Nurse

You provide bedside and clinic care: recording observations, administering medication, and supporting the clinical team. Like the clinician, you are an ordering role for diagnostics — you raise orders, but you do not produce results.

What you can do

As a nurse, you can:

• Document care — open encounters, write clinical notes, manage allergies, care plans, reminders and tasks.
• Record vitals and administer medication.
• Administer on the MAR — give, hold or refuse medication against the medication administration record.
• Order lab tests and imaging, and print specimen labels at the bedside.
• Author and eSign referrals, read patient profiles and the master index.
• On the floor: triage and treat in the ED, and provide nursing care and medication on the ward.

What you cannot do

You cannot prescribe (that is a clinician capability), nor enter/verify lab results, author imaging reports, or dispense. You administer medication that a clinician has prescribed; you do not author the prescription.

Where you work

Screen	Module	What you do there
Patients, New Encounter	Chart	Document care, record vitals
Vitals Station	Queue	Capture observations in flow
Observations, Medication Administration	Ward	Inpatient obs and MAR
New Requisition	Diagnostics	Order labs + imaging

A typical day

1. At the Vitals Station, capture temperature, heart rate, blood pressure, SpO₂ and respiratory rate.
2. Open the patient in Chart to write notes and update allergies or care plans.
3. Raise lab and imaging orders from New Requisition when asked; print specimen labels at the bench.
4. On the ward, record observations and administer medication on the MAR — mark each dose Given, Held or Refused.

Related guides

• See the dedicated Ward Nurse guide for inpatient duties.
• Module: Chart, Ward, Diagnostics