Chapter 7: AxisCare Charting
Step 1
If you have not done already, download the AxisCare App. Instructions are as followed:
Download AxisCare App
Go to the App Store (iPhone) or the Playstore (Android)
Search for AxisCare (Blue app with a white heart) and download
Once Downloaded, type in ‘12298’ when prompted for site number
Click “Sign In”
Your username is your first and last name in lowercase.
Your password will be a $(Capital First Initial and Capital Last initial)2024 (For the year you were hired)
Example: $CH2024
7. Once logged in, create a PIN
8. Go through and Orient yourself to the App!
9. Download the form below
Step 2
Watch the video below
CARE NOTES
Care notes are very important! Being as detailed as possible provides the family and us with knowledge regarding the client and allows us to make necessary changes to their care plan. It will encourage more discussions with the family and assist in needed adjustments. ALL CAREGIVERS ARE EXPECTED TO UTILIZE THE CARE NOTE TEMPLATE
Refusals
Vitals: (BP, HR, Weight)
Summary of Visit (Be VERY DETAILED):
A lack of description of behaviors, phrases, or comments made by the clients can have a HUGE impact on the quality of care the client needs to be given.
If something was notably good on the visit, document it in this section.
Quoting the client is okay and encouraged.
Behaviors
What behaviors were the client exhibiting? Is the behavior normal to the client? Are any behaviors abnormal?
Physical/Mobility
Did you notice any abnormalities on the skin, change in mobility status, increase in weakness, change in appetite, etc? These are things that can affect how the body functions.
Refusals are always listed first. Any Required ADL not done, needs to be documented in refusals
Not all clients have VITALS. If vitals are required, they are listed at the bottom of the ADLS
ADLS
Type of ADLs
Required ADLS: These ADLs NEED to be completed each visit. If not done, it needs to be documented in “Notes” under refusal.
As Needed ADLS: These ADLs do not need to be done, but if they are, check them off. THIS DOES NOT MEAN IGNORE. Be mindful if any As Needed ADLS need to be done. EX: Mopping. BE mindful of the floors, if they need to be mopped, mop them!
Completed ADLS: When an ADL is completed, click the circle. It will turn blue with a white check mark
ADL Instructions: So ADLs have instructions on how to conduct them specifically for the client. These instructions are detailed below the ADL title. EX (photo to the right) ADL Bed Bath has an instruction beneath.
Client’s signatures are required for all clients, especially our Medicaid Waiver and LTC insurance. If you are sent home early and/or not able to capture a clients signature on AxisCare, a paper Daily Visit Notes form is at the clients home.
Some clients require Paper Charting. This is only if a client/client representative requests additional charting.
Some clients are not to be left alone, and the caregiver is to stay until a caregiver relieves them. If this is required for your client, it will be listed under Report/Handoff
Order of ADLS
Client Information: This is the first section you will see. This section tells caregivers if charting is required (Medicaid/LTC Insurance), what vehicle to use, if paper charting is required, if the client is a DNR/Full Code , etc
Companion Care: These ADLs are companionship based (not hygiene ADLS)
Personal Care: Hygiene/Hands On ADLS
Restrictions/Considerations: If the client has any restrictions.
Medication Assistance: If client needs assistance with medication, it will be listed there. If client is on Hospice, Caregivers are able to ADMINISTER medication.
Vitals: If the client has any vitals
Forms
Care Plan
The Care Plan Includes the following information:
Client name, DOB, DNR/Full Code, Phone number, Address
Responsible party name and phone number
Caregiver information: Dietary/mobility restrictions, how to enter the door, activity information, and medication considerations
ADLs
Every month Caregivers are to sign the care plan to show they read through it.
How to tell when a signature is needed for the care plan?
The “Forms” tab will come to the top of the Clients profile and have a “1” on the right hand side surrounded by a blue circle
Emergency Situations
The Emergency Situations Includes the following information:
What to do if a client falls, goes unresponsive, is seriously ill, and has a skin tear
What to do if the client does not answer the door and how to gain access of the home
How the client wants the caregiver to come into home
What to do if there is a tornado, fire, and power outage
Where the first aide kit, flashlights, and fire extinguisher are
If the family wants to make any changes to the emergency situations process
AxisCare Error Message
To the Left is an “error” notice. Sometimes the system will not allow the caregivers to save notes. There are a few ways to solve it!
Make sure to complete some ADLS and SAVE them before writing in the “Care Notes”
In the RIGHT hand corner, click the three dots and click refresh
In the RIGHT hand corner, click the three dots and press sign out. Sign back into the account using the site number “12298”
Sign out of the App and wait 20 Minutes. Then sign back into the account using the site number “12298”
If all of the above solutions do not work, contact your supervisor
Messaging on AxisCare
Proper Chain of Communication
Always message GR1 first! Gr1 only goes to the office staff but guarantees someone will see the message
If no one answer GR1 after 5 minutes, proceed with the following:
If the question is Employee Related: Message Supervisor (Brandi).
If the question is related to Client care: Message Emma Clark
Mass Messages
Office staff send out mass messages frequently. These messages will say Mass Message. These messages usually are in regards to open visits and client changes. If it is an open visit message, DO NOT REPLY unless you are able to pick the visit up