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.

 
  • venturafamilymed

Depo Provera Injection

Subjective

The patient is here today for a DEPO injection. The last injection was within 90 days, otherwise a pregnancy test is recommended. The patient is tolerating the medication well.

Objective

.vitals

HCG - ____

Assessment/Plan

Follow up is recommend in 90 days or less.

47 views0 comments

Recent Posts

See All

The patient has been counseled on the procedure as well as risks, benefits, and alternatives. The procedure is considered irreversible and if they desire it to be reversed, it will require a much mo

Supportive care: Encourage fluids, activity as tolerated, honey for cough, salt water gargles, nasal saline. Tylenol or ibuprofen as needed for discomfort or fever > 102.5 Return if no improvement in

ASQ: Communication: Gross motor: Fine Motor: Problem Solving: Personal-Social: Interpretation / Concern / Plan: Dental assessment performed: No problem suspected, no referral needed Nutritional Assess