Creating an Administrative Note

Creating an Administrative Note

What is an Administrative Note? 

The Administrative Note allow you to clear out a Chart Face so that it is all set for future admissions (MAR Status should be enabled for the patient to generate this type of Note)

. Specifically, it allows you to:

  • Clear ("Stop") all medications and take them off the MAR
  • Resolve all diagnoses in Axis I and clear out Axes II-V
  • Clear all orders from the Clinical Order Sheet
  • Clear out any lab requisitions

This is useful when a patient is discharged, as it prepares the Chart for future admissions. If you opt to clear out any of the above information, the fields will be clean and ready for new information when the patient is readmitted to the hospital or any other setting. 

1.  When you discharge a patient, you may select to inactivate the Chart from the Screenshot for Creating an Administrative Note button. Start off by changing the patient's status to 'Inactive' in the upper-left corner of the Chart Face. 

2.  A window will appear with the patient's name, ID, DOB, and age. Click 'Verify' to acknowledge that you want to change the patient's status. 

Screenshot for Creating an Administrative Note

3.  Click 'Yes' in the dialog that appears asking if you would like to create an Administrative Note. 

4.  The next dialog presents the various things you can clear out to prepare the Chart for the next admission. Once you choose the desired options, click 'Continue' to create the Administrative Note.

5.  You will be directed to the Work Areas of the Administrative Note, which is essentially the Nursing Note layout. Text will auto-populate indicating the actions you took in the previous dialog. 

6.  Once you're finished with the Administrative Note, click Screenshot for Creating an Administrative Note in the lower-right corner of the Work Areas.

Screenshot for Creating an Administrative Note

7.  The compiled Administrative Note will look like this:

Screenshot for Creating an Administrative Note

Screenshot for Creating an Administrative Note

Screenshot for Creating an Administrative Note

Screenshot for Creating an Administrative Note

    • Related Articles

    • Creating a SOAP Note

      For therapists/counselors needing to utilize the SOAP note format in their progress note, custom buttons can be utilized with great efficiency. This knowledge base article will provide step-by-step instructions for creating a SOAP note button (or ...

    • Creating a BIRP Note

      This knowledge base article covers the workflow of creating a BIRP therapy note in ICANotes. From the patient's Chart Face, start by creating a new Therapist progress note. Within the work areas of the Therapist note, you'll create a series of custom ...

    • Creating Discharge Instructions

      This knowledge base article will cover how to create discharge instructions for a patient. 1. Choose the Prescriber Progress Note button (or Therapist if you are a non-prescriber). 2. You will need to decide which medications are for discharge (if ...

    • Creating eStatements with BillFlash

      Index Sections Setting Up Creating Batch eStatements Partner: BillFlash If you've not yet done so or are interested in signing up for eStatements via BillFlash, Open documentation on www.rcm.billflash.com to start your setup online. ...

    • Creating and Managing Referrals

      Index Sections Create Referral Referral Log Modifying Existing Referrals This Knowledge Base article will guide you on how to make a referral, utilize the Referrals Log, and edit an existing referral with updated content. Create Referral There are ...