|
Tests Ordered
• • •
|
Injections given by
|
|
Injection 1
|
Injection Site 1
|
|
Injection 2
|
Injection Site 2
|
|
PO Meds
• • •
|
Injection Comments
|
|
Narcotic Medications
|
Prescriptions
|
|
Narcotics
|
Upper Respiratory Infection
|
|
Coumadin
|
Conjunctivitis
|
|
Diet
|
Diet Comments
|
|
Abscess Wound/Dressing Care
|
Abscess Incision and Drainage
|
|
Fever
|
Dressing Change ( Packed)
|
|
Fractures and Sprains
|
Dressing Change(No Packing)
|
|
Head Injury
|
Dressing Change ( Burns)
|
|
Suture Wound/Dressing Care
|
Diabetes
|
|
Eye Exam
|
Gastroenteritis
|
|
Laceration
|
GERD
|
|
Cerumen Impaction
|
High Blood Pressure
|
|
Return to Office
|
Urinary Tract Infections
|
|
Education
|
Sebaceous Cyst Removal
|
|
Referred to ER
|
Cryosurgery
|
|
General Instructions
• • •
|
HFN Treatment
|
|
Referral
|
Return to School/Work
• • •
|
|
FLU A
|
Education
|
|
FLU B
|
Education Comments
|
|
Strept
|
General Instruction Comments
|
|
Urine HCG
|
Follow Up
|
|
H. pylori
|
Fingerstick
|
|
Lipid Profile
|
Hemoglobin/A1C
|
