Document the Hysteroscopy, Ablation, or Sterilization Findings Details

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Document the Hysteroscopy, Ablation, or Sterilization Recovery and Discharge Details

You can document the recovery details of the Hysteroscopy, Ablation, or Sterilization procedure in the Recovery and Discharge Details panel on the Hysteroscopy - Procedure template. Open the Hysteroscopy - Procedure template, and then expand the Recovery and Discharge Details panel. Recovery and Discharge Details panel In Patient tolerated procedure well, select No or Yes. In Complications, select No or Yes.If you select Yes, you must enter comments in the corresponding field. Enter the time in Arrived in recovery.You can manually enter the time, select to enter the current time, or select the to enter the time using the Time Entry template. Optional: Select the Patient ID card given checkbox. Enter the details in Discharge completed by. Enter the details in Patient discharged into the care of and the time Enter a birth control option in the Post procedure interval contraception field. Enter assistant and post-procedure comments. Enter instructions for the patient. You can also select

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Document the Hysteroscopy, Ablation, or Sterilization Indication for Procedures

You can document the indication for the procedure in the Hysteroscopy/Ablation/Sterilization panel on the Hysteroscopy - Procedure template. Open the Hysteroscopy - Procedure template. In the Hysteroscopy/Ablation/Sterilization panel, select a diagnosis in Indication for procedure. Hysteroscopy/Ablation/Sterilization panel You can select up to four diagnoses. The diagnosis code appears in Code. Select a diagnosis status. You can clear the selected diagnosis details by selecting Clear. Parent topic: Open the Template for Hysteroscopy, Ablation, or Sterilization Procedures See also Open the Template for Hysteroscopy, Ablation, or Sterilization Procedures

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Document the Hysteroscopy Details

You can document the Hysteroscopy procedure details in the Hysteroscopy/Ablation/Sterilization panel on the Hysteroscopy - Procedure template. Open the Hysteroscopy - Procedure template, and then exapnd the Hysteroscopy/Ablation/Sterilization panel. In the Hysteroscopy Details section, enter the hysteroscope type, size, and distention medium. Hysteroscopy Details section Optional: Select the Gravity feed and Pressure bag checkboxes. Enter the measures for fluid volumes in and out and the fluid deficit. To enter the details for the time scope in and time scope out field, do one of the following: To enter the current time, select . To enter the time using the Time Entry template, select the . Enter the time in Time scope in and Time scope out. If a product is not required for billing, select the *Product not required checkbox. Otherwise, enter the product, lot number, and expiration information in the respective fields. Note: If you have not documented hysteroscopy details or indicated t

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Document the Hysteroscopy, Ablation, or Sterilization Post-Procedure Details

You can document the post-procedure details of the Hysteroscopy, Ablation, or Sterilization procedure in the Post-Procedure section on the Hysteroscopy - Procedure template. Open the Hysteroscopy - Procedure template. In the Post-Procedure section, select the procedure and add the applicable modifiers. Post-Procedure section To remove any entered details, you can select Clear . Optional: Select the Bill for surgical tray checkbox. To enter an office-visit follow-up, do one of the following: Enter a time interval in Return to office. The calculated date appears in the date field. Select a date from the calendar in the date field. To schedule a hysterosalpingogram, do one of the following: Enter a time interval in Schedule Hysterosalpingogram. The date is calculated and appears in the date field. Select a date from the calendar in the date field. Select Place Order, and then select Submit to Superbill. When the charges are submitted, a Charges Submitted text appears with a checkbox, and

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Document the Aldrete Score

You can document the Aldrete score of a patient on the ASC - Aldrete Score template. Open the Hysteroscopy - Procedure template. In the Aldrete Score panel, select Add.The ASC - Aldrete Score template opens. ASC - Aldrete Score template To display the Aldrete Post Anesthetic Score in the Modified Aldrete Post Anesthetic Recovery Score © field, select the applicable options. Activity Respiration Circulation Consciousness O2 Saturation Note: The modified score must be at least 9 to discharge a patient. To display the Aldrete Post Anesthetic Score for Ambulatory Anesthesia in the Aldrete Post Anesthetic Recovery Score © Modified for Ambulatory Anesthesia field, select the applicable options in the following sections. Activity Dressing Respiration Pain Circulation Ambulation Consciousness Fasting - Feeding O2 Saturation Urine Output Note: The Aldrete Post Anesthetic Score must be at least 18 to discharge a patient. Select the Sign off checkbox.The username and current date appear in Comple

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Manage ASC Vital Signs

You can continuously monitor the vital signs of a patient in the Vital Signs Monitoring panel on the Hysteroscopy - Procedure template. Open the Hysteroscopy - Procedure template. In the Vital Signs Monitoring panel, select Add.The ASC Vital Signs Monitoring template opens. ASC Vital Signs Monitoring template In the Vital Signs Monitoring section, do the following: Select the stage of monitoring. To indicate the vitals are a baseline reading, select the Baseline checkbox.The vital signs details are added to the Baseline Vital Signs grid. Enter the following details: Time Temp(F) Pulse Resp Sys BP Dias BP SpO2 CO2 (mmHg) ECG rate ECG rhythm Select the pain level and level of consciousness. Enter the details for bleeding severity and blood loss. To show who monitored the vital signs, select the Monitored by checkbox, and then select a user in the Monitored by field. To show the height and weight details at the top of the vital signs grid in the Vital Signs Monitoring panel, select the He

Document the Hysteroscopy, Ablation, or Sterilization Findings Details

Recommendations

Document the Hysteroscopy, Ablation, or Sterilization Recovery and Discharge Details

Document the Hysteroscopy, Ablation, or Sterilization Indication for Procedures

Document the Hysteroscopy Details

Document the Hysteroscopy, Ablation, or Sterilization Post-Procedure Details

Document the Aldrete Score

Manage ASC Vital Signs

Document the Hysteroscopy, Ablation, or Sterilization Recovery and Discharge Details

Document the Hysteroscopy, Ablation, or Sterilization Indication for Procedures

Document the Hysteroscopy Details

Document the Hysteroscopy, Ablation, or Sterilization Post-Procedure Details

Document the Aldrete Score

Manage ASC Vital Signs