|
SUBJECTIVE/CC
|
PAIN
• • •
|
|
DIAGNOSIS
• • •
|
DIAGNOSIS COMMENTS
|
|
WRITTEN INFORMED CONSENT
|
INITIAL TPI
• • •
|
|
CHART REVIEWED
• • •
|
CONTRAINDICATIONS
• • •
|
|
PATIENT PREP
|
NEEDLE
|
|
MEDICATION
• • •
|
MEDICATION COMMENTS
|
|
ML'S INJECTED
• • •
|
WASTE
• • •
|
|
AREA(S) INJECTED
• • •
|
AREAS INJECTED COMMENTS
|
|
PALPATION
• • •
|
|
|
SPASM
|
SPASM COMMENTS
|
|
PATTERN
|
PATTERN COMMENTS
|
|
BLOOD LOSS
• • •
|
BANDAIDS
• • •
|
|
COMPLICATIONS
• • •
|
TOLERANCE
• • •
|
|
DISCHARGE
|
F/U
• • •
|
|
OTHER
|
CPT
• • •
|
