Autotext Dot Phrases for Cerner EHR

All templates, "autotexts", procedure notes, and other documents on these pages are intended as examples only for educational purposes.  Your documentation in the medical record should always reflect precisely your specific interaction with an individual patient.  Do not merely copy and paste a prewritten note element into a patient's chart - "cloning" is unethical, unsafe, and potentially fradulent.

 
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ADM Harm Reduction

ADM Harm Reduction

Harm Reduction: - Needle Exchange: Info given if applicable. - Injection techniques: Counseled on safe injection techniques and handout given: https://harmreduction.org/wp-content/uploads/2011/12/getting-off-right.pdf - HIV PREP: Offered Truvada 200/300 daily. If pt opts in, check HIV at baseline and q3 months. - Hep C: screening UTD - Narcan rx and training provided

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S: Pt doing well on _ No sx of w/d. Cravings stable. O: Gen: NAD COWS=0 A/P: Opiate addiction: Doing well on _ . Rx written: _. F/u on _ PDMP cures run and _ UDS sent Pt informed that they NEED to be

S: #Opiates: Pt currently using _. Has been using this for _. How the patient got into this is by _. Patient uses _ needles. _ used a dirty needle. Last HIV/Hep C was tested _. Withdrawal sx start ab