You can document a patient's Nebulizer post treatment details on the Nebulizer Treatment - Procedure template.
- Open NextGen® Enterprise EHR.
- Open a patient's record, and then open an encounter.
- On Top Toolbar, select Templates
.
The Select Template window opens.
- Open the SOAP template, and expand the Nebulizer panel.
- In the Nebulizer panel, select Add.
The Nebulizer Treatment - Procedure template opens.
- In the Post-Treatment panel, enter Pulse Ox and Pulse Ox Amb values, and then select the TX1 option.
- Enter the values for Post-Treatment Peak Flow in the three measured fields.
- In the Physical Exam section, do one of the following:
- Select the Normal check box for Inspection, Auscultation, and Effort, and the Absent check box for Cough.
- Enter details in the Side, Location, and Findings fields.
Note: You can select the Respiratory link to enter additional details on theRespiratory - Physical Exam template.
- Document the Patient Response and enter additional Comments, as needed.
- To submit the charges to superbill, select Submit to Superbill.
Note: If you perform more than one treatment, do not select Submit to Superbill until all treatments are documented.
- Select Save & Close.
Note: The highest value for each TX fields (1,2, and 3) displays in the associated column in the grid. If charges are not submitted, an application message displays on the Testing template.