Skin Biopsy/Repair Performed?
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Consent Obtained
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Location:
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Length___?(in cm)
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Depth of Laceration:
• • •
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Shape
• • •
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Contamination:
• • •
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Irrigated?
• • •
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Area Prepped with:
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Anesthesia used:
• • •
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Lesion Removal Method:
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Debridement?
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Foreign material removed
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Wound explored?
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Pathology Specimen?
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Wound repaired with:
• • •
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Skin closed with
• • •
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Hemostasis obtained
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SubQ sutures?
• • •
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Followup Instructions Given?
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Wound Care Discussed
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