There are times when users struggle with understanding why notifications are still showing as due when they have signed off on an item. We currently have logic where if a chart item is opened from the notification and the chart item is signed then the notification will be completed automatically. 

Now, if a notification was created manually and NOT through a Notification rule then upon Sign the system will automatically complete any open, manually created notifications. 

If a notification is sent AFTER the chart item is signed then the notification would remain open. For example if a provider writes a prescription and wants the nurse team to call the patient and let them know it has been sent, then the provider would sign & eSend the prescription and then send the notification. 

If a user is using the Quick Pick notifications and select the Sign Item option, then the system will sign the chart item before sending the notification