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Add a Back Assessment

If you assess the patient's back for injuries or pain, you can add an assessment specific to this anatomical region.

To add a back assessment in Windows
  1. In the side navigation of an open run record, tap Assessment. The section expands.

    assessment_section.png

  2. Directly below the Exam section, tap Add Assessment. The New Assessment window opens.
    TTWin_newassessment.png

  3. Go to the Systemic tab, and then scroll down to the Back section.

  4. Tap in the Location field and select the region of the patient's back you assessed.

  5. Tap in the Assessment field and select the check boxes for the findings you discovered during your assessment of the patient's back. You can select as many options as applicable. If necessary, begin typing your findings in the filter field to narrow the list of findings.

  6. Tap OK.

  7. Tap in the Exam Finding Not Present field and select the check boxes for the findings you did not discover during your assessment of the patient's back. You can select as many options as applicable. If necessary, begin typing your findings in the filter field to narrow the list of findings.

  8. Tap OK.

  9. Tap Add.

  10. Repeat steps 5-9 for each back location you assessed. Your back assessments appear in the table directly below the back assessment fields.

    TTWin_backtable.png

  11. In the Comments field, enter any additional comments relevant to the assessment.

As needed, tap the Edit button next to an assessment to edit details about that assessment after it has been added to the table. To delete a back assessment, tap the appropriate assessment's corresponding Delete button.

To add a back assessment in Web
  1. In the side navigation of an open run record, click Assessment. The Exam subsection is displayed.

  2. Go to the Assessment subsection and click Add Assessment. The New Assessment window opens.

    TTCDX_newassessmentwindow.png

  3. Click the Systemic tab.

  4. Go to the Back section and click Add Back Assessment. A new row opens in the back assessments table.

    TTCDX_addbackassessment.png

  5. Enter information in the fields using any of the following methods:

    • Clicking a field and typing in an entry.

    • Clicking a field and typing the first few letters of the value you want to enter. When a list of matches appears beneath the field, select the appropriate option.

    • To enter more than one item in fields that allow multiple values, continue typing in the field and select a new item.

  6. Optionally, to clear a selection or entry, click the x next to the entry.
    TTCDX_clearselection.png

  7. If the information in some of the fields is not applicable or cannot be supplied, click the Not Value button and document findings you did not discover during your assessment of the patient's back. 

  8. In the Comments field, enter any additional comments relevant to the back assessment.

  9. Click Save.

To edit an entry, click in a field within the table and make your changes. To delete an entry, click the appropriate assessment's corresponding trash can icon.

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