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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Nexplanon Insertion Procedure Note

PRE-OP DIAGNOSIS: desired long-term, reversible contraception POST-OP DIAGNOSIS: Same PROCEDURE: Nexplanon ® placement Performing Physician: _ Supervising Physician (if applicable): _ PROCEDURE: ICON : _ Negative Site (check): [_] Right Arm [_] Left Arm Serial # _ Sterile Preparation: [_] Betadine [_] Chloraprep Expiration Date [_] Insertion site was selected 8 – 10 cm from medial epicondyle and marked along with guiding site using sterile marker Procedure area was prepped and draped in a sterile fashion. _ mL of 1% lidocaine _ with OR without epinephrine used for subcutaneous anesthesia. Anesthesia confirmed. Nexplanon ® trocar was inserted subcutaneously and then Nexplanon ® capsule delivered subcutaneously Trocar was removed from the insertion site. Nexplanon ® capsule was palpated by provider and patient to assure satisfactory placement. Estimated blood loss of _ mL Dressings applied: _ Adhesive Dressing _ Gauze/Tape _ Biocclusive Followup: The patient tolerated the procedure well without complications. Standard post-procedure care is explained and return precautions are given.

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