Document Excision Repair Details
- On the SOAP template, go to the bottom of the template and select the Procedures icon.
The Udp Procedure Picklist opens.
- Click Excision/Repair and click OK.
The Procedure dermatology excision 1 template opens.
- In the Today's Assessment grid, select or add a finding to be excised.
The Procedure Excision panel is populated with the diagnosis for the selected finding.
- In the Repair panel, do the following :
- To select the type of repair performed, click Repair Type.
- Select the anesthesia being used from the picklist and enter the amount used in milliliters.
- To add Undermining details, select the No or Yes option as appropriate.
If you select Yes, indicate the size of the undermining in centimeters in the cm field.
- To add a dermal suture type, select from the Dermal suture 1 picklist or click the blank line, and type a non-listed dermal suture type.
- To add an additional dermal suture type, click Dermal suture 2.
- To add an epidermal suture type, select from the Epidermal suture 1 picklist or click the blank line and type a non-listed epidermal suture type.
- To add an additional epidermal suture type, click Epidermal suture 2.
- To add the length or surface area of the repair in centimeters, click Repair Length.
- If specifying a length, select the cm option. For surface area, select cm2.
- To add the dressing type, select from the Dressing1 picklist or click the blank line and type a non-listed dressing type.
- To add another dressing type, click Dressing 2.
- To add a hemostasis agent, select from the Hemostasis 1 picklist or click the blank line and type a non-listed hemostasis agent.
- To add another hemostasis agent, click Hemostasis 2.
- To add the antibiotic and moisturizer, select from the Antibiotic / Moisturizer picklist or click the blank line and type a non-listed antibiotic or moisturizing agent.