Add Fracture Care Rapid Note

Click the SOAP tab and click the Rapid Note link.
The Fracture Care Rapid Note template opens.
In the Indication/Type of Treatment panel, the grids will be filled from the options selected and documented in the Fracture/Casting /Strapping template.
If a patient has a new treatment that needs to be added, do the following:
1. Select the required options for the Episode of Care and the Type of Treatment fields.
2. Select the required options for the following fields from the corresponding picklists and then select Add.
  - Indication
  - Type of treatment
  - Side
  - Region
  - Initial Treatment Date
    Note: The fields marked with an (*) are mandatory fields.
  The information is displayed in the grid.
3. Select the required options for the following fields:
  - Status
  - WB Status
  - Pain meds
  - Using assistive device
  - Select the Pain level and Frequency of pain from the corresponding picklists.
In the Associated symptoms/pertinent negatives section,
1. Select the required options for the Activity Level and Work status from the corresponding picklists.
2. Select the required checkbox for the patient if there are No associated symptoms, No pertinent negatives, and if All others are negative.
3. Click the required buttons for the present symptoms.
4. Select the required options for the Other associate symptoms and Other pertinent negatives if there are any from the corresponding picklists.
  
  Note: You can add information about the patient reports by selecting the assessment from the grid and clicking the ADLs and Functional Limitations links.
  
  If you click the ADLs link, it displays the PT Patient Report template to select appropriate patient data.
  
  If you click the Functional Limitations link, it displays the Functional Limitations template to select the required patient data.
In the Fracture treatment and management section,
1. Select the required checkboxes.
2. Select a date from the Patient removed cast calendar.
3. Click Other to select a treatment.
In the Complications section, click the required options.
In the Procedures section, select a procedure link.
In the Physical Exam panel, record the exam findings.
In the Assessment/Plan panel, if any assessment is previously selected, it will automatically populate the details of the assessment.
Click the Add Common Assessment link to add or remove a new common assessment.
In Today's Assessments, select an assessment. You can add, edit, or remove the assessment.
Select the required options for each section.
You can use the Assessment/Plan Details, Diagnostics, and CC: Providers links in the My Plan section to add information about the assessments, diagnostics, and providers respectively.
Click Save & Add New.
Click Save & Close.

Click the SOAP tab and click the Rapid Note link.
The Fracture Care Rapid Note template opens.
In the Indication/Type of Treatment panel, the grids will be filled from the options selected and documented in the Fracture/Casting /Strapping template.
If a patient has a new treatment that needs to be added, do the following:
1. Select the required options for the Episode of Care and the Type of Treatment fields.
2. Select the required options for the following fields from the corresponding picklists and then select Add.
  - Indication
  - Type of treatment
  - Side
  - Region
  - Initial Treatment Date
    Note: The fields marked with an (*) are mandatory fields.
  The information is displayed in the grid.
3. Select the required options for the following fields:
  - Status
  - WB Status
  - Pain meds
  - Using assistive device
  - Select the Pain level and Frequency of pain from the corresponding picklists.
In the Associated symptoms/pertinent negatives section,
1. Select the required options for the Activity Level and Work status from the corresponding picklists.
2. Select the required checkbox for the patient if there are No associated symptoms, No pertinent negatives, and if All others are negative.
3. Click the required buttons for the present symptoms.
4. Select the required options for the Other associate symptoms and Other pertinent negatives if there are any from the corresponding picklists.
  
  Note: You can add information about the patient reports by selecting the assessment from the grid and clicking the ADLs and Functional Limitations links.
  
  If you click the ADLs link, it displays the PT Patient Report template to select appropriate patient data.
  
  If you click the Functional Limitations link, it displays the Functional Limitations template to select the required patient data.
In the Fracture treatment and management section,
1. Select the required checkboxes.
2. Select a date from the Patient removed cast calendar.
3. Click Other to select a treatment.
In the Complications section, click the required options.
In the Procedures section, select a procedure link.
In the Physical Exam panel, record the exam findings.
In the Assessment/Plan panel, if any assessment is previously selected, it will automatically populate the details of the assessment.
Click the Add Common Assessment link to add or remove a new common assessment.
In Today's Assessments, select an assessment. You can add, edit, or remove the assessment.
Select the required options for each section.
You can use the Assessment/Plan Details, Diagnostics, and CC: Providers links in the My Plan section to add information about the assessments, diagnostics, and providers respectively.
Click Save & Add New.
Click Save & Close.

Add Fracture Care Rapid Note

Recommendations

Document the Fracture Care Details of a Patient

Document Findings in the Post-op Rapid Note Template

Document Post-Op Visit Details

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Document Therapy and Treatment Orders

Document with the Laterality View

Add Fracture Care Rapid Note

Document the Fracture Care Details of a Patient

Document Findings in the Post-op Rapid Note Template

Document Post-Op Visit Details

Enter Treatment Plan Information

Document Therapy and Treatment Orders

Document with the Laterality View