Document Incisions and Drainage Procedures
You can document the Incisions and Drainage (I&D) procedures performed in office.
- Open the IORTS Castsplint Apply template.
- Click I & D in the left pane.
The IORTSproc Ind template opens.
- Select the appropriate I&D procedure type.
If you select Ndle Asp of Fluid Coll (needle aspiration) or I and D of Fluid Coll (incision and drainage), the list automatically opens for the following fields. You can select the options from the lists.
- Type of Fluid
- Side
- Location
- Instrument used
If you select I and D of Abscess (abscess incision and drainage), the list automatically opens for the following fields. You can select the options from the lists.
- Side
- Location
- Instrument used
- Enter the anesthetic injection dosage as follows:
- Click the Lido w/o field, and select the injection dosage for Lidocaine without epinephrine.
- Click the Lido /Epi field, and select the injection dosage for Lidocaine with epinephrine.
- Click the Marc field, and select the injection dosage for Marcaine.
- Click the Qty (cc) field, enter the fluid quantity in cubic centimeters in the Quantity of Fluid (cc) window, then click OK.
- Type the appearance of the fluid taken in the Appearance field.
- Select any of the following options to indicate if you are sending the fluid for a cell, crystal, or culture tests.
- Cell
- Cry
- Cx
- Select the following options as needed for the dressing and wound care.
- Applied sterile dressing and discussed wound care instructions
- Patient tolerated procedure well
- Select the appropriate option for packing.
- Enter any additional details in the Comments field.
- Click Add to Grid.
A message appears stating that the procedure has been sent to the grid.
- 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.
- Click Save & Close.
Related tasks