Making sure all iPads are synced (ie some are offline or not synced at the moment that new flow sheets are created) avoids duplicate sheets being created for a patient. 

To ensure this happens, go into settings app on iPad, then go to General -> Display & Brightness ->Auto-Lock and set it to “Never”. Please avoid turning off Smart Flow app or switching to another app. With the Auto lock on never, and staying on the SF app, Smart Flow will be synced pretty much all of the time (due to syncing with every action that happens on that particular iPad, or every 25 seconds automatically if iPad is idle).