Document Debridement Procedures

You can document the debridement, burn, and wound care procedures performed in the office.

1. Open the IORTS Castsplint Apply template.
2. Click Debridement in the left pane.
   The IORTSproc Debride template opens.

   

3. In the Debridement/Burn/Wound section, select the pre-procedure steps performed.
4. In Burns, Infected skin, and Ulcer/Wound sections, do the following:
   1. Select the procedure performed.
      Note: If you select the procedure in the Ulcer/Wound section, the Number Pad window opens when you click the Sq. cm field. You can enter the square centimeters or tissue removed, and then select the body part for the Location field.

      The Wound Debridement – Total area of wound in sq. cm field displays the sum of the wound debridement areas entered in the Sq. cm field for the applicable procedures on the current encounter.

   2. Select the body part and side of the body part where the procedure is performed.
   3. To provide additional details, click the Comment field.
5. Select the appropriate check boxes in the Wound care section.
6. Enter the details of anesthesia.
7. Click Add to Grid.
   Note: If you click Add to Grid without selecting a procedure, a message appears instructing you to select a procedure to be added to the grid.
8. Type any comments for burns, debridement, and wound care in the Comments field.
   Note: The comment added in this field is displayed in the Office Note document.
9. Select the Performed by check box.
   The name of the provider who performed the procedure and the date and time of the procedure are automatically filled in the corresponding fields.
10. Click Save & Close.
    Note: If you click Save & Close without adding the documented details to the grid, a message appears stating that you have not added the information to the grid. You can click Yes to return to the template and add the selected procedure to the grid, or click No to close the template without adding the procedure to the grid.