Getting started
Five minutes to set up, then it's click, copy, paste.
1. Install it (optional, recommended)
In Chrome or Edge, open the app and click the install icon at the right end of the address bar, then Install. It opens in its own window like a program and works without internet once it has loaded once. In Safari on a Mac, use File › Add to Dock. If your facility computer won't allow installing, just bookmark the page; it works the same in a browser tab.
2. First-run setup
Enter your name and credentials for the signature line, choose how BMI is classified (standard adult cut-offs, or older-adult ranges from an age you pick), and how actual and adjusted weight are abbreviated. All of it can be changed later under Settings.
3. Writing a note
Pick the note type along the top. Tap the diagnoses that apply, or type them into Current Presentation and they switch on by themselves. Enter age, height and weight: BMI, weight change and estimated needs are written for you. Work down the sections, clicking phrases in or typing a shortcut like ;none followed by a space. When it reads right, click Copy note, paste it into your EMR, then click Clear this resident.
4. Make it yours
Everything is editable under Customize: section phrases, diagnoses, diet orders, textures, consistencies, supplements, enteral formulas, note type names, goals, follow-up lines and shortcuts. Your PES statements go under Customize › PES. For each one you can choose when it should be suggested (for example, for any resident with BMI in the obese class II range, or with a diagnosis of CHF).
Check the enteral formula values against current manufacturer labels before relying on them. Products are reformulated from time to time.
5. Shared computers
By default, a note in progress disappears when you close the tab, so nothing about a resident stays behind. Leave it that way on any computer someone else uses.
6. Moving to another computer
Your setup lives in the browser you set it up in. Go to Customize › Backup, click Copy setup, and save that text (emailing it to yourself works). On the other computer, paste it into the same box and click Restore.
Help
Bug reports: balanced.nutrition.with.kristen@gmail.com. Please include what you clicked and what you expected, but never resident information.