CERNER EHR

Welcome to our Cerner Tips & Tricks page. This is intended to be a repository for efficiency tools for use at VCMC. 
For problems with the EHR, call the HCA Helpdesk at (805) 677-5119.

Doctor's Desk
 

Exam: Newborn

Gen: healthy appearing newborn in no distress HEENT: no caput or cephalhematoma, normal ears: no pits or tags, nares patent; fontanelles...

Ultrasound Guided IV Line Placement

PROCEDURE NOTE: IV Placement under Ultrasound Guidance Performed by: [Provider Name] Indication: [IV access required. Multiple attempts...

Trauma Admit Note

Tier level: _ Time of Activation: _ Time of Patient Arrival: _ Time of Surgeon Arrival: _ Admitting Trauma Surgeon: _ ED physician...

Thoracentesis Procedure Note

INDICATION: _ PROCEDURE OPERATOR: _ ATTENDING PHYSICIAN: _ In Attendance (Y/N)_ CONSENT: [_] During the informed consent discussion...

Subclavian Central Line Procedure Note

INDICATION:_ PROCEDURE OPERATOR: _ ATTENDING PHYSICIAN: _ In Attendance (Y/N) _ Ultrasound Used: Y/N CONSENT: [_] During the informed...

Skin Biopsy Procedure Note

PRE-OP DIAGNOSIS: _ POST-OP DIAGNOSIS: Same PROCEDURE: skin biopsy Performing Physician: _ Supervising Physician (if applicable): _ ...

Radial Arterial Line Procedure Note

INDICATION: _ PROCEDURE OPERATOR: _ ATTENDING PHYSICIAN: _ In Attendance (Y/N)_ CONSENT: [_] During the informed consent discussion...

Paracentesis Procedure Note

INDICATION: _ PROCEDURE OPERATOR: _ ATTENDING PHYSICIAN: _ In Attendance (Y/N) _ Ultrasound used to mark location: Y/N CONSENT: During...

Nexplanon Removal Procedure Note

PRE-OP DIAGNOSIS: Nexplanon, desire for change of contraception POST-OP DIAGNOSIS: Same PROCEDURE: Nexplanon Removal Performing...

Nexplanon Insertion Procedure Note

PRE-OP DIAGNOSIS: desired long-term, reversible contraception POST-OP DIAGNOSIS: Same PROCEDURE: Nexplanon ® placement Performing...

Newborn Admit Note H&P

CC: Newborn HPI Newborn baby _ born to a _ yo G_P_ at _ and _/_ weeks EGA who presented in _ labor with/without SROM at _/_/_. Total...

Neonatal Circumcision Procedure Note

Preoperative diagnosis: Desires Neonatal Circumcision Postoperative diagnosis: same Procedure: Neonatal Circumcision Operator(s): _...

Lumbar Puncture Procedure Note

INDICATION: _ PROCEDURE OPERATOR: _ ATTENDING PHYSICIAN: _ In Attendance (Y/N): _ CONSENT: [_] During the informed consent discussion...

Intraosseous Line Placement

PROCEDURE NOTE: IO Placement Performed by: [Provider Name] Indication: [IV access required]. [Multiple attempts at peripheral IV...

Incision and Drainage Procedure Note

PRE-OP DIAGNOSIS: _ POST-OP DIAGNOSIS: Same PROCEDURE: incision and drainage of abscess Performing Physician: _ Supervising Physician (if...

Review of Systems, Full

Constitutional: No Weight Change, No Fever, No Chills, No Night Sweats, No Fatigue, No Malaise ENT/Mouth: No Hearing Changes, No Ear...

Femoral Central Line Procedure Note

INDICATION:_ PROCEDURE OPERATOR: _ ATTENDING PHYSICIAN: _ In Attendance (Y/N)_ Ultrasound Used: Y/N CONSENT: [_] During the informed...