Document the Pre-procedure Details for IUD

NextGen® Adaptive Content Engine Help Enterprise 8

Document the IUD Removal Details

You can document the Intrauterine Device (IUD) removal procedure details in the IUD Removal section on the IUD - Procedure template. Open the IUD - Procedure template. In the IUD Removal section, select a diagnosis in Indication for procedure. IUD Removal section If you select the Indication for procedure check box, the procedure and its code are automatically added in the respective fields. Select a status for the diagnosis. Enter the reason for removal, side effects, and the desired birth control method. In Strings visible, select No or Yes. Enter the instrument with which the Intrauterine Device (IUD) is removed. Optional: Select the IUD removed without complications and Patient desires reinsertion check boxes. To document the physical exam details, select the Physical Exam link and document details in the GYN - PE template. Parent topic: Open the IUD Procedure Template Related tasks Open the IUD Procedure Template

NextGen® Adaptive Content Engine Help Enterprise 8

Document the IUD Insertion Details

You can document the Intrauterine Device (IUD) insertion procedure details in the IUD Insertion section on the IUD - Procedure template. Open the IUD - Procedure template. In the IUD Insertion section, select a diagnosis in Indication for procedure. IUD Insertion section If you select the Indication for procedure check box, the procedure and its code are automatically added in the respective fields. Select a status for the diagnosis. Optional: Select the History reviewed and no contraindications check box. Enter the uterine size and uterus details. Enter the name of the chemical used in cleaning and preparing the cervix. Enter the Tenaculum site anesthetic and Paracervical block dosage details. Optional: Select the Cervical dilation required check box. Enter the uterus sound measurement in Uterus sounded to. Optional: Select the IUD inserted in normal fashion with no complications and IUD successfully inserted per manufacturer’s instructions check boxes. Enter the strings trimmed measu

NextGen® Adaptive Content Engine Help Enterprise 8

Document the Post-Procedure Details for IUD

You can document the post-procedure care details of the Intrauterine Device (IUD) in the Post-Procedure section on the IUD - Procedure template. Open the IUD - Procedure template. In the Post-Procedure section, select the following check boxes as applicable. Patient tolerated procedure well Patient to follow up after next period Patient instructions given Post-Procedure section Enter your comments. Optional: To document the medication details, select the Medication Module link and then enter the details in the Medication module. You can enter the Intrauterine Device (IUD) details in the Medication module with their expiration dates. To document assessment and plan details, select the A/P Details link, and enter the details on the Assessment Plan Details template. Select the procedures and add the necessary modifiers. Select the number of days or weeks for the follow-up checkup or the date. Note: If you select the time interval for the next checkup, date automatically appears in Date. O

NextGen® Adaptive Content Engine Help Enterprise 8

Document the Pre-Procedure Care Details of Contraceptive Implant

You can document the pre-procedure care details of contraceptive implant in the Pre-Procedure Care section on the Contraceptive Implant Procedure template. Open the Contraceptive Implant Procedure template. In the Pre-Procedure Care section, select LMP. If LMP is entered on the Vital Signs template, LMP appears automatically in the LMP field. Optional: Select the Postpartum check box. Enter the pre-op contraception details. Optional: Select the following check boxes as applicable. Consent was obtained Procedure/risks were explained Questions were answered Correct patient is identified Correct side and site confirmed Negative pregnancy test History reviewed and no contraindications To document the patient's consent details, select the Consent link and document the details in the Consent - Procedure template. Parent topic: Open the Subdermal Contraceptive Implant Related tasks Open the Subdermal Contraceptive Implant

NextGen® Adaptive Content Engine Help Enterprise 8

Open the IUD Procedure Template

You can document Intrauterine Device (IUD) insertion and removal details using discrete data fields on the IUD - Procedure template. Open NextGen® Enterprise EHR. On the SOAP template, select the Procedures link. The Procedures template opens. In Genitourinary, select IUD. The IUD - Procedure template opens. IUD - Procedure template Document the Pre-procedure Details for IUD You can document the pre-procedure details of the Intrauterine Device (IUD) in the Pre- procedure Care section on the IUD - Procedure template. Document the IUD Insertion Details You can document the Intrauterine Device (IUD) insertion procedure details in the IUD Insertion section on the IUD - Procedure template. Document the IUD Removal Details You can document the Intrauterine Device (IUD) removal procedure details in the IUD Removal section on the IUD - Procedure template. Document the Post-Procedure Details for IUD You can document the post-procedure care details of the Intrauterine Device (IUD) in the Post-Pr

NextGen® Adaptive Content Engine Help Enterprise 8

Document the Pre-Procedure Details for Diaphragm/Cervical Cap

You can document the pre-procedure details of the Diaphragm/Cervical Cap procedure in the Pre-Procedure section on the Diaphragm/Cervical Cap - Procedure template. Open the Diaphragm/Cervical Cap - Procedure template. Select the last menstrual period in LMP. Note: If the LMP is entered on the Vital Signs template, LMP appears automatically in the field. To indicate postpartum, select the Postpartum check box. Select the pre-op contraception method. Optional: Select the following check boxes. Negative pregnancy test Correct patient is identified Procedure/risks were explained Questions were answered Consent was obtained Correct side and site confirmed Indicate the presence of Gonorrhea or Chlamydia. Select the Consent link and do the following in the Consent - Procedure template to obtain the procedure consent. Select the provider. In Consent by, select the person's name who consented to the procedure. Select the procedure type and date. If the date is not fixed, select the To be schedu

Document the Pre-procedure Details for IUD

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