Document Nebulizer Pre-Treatment Details

You can document a patient's nebulization values on the Nebulizer Treatment - Procedure template.

1. Open NextGen® Enterprise EHR.
2. Open a patient's record, and then open an encounter.
3. On Top Toolbar, select Templates .
   The Select Template window opens.
4. Open the SOAP template, and expand the Nebulizer panel.
5. In the Nebulizer panel, select Add.
   The Nebulizer Treatment - Procedure template opens.

   

6. In the Pre-Treatment panel, select the Description field and select an indication from the Proc Nebulizer category on the diagnosis search window.
   Note: You must record a diagnosis in the Description field to successfully bill the nebulizer treatments. NextGen® Enterprise EHR fills the Code fields automatically.
7. Enter the values for Pre-Treatment Peak Flow in the three measured fields.
8. 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.
9. Save and close the template.