Document Orthopedic Pre-Op Visit Details

NextGen® Adaptive Content Engine Help Enterprise 8

Schedule a Surgery for Orthopedics

From the navigation bar, click the Surgery Scheduling link. The Ort Surgery Scheduling template appears. Ort Surgery Scheduling template To specify the facility, do one of the following: Click the Facility field and select a value from the picklist. Click the top blank row in the picklist and type a value in the field. Click the Surgeon field and select a surgeon to place the orders for surgery. To specify the assistant, do one of the following: Click the Assistant field and select a value from the picklist. Click the top blank row in the picklist and type a value in the field. Select any of the following option to indicate the surgery type: Inpatient Outpatient Observation In the Consents section, enter the required details. In the Procedure section, Click the first text box and select a diagnosis from the picklist. The second text box is filled with diagnosis code. Click the third text box to access the Select Procedure window. Search for and select an appropriate procedure. Click OK

NextGen® Adaptive Content Engine Help Enterprise 8

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® Adaptive Content Engine Help Enterprise 8

Document Pre-Operative Visit Details

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, click 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, click 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. Click 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, click the Preop Checklist link. Select the appropriate option for Risk Factors, Bleed

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

NextGen® Adaptive Content Engine Help Enterprise 8

Orthopedics

The Orthopedics User Guide for NextGen® Adaptive Content Engine provides an explanation of and instructions on how to use the NextGen® Adaptive Content Engine for Orthopedic office and virtual visit encounters, document physical exams, fracture care, and pre-operative and post-operative visits specifically for an Orthopedic patient. Orthopedic Patient Encounters Configuration Procedures Intake Staff Workflow The intake staff can use the Intake template to document a patient's chief complaint, vital signs, medications, allergies, standing orders, and various other findings. Overview of the Provider Workflow You can review the patient's medical summary details on the Home Page template and then proceed to the SOAP and Finalize templates. Overview of the Finalize Template Workflow You can complete the encounter workflow using the Finalize template. Overview of the Checkout Staff Workflow You can review and generate documents of a patient's checkout process. Orthopedic Physical Exam Templa

NextGen® Orthopedic Suite Help 80.2.14.0

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. On the NB Preop v5 template, in the History panel, click the Get button. History panel on the NB Preop V5 template The surgery window opens displaying all surgery encounters with planned procedures for the patient. Select an encounter from the surgery window, and click OK. The following details from the selected encounter are automatically filled in the corresponding fields. The options in the Pre-Surgical Checklist section are automatically updated from the Surgery Sched template on the selected encounter. Clearance Boarded procedures Pre-Op and post-op medications Medication instructions Anesthesia provided Labs and tests To add additional medications and instructions, click the desired fields, and then select the option to be added from the list. To generate a revised medication instruction, click the Create Document Document icon icon. I

Document Orthopedic Pre-Op Visit Details

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