Originally Posted by Khaled
I tried the solution above. While it is true the deleted message stays in the "deleted" folder, the chart attached to it is gone. So I still can't retrieve the nurses note.

This is not what happens to me. Once I pull out the note plus chart from the deleted items into the Inbox again, I can open the chart by double-clicking on the note. I have done this dozens of times, including immediately before I typed this response.
Try to send a message with a chart attached to yourself, open it, and close without forwarding it, and retrieve it from Deleted Items. Then double click the retrieved message--what happens?

Originally Posted by Khaled
Also, is there a way to save a partial note without signing off on the note? I can forward it to myself, but then if anyone starts a new note and forwards it to me, what would happen?

Nothing permanently happens to the patient's chart until you sign the encounter. Your forwarded note is saved to your Message Inbox until you reopen it or delete it. Anyone else opening a copy of the patient's chart can open it and make edits, which then only exist in their Message Inbox. If they send you the message with their edited chart attached, you will have two copies of the patient's chart in your box, one with your edits, and one with theirs (not a desirable situation). So the best policy is to open the chart, make entries, and send the chart as a message to the next editor. The final stop is the physician's message inbox, where the encounter is reviewed and finally signed off.


John
Internal Medicine