Pre-Operative Visit and Post-Operative Visit

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Document Post-Op Visit Details

You can document a patient's post-operative details and physical findings. You can use the Post Op template to record the post-operative findings, including the patient's pre-operative status, history of present illness, and physical exam findings. On the Intake template, select the visit type as Post Op Visit.The Post-Op template opens. In the Reason for Visit panel, select Surgery Follow Up from the HPI list.If you do not see the surgery follow up option in the list, use Search, and select Surgery Follow Up from the search results. Note: To enter the text HPI portion of the visit, you can use the Generic HPI template. The Surgery Follow-up - HPI template opens. Surgery Follow-up Select the post-operative status of the patient. To enter a saved default set, select Quick Load and Save. In the Interval History section, do the following: Indicate if the patient has pain.If you select Yes, enter the location, level, and frequency of the pain. Indicate if the patient is using any pain medi

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Urology

The Urology User Guide for NextGen® Adaptive Content Engine is intended for Urology medical professionals, such as providers, nurses, and front office staff, responsible for documenting and processing patient information. Document Urology Patient Encounters You can use the various templates in NextGen Adaptive Content Engine to document the encounter details of a urology patient. General Office and Virtual Visit Workflow You can find general and virtual visit workflows in the Intake and Histories template. Urology Procedures An overview of urology procedures. Pre-Operative Visit and Post-Operative Visit You can obtain the before and after the surgery details of a patient. View Status and Location of Patients You can view the status and location of a patient.

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Document Pre-Operative Visit Details

You can document the details and recommend any test for a patient before surgery. On the Preop Visit template, you can record the health condition and recommend any test for a patient. You can refer to other doctors to make sure that the patient's condition is stable before the surgery. In the left Navigation bar, select Pre Op Visit.The Preop visit template opens displaying the assessment, orders, medication, and allergies details documented on the Intake and SOAP templates. Preop Visit To enter the surgery details, select Schedule Procedures.The Surgery Orders grid displays the details of the scheduled surgery. In the Consents section, do the following: Select the appropriate option after explaining the procedure details to the patient. Select Risk detail, and select the relevant pre-operative risks. Select the appropriate option for Agrees to blood/blood products?If you select no, select the Signed blood/blood product refusal form check box. To open the Preop Checklist template, sel

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Orthopedic Pre-Op Visits

After documenting the fracture, casting, and strapping details, if the patient has to undergo surgery, physicians can document the pre-operative details in the Preop Visit template. The Preop Visit template enables physicians to record the health condition and recommend any tests or refer to any other doctor to make sure that the patient condition is stable before surgery. Document Orthopedic Pre-Op Visit Details Schedule a Surgery for Orthopedics Parent topic: Orthopedics

NextGen® Orthopedic Suite Help 80.2.14.0

Pre-Operative History and Physical Exams

The Pre-op H&P template enables you to document the details of H&P exams and generate the H&P Note. You can use the Pre-op H&P template to review the patient history, document physical exams, and add diagnosis details before surgery. It is also used to generate the H&P Note document. This template consists of the following panels. History Physical Exam Diagnosis Pre-op H and P template Document Pre-Operative History and Physical Examinations You can review patient histories, document physical examinations, and add diagnosis details. Generate the H&P Note You can generate the H&P Note for the pre-operative history and physical exams. Parent topic: Pre-Op Templates

NextGen® Orthopedic Suite Help 80.2.14.0

Pre-Operative Visit for a Surgery

You can document the details of the pre-operative visit for a surgery. You can use the NB Preop v5 template to document the details of the pre-operative visit for the surgery, which is scheduled using the Surgery Sched template. The NB Preop v5 template has the following panels. You can also use the Get Data button fill the surgery details on this template from the previous encounter. History Physical Exam Assessment and Plan NB Preop V5 template Access the NB Preop V5 Template Document Patient History for Pre-Operative Visits You can document patient history such as surgery information, medications, allergies, and medical and surgical histories for pre-operative visits. Assessment and Plan (MDM) Panel Parent topic: Pre-Op Templates

Pre-Operative Visit and Post-Operative Visit

Recommendations

Document Post-Op Visit Details

Urology

Document Pre-Operative Visit Details

Orthopedic Pre-Op Visits

Pre-Operative History and Physical Exams

Pre-Operative Visit for a Surgery

Document Post-Op Visit Details

Urology

Document Pre-Operative Visit Details

Orthopedic Pre-Op Visits

Pre-Operative History and Physical Exams

Pre-Operative Visit for a Surgery