stay Alert: Keep notifications enabled for emergency calls
- Regular Checks: Review patient monitoring dashboard frequently
- Quick Response: Aim to respond to emergencies within target times
- Thorough Documentation: Always document your actions completely
- Communicate Effectively: Keep doctors informed of important changes
- Continuous Learning: Stay updated on patient care protocols
- Work-Life Balance: Use shift handoff features to manage workload