ppt课件-officeproceduretemplates-sammamishdiabetesandlipid.pptVIP

Office Procedure Templates Don Stewart PPUG 2009 DonS@SDALC.org Adding Procedure Notes Procedure Note: ?DEL? ?*EllipExc? ?*PunchBx? ?*SebPunch? ?*LipoIncis? ?*ShaveBx? ?*Vasect1? ?*NailExcision? ?*EarWash? ?*Cryotherapy? ?*Joint_Injections...? ?*SkinTagRemoval? ?*ExciseHemorrhoid? ?*ForeignBodyRemoval? ?*Subungual_Hematoma_Evac? ?*Destr_Malig_Lesion? What Do You Need? Informed consent Description of the procedure Follow-up plans Codes Informed Consent Description of Elliptical Excision ?*Informed_Consent_Bx? Using ?*2? ?*1?% Lidocaine with?*out? Epi local anesthesia and ?*Alcohol? ?*Betadine? prep, after the lesion had been appropriately draped, an elliptical full-thickeness excision was done. The lesion was placed in formalin and sent to Pathology. Bleeding was controlled with pressure and cautery. After appropriate undermining, the wound was closed with interrupted ?*4? ?*5? ?*6?-0 ?*Proline? ?*Ethilon? and bandaged appropriately. Patient was instructed to return for suture removal in ?*3? ?*-? ?*5? ?*-? ?*7? ?*-? ?*10? ?*-? ?*14? days. ?*Excis_MaligLes...? ?*Excise_BenignLes...? *Excise Benign Les Pick list The Procedure Code Lesion Size Pick List Now for the Diagnosis Code Derm Diagnoses Before Saving the Note After Saving the Note