Document the Pre-Procedure Details for Hysteroscopy, Ablation, or Sterilization

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Document the Hysteroscopy, Ablation, or Sterilization Findings Details

You can document the procedure findings in the Hysteroscopy/Ablation/Sterilization panel on the Hysteroscopy - Procedure template. Open the Hysteroscopy - Procedure template, and then expand the Hysteroscopy/Ablation/Sterilization panel. In the Findings section, to document Uterine size, do one of the following: Select the Normal check box. Enter a size in Other. Findings section For Position, select anteverted, retroverted, or midline. Enter additional details in Comments. You can also use My Phrases to directly add comments. Parent topic: Open the Template for Hysteroscopy, Ablation, or Sterilization Procedures Related tasks Open the Template for Hysteroscopy, Ablation, or Sterilization Procedures

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Document the Hysteroscopy, Ablation, or Sterilization Anesthesia Details

You can document the anesthesia details of the procedure in the Hysteroscopy/Ablation/Sterilization panel on the Hysteroscopy - Procedure template. Open the Hysteroscopy - Procedure template, and then expand the Hysteroscopy/Ablation/Sterilization panel. Optional: In the Anesthesia section, select the No cervical block performed check box. Anesthesia section To document a cervical block that is performed, enter the following details: Select an anesthetic agent, anesthetic dose, and a block type. Enter the details of additional anesthesia and medications. The Meds field has a 75 characters limit. Select IV sedation administered, see anesthesia record or No IV sedation administered. Note: If you document in the Cervical block performed section, and then select the No cervical block performed check box, the documented cervical block details are cleared. Similarly, if you select the No cervical block performed check box, and then enter the cervical block details, the No cervical block perf

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Document the Hysteroscopy, Ablation, or Sterilization Recovery and Discharge Details

You can document the recovery details of the Hysteroscopy, Ablation, or Sterilization procedure in the Recovery and Discharge Details panel on the Hysteroscopy - Procedure template. Open the Hysteroscopy - Procedure template, and then expand the Recovery and Discharge Details panel. Recovery and Discharge Details panel In Patient tolerated procedure well, select No or Yes. In Complications, select No or Yes. If you select Yes, you must enter comments in the corresponding field. Enter the time in Arrived in recovery. You can manually enter the time, use to enter the current time, or select the down arrow to enter the time using the Time Entry template. Optional: Select the Patient ID card given check box. Enter the details in Discharge completed by. Enter the details in Patient discharged into the care of and the time Enter a birth control option in the Post procedure interval contraception field. Enter assistant and post-procedure comments. Enter instructions for the patient. You can a

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Manage ASC Vital Signs

You can continuously monitor the vital signs of a patient in the Vital Signs Monitoring panel on the Hysteroscopy - Procedure template. Open the Hysteroscopy - Procedure template. In the Vital Signs Monitoring panel, select Add. The ASC Vital Signs Monitoring template opens. ASC Vital Signs Monitoring template In the Vital Signs Monitoring section, do the following: Select the stage of monitoring. To indicate the vitals are a baseline reading, select the Baseline check box. The vital signs details are added to the Baseline Vital Signs grid. Enter the following details: Time Temp(F) Pulse Resp Sys BP Dias BP SpO2 CO2 (mmHg) ECG rate ECG rhythm Select the pain level and level of consciousness. Enter the details for bleeding severity and blood loss. To show who monitored the vital signs, select the Monitored by check box, and then select a user in the Monitored by field. To show the height and weight details at the top of the vital signs grid in the Vital Signs Monitoring panel, select th

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Document the Hysteroscopy, Ablation, or Sterilization Post-Procedure Details

You can document the post-procedure details of the Hysteroscopy, Ablation, or Sterilization procedure in the Post-Procedure section on the Hysteroscopy - Procedure template. Open the Hysteroscopy - Procedure template. In the Post-Procedure section, select the procedure and add the applicable modifiers. Post-Procedure section To remove any entered details, you can select Clear . Optional: Select the Bill for surgical tray check box. To enter an office-visit follow-up, do one of the following: Enter a time interval in Return to office. The calculated date appears in the date field. Select a date from the calendar in the date field. To schedule a hysterosalpingogram, do one of the following: Enter a time interval in Schedule Hysterosalpingogram. The date is calculated and appears in the date field. Select a date from the calendar in the date field. Select Place Order, and then select Submit to Superbill. When the charges are submitted, a Charges Submitted text appears with a check box, an

NextGen® Adaptive Content Engine Help Enterprise 8

Document the Hysteroscopy Details

You can document the Hysteroscopy procedure details in the Hysteroscopy/Ablation/Sterilization panel on the Hysteroscopy - Procedure template. Open the Hysteroscopy - Procedure template, and then expand the Hysteroscopy/Ablation/Sterilization panel. In the Hysteroscopy Details section, enter the hysteroscope type, size, and distention medium. Hysteroscopy Details section Optional: Select the Gravity feed and Pressure bag check boxes. Enter the measures for fluid volumes in and out and the fluid deficit. To enter the details for the time scope in and time scope out field, do one of the following: To enter the current time, select . To enter the time using the Time Entry template, select the down arrow . Enter the time in Time scope in and Time scope out. If a product is not required for billing, select the *Product not required check box. Otherwise, enter the product, lot number, and expiration information in the respective fields. Note: If you have not documented hysteroscopy details o

Document the Pre-Procedure Details for Hysteroscopy, Ablation, or Sterilization

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