Point Click Care Question

RainMom · Jul 6, 2015

Not familiar with that system but I suggest contacting IT. They should be able to see if the chart was edited or deletions made (& by whom).

wanderlustnurse88, RN · Jul 6, 2015

From my experience, only the writer can strikeout the documentation but even then, it is still shown but with a line through it. Did it maybe not save. Sometimes the draft gets saved and it shows up at the top of the progress note.

allnurses Guide · Jul 6, 2015

Progress notes can be struck out but not deleted - It's possible you did not save - of you did and the computer hiccupped and didn't catch it. The program has some bugs in it as I just redid a whole set of admitting assessments that did not lock.

carrie02 · Jul 7, 2015

I have contacted IT. Waiting for a reply.

I also know you can strike out a note but it will still show up when you hit view all but with a line through it. My note is completely gone. I don't save anything as a draft. I write down my thoughts on my report sheet for the night and save them so I have a log of what I did or didn't do b/c my nights tend to run together. When I type something in the computer it is signed and locked right away and I check to make sure it is there. I know it was there the night saved it. I just happened to be checking back on lab work and came across this as a accident that my note is now gone from the computer.

morte, LPN, LVN · Jul 7, 2015

did you perhaps put it under a different patient?

carrie02 · Jul 7, 2015

I will check out the other patients on the date in question to make sure but I'm 99% sure I didn't put it under another patient.

RainMom · Jul 23, 2015

Curious...did you ever figure out what happened?

Rochasie · May 15, 2016

I use point click care at work, when I try to save after selecting "yes" for giving medications, the screen come back to me unsaved. My selection does not turn green it stay yellow. Any advice?