Document and Injection or Aspiration

NextGen® Medication Inventory Control Help 10.6.3.0

Documenting Injections and Aspirations

You can document joint injections and aspirations for a patient. On the MICS Injections/Aspirations template, you can document joint injection or aspiration procedures for a patient encounter. You can use the fields appearing above the Procedure Type panels to add the preliminary details for documenting injection and aspiration procedures. The Procedure Type panels have the procedure type automatically selected as injection or aspiration based on the configuration in the Injections & Aspirations Provider Panel Defaults panel of the Admin Configuration template. For more information, go to NextGen Healthcare Success Community, and download the latest Configuration Guide forNextGen®Medication Inventory Control. To change the current procedure type, you can click the procedure type link in the panel name. You can document the following details in the Procedure Type panel. Procedure information Up to four medications for injections Appearance and quantity for aspirations Patient’s response

NextGen® Medication Inventory Control Help 10.6.3.0

Documenting an Injection

You can document the procedure and medication information for an injection in the Procedure Type panel on the MICS Injections/Aspirations template. You can document the medication information for up to four medications for an injection. You can also document patient's response for the documented injection in the Patient Response section. Document Injection Procedure Information You can manually document injection procedure in the Procedure Type panel on the MICS Injections/Aspirations template. Needle Placement Confirmation Medical Necessity and Optional Information Documenting Medications Administered for an Injection You can document medication details for an injection administered by your practice. Parent topic: Documenting Injections and Aspirations

NextGen® Medication Inventory Control Help 10.6.3.0

Adding Preliminary Details for Injections and Aspirations

You can add preliminary details for documenting injection and aspiration procedures on the MICS Injections/Aspirations template. The following table describes the fields appearing above the Procedure Type panels on the MICS Injections/Aspirations template, which are used to add preliminary details for documenting injection and aspiration procedures. Field Description Consent was obtained You can select this check box to indicate that the consent was obtained for performing the procedure. This information is added to the patient’s file and office visit document. Procedure/risks were explained You can select this check box to indicate that the procedure and the risks associated with it were explained to the patient. This information is added to the patient’s file and office visit document. Questions were answered You can select this check box to indicate that all questions of the patient were answered. This information is added to the patient’s file and office visit document. Specialty Y

NextGen® Medication Inventory Control Help 10.6.3.0

Documenting an Aspiration

You can document the general procedure details, appearance, and quantity of the fluid drawn off, and the patient’s response for an aspiration procedure in the Procedure Type panel on the MICS Injections/Aspirations template. You can manually document the aspiration procedure information or use QuickPicks. Document Aspiration Procedure Information You can manually document aspiration procedure in the Procedure Type panel on the MICS Injections/Aspirations template. Document Needle Placement Confirmation and Medical Necessity Additional Procedure Information Appearance and Quantity of Fluid Drawn Parent topic: Documenting Injections and Aspirations Related tasks Document Using QuickPicks

NextGen® Medication Inventory Control Help 10.6.3.0

Using NextGen® Medication Inventory Control

You can use the NextGen® Medication Inventory Control medical record templates to document the administration and dispensing of medications from your configured inventory. Documenting Dispensed Medications You can document medications that are dispensed and administered to the patient on the MICS Dispensing template. General Information Ordering and Administering Immunizations You can order vaccines, and document immunization information on the MICS Immunizations template. Documenting Injections and Aspirations You can document joint injections and aspirations for a patient. Documenting Ophthalmology Injections You can document ophthalmology injection procedures for a patient on the MICS MedAdmin OPH template. Managing Medications You can document the dispensing and administration details of ordered medications on the MICS Med Management template.

NextGen® Medication Inventory Control Help 10.6.3.0

Document Injection Procedure Information

You can manually document injection procedure in the Procedure Type panel on the MICS Injections/Aspirations template. You can manually document the injection procedure in following fields or using a Quickpick. On the MICS Injections/Aspirations template, expand the Procedure Type panel. Select the Procedure Type as Injection. In the Admin Type field, select administration type. The Body Parts picklist opens. Select the body part from the picklist, and select OK. The Sides picklist opens. Select the side from the picklist, and select OK. The Locations picklist opens. Select the location from the picklist, and select OK. The Portal/Approach picklist opens. Select the portal and approach from the picklist, and select OK. All the fields display the values you selected. The CPT code field is filled based on the Admin Type selected. The Modifier field is filled based on the Side selected. To associate a diagnosis code with the procedure, select a diagnosis in the Diagnosis field. Note: If y

Document and Injection or Aspiration

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